Northgate Health And Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 69 beds and averages 52.7 residents a day — about 76% occupied, or roughly 16 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.19 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.06 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.72 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.60 hrs/resident/day on weekends vs 3.42 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.22 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 79% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 13 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · J2025-05-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, resident record reviews, review of a facility policy titled Abuse, Neglect and Exploitation, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative files, the facility failed to protect the residents' rights to be free from sexual and physical abuse perpetrated by residents. Specifically: 1.) The facility failed to ensure Resident Identifier (RI) #49 was free from sexual abuse perpetrated by RI #1, a resident with a history of sexually inappropriate behavior to include vulgar comments and obscene language. On 09/12/2024 RI #1was found unsupervised in the Activity Room with his/her hand on RI #49's breast. The facility had not developed and implemented interventions to ensure RI #1 was supervised in a manner to protect other residents and monitored appropriately for behaviors that could affect residents' safety. On 08/28/2024 RI #1's dosage of Seroquel (an antipsychotic medication ordered to treat RI #1's Schizophrenia) was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-05-09 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and review of a facility policy titled Unnecessary Drugs the facility failed to ensure adequate monitoring for behaviors was completed accurately, properly, and consistently while a Gradual Dose Reduction (GDR) for a psychotropic medication was being attempted. Specifically, RI #1 had a dose reduction of Seroquel on 08/28/2024 and the facility did not have a documented system to include timeframe and instructions to staff on monitoring for behaviors while a GDR attempt was in progress. The Certified Nursing Assistant (CNA) and the nurses' behavior monitoring documentation on the Electronic Medication Record (EMAR) was not completed accurately and in a manner to validate whether RI #1 had behaviors or escalation of behaviors. RI #1 had a history of sexually inappropriate behaviors and on 09/12/2024 RI #1 sexually abused RI #49, 15 days after the dose reduction. It was determined the facility's noncompliance with one or more requirements of participation had caused, or was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-05-09 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, resident record review, and review of a facility policy titled Behavioral Health Care Services, the facility failed to ensure residents with behaviors were managed and addressed to protect other residents from abuse, and to ensure other residents' safety and privacy was protected from residents with combative, aggressive, and sexual behaviors. Specifically, 1.) The facility failed to ensure staff documented the presence of or absence of target behaviors that were identified in Resident Identifier (RI) #1's Care Plan to ensure RI #1's behaviors were managed. RI #1 had diagnoses of Schizophrenia and Bipolar Disorder and a history of sexually inappropriate behavior. On 09/12/2024 RI #1 was found by staff in the Activity Room unsupervised with RI #49 and RI #1 had his/her hand on RI #49's breast. The facility failed to accurately document changes in occurrences of behaviors including the frequency. The facility failed to establish and communicate the level of supervision and monitoring required…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-09 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and review of the Dietary Manager's (DM) employee file, the facility failed to have a qualified Dietary Manager. This had the potential to affect 60 of 60 residents receiving meals from the kitchen. Findings include: An undated job offer letter for the position of Dietary Director (Dietary Manager) from the Administrator included: 1.) The date the offer was accepted by the Dietary Manager: 01/21/2025. 2.) The hire date for the Dietary Manager: 02/14/2025. 3.) The start date for the Dietary Manager: 03/11/2025. A job description for Dietary Manager, dated 12/08/2018 and signed by the Dietary Manager on 03/11/2025, included the following: . JOB SUMMARY: The primary purpose of the Dietary Manager position is to oversee in planning, organizing, developing and directing the overall operations of the Dietary Department. JOB REQUIREMENTS: . Education * Must be a graduate of an accredited course in dietetic training approved by the American Dietetic Association or a graduate of another course in food service supervision * Must be a Certified Dietary Manager; or * Must be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-09 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and review of a facility policy titled, Safe and Homelike Environment, the facility failed to ensure residents were provided a safe, clean, comfortable, and homelike environment. During the survey the following concerns were observed in Residents' rooms and common areas: 1) Resident Identifier (RI) #2, RI #7, RI #24, RI #25, RI #31, RI #38 and RI #43 had areas of walls and trim in their rooms in need of painting; 2) RI #1, RI #2, and RI #25 had window blinds in their rooms with broken or missing pieces; 3) RI #15 and RI #25 had windowsills in their rooms in need of repair; 4) RI #26 had a dresser with chipped paint; 5) The Unit Two hallway had broken and stained ceiling tiles; 6) RI #31 and the hallway on Unit Two had as wall with detaching trim; 7) RI #43 had a wall with a hole behind the door and missing pieces of floor tiles. These observations were made on two of two units at the facility; and in the rooms of RI #'s 1, 2, 7, 15, 24, 25, 26, 31, 38, and 43.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-09 · tag F0924 — pattern
  Put firmly secured handrails on each side of hallways.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interview, the facility failed to ensure: 1) hand rails in the hallways were not missing plastic end cap pieces, 2) a small handrail was not missing from the wall on the left side of the hall, and there was not a missing handrail on the right side of the hallway on Unit One; and 3) a small hand rail was not missing from the wall next to the nurses station on Unit Two. This deficient practice was identified during observations of the environment and had the potential to affect residents who ambulated in the facility. Findings include: On 04/29/2025 at 4:00 PM, the surveyor observed the hand rail in front of the nurses' station on Unit One was missing the end cap. On 04/29/2025 at 4:16 PM, the surveyor observed the hand rail near the Respiratory Supply Closet was missing the end cap. On 04/29/2025 at 4:17 PM, the surveyor observed a the hand rail near Social Service (SS) office was missing the end cap. On 05/05/2025 at 3:05 PM during observations of areas of concern with the environment in the facility with the Maintenance Director (MTD) he said, end cap…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-09 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and review of a facility policy titled, Notification of Change, the facility failed to ensure Resident Identifier (RI) #312's sponsor/representative was notified when RI #312 had a room change in the facility on 10/18/2024. This deficient practice affected RI #312, one of 27 sampled residents and was cited as a result of the investigation of complaint/report number AL00049381. Findings include: A review of a facility policy titled, Notification of Changes, dated 2024 revealed: . 1. Competent individuals: a. The facility must still contact the resident's physician and notify resident's representative, if known. RI #312 was readmitted to the facility on [DATE]. On 05/01/2025 at 10:03 AM, an interview was conducted with Social Service Designee (SSD)/Care Manager #9. The SSD stated, RI #312 had a room change in the facility on 10/18/2024. The SSD stated, the facility was responsible for notifying the responsible party, and the resident when moving to another room. The SSD stated,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-09 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, resident record review, and review of the Centers for Medicare & (and) Medicaid Services (CMS) Long-Term Care Resident Assessment Instrument 3.0 Manual, the facility failed to ensure Resident Identifier (RI) #21's quarterly Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 01/28/2025 was coded to accurately reflect that RI #21 received special treatment of dialysis. This deficient practice had the potential to affect RI #23, one of 27 sampled residents whose MDS assessments were reviewed. Findings include: The review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2024, section O, revealed: . Intent: the intent of the items in this section is to identify any special treatments, procedures, and programs that the resident received during the specified time periods . RI #21 was readmitted to the facility on [DATE] with diagnoses to include: Dependence on Renal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-09 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, medical record review, review of a facility policy titled, Diagnostic Testing Services, and a review of a Facility Incident Report (FRI) received by the State Agency, the facility failed to ensure RI #412's laboratory services were provided timely when an order was received on 07/19/2024 to obtain a Urinalysis (UA) and Culture and Sensitivity (C&S) for RI #412. This deficient practice affected RI #412, one of 27 sampled residents. Findings include: RI #412 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses to include Benign Prostatic Hyperpasia and History of Cystitis. RI #412's July 2024 Physician Orders were reviewed and revealed an order dated 07/19/2024 for a laboratory test of urinalysis and culture and sensitivity. RI #412's medical record contained laboratory results for a Urinalysis that was collected 07/29/2024 and included a final report documenting there was probable urogenital contamination and no further work up would follow. On 05/02/2025 at 11:08 AM…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-09 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure Resident Identifier (RI) #29's bed was in a safe operating condition at all times. During the dinner meal on 04/29/2025, RI #29's head of bed (HOB) was observed to be in a flat position. Certified Nursing Assistant (CNA) #23 reported the bed had been broken since 04/28/2025. This affected RI #29, one of 27 sampled residents. Findings include: RI #29 was admitted to the facility on [DATE] with diagnoses to include Dementia, Anxiety, Intellectual Disabilities, and Gastrostomy Status. On 04/29/2025 at 6:10 PM, RI #29 was observed on a low bed with the HOB in a flat position while Certified Nursing Assistant (CNA) #23 tried to wake RI #29 up for the dinner meal. CNA #23 said, the HOB was flat due to the bed being broken and maintenance needed to fix the bed. On 04/30/2025 at 7:57 AM, RI #29 was observed in bed and the HOB remained in the flat position. On 05/02/2025 at 8:49 AM, the surveyor conducted an interview with CNA #23. When asked when she…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and review of a facility policy titled Code of Dress and Personal Appearance the facility failed to ensure: 1.) the Dietary Manager (DM) wore a beard guard around food while in the kitchen on 01/06/2025 and 01/08/2025; 2.) Residents were served on dinnerware instead of paper plates during the evening dining observation on 01/06/2025 and; 3.) the kitchen stove hood and vents were clean and free of a grease and dust like substance on 01/06/2025 during the initial tour of the kitchen. This had the potential to affect 52 out of 52 residents who received meals from the kitchen. 1.) A review of a facility policy titled Code of Dress and Personal Appearance dated 2020, revealed: . Guideline: All Dining Services employees will comply with printed and posted personal hygiene guidelines, sanitation practice, and dress code of this community. Procedure: . a. Employees will use effective hair restraints, such as hairnets, hair bonnets, and beard guards to prevent contamination of food or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, resident record review, and review of a facility policy titled Nebulizer Therapy the facility failed to ensure Resident Identifier (RI) #8's nebulizer mask and tubing was maintained in a manner to prevent contamination on four of four days of the survey from 01/06/2025 through 01/09/2025 when RI #8's nebulizer mask was not stored in a zip lock bag per policy and RI #8's nebulizer mask and tubing had not been changed since 12/22/2024. This deficient practice affected RI #8, one of two residents sampled for Respiratory Care. Findings include: Review of a facility policy titled Nebulizer Therapy with a Copyright date of 2024, revealed the following: . Policy Explanation and Compliance Guidelines: . Care of the Equipment . 7. store . in a zip lock bag . RI #8 was admitted to the facility on [DATE] and had diagnoses to include Chronic Obstructive Pulmonary Disease. Review of RI #8's January 2025 physician orders revealed RI #8 was to be given a vial of Ipratropium-Albuterol Solution…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-04 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, review of facility policies titled, Pest Control Program and Safe and Homelike Environment, review of complaints received by the Alabama State Survey Agency, the facility failed to ensure: 1) rodent droppings were not observed in the Dietary Manager's (DM) office, dry storage room in the kitchen, and in the nurses medication room, 2) an adhesive strip with multiple size roaches was not in Resident Identifier (RI) #24's bathroom, and adhesive strips with dead roaches were not in the kitchen, 3) an exit door near RI #'s 26 room did not have a gap beneath the door; and 4) there were not numerous complaints from residents about roaches/rodents being in the facility. These deficient practices affected four of 24 sampled residents including RI #3, RI #24, RI #26, and RI #28 and had the potential to affect all 55 residents residing in the facility. Observations were made on 07/29/2024, 07/30/2024, 07/31/2024 and 08/01/2024. These deficiencies were cited as a result of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$17,346 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $5,782 — penalty dated 2025-05-09
• $5,782 — penalty dated 2025-05-09
• $5,782 — penalty dated 2025-05-09
• Medicare payment denial — starting 2025-06-07 for 13 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ARABELLA HEALTHCARE MANAGEMENT — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AL