Regency Health Care 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.

67.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 671 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 62.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 232 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.62 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 90 beds and averages 83.7 residents a day — about 93% occupied, or roughly 6 beds typically open. It runs fairly full. 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 4.30 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 is at or above 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 3.38 hrs/resident/day on weekends vs 4.67 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.81 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% 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 more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

18 citations, most serious first. The 13 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · J2024-08-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 Identifier (RI) #180's medical record, the facility's policies titled Urine Sample Collection, Antibiotic Stewardship Program, Loeb's Minimum Criteria for Starting Antibiotic Therapy, Revised McGeer Criteria for Infection Surveillance Checklist, and Laboratory Services and Reporting, the facility failed to ensure RI #180 received prompt treatment after the facility's staff identified that he/she was exhibiting signs and symptoms of a Urinary Tract Infection. The facility failed to ensure a system was in place for the proper collection of urinary specimens for culture and sensitivity. Further, the facility did not have a system to ensure ordered antibiotics were administered as expected by the ordering health care provider. On [DATE] the Certified Registered Nurse Practitioner (CRNP) ordered a urinalysis (UA) for RI #180. The urine sample was not collected and sent to the lab until [DATE]. The preliminary lab results were dated [DATE]. On [DATE], the CRNP was notified of the UA…

  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
• Immediate jeopardy · J2024-08-21 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  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 facility policy titled Quality Assessment and Assurance the facility's Quality Assessment and Assurance Committee (QAAC), the facility's Quality Improvement Performance Improvement (QAPI) committee, failed to thoroughly review all factors related to Resident Identifier (RI) #180's hospitalization on [DATE]. The facility did not identify the delay in treatment that resulted from the facility's failure to promptly obtain RI #180's urine specimen, promptly notify the Certified Registered Nurse Practitioner (CRNP) of RI #180's urinalysis (UA) results, and failure to administer RI #180's antibiotic timely. The facility's QAAC further failed to systemically address the factors that resulted in delay in treatment. On [DATE] RI #180 was noted to have decreased urinary output, urine odor, blood-tinged urine, and increased confusion. The QAAC had reviewed RI #180's incident report after a fall on [DATE] and identified the immediate action needed was treat Urinary Tract…

  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
• Actual harm · G2024-08-21 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, review of a facility policy titled Pharmacy Services, the facility failed to ensure medications were available and administered as ordered for Resident Identifier (RI) #330, a resident with Liver Disease, upon admission to the facility on [DATE]. RI #330 missed doses of Rifaximin and Lactulose, medications for treatment of RI #330's Liver Disease, resulting in elevated blood ammonia levels. This affected one of 19 sampled residents. Findings include: A facility policy titled Pharmacy Services dated 2017 documented . Policy: It is the policy of this facility to ensure that pharmaceutical services, . are provided to meet the needs of each resident, . Compliance Guidlines: 1. The facility will provide pharmaceutical services to include procedures that assure the accurate acquiring, receiving, dispensing, and administering of all routine . biologicals to meet the needs of each resident, . RI #330's hospital Discharge summary dated [DATE] documented discharge medications…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each 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 observations, interviews, record review and a facility policy titled Call Lights: Accessibility and Timely Response, the facility failed to accommodate the needs of Resident Identifier (RI) #15 by failing to ensure the call light was accessible on two of five days of the survey. This affected RI #15, one of 31 sampled residents. Findings include: Review of a policy titled Call Lights: Accessibility and Timely Response, revised February 2021, documented: . The purpose of this procedure is to assure the facility is adequately equipped with a call light at each residents' bedside . Call Lights will directly relay to staff member or centralized location to ensure appropriate response . 5. With each interaction in the resident's room . staff will ensure the call light is within reach or resident and secured as needed, prior to leaving the room . RI #15 was readmitted to the facility on [DATE] with diagnoses to include Cerebral Atherosclerosis and Vascular Dementia. On 07/28/2024 at 4:35 PM, the surveyor…

  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 · D2024-08-21 · 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, resident record review, and review of a facility policy titled Notification of Changes, the facility failed to ensure the Certified Registered Nurse Practitioner (CRNP) was notified when medication was not available for administration to Resident Identifier (RI) #330 on 01/05/2023 and 01/06/2023. This affected one of 31 sampled residents. Findings include: A facility policy titled Notification of Changes revised 02/2021 documented . The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician; and notify, consistent with his or her authority, resident's representative when there is a change requiring notification. Circumstances requiring notification include but are not limited to: . 3. Circumstances that require a need to alter treatment. RI #330 was admitted to the facility on [DATE]. RI #330's hospital Discharge summary dated [DATE] documented discharge medications to be resumed included xifaxan (Rifaximin) to be given twice a day.…

  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 · D2024-08-21 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 record review, interview, and review of a facility policy titled MDS 3.0 Completion the facility failed to ensure a discharge Minimum Data Set (MDS) Assessment was completed and transmitted after Resident Identifier (RI) #62 was discharged from the facility on 05/14/2024. This affected one of 31 sampled residents. Findings include: A facility policy titled MDS 3.0 Completion dated documented . Policy Explanation and Compliance Guidelines: . 2. Types of . Assessments: . f. Discharge Assessment - completed using the discharge date as the ARD (Assessment Reference Date). Must be completed within 14 days of the discharge date /ARD. 7. Transmission Requirements: a. All assessments shall be transmitted to the designated CMS (Centers for Medicare and Medicaid Services) system . within 14 days of completion. RI #62 was admitted to the facility on [DATE] and discharged on 05/14/2024. RI #62's MDS assessments were reviewed and revealed a discharge assessment had not been completed or transmitted. On 07/30/2024 at…

  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 · Dcited before2024-08-21 · 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 interviews, residents' medical record, and the Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manuals, the facility failed to ensure 1) Section O of Resident Identifier (RI) #3's admission Minimum Data Set (MDS) assessment was accurately coded to reflect the use of a Continuous Positive Airway Pressure (CPAP) during the assessment period and 2) Section H of RI #180's admission MDS assessment with an Assessment Reference Date (ARD) date of 12/17/2023 was accurately coded to reflect urinary and bowel continence. This deficient practice affects RI #3 one of three sampled residents for respiratory care and RI #180 one of 31 sampled residents for MDS. Findings Include: 1) The Centers for Medicare and Medicaid Services Long-Term Care Resident Assessment Instrument 3.0 User's Manual Version 1.18.11 October 2023 documented: Section O- Special Treatments, Procedures .Check all of the following treatments, procedures and programs that were perform b…

  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 · D2024-08-21 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 and record review the facility failed to ensure an accurate baseline care plan was developed for Resident Identifier (RI) #180. This affected one of 31 sampled residents reviewed for a baseline care plan. Findings include: A review of the admission Record for RI #180 indicated the resident was admitted to the facility on [DATE] with a diagnosis to include Unspecified Protein-Calorie malnutrition, Type Two Diabetes Mellitus without Complications, and Retention of Urine. A review of Section H of RI #180's admission MDS (Mininum Date Set) with an ARD (Assessment Reference Date) of 12/17/2023 indicated RI #180 was always continent of bowel and bladder and did not have a urinary catheter. A review of RI #180's facility document BASELINE CARE PLAN SUMMARY dated 12/13/2023 had resident sponsor in Resident Representative blank. The care plan included catheter care. The baseline care plan summary was signed by Licensed Practical Nurse (LPN) #13. A review of RI #180's Departmental Notes revealed a…

  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 · D2024-08-21 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 and record review, review of the facility policy titled, Care Planning-Resident Participation the facility staff failed to ensure a care plan conference was scheduled to include Resident Identified (RI) #180's resident representative an opportunity to discuss the plan of care. This affected one of 31 sampled residents whose care plans were reviewed. Findings include: A review of a facility policy titled Care Planning-Resident Participation with a date implemented of 2017 revealed: .Policy: This facility supports the resident's right to be informed of, and participants in, his or her care planning and treatment (implementation of care). Policy Explanation and Compliance Guidelines: . 3. The facility will notify the resident and/or resident representative, in advance, of the care to be furnished and the type of caregiver or professional that will furnish care, as well as changes to the plan of care. 4. The facility will encourage and assist the resident and/or resident representative to…

  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 · D2024-08-21 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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, medical record review, a review of [NAME] and [NAME], Fundamentals of Nursing, NINTH EDITION, and facility policy titled Medication Administration. The facility failed to ensure that Resident Identifier (RI) #23 had an intravenous saline lock removed after Normal Saline was completed on July 27, 2024. This deficient practice affected RI #23; one of 31 sampled residents during the recertification survey. Findings Include: Review of [NAME] and [NAME]'s Fundamentals of Nursing, NINTH EDITION, revealed the following: . Chapter 23 Legal Implication in Nursing Practice . Health Care Provider's Orders. The health care provider (physician .) is responsible for directing medical treatment. Nurses follow health care provider's orders unless they believe the orders are in error or harm patients . Review of facility policy titled Medication Administration date implemented 2006, revealed the following: . Policy: Medications are administered by licensed nurses, or other staff who are legally…

  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 · D2024-08-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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, medical record review and a review of a facility policy titled, Activities of Daily Living (ADLs), the facility failed to ensure Resident Identifer (RI) #23's fingernails were kept clean and cut. This deficient practice affected RI #23 one of five residents sampled for ADL care. Findings Include: A review of a facility policy titled: Activities of Daily Living (ADLs) with a revised date of 02/2021 revealed: Policy: The facility will assist residents to reduce the likelihood that their abilities in ADL's deteriorate unless deterioration is unavoidable. Policy Explanation and Compliance Guidelines: .3. A resident who is unable to carry out activities of daily living will receive the necessary services to maintain . grooming, and personal and oral hygiene . RI #23 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis to include: Parkinson's Disease without Dyskinesia, without Mention of Fluctuations, Chronic Obstructive Pulmonary Disease, Type 2 Diabetes…

  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 · D2024-08-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 observation, interviews, resident record review, and review of a facility policy titled Perineal Care the facility failed to ensure Certified Nursing Assistant (CNA) #20 provided incontinent care for Resident Identifier (RI) #335 in a manner to prevent risk of a urinary tract infection (UTI). During the survey on 08/15/2024 CNA #20 was observed wiping bowel movement from RI #335's buttocks and anus area to the front of his/her perineal area. CNA #20 wore the same pair of soiled gloves for the entire process of incontinent care. This affected one of two residents sampled for infection prevention during incontinent care. Findings include: The facility policy titled Perineal Care with a last date reviewed of 02/2021, documented: Policy: It is the practice of this facility to provide perineal care to all incontinent residents during routine bath and as needed in order to promote cleanliness and comfort, prevent infection to the extent possible . Definition Perineal Care refers to the care of the external…

  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 · D2024-08-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 interviews, medical record review and review of facility policies titled Documentation in Medical Record and Verbal Orders the facility failed to ensure Resident Identifier (RI) #180's medical record contained the times for verbal/telephone orders received on 01/03/2024, 01/06/2024, and 01/10/2024. Further, the facility failed to ensure RI #180's urine specimen obtained on 01/05/2024 via catheter was documented. The facility further failed to ensure Licensed Practical Nurse (LPN) #13 did not document administration of RI #180's 01/14/2024 dose of levofloxacin 500 milligram as administered on 01/18/2024 without clearly indicating that it was documented as a late entry. This affected one of 31 sampled residents. Findings include: Review of facility policy titled Documentation in Medical Record with a date revised of 02/2021 revealed: . Policy Each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture…

  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

“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

$16,801 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $6,500 — penalty dated 2024-08-21
• $10,301 — penalty dated 2024-08-21
• Medicare payment denial — starting 2024-09-20 for 4 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.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

This home reported $3.8M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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