Shadescrest Health Care 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.

40.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.1% 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 22 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 0.14 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 107 beds and averages 97.1 residents a day — about 91% occupied, or roughly 10 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 4.04 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.53 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 3.21 hrs/resident/day on weekends vs 4.37 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.80 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as 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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · F2024-02-09 · 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

  Based on observation, interviews, review of an undated facility policy titled, DIETARY POLICY SANITATION AND INFECTION CONTROL, and review of the 2022 Food Code from the United States (U.S.) Food and Drug Administration (FDA); the facility failed to ensure two pans of casserole in the freezer was labeled with a use by date. This was observed on 02/05/2024, and had the potential to affect 84 out of 88 residents who were receiving food from the facility's kitchen. Findings include: A review of an undated facility policy titled, DIETARY POLICY SANITATION AND INFECTION CONTROL revealed the following: . 10. Storage of Leftovers . b. Leftovers, cold foods etc., shall be kept on a tray and covered with a fitted lid, foil wrap or plastic wrap. Each tray or container shall be dated . Review of the 2022 U.S. Food and Drug Administration Food Code revealed the following: . 3-501.17 Ready-to- Eat, Time/Temperature Control for Safety Food, Date Marking . (A) . refrigerated, READY-TO-EAT, TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and held in a FOOD ESTABLISHMENT for more than 24 hours…

  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 · E2024-02-09 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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, interviews, review of a section in the facility's Privacy Notice (admission Packet) titled, . RESIDENT'S RIGHTS AND INFORMATION ., and review of [NAME] and Perry's FUNDAMENTALS OF NURSING NINTH EDITION, the facility failed to ensure residents and/or their representatives had the opportunity to formulate an advance directive including providing a written description of the facility's policies to implement advance directive and applicable state law. This deficient practice affected RI #'s 7, 23, 31, 44, 52, 62, 63, 70, 77, 78, and 79, 11 of 18 residents reviewed for advance directives. Findings include: A review of the facility's Privacy Notice, with an effective date of 04/14/2003, contained the following information: . RESIDENT'S RIGHT AND INFORMATION . 13. Resident Rights . (a) Exercise of Rights . (8) The facility must comply with the requirements relating to maintaining written policies and procedures regarding advance directive. These requirements include provisions to inform and…

  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 · E2024-02-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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 the facility's SMOKING CONSENT AND WAIVER, and review of a facility policy titled Resident Smoking, the facility failed to ensure: 1) smoking assessments were completed on Resident Identifier (RI) #'s 33, 35, 48, 56, 58, 65, 72 and 138 to assess the resident's ability to smoke safely, 2) the smoking materials were kept locked up on the weekend; and 3) RI #31's fall risk preventions were implemented. These deficient practices affected eight of eight residents who smoked at the facility; and RI #31, one of one resident sampled for falls. Findings include: 1) Review of the facility's undated SMOKING CONSENT AND WAIVER, revealed the following: . 4. I agree that . may assess my ability to safely continue to smoke as necessary based on my medical condition and/or the advice of my attending physician. This assessment includes but is not limited to my medical diagnosis, psychiatric diagnosis, physical impairments, fall and us (use) of psychotropic or pain…

  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 · D2024-02-09 · tag F0551 — isolated
  Give the resident's representative the ability to exercise the resident's rights.
  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 staff interviews, record review, and review of a section contained within the facility's Privacy Notice (admission Packet) titled, . RESIDENTS' RIGHTS AND RESPONSIBILITIES OF FACILITIES ., the facility failed to ensure Resident Identifier (RI) #40 and RI #44 had a choice in choosing their representative /responsible party. This deficient practice affected RI #'s 40 and 44, two of 41 sampled residents. Findings include: A review of the facility's Privacy Notice, with an effective date of 04/14/2003, contained the following information: . RESIDENTS' RIGHTS AND RESPONSIBILITIES OF FACILITIES . The management and staff of their center will make every effort to assist you in exercising your Residents' Rights. 8. Freedom of Choice-The right to choose a personal attending physician, to be fully informed on advance about care and treatment, to be fully informed in advance of any changes in care or treatment that may affect the resident's well-being, . 1) RI #40 was admitted to the facility on [DATE] and…

  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 · D2024-02-09 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 staff interviews, record review, and review of a section contained within the facility's Privacy Notice (admission Packet) titled, . RESIDENTS' RIGHTS AND RESPONSIBILITIES OF FACILITIES ., the facility failed to ensure Resident Identifier (RI) #2's and RI 40's listed responsible parties signed the consent for the residents to received the COVID-19 vaccination. This deficient practice affect RI #2 and RI #40, two of 41 sampled residents. Findings include: A review of the facility Privacy Notice, with an effective date of 04/14/2003, contained the following information: . RESIDENTS' RIGHTS AND RESPONSIBILITIES OF FACILITIES . The management and staff of their center will make every effort to assist you in exercising your Residents' Rights. 8. Freedom of Choice- . to be fully informed on advance about care and treatment, to be fully informed in advance of any changes in care or treatment that may affect the resident's well-being, . RI #2 was admitted to the facility on [DATE] and readmitted on [DATE]. 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-09 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  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 staff interviews, record review, and review of Resident Identifier (RI) # 40's and RI #44's Care Plan Review sheets, there was no evidence the Administrator (ADM) who was identified as the second contact/responsible party attended the care plan meetings. This deficient practice affected RI #40 and RI #44, two of 41 sampled residents Findings include: RI #40 was admitted to the facility on [DATE] and readmitted on [DATE]. A review of RI #40's face sheet revealed there was no responsible party listed and the Administrator (ADM) was listed as the second contact. On review of RI #40's Care Plan Review sheets dated 04/20/2023, 07/13/2023, 10/12/2023 and 01/11/2024, there was no evidence RI #40 had a representative/responsible party at these care plan meetings. RI #44 was admitted to the facility on [DATE] and readmitted on [DATE] A review of RI #44's face sheet revealed the responsible party was the ADM. On review of RI #44's Care Plan Review sheets dated 01/26/2023, 04/20/2023, 07/20/2023, 08/17/2023, and…

  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 · D2024-02-09 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 an observation, interviews, record review and review of a facility policy titled, Administration of medication, the facility failed to ensure the EMAR (electronic Medication Administration Record) screen was closed, and did not reveal information about Resident Identifier (RI) #77's medications. This deficient practice affected RI #77, one of one resident; and was observed on 02/05/2024, during the evening medication pass. Finding include: Review of a facility policy titled, Administration of medication, with an effective date of 05/11/2023, revealed the following; . PROCEDURE . 23. Resident's health information needs to remain private. The pages of the EMAR containing resident health information must have privacy screen up when not in direct use . RI #77 was admitted to the facility on [DATE] with diagnoses to include Type II Diabetes Mellitus with Hyperglycemia, Constipation and Chronic Pain due to Trauma. RI #77's February 2024 Physician Orders revealed RI #77 was receiving Senna 8.6 mg (milligrams)…

  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 · D2024-02-09 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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, review of a facility policy titled, RESTRAINT and review of a facility form titled, PHYSICAL RESTRAINT CONSENT, the facility failed to ensure Resident Identifier (RI) #54 did not have all four side rails up when observed in bed on 02/08/2024. This deficient practice affected RI #54; one of one resident sampled for the use of restraints. Findings include: A review of a facility policy titled, RESTRAINT, with an effective date of 04/20/2009 revealed the following: POLICY . It is the policy . that no residents shall be restrained for discipline or convenience . A review of an undated facility form titled, PHYSICAL RESTRAINT CONSENT, revealed the following: . Side rails sometimes restrain residents. The use of side rails as restraints is prohibited unless they are necessary to treat a resident's medical symptoms . RI #54 was readmitted to the facility on [DATE] with a diagnosis of Dementia. A review of RI #54's SIDERAIL ASSESSMENT, dated 05/18/2023, revealed the following: ½ side…

  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
• Potential for harm · D2024-02-09 · 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

  Based on observations, interviews, record review, and review of a facility policy titled, FINGERNAIL AND TOENAIL CARE, the facility failed to ensure Resident Identifier (RI) #70's toenails and fingernails were kept clean and cut. This deficient practice affected RI #70 one of one resident who was sampled for Activities of Daily Living Care. Findings include: A review of a facility policy titled, FINGERNAIL AND TOENAIL CARE, with a reviewed date of 01/31/2023 revealed: . POLICY . It is the policy . to ensure that the resident's nails are clean, and to protect the resident from scratches from long fingernails/toenails. PROCEDURE . 3. Trim the fingernails/toenails using a nail clipper . 4. File the rough edges . RI #70 was admitted to facility on 10/26/2023 with a diagnosis of Cerebrovascular Disease, Unspecified. On 02/07/2024 at 9:05 AM, the surveyor observed that RI #70's toenails on his/her right and left big toes were very long. Also RI #70's fingernails were long, and the first finger nail on RI #70's right hand was broken with a sharp edge. RI #70 stated he/she wanted his/her…

  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 · Dcited before2024-02-09 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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, review of the Reference Manual for Cleaning and Disinfecting the Assure Prism Multi Glucometer and review of a facility policy titled, Hand Hygiene, the facility failed to ensure: 1) Licensed Practical Nurse (LPN) #7 effectively cleaned and disinfected the glucometer after obtaining a blood glucose check for Resident Identifier (RI) #36, 2) LPN #7 implemented Enhanced Barrier Precautions before entering the room of RI #46, which was clearly identified for the use of Personal Protection Equipment (PPE); and LPN #7 washed or sanitized her hands between touching RI #46 and RI #57. These deficient practice affected LPN #7, one of two licensed staff observed performing finger stick blood glucose monitoring; and LPN #7 one of one staff observed not applying PPE when entering an Enhanced Barrier Precaution room to provide personal care for RI #46, and failing to sanitize her hands in between caring for RI #46 and RI #57. Findings include: 1) A review of the…

  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.

  Infection Control 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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 35 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 $606K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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