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Ouachita Nursing And Rehabilitation Center

1411 Country Club Road, Camden, AR 71701 · For profit - Limited Liability company · 115 certified beds · (870) 836-4111 Medicare & Medicaid certified

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Flagged for abuseResident-funds citation (F0567)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Aug 2025
  • it has a citation for mishandling residents’ money or property (F0567)
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • about 66% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
353 Cash Rd SW · (501) 224-0200 · Call to confirm hours
Pharmacy
1286 Highway 278 SW · (870) 836-8132 · Call to confirm hours
Grocery
1345 US 278 Hwy SW · (870) 836-3900 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
1283 Highway 278 SW · (870) 836-4440

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.3%9.5%15.4%better
Long-stay residents who lose too much weight4.8%4.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.6%0.9%better
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms0.0%1.4%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.1%3.9%3.3%better
Long-stay residents whose ability to walk worsened6.1%10.1%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.2%21.7%18.9%better
Long-stay residents given the seasonal flu vaccine98.7%96.1%95.3%typical
Long-stay residents with pressure ulcers5.5%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control13.2%13.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table6.3%10.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine80.6%77.7%79.4%typical
Short-stay residents rehospitalized after admission23.5%24.1%22.6%typical
Short-stay residents with an outpatient ER visit18.7%12.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.392.011.67better
Long-stay outpatient ER visits per 1,000 resident days1.922.131.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

53.0% 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 89 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.0%U.S. median 51.5%
Got home and stayed home
9.2%U.S. median 10.7%
Went back to hospital
65.4%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 65.4% 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 52 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 0.29 therapist hours per resident per day in 2026Q1 — more than 46% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF53.0%CMS range 44.2–62.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.2%CMS range 5.9–13.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge65.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge59.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified98.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened7.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.9%CMS range 3.9–11.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.511.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.58
RN hours/ resident / day
0.82
LPN hours/ resident / day
2.37
Aide hours/ resident / day
3.76
Total nurse hours/ resident / day
0.37
RN hoursweekends
49.4%
Total nursing turnover
16.7%
RN turnover

How full it usually is: this home is certified for 115 beds and averages 79.2 residents a day — about 69% occupied, or roughly 36 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.37 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 3.39 hrs/resident/day on weekends vs 3.92 on weekdays — 13% thinner on weekends. RN hours go from 0.66 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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

1
deficiencies at the latest standard inspection (2025-08-21)
13
at the previous standard inspection (2024-05-16)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

  • Potential for harm · Ecited before2025-08-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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, interview, and facility policy review, the facility failed to ensure food items stored in the dry food storage were covered or sealed to prevent potential cross contamination; expired dairy product and food items were promptly removed and discarded on or before the expiration date, and dietary staff washed their hands, before handling clean equipment or food items for one of one meal observed. The findings include: During an observation and interview on 08/18/2025 at 10:15 AM, the refrigerator contained one half gallon of butter milk inside the milk cart which had an expiration date of 8/17/2025. The Dietary Manager stated she checked the milk to make sure none was expired and had missed that one. During an observation and interview on 08/18/2025 at 10:21 AM, this surveyor observed the following on the bread rack: Three bags of bread on the bread rack had an expiration date of 08/14/2025. The Dietary Manager stated she checked the bread rack to make sure none were expired and had missed those three. There were three opened bags of hamburger buns on the bread…

    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 · D2025-08-21 · 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 record review, facility document review, interview, and facility policy review, it was determined that the facility failed to protect a cognitively impaired resident with known sexual behaviors from sexual activity with a staff member for one (Resident #14) of three residents reviewed for abuse and neglect. The findings include: A review of the [City Name] Police Department Incident Report dated 08/17/2025, revealed on 08/17/2025 at 12:31 PM, an officer was dispatched to the facility for a general information report and was met by the Administrator. The Administrator reported Certified Nursing Assistant (CNA) #2 walked in on Resident #14 performing oral sex on Housekeeper (HSKP) #3. The Administrator reported to the officer Resident #14 was not seriously cognitively impaired, was highly sexual, and was known for groping other employees and having frequent sexual contact with other residents of the facility. CNA #2’s statement to the officer stated she was alerted by another employee to look in Resident…

    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 · Dcited before2025-08-21 · 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, record review, and facility document review, it was determined that the facility failed to identify sexual behaviors on a resident’s comprehensive care plan as a behavior resulting in no goals, interventions, or plan for safe sexual activity, assessed competency for consent, redirection from other residents, and protection from unethical staff for 1 (Resident #14) of 8 residents reviewed for comprehensive person-centered care plans. The findings include: A review of “Centers for Medicare & Medicaid Services [CMS], Long-Term Care Facility Resident Assessment Instrument [RAI] 3.0 User’s Manual, Version 1.19.1, October 2024” indicated on its overview, “The RAI helps nursing home staff gather definitive information on a resident’s strengths and needs, which must be addressed in an individualized care plan. It also assists staff with evaluating goal achievement and revising care plans accordingly by enabling the nursing home to track changes in the resident’s status. As the process of problem…

    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 before2024-07-03 · 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

    Based on observation, record review, and interview, the facility failed to ensure care plan interventions were consistently implemented for 1 (Resident #1) of 4 (Residents #1, #2, #3, and #4) sampled residents whose care plans were reviewed for continuity of care. The findings are: Resident #1 had diagnoses of Alzheimer's disease and moderate dementia with agitation as specified in the Medical Diagnosis section of the electronic health record (EHR). Review of the annual Minimum Data Set with an Assessment Reference Date of 05/21/2024, indicated Resident #1 had a Brief Interview for Mental Status score of 02, which indicated the resident was severely cognitively impaired and required partial to moderate assistance with personal hygiene. Review of the Care Plan, dated 05/29/2024, indicated Resident #1's usual performance with activities of daily living (ADLs) was non-weight bearing due to dementia and some tasks included bilateral AFOs (Ankle-Foot Orthosis) when out of bed for bilateral foot drop. Another focused problem included Resident #3 was at risk for impaired skin integrity 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-05-16 · 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, record review and interview, the facility failed to ensure the dietary staff washed their hands and changed their gloves before handling food items to prevent the potential for cross contamination for the residents who received meals from 1 of 1 kitchen, ensure leftover foods were not used to maintain food quality; food items stored in the refrigerator/freezer were covered, sealed, and foods were dated when opened to ensure first in, first out usage to prevent potential for food bone illnesses: ceiling vents and lights were maintained in clean, sanitary conditions for food preparation These failed practices had the potential to affect 76 residents who received meals from the Kitchen. The findings are: 1. On 05/13/224 09:15 AM, Dietary Employee (DE) #1 was standing by the clean area of the dish washing machine when she pulled an apron around her waist and tied it in a knot. She picked up a coffee cup, placed her finger inside the cup and removed the debris inside the cup, then placed the cup on the tray to be used in serving coffee to the resident for lunch. 2.…

    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 · E2024-05-16 · tag F0602 — failed to protect residents from theft of their belongings — pattern
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to prevent the misappropriation of narcotics for 2 Residents (Resident #72 & #74) to prevent possible complications of pain management. This failed practice had the potential to affect all residents taking narcotics in the facility. The findings are: 1. a. On 05/14/2024 at 10:26 AM, the Surveyor noted the controlled medication on hand did not match what was documented in the narcotic book for 2 Residents. b. On 05/14/2024 at 10:35 AM, the Surveyor noted the following discrepancies in the controlled medication book: 1. Resident #72 Pregabalin 75 mg there were 23 pills documented and 22 on hand. 2. Resident #72 Oxycodone 20 mg there were 2 pills documented and 1 on hand. 3. Resident #74 hydromorphone 2 mg 47 documented and 45 on hand. c. On 05/14/2024 at 10:35 AM, Licensed Practical Nurse (LPN) #4 voiced she had gotten sidetracked with an Incident and Accident report along with other things and had forgotten to sign them out. d. On 05/14/2024 at 03:00 PM, a review of the electronic records documented that the last…

    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 · Ecited before2024-05-16 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 2 of 2 meals observed. This failed practice had the potential to affect 5 residents who received pureed diets and 15 residents who received mechanical soft diets from 1 of 1 kitchen. The findings are: 1. The menu for lunch documented residents who received pureed diets were to receive a #8 scoop (1/2 cup) of pureed Spanish rice. The menu also specified for each resident on the mechanical soft diets to receive one tortilla bread each. 2. On 05/13/2024 at 12:51 PM, the following observations were made during the noon meal service: a. The residents who required pureed diets were served pureed beef enchilada, pureed vegetable blend and pureed flour tortilla. There was no pureed Spanish rice served to the residents on pureed diets. There were no substitutes given to the residents on pureed diets, in place of rice not served. b. The residents on mechanical soft diets were served beef…

    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 · E2024-05-16 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure that pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 5 residents who received pureed diets. The findings are: 1. On 05/13/2024 at 11:17 AM, Dietary Employee (DE) #3 used a #6 scoop (2/3) cup to place 6 servings of beef enchilada into a blender, added chicken broth pureed, and poured into a pan. At 11:21 AM DE #3 poured the pureed beef enchilada into a pan. The consistency of the pureed beef enchilada was gritty. 2. On 05/13/2024 at 11:24 AM, DE #3 used a #8 scoop (1/2 cup) to place 6 servings of vegetable blends, chicken broth and thickener into a blender, pureed, and poured into a pan. The consistency of the pureed vegetable blend was not form. 3. On 05/13/2024 at 11:41 AM, DE #3 placed 6 servings of flour tortilla into a blender, added chicken broth and pureed. At 11:43 AM, DE #3 poured the pureed flour tortilla into a pan.…

    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 before2024-05-16 · tag F0880 — failed to prevent and control infections — pattern
    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, interview, record review, document review and policy and procedure review, it was determined the facility failed to ensure hand hygiene and gloves were changed during perineal care for 2 residents (Resident #14 and Resident #52) of 2 residents observed for perineal care. This failed practice had the potential to affect 7 residents who required assistance with perineal care. The facility failed to ensure hand hygiene was performed during clean laundry delivery, before and after entry into room [ROOM NUMBER]. The facility failed to ensure doors for 3 (Resident #18, #28, #54) on droplet precautions remained closed, and COVID positive residents wore the appropriate protection when leaving the room. The Facility failed to ensure staff followed droplet precautions to prevent cross contamination and the spread of disease affecting all 78 residents in the building. Findings include: Review of the facility undated policy and procedure titled, Hand Hygiene, specified, Perform Hand Hygiene When: 5.…

    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
  • Potential for harm · Dcited before2024-05-16 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure privacy and dignity was maintained for 1 Resident (Resident #14) of 1 Resident observed during activity of daily living care. This failed practice had the potential to affect 78 residents currently residing in the facility. Findings included: a. On 05/13/2024 at 01:27 PM, Certified Nursing Assistant (CNA) # 3 and CNA #4 entered Resident # 14's room, to perform brief change and peri-care. b. An observation on 05/13/2024 at 01:33 PM, CNA #3 removed resident's brief. A window, to the left side of the Resident's bed, had a window shade for privacy, and the shade was open. CNA # 4 was standing on the left side of the Resident's bed, in front of the window. CNA #4 turned around and looked out of the window twice and did not close the window shade. CNA #3 removed Resident #14's pants, unfastened and lowered resident's brief, exposing abdomen, private area, and legs. c. During the observation on 05/13/2024 at 01:35 PM, CNA # 4 turned around and closed the window shade. d. On 05/13/2024 at 01:44 PM, Resident # 14's room door…

    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
Show the remaining 19 citations
  • Potential for harm · D2024-05-16 · 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 observations and interview it was determined that the facility failed to ensure Resident #178's personal and medical information was protected from potential unauthorized persons. The finding include: Resident #178 had a diagnosis of Depression and Cerebral Infraction. According to Quarterly Minimum Data Set (MDS) with the Assessment Reference Date 04/24/23 documented that Resident 178 scored 15 (13-15 indicating cognitive intact) on the Brief Interview of Mental Status prior to discharge from the facility on 05/29/23. admission MDS dated [DATE] was still in progress. A Care Plan for Resident #178, with the initiate date of 05/06/24, Resident #178 had no discharge plans anticipated at that time and the current plan was to remain in facility for Long Term Care. On 05/15/24 at 09:05 AM, the Surveyor and Licensed Practical Nurse (LPN) #3 entered Resident # 178's room LPN #3 was positioned with back to the medication cart that was in the hallway. The Surveyor noted medication cart was unlocked with keys in…

    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 · D2024-05-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 and interviews, the facility failed to ensure a sink was properly attached to a bathroom wall, for one bathroom sink of two sinks observed. This failed practice had the potential to affect 1 Resident who had access to room [ROOM NUMBER]. Findings included: a. During an observation on 05/13/2024 at 01:14 PM, the bathroom sink in room [ROOM NUMBER] was not flush with the wall. [NAME] caulking type material, partially covered with paint, spread in globs across top and sides of the sink with an open gap on right side behind the cold-water knob. b. During an interview on 05/14/2024 at 10:37 AM, the Maintenance Director was asked to accompany the surveyor to room [ROOM NUMBER]. The Maintenance Director was asked if there was a gap between the wall and the back of the sink. The Maintenance Director stated, there is a bracket on the wall, screwed into the wall, the sink sits on the bracket, and it would not come off. When asked why the sink was not flush with the wall, the Maintenance Director…

    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 · D2024-05-16 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, the facility failed to ensure a referral for Pre-admission Screening and Resident Review (PASRR) was made for one (Residents #72) sampled resident reviewed for PASARR. Specifically, the facility failed to ensure Resident #72's PASRR Level 1 pre-screening was completed prior to admission. The findings include: 1. A review of the Care Plan revealed the facility admitted Resident #72 on 03/30/2024 with diagnoses that included bipolar II disorder. 2. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/01/2024, revealed Resident #72 had a Brief Interview for Mental Status [BIMS] score of 15 which indicated the resident is cognitively intact. 3. A review of Resident #72's Care Plan, revised 04/10/2024, revealed the resident had bipolar disorder and depression, would exhibit indicators of depression, anxiety, or sad mood, and had interventions in place that included administering medications as ordered and observing the resident for signs of depression. 4. A review of a Level I Preadmission Screen for Resident #72…

    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 before2024-05-16 · 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 facility policy and procedures, the facility failed to provide perineal care in accordance with professional standards of care, for 2 (Resident #14 and Resident #52) of 2 residents observed. This failed practice had the potential to affect 7 residents residing in 300 hall who required assistance with perineal care. The findings are: 1. a. A review of an admission Record, indicated the facility admitted Resident #14 with diagnoses that included Hemiplegia and Hemiparesis following cerebral infarction affecting left, non-dominant side, interstitial pulmonary disease, pulmonary edema, cerebral vascular disease, and cerebrovascular disease. b. The annual Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 04/02/2024, revealed Resident #14 had a Brief Interview for Mental Status (BIMS) score of 5 which indicated the resident had severe cognitive impairment. Resident was dependent on staff for toileting hygiene, lower body dressing, sitting to lying and lying to sitting, sit to stand and chair to bed transfers.…

    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 · D2024-05-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    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

    Based on observation, interview, record review and policy review, the facility failed to follow manufacturer guidance to transfer a Resident from the wheelchair to the bed and from the bed back to the wheelchair for 1 Resident (Resident #14) of 1 Resident observed during a transfer. This failed practice had the potential to affect 3 residents (Resident #14, #42, and #45) who are transferred using a sit to stand lift. Findings include: a. A review of an admission Record, indicated the facility admitted Resident #14 with diagnoses that included Hemiplegia and hemiparesis following cerebral infarction affecting left, non-dominant side, other reduced mobility, cerebral vascular disease, and cerebrovascular disease. b. The annual Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 04/02/2024, revealed Resident #14 had a Brief Interview for Mental Status (BIMS) score of 5 which indicated the resident had severe cognitive impairment. Resident was dependent on staff for toileting hygiene, lower body dressing, sitting to lying and lying to sitting, sit to stand and chair 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-16 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure peg tubes were flushed with the appropriate amount of tap water as ordered by the physician to prevent peg tube complications in 1 (Resident #53) of 2 Residents that received tube feeding, and flushes. The findings are: a. A Physician Order (dated, 12/20/2021) documented, Flush feeding tube with 60 cc of water before and after medication administration. b. A Care Plan documented, .Resident #53 has potential for nutritional deficits related to dysphagia, aphasia, dependent of g-tube for nutrition. (Revision on: 02/03/2024) .2/20/24-tube feeding changed, see orders. Administer feedings as ordered Check g-tube for placement as ordered. Cleanse g-tube site as ordered . c. A Physician Order (dated, 02/23/2024) documented, Zenpep Oral Capsule Delayed Release Particles 5000-24000 UNIT (Pancrelipase (Lipase-Protease-Amylase)) Give 1 capsule via G-Tube before meals related to EXOCRINE PANCREATIC INSUFFICIENCY d. A Physicians Order (dated, 03/14/2024) documented, NPO diet NPO texture. e. On 05/15/24 at 11:39 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-16 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure medications were stored and labeled in accordance with state laws and accepted standards of pharmacy practice, failed to ensure nasal spray was administered appropriately for 1 (Resident #178), and failed to ensure medications were secured in 1 medication cart of 2 medication carts observed. This failed practice had the potential to affect 47 residents residing in the facility with the ability to ambulate independently or propel in a wheelchair independently. Findings include: Resident #27's Care Plan identifies Resident #27 with impaired cognitive function r/t Dementia Date Initiated: 08/10/2023. Resident #62 Care Plan identifies Resident #62 with impaired cognitive function due to cerebral vascular accident. Date Initiated: 12/30/2022. On 05/13/24 at 11:40 AM, a medicine cup containing a solid-tubular clear substance was found sitting on the dresser of Resident #27 and a second medicine cup containing a solid-tubular white substance was found sitting on the nightstand of Resident #62. The surveyor asked the Director…

    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 · Fcited before2023-05-26 · 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, and interview, the facility failed to ensure expired food items were promptly removed and discarded on or before the expiration or use by dates, foods were dated and/or utilized prior to their expiration date, equipment was sanitized between clean and dirty tasks to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, food was prepared and served in a manner to minimize the risk of food borne illness and staff did not consume personal beverages while in the kitchen. The failed practice had the ability to affect 73 residents who receive their meals from one of one kitchen according to a list provided by the Infection Preventionist, LPN on 05/25/23 at 3:38 PM. The findings are: 1. On 05/22/23 at 10:35 AM, on a bottom shelf of the Dry Storage Room there was a box of tortillas that contained 4 packs of 12 tortillas with an expiration date of 05/16/23. 2. On 05/22/23 at 10:40 AM, two one half cup glasses of tomato juice were sitting on top of the drink cart in the kitchen. The tops of the glasses were covered with…

    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 · E2023-05-26 · tag F0567 — failed to protect residents' money held by the home — pattern
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review, the facility failed to ensure resident funds were placed in an interest-bearing account and the interest earned was prorated per individual on the basis of actual earnings or their end-of quarter balance. The failed practice had the ability to affect 11 sampled residents (Residents #1, #5, #8, #10, #15, #40, #50, #52 #60, #62 and #176) who had trust accounts managed by the facility according to a list provided by the Business Office Manager (BOM) on 05/25/23 at 9:51 AM. The findings are: 1. The March 2023 and April 2023 Trust Account Bank Statements indicated No interest was paid in 2022 and no interest has been paid to date, in 2023. 2. On 05/24/23 at 3:09 PM, the Surveyor asked the Administrator to address the fact that no interest was reflected on the monthly statements. The Administrator stated, There is no interest. They switched the account around, changed the name and it was just messed up. The Surveyor asked the Administrator to identify, they. The Administrator stated, Corporate. The Surveyor asked the Administrator to provide the date…

    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 · Ecited before2023-05-26 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for one of one meal observed. The failed practice had the ability to affect 74 residents who received their meals from 1 of 1 kitchen according to a list provided by the Infection Preventionist (IP) #1 on 05/25/23 at 3:38 PM. The findings are: 1. The Lunch Menu provided by the Dietary Manager (DM) on 05/22/23 at 11:00 AM documented the lunch meal consisted of 3 ounces of Baked Ham, 1 Baked Sweet Potato, 1/2 Cup Seasoned Carrots, 1 Slice of Bread, 1 Margarine Spread, Angel Food Cake 2x3 inch square, 1/2 cup Strawberries with whipped topping and 1 cup of coffee/tea. 2. On 05/22/23 at 12:00 PM, as the lunch meal was being served, each tray received a bowl with a 2x3 inch slice of angel food cake. On top of the cake were 2 to 3 previously frozen strawberries. 3. On 05/22/23 at 12:30 PM, of the residents who elected to eat their meal in the Dining Room, 7 of the trays did not contain a baked…

    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 before2023-05-26 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interview, the facility failed to utilize standard precautions when processing clean laundry and failed to process clean laundry in a manner to maintain cleanliness. The failed practice had the ability to affect 77 residents according to the Census by Hall provided by the Administrator on 05/22/23 at 10:25 AM. The findings are: 1. On 05/22/23 at 12:42 PM, laundry staff was rolling a laundry basket containing clean laundry in the lower basket and hanging from the upper rod on the 600 Hall. There was no covering over the clean clothes on the top rod or the lower basket. 2. On 05/23/23 at 10:44 AM, laundry staff was rolling a laundry basket containing clean laundry folded in the lower basket on the 200 Hall. The laundry basket was not covered. 3. On 05/23/23 at 12:45 PM, laundry staff was rolling a laundry basket containing clean laundry on the 300 Hall with clean clothing hanging on the upper hanging rod, in the lower basket uncovered. 4. On 05/24/23 at 11:15 AM, laundry staff were walking down the 400 Hall pushing a laundry cart with clean laundry. 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
  • Potential for harm · E2023-05-26 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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, and interview, the facility failed to maintain a safe environment for 4 (Rooms #206, #207, #208 and #209) rooms and failed to avoid utilizing power strips to operate medical devices for 1 (Rooms #209) of 9 (Rooms #201, #202, #203, #204, #205, #206, #207, #208 and #209) resident rooms on Hall 2. The findings are: 1. On 05/23/23 at 11:17 AM, Resident Rooms #207 and #209 shared a conjoined restroom. The Ground Fault Circuit Interruption (GFCI) outlet situated on the restroom wall immediately over the sink was broken, with a spring protruding from the reset button. There was an unsecured outlet cover that did not match the outlet resting over the broken outlet. The outlet was not secured to the wall. 2. On 05/23/23 at 11:55 AM, Resident Rooms #206 and #208 shared a conjoined restroom. The GFCI outlet situated on the restroom wall immediately over the sink was broken, with a large crack extending vertically the full length of the outlet. The Surveyor pressed the test button on the outlet 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-26 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and record review, it was determined that the facility failed to ensure resident dignity was maintained by failure to cover urinary catheter collection devices for 1 (Resident #37) of 1 (sampled resident who had an indwelling urinary catheter. The findings are: Resident #37 had diagnoses of Quadriplegia, Unspecified, Other Specified Disorders of Bladder, and Chronic Obstructive Pulmonary Disease. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/15/23 documented the resident scored 15 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS) and did not have an indwelling catheter. a. A Care Plan with a revision date of 04/13/23 documented, .has an Indwelling Suprapubic Catheter r/t [related to] Neuromuscular Dysfunction of bladder . Position catheter bag and tubing below the level of the bladder . b. On 05/22/23 at 11:06 AM, Resident #37 was lying in bed. A catheter bag with light yellow urine was hanging from the foot of the bed, not covered and easily visible from doorway. c. On 05/22/23 at 4:11 PM,…

    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 · D2023-05-26 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and review of the Centers for Medicare and Medicaid Services Resident Assessment Instrument Manual 3.0, the facility failed to accurately record the assessment for 1 (Resident #50) of 24 (Residents #1, #5, #8, #10, #13, #15, #25, #26, #28, #37, #40, #49, #50, #51, #52, #60, #62, #68, #72, #73, #74, #75, #176 and #278) sampled residents. The findings are: Resident #50 had diagnoses of Nontraumatic Intracerebral Hemorrhage in Hemisphere, Cortical, Hemiplegia and Hemiparesis following Cerebral Infarction affecting Right Dominant Side, and Unspecified Sequelae of Unspecified Cerebrovascular Disease. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/02/2023 documented the resident scored 6 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS). a. The Annual MDS with an ARD of 03/02/2023 documented under Section I2000 a diagnosis of Pneumonia coded for the look back period. b. The Quarterly MDS with an ARD of 12/01/2022 documented in Section I2000 a diagnosis of Pneumonia coded for 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-26 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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, record review, and interview, the facility failed to review and revise the Care Plan to meet the residents' needs for 1 (Resident #68) of 6 (Residents #25, #27, #40, #52 and #176) sampled residents whose care plans were reviewed. This failed practice had the potential to affect 12 residents who had weight loss in the last 3 months per a list provided by the Director of Nursing (DON) on 05/25/23 at 10:02 AM. The findings are: 1. Resident #68 was admitted on [DATE] with diagnoses of Nondisplaced Fracture of Lateral Malleolus of Right Fibula, Dementia, Depressive Episodes and Alzheimer's Disease. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/25/23 documented the resident scored 0 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and had a weight loss of loss 5% or more in the last month and was not on a physician prescribed weight loss program. a. A Care Plan initiated on 1/18/23, with a goal to receive adequate…

    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 before2023-05-26 · 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 observation, interview, and record review, the facility failed to ensure adequate nail care was provided for 1 (Resident #62) of 15 (Residents #8, #15, #25, #26, #37, #40, #49, #50, #51, #52, #60, #62, #68, #176 and #278) sampled residents who relied on the facility for assistance with nail care. The findings are: Resident #62 had diagnoses of Hemiplegia and Hemiparesis following Cerebral Infarction affecting Left Nondominant Side, Rhabdomyolysis, and Other Lack of Coordination. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/22/23 documented the resident scored 6 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and required extensive physical assistance of one person for personal hygiene. a. A Care Plan with a revision date of 04/13/23 documented, [Resident #62] is at risk for Impaired Skin Integrity r/t [related to] impaired mobility . Keep nails trimmed / filed to minimize jagged edges . b. On 05/22/23 at 9:46 AM, Resident #62 was sitting in a wheelchair in the hallway. His fingernails extended…

    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 · D2023-05-26 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure sufficient treatment and services were provided to prevent a decreased range of motion for 1 (Resident #1) of 24 (Resident #1, #5, #8, #10, #13, #15, #25, #26, #28, #37, #40, #49, #50, #51, #52, #60, #62, #68, #72, #73, #74, #75, #176 and #278) sampled residents. The findings are: Resident #1 had diagnoses of Cerebral infarction, Unspecified, Metabolic Encephalopathy, and Fibromyalgia. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/13/23 documented the resident scored 15 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS) and had no functional limitation in Range of Motion (ROM). a. A Physician Order dated 05/11/23 documented, Norco Oral Tablet 5-325 MG [milligrams] (Hydrocodone-Acetaminophen) Give 1 tablet by mouth every 12 hours as needed for PAIN . b. A Physician Order dated 06/28/22 documented, Voltaren Gel 1% (Diclofenac Sodium) Apply to Left shoulder topically every 6 hours as needed for Pain *2 Grams using dosage card* . c. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-26 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure medications were stored in a sanitary environment in 1 of 1 medication storage room to prevent potential cross contamination. This failed practice had the potential to affect 1 resident (Resident #72) who had medications stored in the refrigerator as documented on a list provided by the Director of Nursing (DON) on 05/26/23. The findings are: 1. On 05/22/23 at 11:45 AM, in the Medication Storage Area of the 700/800 Halls Nurses Station was a refrigerator designated for resident medications. On the second shelf of the refrigerator below the narcotics lock box, was a white Styrofoam container with 2 pieces of fried fish, coleslaw and french fries. There was no date or name on the food container and the nurse on duty threw out the container of food. In a tray in the door of the refrigerator was four, two tablespoon containers containing a congealed white substance with green flakes. A locked narcotic box was in the refrigerator. There were 1-2 bottles of medication sitting on the shelf with the narcotic…

    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 · D2023-05-26 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a Physician's Order for a dietary supplement was followed for 1 (Resident #8) of 7 (Residents #8, #15, #28, #50, #60, #62 and #68) sampled residents who received a dietary supplement according to a list provided by the Director of Nursing (DON) on 05/25/23 at 10:02 AM. The findings are: Resident #8 had diagnoses of Type 2 Diabetes Mellitus with Diabetic Polyneuropathy and Dysphagia, Oral Phase. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/01/23 documented the resident scored 0 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and required extensive physical assistance of one person with eating and received a therapeutic mechanically altered diet. a. A Physicians Order dated 09/25/19 documented, Glucerna four times a day 8 ounces . b. A Physicians Order dated 11/22/21 documented, Regular diet, Pureed texture, Nectar consistency. Mighty shakes with all meals. 11/7/19 Add ice cream Breakfast/Lunch/Dinner. May have Mech…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SOUTHERN ADMINISTRATIVE SERVICES — 35 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 →

RatingThis homeChain avg
Overall 3 of 53.8-0.8 vs chain
Health inspection 2 of 53.2-1.2 vs chain
Staffing 4 of 53.9+0.1 vs chain
Quality measures 5 of 54.7+0.3 vs chain
The other 34 homes this chain runs (chain average 3.8★, per CMS)
2 of 5Des Arc Nursing And Rehabilitation CenterDes Arc, AR 2 of 5The Green House Cottages of Southern HillsRison, AR 3 of 5Arbor Oaks Healthcare And Rehabilitation CenterMalvern, AR 3 of 5Ash Flat Healthcare And Rehabilitation CenterAsh Flat, AR 3 of 5Conway Healthcare And Rehabilitation CenterConway, AR 3 of 5Encore Healthcare And Rehabi Of MalvernMalvern, AR 3 of 5Lake Village Rehabilitation and Care CenterLake Village, AR 3 of 5Pocahontas Healthcare And Rehabilitation CenterPocahontas, AR 3 of 5River Ridge Rehabilitation And Care CenterWynne, AR 3 of 5Rogers Health And Rehabilitation CenterRogers, AR 3 of 5Sheridan Healthcare And Rehabilitation CenterSheridan, AR 3 of 5Southern Trace Rehabilitation And Care CenterBryant, AR 3 of 5The Cottages At TexarkanaTexarkana, AR 3 of 5The Green House Cottages Of Belle MeadeParagould, AR 3 of 5Willowbend Health And Rehabilitation, LLCMarion, AR 4 of 5Brookridge Cove Rehabilitation And Care CenterMorrilton, AR 4 of 5Pleasant Valley Rehabilitation And NursingLittle Rock, AR 4 of 5St Johns Place Of Arkansas, LLCFordyce, AR 4 of 5The Green House Cottages Of Poplar GroveLittle Rock, AR 4 of 5The Pines Nursing And Rehabilitation CenterHot Springs, AR 4 of 5Three Rivers Health And Rehabilitation CenterMarked Tree, AR 4 of 5Twin Rivers Rehabilitation And Healthcare CenterArkadelphia, AR 4 of 5Valley Springs Rehabilitation And Health CenterVan Buren, AR 5 of 5Belle View Estates Rehabilitation And Care CenterMonticello, AR 5 of 5Courtyard Rehabilitation And Health Center, LLCEl Dorado, AR 5 of 5Greenhurst Nursing CenterCharleston, AR 5 of 5Heartland Rehabilitation And Care CenterBenton, AR 5 of 5Highland Court, A Rehabilitation And Resident CareMarshall, AR 5 of 5Ozark Nursing And RehabOzark, AR 5 of 5Summit Health & Rehab CenterTaylor, AR 5 of 5The Green House Cottages Of HomewoodMena, AR 5 of 5The Green House Cottages Of Northwest ArkansasBentonville, AR 5 of 5The Green House Cottages Of Walnut RidgeWalnut Ridge, AR 5 of 5The Green House Cottages Of Wentworth PlaceMagnolia, AR

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

Owner / managerTypeRoleShareSince
4P2T1 OPS HOLDING LPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 09/01/2019
JEJ ASSETS LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/01/2022
JEJ MANAGEMENT, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2022
PONTHIE, SHARLOTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/01/2022
FLETCHER, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/06/2023
LEWIS, JOHNATHANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2019
PROCARE THERAPY SERVICES LLCOrganizationADP OF THE SNFsince 09/01/2019
PROFESSIONAL NURSING SOLUTIONS, LLCOrganizationADP OF THE SNFsince 09/01/2019
SOUTHERN ADMINISTRATIVE SERVICES, LLCOrganizationADP OF THE SNFsince 09/01/2019
TEAMS STAFFING LLCOrganizationADP OF THE SNFsince 09/01/2019
PONTHIE, JOHNIndividualADP OF THE SNFsince 06/01/2023

CMS files one row per role, so the 15 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

$9.7M
Net patient revenuemost recent cost report
+8.8%
Operating marginrevenue minus expenses
$5.8M
Related-party expense66% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 13%Other / private 16%

About 71% 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. This home reported $5.8M paid to related parties — landlords or management companies under common ownership — equal to about 66% 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.

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

$320per resident / day
operating cost
$9,737per month
≈ monthly operating cost
$351per day
avg. revenue, all payers

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 AR

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arkansas Medicaid page.

Typical monthly cost in Arkansas
$7,452/mo
Nursing home (semi-private)
$8,060/mo
Nursing home (private)
$4,637/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 045207. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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