Silver Oaks Health And Rehabilitation

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.

59.2% 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 84 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 76.9% 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 39 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 104 beds and averages 83.7 residents a day — about 80% occupied, or roughly 20 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.23 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.61 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 3.46 hrs/resident/day on weekends vs 4.00 on weekdays — 13% thinner on weekends. RN hours go from 0.23 to 0.22 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

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.

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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · Ecited before2025-06-05 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review and facility policy review, the facility failed to ensure Minimum Data Set (MDS) assessments were completed accurately for 3 (Resident #47, #10, and #87) of 5 residents reviewed for accuracy of MDS assessments. The findings include: Resident #47 Review of the annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/24/2025, indicated Resident #47 had diagnoses which included schizophrenia, anxiety, and depression. The MDS also revealed a score of 13 on the Brief Interview for Mental Status (BIMS) which indicated the resident was cognitively intact. Resident #47 received an antipsychotic medication. Further review of the MDS revealed it indicated Resident #47 did not have a serious mental illness and/or intellectual disability, or related condition. A Determination Letter, from the State Designated Professional Associates who complete preadmission screening and annual resident review (PASARR) level II assessments, dated 06/30/2020, indicated…

  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 · Ecited before2025-06-05 · 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 observations, interviews, record reviews, and facility policy review, it was determined that the facility did not ensure proper hand hygiene was used during medication administration for 1 (Resident #238) of 3 residents observed for medication administration, 1 (Resident #39) of 1 resident observed for proper incontinent care technique, and feeding assistance for 1 of 2 meal services observed. The findings include: On 06/02/25 at 12:30 PM, during dining observation, this surveyor observed Certified Nursing Assistant (CNA) #5 assisting residents during meal service. CNA #5 touched both residents, the table, one resident ' s wheelchair, his hair, and picked a spoon up off the floor all without washing or sanitizing his hands before assisting residents with dining. On 06/02/25 at 1:45 PM, during an interview, CNA #5 stated they did not sanitize or wash their hands after adjusting a resident's position in the wheelchair, after touching cups and utensils touched by other residents, or after touching their face or hair before assisting other residents. CNA #5 stated he did not…

  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 · D2025-06-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, it was determined that the facility did not ensure that incontinence care was provided in a manner that promotes cleanliness and/or prevent infections for 1 (Resident #39) of 3 sampled residents reviewed for activities of daily living, and the facility did not ensure standards of practice were followed for 1 (Resident #39) of 2 sampled residents reviewed that received enteral feedings. Specifically, the head of Resident #39 ' s bed was lowered while the resident received enteral nutrition. The findings include: On 06/04/25 at 2:38 PM, while observing Certified Nursing Assistant (CNA) #3 and CNA #4 provide incontinence care to Resident #39, this surveyor observed CNA #4 clean the resident by cleaning from the back to front, wiping towards the resident ' s genitals. During an interview on 06/04/25 at 2:57 PM, CNA #4 stated she wiped down while the resident was on the right side. CNA #4 was standing behind the resident therefore the direction of down was toward the resident ' s genitalia. During an interview on…

  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 · E2025-03-18 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review, and facility policy review, the facility failed to ensure staff provided incontinence care in a timely manner to prevent 3 (Residents #7, #8, and #9) of 3 residents sampled for incontinence care from lying in a bed or sitting in a chair saturated with urine. The findings include: 1. A review of the modification of the significant change Minimum Data Set (MDS) with the Assessment Reference Date (ARD) of 01/31/2025 revealed Resident #7 had a Brief Interview for Mental Status (BIMS) score of 10 indicating the resident had moderate cognitive impairment. a. A plan of care for Resident #7 (revision date 05/12/2021) revealed Resident #7 was incontinent of bowel and bladder. b. On 03/17/2025 at 03:50 AM, this surveyor observed Certified Nursing Assistants (CNA) #1 and #2 at the bedside providing incontinent care to Resident #7. Resident #7 had been wearing a brief; this surveyor noted a dark yellow discoloration indicating saturation of urine to the resident's draw sheet and fitted sheet. When Resident #7 was turned onto their right 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-18 · 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 food items stored in the freezer were covered and dated, failed to ensure that the kitchen vents were cleaned to provide a sanitary environment for food preparation, floors, the door frames, and ceiling tiles were free of chipped, holes, paint peeling, rust, stains. dietary staff washed their hands when contaminated to decrease the potential for food borne illness for residents receiving food from 1 of 1 kitchen, dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 89 residents who received meals from the kitchen. The findings are: 1. On 04/15/2024 at 09:48 AM, the following food items on a shelf in the walk-in freezer did not have an open date on them: a. A box of cinnamon rolls. b. A box of dinner rolls. c. A box of biscuits. d. A box of bread sticks. 2. On 04/15/2024 at 09:57 AM, the following spices in the cabinet did not have an open date on them.…

  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 before2024-04-18 · tag F0550 — failed to protect resident dignity and rights — pattern
  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, interview and record review, the facility failed to treat each resident with respect and dignity and to care for each resident in a manner and in an environment that promoted the maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 1 (Resident #5) of 4 sampled residents reliant on staff for incontinence assistance. The findings are: 1. Resident #5 had diagnoses of adjustment disorder with depressed mood and morbid obesity. A Quarterly Minimum Data Set with an Assessment Reference Date of 03/29/2024 documented Resident #5 scored 15 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status and always incontinent of bowel and bladder. A. On 04/15/2024 at 10:00 AM, the Surveyor observed Resident #5 lying side way on bed with feet on the floor, legs open toward the door, clearly visible from the hallway. Resident #5 was wearing a hospital gown that is just above waist exposing an incontinence brief. B. On 04/15/2024 at 10:30 AM, the Surveyor observed 3 staff members pass Resident #5's room. Two…

  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 · E2024-04-18 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure that residents had a safe, clean, and/or comfortable environment for 2 (Residents #5, #15) sampled residents. The findings are: 1. Resident #15 had diagnoses of Alzheimer's disease and Neuromuscular dysfunction of bladder. According to a Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/22/2024 Resident #15 scored a 10 (8-12 indicates moderate cognitive impairment) on Brief Interview for Mental Status (BIMS) and was frequently incontinent of bowel and bladder. a. On 04/15/2024 at 10:05 AM, the Surveyor observed Resident #15 sitting in a chair in their room. The room had a strong smell of urine. The Surveyor noted several flies crawling on and around the Resident. The Surveyor noted dirty clothes on the floor. b. On 04/15/2024 at 01:20 PM, the Surveyor observed Resident #15 sitting in a chair in their room. The room had a strong odor of urine and there were several flies on and around the Resident. c. On 04/15/2024 at 03:05 PM, the Surveyor observed Resident #15 sitting in 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 · Ecited before2024-04-18 · tag F0761 — failed to label and store drugs safely — pattern
  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 that a narcotic box located in the refrigerator in the medication storage room was permanently affixed in 1 of 1 facility and the facility failed to ensure expired medications in 1 of 1 medication room and in 1 medication cart (100 Hall) of 4 (100, 200, 300 and 400 Hall) medication carts. The findings are: 1. On 04/17/2024 at 02:08 PM, Licensed Practical Nurse (LPN) #3 was interviewed. She was asked to describe the process of disposing medications residents no longer need and she stated, The card is pulled out [from the medication cart], logged in a book in the med [medication] room and placed in the bin in the med room. 2. On 04/17/2023 at 02:13 PM, the 100 Hall Medication Cart was checked and there was a bottle of Cranberry 450 mg (milligrams) tablets with a best by date of 02/24 (February 2024). The nurse was asked to look at the bottle and state the expiration date. She stated, 02/24. She was asked if there were any residents taking this medication and she stated two residents on the 100 Hall took…

  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 · Ecited before2024-04-18 · 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 pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 1 of 1 meal observed. This failed practice had the potential to affect 10 residents who received pureed diets. The findings are: 1. On 04/16/2024 at 08:29 AM, the following pureed were served to the residents on pureed diets for breakfast. a. Pureed sausage was served to the residents on pureed diets. The consistency was lumpy and not smooth. There were pieces of sausage visible in the mixture. b. Pureed biscuit was thick. Pureed eggs were not formed and were separated. 2. On 04/16/2024 at 08:31 AM, the Surveyor asked Certified Nursing Assistant (CNA) #1 to describe the consistency of the pureed foods served to the residents on pureed diets. She stated, Pureed sausage was gritty and pureed bread was thick. 3. On 04/16/2024 at 08:32 AM, the Surveyor asked CNA #2 to describe the consistency of the pureed foods served to the residents on pureed diets. She…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-04-18 · 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, interview, record review, and facility policy review, the facility failed to ensure clean linens were stored away from dirty items to prevent the spread of infection, failed to ensure the Treatment Nurse followed the facility guidelines when performing wound care; failed to ensure a clear bag of clean linens were not placed directly on the floor before being placed on a bedside table and a resident bed; and failed to ensure hand hygiene was performed during incontinence care for 1 (Resident #15) of 3 sampled residents. The findings are: A review of a facility policy titled, Laundry and Bedding, Soiled, dated September 2022, indicated, Storage 3. Clean linen is kept separate from contaminated linen. The use of separate rooms, closets, or other designated spaces with a closing door are used to reduce the risk of accidental contamination. During an observation of the dirty side of the laundry area on 04/16/2024 at 11:40 AM, the surveyor noted a white wire shelf on the wall above the laundry chemicals, the eye wash station and a black bin tossed in the corner. This…

  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.

Part of a chain

This home belongs to ANTHONY & BRYAN ADAMS — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 26 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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

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