Des Arc Nursing And Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

53.3% 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 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 12% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 98 beds and averages 57.1 residents a day — about 58% occupied, or roughly 41 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 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 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 3.34 hrs/resident/day on weekends vs 4.03 on weekdays — 17% thinner on weekends. RN hours go from 0.60 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

33 citations, most serious first. The 14 most serious are shown; the remaining 19 are one tap away and print in full.

• Immediate jeopardy · J2024-01-12 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure residents with injuries of unknown sources were identified and reported in an appropriate and timely manner, to rule out the possibility of abuse for 1 (Resident #29) of 1 sampled resident who had an injury to the skin from an unknown source. This failed practice resulted in noncompliance at the level of Immediate Jeopardy, which caused or could have caused serious injury, serious harm, and or possible death, and had the potential to cause more than minimum harm to 66 residents who resided in the facility according to the Roster Matrix provided by the Administrator on 1/8/2024 at 10:48 AM. The Administrator was informed of the Immediate Jeopardy condition on 1/11/2024 at 12:23 PM. The State Office accepted the Plan of Removal, and the Immediate Jeopardy was removed on 1/12/2024 at 9:50 AM. The findings are: A review of an admission Record, indicated the facility admitted Resident #29 with a diagnosis that included Alzheimer's…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-01-12 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure residents with injuries of unknown sources were identified and reported in an appropriate and timely manner, which resulted in failure to thoroughly and immediately investigate and rule out the possibility of abuse, for 1 (Resident #29) of 1 sampled resident who had an injury to the skin from an unknown source. This failed practice resulted in noncompliance at the level of Immediate Jeopardy, which caused or could have caused serious injury, serious harm, and or possible death, and had the potential to cause more than minimum harm to 66 residents who resided in the facility according to the Roster Matrix provided by the Administrator on 1/8/2024 at 10:48 AM. The Administrator was informed of the Immediate Jeopardy condition on 1/11/2024 at 12:23 PM. The State Office accepted the Plan of Removal, and the Immediate Jeopardy was removed on 1/12/2024 at 9:50 a.m. The findings are: A review of an admission Record, indicated 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-01-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure staff correctly and safely used a mechanical lift to transfer a resident; and failed to ensure staff secured a specialized chair while assisting the resident when using a mechanical lift according to the manufacturer's instructions for 1 (Resident #33) of 1 sampled resident observed during a lift transfer using a mechanical lift to prevent potential serious injury, serious harm, and possible death. This failed practice resulted in Immediate Jeopardy, which caused or was likely to cause serious harm, injury, or death to Resident #33, who was transferred using a malfunctioned mechanical lift and was transferred into a specialized chair that was not secured during immobility. This failed practice had the potential to cause more than minimal harm to 19 residents who required a mechanical lift for transfers according to a list provided by the Director of Nursing (DON) on 1/12/2024 at 10:37 AM. This failed practice resulted 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-01-12 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 ensure Certified Nursing Assistants (CNAs) were able to demonstrate competency in safely conducting manual transfers to prevent potential serious injury, serious harm, and or death for 1 (Resident #33) of 1 sampled resident who required assistance with transfers. The failed practice had the potential to affect 19 residents who required assistance with transfers using a mechanical/manual lift according to a list provided by the Director of Nursing (DON) on 1/12/2024 at 10:37 a.m. This failed practice resulted in non-compliance at the level of Immediate Jeopardy. The Administrator was notified of the Immediate Jeopardy on 1/10/2024 at 3:36 PM. The State Office accepted the Plan of Removal on 1/11/2024 at 1:46 PM. The findings are: A review of an admission Record indicated the facility admitted Resident #33 with a diagnosis of dementia. The Annual Minimum Data Set (MDS), dated [DATE], revealed Resident #33 had a Brief Interview for Mental…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-01-16 · 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 observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure the internal components of the ice machine were cleaned and the container for storing the ice scoop were cleaned when reviewed for safety and infection control to prevent waterborne illnesses. Findings include: On 01/16/2025 at 8:20 AM, the Administrator stated the facility did not have a policy for the ice machine. During an observation on 01/16/2025 at 8:00 AM, the Dietary Manager used a napkin to go around the edges inside the ice machine. Inside the ice machine was a metal border on the top portion of the machine. After wiping the metal plate, a black residue was noted to be on the napkin. After completing the ice machine, the ice scoop drawer was removed and inside the drawer was a pink/beige residue in the corners around the drawer. On 01/16/2025 at 8:05 AM, the Dietary Manager reported that the Maintenance Supervisor was responsible for cleaning the ice machine, and that the Dietary Department was responsible for washing…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-16 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each 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 call lights were placed in reach for resident's use and failed to ensure residents with functional limited range of motion call lights were placed in reach and accessible for use for 3 (Resident #27, Resident #35, and Resident #270) of 59 sampled residents. The findings are: 1. Review of the of Resident #27 ' s admission Record reveal diagnoses of Alzheimer's disease and severe dementia with agitation. a. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/20/2024, indicated the resident had a Brief Interview for Mental Status (BIMS) of 00 which indicated severely impaired cognitive skills. b. On 01/13/2025 at 2:21PM this surveyor observed Resident #27 in bed. The call light was at the foot of the bed along the side of the wall. Resident #27 could not reach it. c. On 01/13/25 at 2:30 PM, Resident #27 was observed lying in bed with eyes closed. The call light was at the bottom of the bed along the side of the wall. The call light was not within reach of the resident. d. 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-16 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews, facility document review, it was determined that the facility failed to complete an accurate Minimum Data Set (MDS) for 1 (Resident #7) of 8 sample mix residents reviewed for MDS accuracy. The findings are: Review of Resident #7's Administration Record dated 05/2/2022, noted a diagnosis of Stroke (Cerebral Infarction). Review of Resident #7s Care Plan with a date of 07/11/2022, noted Resident #7 on prevention for blood clots from forming (antiplatelet) therapy related to stroke. Administer blood thinner (anticoagulant) medications as ordered by physician. Review of Resident #7's quarterly MDS with an Assessment Reference Date (ARD) of 12/12/2024, noted on Section N0415- High- Risk Drug Classes: Use and Indication, E. Anticoagulant: Yes. Review of Resident #7's Order Summary Report dated 01/14/2025, noted [Medication used to help prevent blood clots] tablet chewable 81 milligrams (MG) give 1 tablet by mouth one time a day for stroke (CVA), with a start date of 03/24/2023. Review of Resident #7's Order Summary Report Active, Completed, Discontinued,…

  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 · E2025-01-16 · tag F0656 — failed to write and follow a full care plan — pattern
  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 interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure the comprehensive care plan addressed and individualized appropriate care and services for 3 (Resident #20, # 37, 30) of 14 sample mix residents reviewed for care plans. The findings are: Review of Resident #37's admission Record dated 10/07/2024, noted diagnoses for hypothyroidism, type 2 diabetes mellitus, chronic heart failure, schizophrenia, pain, depressive episodes, pain in joints, heart attack (myocardial infarction), and atrial fibrillation (A-Fib). Review of Resident #37's Care plan dated 10/7/2024, did not note medication names or black box warnings. Review of Resident #37's Order Summary Report with a date of 1/15/2025, noted [Name brand thyroid medication] oral tablet 75 micrograms (MCG) give 75 mcg by mouth in the morning related to low thyroid (hypothyroidism); [Name brand glucagon-like peptide-1 receptor agonist medication] (1 milligram (MG) per dose) subcutaneous solution pen-injector 4 MG per 3 (milliliter (ML) inject 2 mg…

  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 · E2025-01-16 · 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 observations, interviews, and facility document review, it was determined that the facility failed to ensure mechanical soft food was ground to the right consistency to meet the needs of residents who required a mechanical soft diet during one (1) of one (1) meal service observed. The failed practice had the potential to affect eight (8) residents who required mechanical soft diets. The findings include: On 11/15/2025 at 7:36 AM, the Dietary Manager stated the facility did not have a policy for mechanically altered foods. On 11/14/2025 at 11:07 AM, [NAME] #4 stated the facility had 3 pureed and 8 mechanical soft diets and 2 regular diets who requested mechanical soft meat. After gathering supplies needed to begin preparing for mechanical soft, [NAME] #4 began by using the processor machine and added 10 pork chops to process into mechanical soft. After completing the blending process, [NAME] #4 poured the mechanically altered pork chops into a pan, covered the pan with aluminum foil, and placed on the steam table. During a concurrent observation and interview, on 11/14/2025…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-16 · 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

  Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to ensure infection control processes are maintained for 2 (Resident #8 and #270) residents of 3 residents reviewed for improper handling of eating utensils and not being under contact isolation for communicable disease. Finding included: Review of a facility undated policy titled, PP Infection Control, indicated, The facility will establish and maintain an infection Control Program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of disease and infection. A review of a facility policy titled, Transmission-Based (Isolation) Precautions, dated 2022, indicated, for a resident who is immuno-compromised; should be on contact isolation for herpes zoster (shingles). Review of the admission Record, indicated the facility admitted Resident #270 with diagnoses that included: chronic obstructive pulmonary disease, acute and chronic respiratory failure; malnutrition, myocardial infarction, iron deficiency…

  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 before2025-01-16 · 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, interviews, and record review, it was determined that the facility failed to ensure dignity was maintained for 1 (Resident #10) of 1 sampled resident reviewed for dignity while passing meal trays. Finding included: 1.Review of a facility policy titled Resident Rights and Responsibilities with no date indicated, The facility protects and promotes the rights of each resident admitted in order to provide a dignified existence. Review of an admission Record indicated the facility admitted Resident # 10 on 12/14/2012, with diagnoses of bipolar disorder and generalized anxiety disorder. The annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/06/2025, revealed Resident #10 had a Brief Interview for Mental Status (BIMS) score of 12, which indicated Resident #10 was moderately cognitively impaired. On 01/15/2025 at 7:39 AM this surveyor observed Certified Nursing Assistant (CNA) #1 serving meal trays to the residents in the dining room. CNA #1 served all the residents in the dining room except Resident #10. CNA #1 left the dining room without…

  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 · D2025-01-16 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure Advance Directives were up to date in the electronic medical record (EMR) for 1 (Resident #24) of 1 resident reviewed for Advance Directives. The findings include: A review of the facility's undated policy titled Advance Directives, indicated that revocation will be documented in the resident's plan of care and/or the medical record. A review of the admission Record, indicated the facility admitted Resident #24 with diagnoses that included hemiplegia and hemiparesis following cerebral infarction and post-traumatic stress disorder. The quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of [DATE], revealed Resident #24 had a Brief Interview for Mental Status (BIMS) score of 0, which indicated the resident had severe cognitive impairment. A review of Resident #24's Care Plan, initiated on [DATE], revealed the resident had requested that no…

  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 · Fcited before2024-01-12 · 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, interview and record review, the facility failed to ensure food items were labeled, dated, stored properly in sealed packaging, and the dishes were properly cleaned and sanitized, to prevent growth of bacteria, for residents who receive meals from 1 of 1 kitchen. This failed practice had the potential to affect 66 residents who receive meals from the kitchen, according to list provided by the Dietary Manager on 1/11/2024 at 3:30 p.m. The findings are: A review of the facility policy, Receiving and Storage, dated 2010, indicated all foods should be covered, labeled and dated. On 1/8/2024 at 9:55 AM, aluminum foil was observed covering the bottom shelf of the steam table. The aluminum foil was stained and had hard dried substances on it and was not clean. On 1/8/2024 at 9:57 AM, a pan of dumplings, a pan of green beans, and a pan of polish sausage was on the stove and was not covered. On 1/8/2024 at 10:00 AM, a metal cart holding clean dishes was observed in the kitchen. A metal pan with a metal rack was observed on the bottom shelf of the metal cart. The metal…

  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 before2024-01-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure staff sat at eye level while assisting residents with meals for 2 (Residents #22 and #33) of 2 sampled residents who required assistance with meals; and failed to provide privacy during care for 1 (Resident #33) of 1 sampled resident who required assistance with activities of daily living. The findings are: 1. A review of an admission Record, indicated the facility admitted Resident #22 with a diagnosis of stage 5 chronic kidney disease. The Quarterly Minimum Data Set (MDS), dated [DATE], revealed Resident #22 had a Staff Assessment for Mental Status (SAMS) score of 2, which indicated the resident had moderate cognitive impairment. The resident required maximum assistance for eating. Review of Resident #22's Care Plan, revised on 10/25/2021, revealed the resident had an activity of daily living (ADL) self-care performance deficit related to seizures, fibromyalgia, type 2 diabetes mellitus, lack of coordination, cerebral vascular…

  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

“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

$8,021 in federal fines across 1 penalty.

• $8,021 — penalty dated 2024-01-12

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

Part of a chain

This home belongs to 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 →

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

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

Follow the money — this home’s finances

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

This home reported $3.5M paid to related parties — landlords or management companies under common ownership — equal to about 55% 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