Twin Lakes Therapy And Living

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.

58.0% 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 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 80 beds and averages 43.3 residents a day — about 54% occupied, or roughly 37 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 4.23 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.46 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 3.39 hrs/resident/day on weekends vs 4.58 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.68 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are 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.

27 citations, most serious first. The 12 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-11-01 · 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, interview, and record review, the facility failed to monitor and supervise a moderately cognitively impaired resident to prevent elopement, for 1 (Resident #1) of 6 sampled residents. The lack of an effective monitoring plan resulted in Resident #1 eloping from the facility and being found approximately .25 miles from the facility on 10/19/2024. The facility staff was not aware that Resident #1 left the facility due to Resident #3 entering a code into the exit panel, disengaging the locking mechanism on the door, and Resident #1 exited without the electronic wander management system alarming. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to the residents. The Immediate Jeopardy (IJ) was related to the State Operations Manual, Appendix PP, §483.25 (Quality of Care) at a scope and severity of J. The IJ began on 10/19/2024 at 11:19 AM, when Resident #1 was let out of…

  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 · Jcited before2024-03-15 · 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 observations, interviews and record review, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #20) of 2 sampled residents. This resulted in a finding of a past noncompliance Immediate Jeopardy. The Facility's Administrator was notified of the findings of a past noncompliance Immediate Jeopardy on 02/07/2024. The findings are: Resident #20 had diagnoses of Psychophysiological insomnia, Dementia severity with agitation, Psychotic disturbance, Mood disturbance, and Anxiety. According to a Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 01/11/24 revealed the resident received a score of 03 (severe cognitive impairment) on the Brief Interview of Mental Status (BIMS). According to progress notes on 02/05/24 at 5:24 PM Incident Description: Resident left building unassisted and went to A hall door to be let back inside. Immediate Intervention: Head to toe assessment per Registered Nurse (RN) with no negative findings. Returned 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 · Past Non-Compliance
• Potential for harm · F2025-06-12 · 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, and interview the facility failed to ensure that cross contamination did not occur to ensure meals were served in a sanitary manner during lunch service for one of one kitchen. During an observation of the lunch meal service on 06/10/2025, the following was observed: a. At 11:40 AM, Dietary Aide (DA) #13 was using a thermometer to obtain temperatures of food items on the steam table. While testing the regular pork and fried rice, DA #13 was observed pushing the entire thermometer, including the top portion that was being held and had not been sanitized before use, into the food intended to be served to residents. b. At 12:00 PM, this surveyor observed that the mechanical soft pork was piled above the top of the tray containing it on the steam table. While portioning the food from the steam table onto trays, DA #13 touched the mechanical soft pork five different times with the bottom of the trays she was filling. This surveyor observed the scoop being moved back by the tray each time, this surveyor also observed mechanical soft pork on the line and the bottom of…

  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 · Dcited before2025-06-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure that transmission-based precautions were utilized as ordered for one (Resident #8) of one resident reviewed. A review of an Order Summary indicated that Resident #8 had a physician ' s order indicating contact precautions were needed because the resident had tested positive for Extended-Spectrum Beta-Lactamases (ESBL) in their urine. The order indicated personal protective equipment (PPE) should be used as follows: gloves, gown, eye protection, and mask every shift for five days from 06/525 to 06/10/2025. A review of the Lab Results Report of a urinalysis on 06/03/2025 indicated that Resident #8 was ESBL positive. A review of the Antibiotic Stewardship Medication Regimen Review indicated Resident #8 started antibiotics on 06/03/2025 and that it was a true infection with a multidrug resistant organism and urinary tract infection. A review of the Medication Administration Record indicated Resident #8 was receiving an antibiotic every 12 hours for ESBL positive for five days. On 06/09/25 at 12:32 PM, 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
• Potential for harm · Ecited before2025-06-12 · tag F0838 — failed to assess facility resources and resident needs — pattern
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  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 sufficient staffing, as evidenced by the schedule not being informed by the facility assessment for 2 months, July 2024 and January 2025, which included 18 night shifts. The findings include: A review of a facility policy titled, Facility Assessment dated 01/01/2025, indicated they had an average daily census of 45. Common diagnoses of the facility's residents included mental disorders, cardiac disorders, respiratory disorders, skin disorders, cancers, musculoskeletal disorders, fractures, and gastrointestinal disorders. The facility assessed that the acuity affecting licensed nurses included four residents requiring oxygen, three receiving updraft treatments, eight exhibiting behavioral health symptoms, eight receiving medications via injection, one resident with an ostomy, seven residents on hospice, one resident receiving respite care, and one resident receiving parenteral nutrition. Acuity affecting Nurse Aides revealed 38…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-12 · 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

  Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure residents were free of neglect for one (Resident #5) of three residents reviewed. Specifically, incontinent care was not provided in a timely manner. The findings include: A review of Resident #5 ' s Reportable, indicated that Certified Nursing Assistant (CNA) #1 and CNA #2 reported to their shift on 02/12/2025, at 6:00 AM. They found Resident #5 soiled with dried bowel movement that covered from the back and down to the ankles. Resident #5 reported to the CNAs a request was made for incontinent care to CNA #3 at 9:30 PM on 02/11/2025. CNA #3 allegedly checked Resident #5 with a flashlight and said, you're fine. No incontinent care services were provided to Resident #5 for the rest of the night shift. CNA #1 and CNA #2 reported the incident to the Administrator and an internal investigation was conducted. Based on the facility's investigation, 11 other CNAs reported that residents were not being changed in a timely manner. The quarterly…

  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 before2024-11-01 · tag F0838 — failed to assess facility resources and resident needs — pattern
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility document review, and interviews, the facility failed to review and update the facility assessment at least annually and failed to ensure the facility assessment included pertinent information to assure the necessary care and resources were allocated to meet the needs of the residents. This deficient practice had the potential to affect all residents of the facility. The total census was 46 residents. Findings include: A review of a facility document titled, Facility Assessment Tool, dated 09/2023, indicated the purpose was to identify resources necessary to provide care and services required by residents residing in the facility. Section titled, Staff training/education and competencies, on page 9 and 10, revealed no training on resident wandering or elopement. Specific to Memory Care Neighborhood, on page 10, indicated the staff training included wandering and egress control. The section titled, Physical Environment and building/plant needs, revealed a table with headings that included Physical Resource Category and Resources. The first category listed was…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-15 · tag F0609 — failed to report abuse allegations — pattern
  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

  Based on observation, interview, and record review, the facility failed to ensure an elopement was reported in a timely manner, which resulted in failure to ensure an investigation was promptly initiated and measures were immediately implemented to prevent further elopements for 1 (Resident #194) of 2 sampled residents. The findings are: 1. Resident #194 had diagnoses of cerebral infarction of bilateral middle cerebral arteries and Chronic diastolic congestive heart failure. The admission Minimum Data Set (MDS) with an Assessment Reference Date of 11/05/2023 revealed the resident had a score of 2 (0-7 indicates severe cognitive impairment) on the Brief Interview for Mental Status (BIMS). According to progress notes at 12/23/23 at 7:36 PM, Note Text : resident had a incident this a.m. where he had decided he was going to walk to town, using walker he let himself out the front door and was walking down the driveway toward the hwy (highway)in the front of the building, housekeeping had heard some noises coming from the front entryway and looked outside to see what was going on. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-03-15 · tag F0657 — failed to keep the care plan current — pattern
  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

  Based on interview and record review, the facility failed to ensure a resident ' s individualized plan of care was revised to reflect the current needs of the resident and updated to include oxygen use for 01 (Resident #23) sample mix residents and failed to ensure positioning wedges and pressure ulcer wound were care planned for 01 (Resident #19) residents who had a pressure ulcer as documented in physician orders. The findings are: 1. The physician orders dated 03/07/2024 for Resident #23 documented, .Right Buttock, Stage III, clean with wound cleanser, apply collagen and cover with foam. every day shift for wound care . a. The nursing progress note dated 3/8/2024 12:35 documented, .IDT-Skin Weekly Note Text: Right Buttock, Stage III, clean with wound cleanser, apply collagen and cover with foam. Continue current treatment and observe. Follow up weekly and as needed . b. On 03/11/24 at 11:29 AM, Resident #23 was observed lying in bed on their back with his/her head elevated at a 15-degree angle and feet elevated at a 15 degree angle. c. On 03/11/24 at 02:52 PM, Resident #23 ' 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-15 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 residents were showered/bathed as scheduled to promote good personal hygiene for 01 (Resident #23) sample mix resident. The findings are: Facility in-service education report dated 10/21/2023 documented, Showers: Showers are to be given to every Resident 2 times a week. All nursing staff are trained in giving showers. Showers are scheduled on day shift, but the Resident has the right to have a shower whenever they like. A review of the care plan dated 02/04/2022 documented, . ADL (Activities of Daily Living) self-care performance deficit r/t (related to) (related to) Alzheimer's Bathing/ Showering: Provide sponge bath when a full bath or shower cannot be tolerated. Date Initiated: 06/17/2021 . Bathing/ Showering: The resident is totally dependent on (1) staff to provide (bath/shower) (2 x per week) and as necessary . Bathing/ Showering: The resident requires extensive assist of one staff . A review of the Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/29/2023 documented,…

  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 · E2024-03-15 · tag F0687 — failed to care for feet properly — pattern
  Provide appropriate foot care.
  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 residents who required assistance with foot care were regularly provided with the necessary assistance to maintain good hygiene and grooming, as evidenced by failure to ensure toenails were kept clean and trimmed for 1 (Resident #5) out of 46 residents who require assistance with foot care. 1. Resident #5 had diagnoses of Peripheral vascular disease, non-rheumatic aortic valve insufficiency, and Non-rheumatic valve stenosis. The most recent Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/19/2023 revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15 (13-15 indicates cognitively intact). Per care plan with a target completion date of 03/20/24, [Resident #5] has Peripheral Vascular Disease (PVD) related to heart disease If resident has thick nails, corns, calluses, refer to podiatrist Keep skin on extremities well hydrated with lotion in order to prevent dry skin and cracking of the skin . 2. On 03/11/24 at 11:30 AM, the Surveyor observed that both feet are…

  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 · E2024-03-15 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview the facility failed to ensure all pharmaceuticals were available for the residents during medication administration. The finding are: 1. The physician orders dated 02/02/2024 documented, .Advair HFA Inhalation Aerosol 115-21 MCG/ACT (Fluticasone-Salmeterol) 2 puff inhale orally two times a day for SOB 1 puff Q12H BID . Lactobacillus Capsule Give 1 capsule by mouth two times a day for Prevent diarrhea . PreserVision AREDS 2 Oral Capsule (Multiple Vitamins w/ Minerals) Give 1 capsule by mouth two times a day for Supplement . a. On 03/12/2024 at 09:20 AM, during observation of medication administration for 100 hall with Licensed Practical Nurse (LPN) #02, resident #19 did not receive Advair HFA Inhalation Aerosol, Lactobacillus and Areds. b. On 03/12/2024 at 09:22 AM, Licensed Practical Nurse (LPN) #02 stated, She does not have inhaler in here. I will fix this as soon as I'm done with med pass and order it. c. On 03/12/2024 at 09:26 AM, LPN #02 stated, No lactobacillus either. d. On 03/12/2024 at 09:32 AM, LPN #02 stated, We don't have…

  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

“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

$25,678 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $12,844 — penalty dated 2024-11-01
• $12,834 — penalty dated 2024-03-15
• Medicare payment denial — starting 2024-11-30 for 16 days

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

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 24 rows in the source record cover these 19 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.

5 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.

About 77% 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 $604K paid to related parties — landlords or management companies under common ownership — equal to about 13% 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