Fianna Hills 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.

54.8% 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 102 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.8% 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 79 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 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 102 beds and averages 96.3 residents a day — about 94% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.94 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 3.60 hrs/resident/day on weekends vs 4.37 on weekdays — 18% thinner on weekends. RN hours go from 0.30 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2026-02-06 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review and facility policy review, it was determined that facility staff failed to follow care planned interventions for two (Resident #2 and Resident #3) of three residents reviewed for assistance and supervision. The findings include: Resident #2 Review of Resident #2's Medical Diagnosis, indicated the facility admitted Resident #2 with diagnoses which included Alzheimer's disease (progressive brain disorder that destroys memory and thinking skills over time), spastic hemiplegic cerebral palsy (brain damage that affects movement on one side of the body), and a neuromuscular dysfunction of the bladder (loss of bladder control due to nerve damage preventing brain-bladder communication). Review of a Care Plan Report revealed Resident #2 required assistance of two staff members for bathing/showering, bed mobility, personal hygiene, toilet use and transferring. Review of a Facility Incident and Accident Report dated 06/05/2025, indicated on 06/04/2025 at 10:46 PM, the DON,…

  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 · Fcited before2025-06-05 · 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 interviews, observations, record review, and facility policy review, the facility failed to ensure chemical solutions were available to effectively clean and sanitize dishware and kitchen equipment; failed to store, prepare, distribute and serve food in accordance with professional standards of safety; failed to ensure dietary staff washed their hands following the removal of gloves and between task during meal preparation; failed to ensure food preparation surfaces were cleaned and sanitized using a sanitizing solution; failed to ensure equipment was clean and sanitized between uses; and failed to ensure the dietary staff cleaned and sanitized the test thermometer between testing the temperatures of food items on the steamtable. A total of 89 residents received meals from the kitchen and were at risk of contracting a food borne pathogen with the potential of causing gastrointestinal illnesses. The findings are: 1. During an observation and interview on 06/02/2025 at 01:15 PM, the Dietary Consultant stated the dishwasher was a low temp dish machine. This surveyor noted 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-05 · 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, record review, and facility policy review, the facility failed to ensure medication was not left at the bedside for one of one observation and the facility failed to ensure insulins and antianxiety medications were stored at manufacturer recommended temperature for one of one observation of medication storage. The findings include: 1. During an observation on 06/02/2025 at 1:02 PM, a medication cup containing a clumpy white powdery substance was observed on Resident #48's over-bed table. Licensed Practical Nurse (LPN) #8 stated, Resident #48 would have to be asked because LPN #8 did not know what was in the medication cup. LPN #8 left the room, with the medication cup still at the bedside. a. A review of Medical Diagnosis revealed Resident #48 was admitted to the facility with diagnoses which included stroke, heart dysrhythmia, and heart failure. b. A review of the quarterly Minimum Data Set (MDS) with an Assessment Reference Date of 04/14/2025, indicated Resident #48 had a Brief Interview for Mental Status score of 15, which indicated the resident…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review, and policy review, it was determined that the facility failed to properly store oxygen canisters while not in use for 1 (Resident #53) of 4 residents reviewed for accidents. The findings include: A review of the Medical Diagnosis Report indicated Resident #53 was admitted to the facility with diagnoses which included chronic respiratory failure, with low oxygen levels, and chronic obstructive pulmonary disease (COPD). A review of the quarterly Minimum Data Set, with an Assessment Reference Date of 04/21/2025, revealed Resident #53 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. A review of Resident #53 ' s Care Plan, revised 08/21/2024, revealed Resident #53 received oxygen therapy related to COPD, and was a smoker. Interventions included to instruct the resident about facility policy and safety concerns. The care plan did not indicate the resident was non-compliant with instruction related to receiving oxygen therapy. During an observation on 06/02/2025 at 3:45 PM,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-04-28 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer were covered and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure 1 of 1 dietary staff washed their hands before handling clean equipment. These failed practices had the potential to affect 86 residents who received meals from the kitchen (total census: 86) as documented on a list provided by Dietary Supervisor on 04/25/23. The findings are: 1. On 04/24/23 at 11:09 AM, the following observations were made in the walk-in the refrigerator: a. An unsealed open zip lock bag that contained slices of cheese. b. An opened box of cream cheese, the box was not covered and the bag holding the cheese was not sealed. c. There were forty-one cartons of whole milk with an expiration date of 04/22/23. 2. On 04/24/23 at 11:20 AM, the following observations were made in the walk-in freezer: a. An opened box of hamburger patties, the box was not covered or sealed. b. An opened box of corndogs, the box was 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-28 · 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 ensure resident's dining space was not infringed upon by other residents to ensure residents were able to have a pleasant dining experience for 1 (Resident # 25) sampled resident and meals for residents at the same dining table in the Main Dining Room were served together to promote dignity and respect for 1 (Resident #62) of 24 (Residents #5, #12, #15, #24, #25, #26, #39, #44, #48, #51, #53, #54, #58, #60, #61, #62, #65, #67, #72, #77, #79, #84, #291 and #342) sampled residents. This failed practice had the potential to affect 87 residents who had the ability to dine in the Main Dining Room as documented on the Census and Conditions of Residents provided by the Administrator on 04/24/23 at 11:52 AM. The findings are: 1. Resident #25 had diagnoses of Vitamin D Deficiency, Unspecified and Unspecified Severe Protein-Calories Malnutrition. The Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/03/23 documented the resident scored 13 (13-15 indicates cognitively intact) on a Brief…

  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 · E2023-04-28 · 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 observation, record review, and interview, the facility failed to ensure the Minimum Data Set (MDS) was completed accurately related to an indwelling foley catheter for 1 (Resident #54) and a Discharge MDS for 1 (Resident #88) of 24 (Residents #5, #12, #15, #24, #25, #26, #39, #44, #48, #51, #53, #54, #58, #60, #61, #62, #65, #67, #72, #77, #79, #84, #291 and #342) sampled residents whose MDS's were reviewed. The findings are: 1. Resident #54 had diagnoses of Dementia, Respiratory Failure, Pneumonia, Retention of Urine, and Staphylococcus. The Significant Change MDS with an Assessment Reference Date (ARD) of 02/20/23 documented the resident scored 3 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and required extensive physical assistance of two plus persons for toilet use, had an indwelling catheter and was always incontinent of bladder. a. A Physicians Order dated of 02/13/23 documented, Foley catheter 16 fr [french] 30 cc [cubic centimeters] . b. The Care…

  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 · E2023-04-28 · tag F0645 — pattern
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview, the facility failed to ensure an updated determination evaluation and review was received after the 60 day expiration date for a resident with a mental disorder diagnosis to ensure the resident received care and services in the most integrated setting appropriate to their needs for 1 (Resident #72) of 23 (Residents #5, #10, #12, #15, #20, #25, #32, #39, #46, #48, #49, #53, #54, #58, #60, #61, #63, #65, #67, #72, #79, #86 and #342) sampled residents with serious mental disorders as documented on a list provided by the Minimum Data Set (MDS) Coordinator on 04/27/23 at 3:38 PM. The findings are: 1.Resident #72 was admitted to the facility on [DATE] and had a diagnosis of Post-Traumatic Stress Disorder. The Quarterly MDS with an Assessment Reference Date (ARD) of 02/13/23 documented the resident scored 9 (8-12 indicates moderately cognitively impaired) on a Brief Interview for Mental Status (BIMS) and received an antipsychotic medication 7 of the 7 day look back period. a. The…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Surveyor: [NAME], [NAME] Based on observation, interview, and record review, the facility failed to ensure residents' who had a new service or level of care ordered or provided, individualized Care Plans were updated to ensure appropriate care was received for 4 (Residents #54, #61, #72 and #79) of 24 (Residents #5, #12, #15, #24, #25, #26, #39, #44, #48, #51, #53, #54, #58, #60, #61, #62, #65, #67, #72, #77, #79, #84, #291 and #342) sampled residents whose Care Plans were reviewed. This failed practice had the potential to affect 87 residents as documented on the Census and Conditions of Residents provided by the Administrator on 04/24/23 at 11:52 AM. The findings are: 1. Resident #54 had diagnoses of Dementia, Respiratory Failure, Pneumonia, Retention of Urine, and Staphylococcus. The Significant Change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/20/23 documented the resident scored 3 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, as evidenced by failure to ensure physician ordered interventions were consistently implemented to promote healing and prevent new ulcers from developing for 1 (Resident #84) of 3 (Residents #5, #54 and #84) sampled residents who had pressure ulcer. This failed practice had the potential to affect 5 residents according to a list provided by the Director of Nursing (DON) on 04/25/23 at 2:11 PM. The findings are: 1. Resident #84 had diagnoses of Alzheimer Disease, Acute Respiratory Failure with Hypoxia, and Chronic Kidney Disease, Stage 3. The Medicare 5-Day Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/03/23 documented the resident scored 4 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and was at risk for developing pressure ulcers/injuries, had one or more unhealed pressure ulcers/injuries and required 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

3 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 $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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