Bailey Creek Health And Rehab

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.

50.6% 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 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.1% 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 32 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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

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 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.83 hrs/resident/day on weekends vs 3.81 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.39 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

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 · Ecited before2026-04-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, it was determined that the facility failed to update the Care Plans for two (Resident #54 and Resident #99) of four residents reviewed.The findings include:Resident #54A review of Resident #54's admission Record revealed the facility initially admitted the resident on 06/04/2020, with diagnoses which included unsteadiness on feet, muscle weakness, malnutrition, muscle wasting and atrophy, and a fall from a non-moving wheelchair.A review of Resident #54's quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 02/02/2026, revealed a Brief Interview of Mental Status (BIMS) score of 04, which indicated the resident had severe cognitive impairment. Resident #54's MDS also revealed additional diagnoses, which included stroke, dementia, aphasia, bipolar disorder, and intellectual disabilities.A review of Resident #54's Progress Note entry on 03/13/2026 at 11:14 AM, revealed an unnamed Certified Nursing Assistant (CNA)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · 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 record review, observation, interview, facility document review, and facility policy review, it was determined that the facility failed to initiate and follow Enhanced Barrier Precautions (EBP) for one (Resident #75) of three residents observed for infection control. The finding include: A review of Resident #75's admission Record indicated the facility admitted the resident on 04/23/2025, with diagnosis which included chronic diastolic congestive heart failure, protein calorie malnutrition, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominate side, gastrostomy complications, dysphagia, and gastrostomy status with an onset date of 12/22/2022. A review of Resident #75's quarterly Minimum Data Set, with an Assessment Reference Date of 03/17/2026 revealed a Brief Interview for Mental Status score of 03, which indicated the resident had severely impaired cognition. Resident #75's MDS revealed the resident was dependent on staff in all areas of Activities of Daily Living, had an indwelling catheter and a feeding tube in place, and had…

  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 · E2026-03-20 · 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

  Based on record review, interview, facility document review, observation, and facility policy review, the facility failed to ensure that physician orders were followed for two (Resident #1 and Resident #4) of two residents reviewed for dressing changes and to ensure one resident (Resident #1) received indwelling catheter care, as ordered. The findings include: Resident #1 A review of Resident #1's admission Record indicated the facility admitted the resident with diagnoses which included osteomyelitis (serious bone infection) of vertebra, sacral and sacrococcygeal region (base of the spine), type 2 diabetes mellitus, and pressure ulcer of unspecified site, unspecified stage. A review of Resident #1's Physician admission note, dated 05/13/2025, indicated the resident had been admitted with recent hospital discharge orders for antibiotics to be given until 06/13/2025, related to osteomyelitis. The Physician note also indicated that the resident did not have a Peripherally Inserted Central Catheter (PICC) in place, and the admitting physician was called. The resident's PICC line…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, interview, facility document review, and facility policy review, it was determined that the facility failed to ensure hand hygiene was performed between glove changes, a Peripherally Inserted Central Catheter (PICC) access was cleaned according to industry standards, and a PICC line dressing was intact prior to accessing the hub for one (Resident #4) of one resident reviewed for infection control practices during PICC access. The findings include: A review of Resident #4's admission Record indicated the facility admitted the resident with diagnoses which included infection and inflammatory reaction due to internal left hip prosthesis, Methicillin-Resistant Staphylococcus Aureus (MRSA) [a type of bacteria that has developed resistance to many antibiotics], and pain due to internal orthopedic prosthetic devices, implants and grafts. A review of Resident #4's entry Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 03/04/2026. The Point Click Care facility…

  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 · F2024-09-06 · 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 facility policy review, the facility failed to ensure the ice scoop holder was maintained in clean and sanitary condition to prevent potential growth of harmful bacteria that could be transferred to the residents food, failed to ensure opened food items in the freezer were sealed to maintain freshness and prevent potential cross contamination, failed to ensure dietary staff practiced good hand washing techniques to prevent potential cross contamination of food and clean dishes for residents who received meals from 1 of 1 kitchen. The findings are: 1. On 9/4/24 at 3:20 PM, the following observations were made on the spice rack above the food preparation counter: a. A plastic container of oregano with best by date of 5/24/2024. b. A plastic container of parsley flakes with best by date of 8/5/2024. 2. On 9/4/24 at 3:37 PM, the following observations were made on a shelf in the 3- door freezer in the storage room: a. Two opened boxes of beef patties, the box was not covered or sealed. 3. On 9/4/24 at 4:13 PM, the ice scoop holder on the wall by 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 · Ecited before2024-09-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure all cleaning cart doors locked to ensure residents could not access cleaning supplies and chemicals from the unlocked carts to prevent injuries. The facility failed to identify and ensure sharp, jagged plastic from a busted air conditioner frame was repaired to prevent accidents or injuries to 1 (Resident #17) sampled resident reviewed for accidents or injuries. Findings include: 1. a. On 09/03/2024 at 9:30 AM, while walking down 400 Hall in the closed unit the surveyor observed the cleaning cart door ajar revealing disinfectants and bathroom and bowl cleaners while Housekeeping #5's back was to the cleaning cart. b. During an interview with Housekeeping #5 on 09/05/2024 at 9:50 AM, the Surveyor was told there has not been a working lock on any of the cleaning carts in over a year. Housekeeper #5 stated if a resident opened the cleaning cart doors they could remove chemicals from the cart. c. On 09/05/2024 at 10:05 AM, while walking down 100 Hall, the surveyor observed…

  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 · E2024-09-06 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, it was determined the facility failed to ensure medications were appropriately stored behind a lock on the treatment cart to prevent misappropriation of resident medications. The facility failed to ensure medication was stored behind a locked door, and medications were not left at the bedside for 2 (Resident #61, and Resident #375) sampled residents reviewed for medication stored at the bedside. Findings include: 1. a. A review of a policy titled Storage of Medications, revised April 2007, revealed that nursing is responsible for making sure medications are stored and locked up appropriately and not left unattended. b. On 09/03/2024 at 10:11 AM, an unlocked treatment cart was observed with the bottom drawer pulled open resting across from Nurses Station 2. The Surveyor observed betadine solution, hydrogen peroxide 3%, wound solution, Isopropyl rubbing alcohol 70%, foot peeling spray, and 2 dermal wound cleanser sprays from an open bottom drawer. Topical antifungal medication, and antifungal powder were in the second drawer…

  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 · E2024-09-06 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to ensure nutritionally balanced meals were provided for the residents for 1 of 1 meal observed. This failed practice had the potential to affect 5 residents on pureed diets, 20 residents who received mechanical soft diets and 47 residents on regular diets from the kitchen, according to the list provided by the Registered Dietitian on 9/5/2024 (total Census 74). The findings are: 1. On 9/4/24, the lunch meal menu indicated residents on pureed diets were to receive one #6 (5.3 ounces) scoop of pureed lasagna. 2. On 9/4/24 at 3:42 PM, Dietary [NAME] (DC) #2 placed 6 slices of bread into a blender, used a 3-ounce spoon to portion 4.5 cup of meat sauce into a blender, added thickener and pureed. 3. On 9/5/24, the noon meal menu indicated, for the residents on regular diet and residents on mechanical soft diets were to receive 4 by 4 square serving of lasagna which would typically weigh around 8 ounces, and for pureed diets were to receive…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-06 · tag F0947 — failed to train nurse aides adequately — pattern
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility policy review, it was determined the facility failed to ensure dementia training was provided for nursing aide staff to meet the needs of the facilities population. This failed practice had the potential to affect 18 (Residents #3, #17, #19, #21, #30, #31, #33, #40, #47, #49, #55, #60, #61, #64, #65, #176, #177, #375) sampled residents. Findings include: 1. A review of a policy titled In-Service Training Program, dated 10/2017, revealed all staff are required to attend scheduled in-services, and Certified Nursing Assistance (CNA)s must complete a performance review every 12 months. 2. The Administrator confirmed only the closed unit had a dementia in-service and provided an in-service How to Care for Residents with Behavioral Issues and Dementia, (date, 06/14/2024) revealed staff should encourage residents to do things for themselves, being consistent with care during mealtime, and prompting during mealtime and bathing to encourage resident participation. 3. During an interview with CNA #12 and CNA #13 on 09/04/2024 at 1:47 PM in 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-06 · 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, interview, record review, and facility policy review it was determined the facility failed to ensure the privacy and dignity of 1 (Resident #33) sampled resident. This failed practice had the potential to affect 2 (Resident #33, Resident #49) sampled residents reviewed for privacy. Findings include: Review of a policy titled Quality of Life-Dignity, revised 08/2009, revealed every resident should always be treated with respect and dignity including their body during assistance with personal hygiene. The facility does not promote any practice that would demean, and not promote dignity to the resident. A review of Resident #33's Care Plan, dated 06/04/2024, revealed Resident #33 has increasing frequency of refusals specifically with hygiene and has identified routines that increase compliance to promote hygiene including wanting the door closed for privacy, despite a fear of being alone. A review of the Facility Assessment, revised 08/22/2024, revealed that staff competencies include caring for residents with mental and psychosocial issues without pharmacological…

  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

No federal fines in the current CMS record.

Part of a chain

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

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

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 14 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 83% 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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