Valley Springs Rehabilitation And Health 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.

42.5% 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 30 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 30% 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

How full it usually is: this home is certified for 105 beds and averages 81.8 residents a day — about 78% occupied, or roughly 23 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.49 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 3.25 hrs/resident/day on weekends vs 3.90 on weekdays — 17% thinner on weekends. RN hours go from 0.49 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below 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.

26 citations, most serious first. The 11 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Jcited before2022-09-23 · 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 ensure training, assessments, and physician orders were implemented to prevent wheelchair harness injury for 1 (Resident #1) of 1 sampled resident whose neck was caught on the chest harness causing a small red area on his [NAME] apple. The Administrator was notified of the Past IJ (Immediate Jeopardy) on 09/22/22 at 9:36 AM, and the facility failed to ensure scissors were not in the possession of 1 (Resident #51) of 5 (Residents #51, #33, #78, #8 and #39) sampled residents who resided on the Secure Unit to ensure the safety of the residents who were ambulatory and resided on the Secure Unit. These failed practice had the potential to affect 0 residents as no residents at this time had a wheelchair with a harness and/or seatbelt as documented on a list provided by the Administrator on 09/22/22 and 14 residents who resided on the Secure Unit as documented on a list provided by the Administrator on 09/19/22. The findings are: 1.Resident #1…

  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 · E2025-01-24 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure the comprehensive care plan addressed and individualized appropriate care and services for 2 (Residents #27, #236,) of 26 sample mix residents reviewed for care plan. The findings are: 1. Review of Resident #27's admission Record with a date of 4/3/2024 noted the resident had a diagnosis of dementia. Review of Resident #27's Care Plan, with a date of 4/3/2024 did not note dementia care or medications with black box warnings. Review of Resident #27's admission Nursing Evaluation dated 6/19/2024 noted Diagnosis: 10. Neurological: Non-Alzheimer's dementia. B. Diagnosis MDS list: Non-Alzheimer's dementia. Review of Resident #27's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/28/2024 noted a score of 3 (00-07 indicates severe cognitive impairment) on the Brief Interview for Mental Status (BIMS), and the resident had a diagnosis of non-Alzheimer's dementia. It also noted the resident was currently taking insulin,…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-24 · 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 observation, interview, record review, and facility document review, it was determined that the facility failed to ensure resident ' s physician orders for a breathing device (bipap) had instructions for monitoring and frequency of use for 1 (Resident #236) of 1 sample mix residents with orders for bi-pap machine and to ensure fall assessments were completed for 1 (Resident #6) of 1 sample mix resident reviewed for fall assessments. The finding are: 1. During an observation on 1/21/25 at 11:56 AM, this surveyor observed Resident #236 with an oxygen concentrator in the room running at five (5) liters per minute (LPM). A breathing device used to treat sleep apnea (Bilevel Positive Airway Pressure (Bi-pap)) was also observed in the resident ' s room. Review of Resident #236's admission Record dated 1/7/2025 noted the resident was admitted with diagnoses of acute respiratory failure with low oxygen (hypoxia), chronic obstructive pulmonary disease (COPD), and obstructive sleep apnea. Review of the admission Nursing Evaluation dated 1/7/2024 noted 8. Review of Systems 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
• Potential for harm · Ecited before2025-01-24 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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, record review, and facility policy review, the facility failed to ensure food stored in the freezer was covered or sealed; manufacturer's instructions were followed; 1of 2 ice machines on B-Hall was maintained in clean and sanitary condition; the kitchen floor and door frames were maintained in good repair and were free of chips, paint peeling, stains and rust; baseboards were secured and were maintained in clean sanitary conditions; and dietary staff washed their hands before handling clean equipment or food items for 2 of 2 meals observed. The findings are: 1. On 1/21/2025 at 10:33am during the initial tour of the kitchen, Dietary [NAME] (DC) #1 was asked to pull out the grease trap under the stove top. DC #1 pulled the slide out drawer beneath the stove top and the aluminum foil covering the top was covered in a 16-inch by 6-inch area of charred food particles and spillage. DC #1 was asked how often the grease traps were cleaned. DC #1 said that the grease traps were checked and cleaned once per week. DC #1 confirmed that the grease traps were…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-24 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, facility document review, and facility policy review, it was determined that the facility failed to ensure staff maintained hand hygiene during meal service while on the secured unit to prevent cross contamination and to ensure an indwelling catheter was kept out of a resident ' s trash can and was kept off of the floor for 1 (Resident #79) of 2 (Resident #79, #82) sample mix residents with indwelling catheters. The findings are: During an observation of Resident #79 on 1/21/25 at 2:23 PM, this surveyor observed the resident lying in bed on their left side. An indwelling catheter tube draining yellow urine was observed sitting in the resident ' s trash can. Review of Resident #79's Care Plan dated 1/5/2025 noted the resident required partial to moderate assistance with toileting hygiene and helper does all the effort. Resident #27 had an indwelling catheter related to enlarged prostate. Review of Resident #79's quarterly Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 1/12/2025 noted the resident had neurogenic bladder. Section H0100.…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-24 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, record review, and facility document review, it was determined that the facility failed to ensure a comprehensive assessment accurately reflected a resident ' s status and needs for 1 (Resident #236) of 1 sample mix residents reviewed for comprehensive care plan development. The findings are: During an observation on 1/21/25 at 11:56 AM, this surveyor observed Resident #236 with an oxygen concentrator in the room running at five (5) liters per minute (LPM). A breathing device used to treat sleep apnea (Bilevel Positive Airway Pressure (Bipap)) was also observed in the resident ' s room. Review of Resident #236's admission Record dated 1/7/2025 noted the resident was admitted with diagnoses of acute respiratory failure with low oxygen (hypoxia), chronic obstructive pulmonary disease (COPD), and obstructive sleep apnea. Review of the admission Nursing Evaluation, dated 1/7/2024, noted 8. Review of Systems A. Respiratory: 5. Does the resident have, need or use any of the following? a. Oxygen c. CPAP. 5c. CPAP/ BiPAP/ Trilogy specify (order, frequency,…

  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 before2025-01-24 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, facility document review, it was determined that the facility failed to complete a Preadmission Screening and Resident Review (PASRR) for 1 (Resident #24) of 2 sample residents reviewed for PASRR, to ensure the resident received the needed care and services in the most appropriate setting. The findings are: On 01/23/2025 at 2:53 PM, the Administrator stated the facility did not have a policy for PASRR and goes by the Centers for Medicare and Medicaid Services (CMS) policy. Review of Resident #24's Division of Medical Services (DMS) 787 dated 1/22/2019 noted in Section II the resident had diagnoses of psychosis and dysthymia (depressive disorders). The DMS 787 also documented the resident had a diagnosis of dementia in answer to Section II question number 7. This DMS-787 was accompanied by a letter from [State Designated Professional Associates] that requested further information before it could be processed. Review of Resident #24's DMS-780 dated 6/30/2022 noted the Diagnostic and Statistical Manual of Mental Disorders- Fourth Edition- (DSM-IV)…

  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 before2025-01-24 · 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 observation, record review, interview, and facility document review, it was determined that the facility failed to ensure fall mats were maintained in good condition for 1 (Resident #82) of 1 sample mix resident whose fall mats were observed. During an observation of Resident #82 on 1/21/25 11:11 AM, this surveyor observed the resident lying in bed on their back at a forty-five (45) degree angle. A fall mat was present on one side of the bed. One side of the bed was against the wall, with a fall mat approximately 6-8 inches away from the other side of the bed. The fall mat was observed to have rips/tears on it. Review of Resident #82's Care plan dated 1/3/2024 noted the resident was at risk for falls related to impaired safety awareness. The resident was documented as having falls on: 8/29/2024 fall- Intervention on 8/29/2024 noted dysem (non-slip material) to wheelchair 9/03/2024 fall- Intervention on 9/03/2024 noted fall mat 9/12/2024 fall- Intervention on 9/12/2024 noted medication review 9/25/2024 fall- Intervention on 9/25/2024 staff instructed resident not to be left…

  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 · D2025-01-24 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, facility document review, and facility policy review, it was determined the facility failed to ensure necessary care and services were provided related to dementia care, as evidenced by failure to ensure residents were assessed prior to admission to a closed unit to determine if placement on the unit was appropriate for the resident and failure to ensure sufficient staff with training in care of residents with dementia and behaviors were available to provide care to the residents who resided on the closed unit in accordance with the comprehensive assessments and plans of care for 1 (Resident #27) of 7 (Residents #1, #2, #4, #6, #12, #19, and #27 ) case mix residents who had behaviors and resided on the closed unit. The findings are: Review of Resident #27's admission Record with a date of 4/3/3034 noted the resident had a diagnosis of dementia. Review of Resident #27's Care Plan, with a date of 4/3/2024 did not note dementia care. Review of Resident #27's admission Nursing Evaluation dated 6/19/2024 noted Diagnosis: 10. Neurological: Non-…

  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 before2023-12-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure food stored in the refrigerator and freezer was covered or sealed to prevent potential contamination or freezer burn; kitchen floors were clean; and facial hair was covered. This failed practice had the potential to affect 92 residents who received meal trays from the kitchen. The findings are: On 12/17/23 at 10:58 AM, in the freezer there were 6 pork fritters in an open bag with no date on it; 5 pancakes in a bag not sealed that was dated 11/29/23; 4 hamburger patties in a bag not dated; in the refrigerator there was a pan of liquid eggs in a pan covered in foiled that had use for Saturday written on the foil; 42 cups of pudding in the refrigerator uncovered; and the kitchen floors had food crumbs and dirt under the counters. On 12/20/23 at 10:55 AM, Dietary Staff #1 was observed in the kitchen with no hairnet over his beard. On 12/20/23 at 3:41 PM, the Surveyor asked the Dietary Manager, Should the male staff wear a hair net over their beard? She stated, Yes, and Dietary Employee #1 did not have his…

  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 · E2023-12-21 · 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 meals were served at the same time for all residents sitting at the same table for 2 (Residents #18 and #40) of 2 sampled residents to promote dignity and respect. The findings are: On 12/17/2023 at 12:07 PM, the dining staff began serving the residents seated in the dining room. 1. Resident #40 was seated at a table with two other residents. The other residents at the table received their meals and began eating. The other residents eating in the dining room began to finish their meals and leave the room. At 12:27 PM, the Housekeeping Supervisor approached Resident #40 and asked which meal they would like. At 12:28 PM, the Housekeeping Supervisor brought a tray to the table for Resident #40. 2. Resident #18 was seated at a table with two other residents. Resident #18 did not receive a meal tray when the other residents at the table were served. The other residents eating in the dining room began to finish their meals and leave the room. Resident #18 was observed looking at the other residents eating…

  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 SOUTHERN ADMINISTRATIVE SERVICES — 35 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 82% 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 $5.3M paid to related parties — landlords or management companies under common ownership — equal to about 71% 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