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Immanuel Campus Of Care

11301 North 99th Avenue, Peoria, AZ 85345 · Non profit - Corporation · 228 certified beds · (623) 977-8373 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Flagged for abuse2 actual-harm citations$18,529 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited May 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (33) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $18,529 in federal fines (most recent 2025-01-31)
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facilityNot rated

Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
9299 W Olive Ave · (623) 399-8939 · Call to confirm hours
Pharmacy
9856 W Peoria Ave · (623) 977-8260 · Call to confirm hours
Grocery
9501 W Peoria Ave Ste 111 · (623) 486-9646 · Call to confirm hours
Park
Place of worship

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

Overall quality measuresNot rated

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.6%10.7%15.4%typical
Long-stay residents who lose too much weight5.9%5.3%5.4%typical
Long-stay residents with a catheter left in their bladder1.1%0.8%0.9%worse
Long-stay residents with a urinary tract infection2.9%1.2%2.0%worse
Long-stay residents with depressive symptoms0.0%3.9%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.3%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.3%2.1%3.3%better
Long-stay residents whose ability to walk worsened21.6%12.8%16.1%worse
Long-stay residents on antianxiety or hypnotic medication48.9%21.0%18.9%worse
Long-stay residents given the seasonal flu vaccine99.4%94.6%95.3%typical
Long-stay residents with pressure ulcers4.7%4.4%4.7%typical
Long-stay residents with worsening bladder/bowel control15.7%20.6%21.2%better
Short-stay residents who newly got an antipsychotic medication15.4%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine84.6%87.3%79.4%typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

0.07U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 4% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.49
RN hours/ resident / day
1.21
LPN hours/ resident / day
3.06
Aide hours/ resident / day
4.75
Total nurse hours/ resident / day
0.48
RN hoursweekends
23.1%
Total nursing turnover
30.4%
RN turnover

How full it usually is: this home is certified for 228 beds and averages 172.4 residents a day — about 76% occupied, or roughly 56 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 4.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.06 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 4.34 hrs/resident/day on weekends vs 4.92 on weekdays — 12% thinner on weekends. RN hours go from 0.49 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% 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

3
deficiencies at the latest standard inspection (2026-05-22)
3
at the previous standard inspection (2025-01-31)

Deficiencies are unchanged from the previous inspection. 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.

ABCDEFGHIJKL

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

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

  • Actual harm · Gcited before2025-03-24 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and resident interviews, facility documentation, and facility policy and procedure, the facility failed to ensure adequate supervision to prevent a non-prescribed medication overdose for one resident (#12). The deficient practice could result in an avoidable accidental overdose of residents. Findings Include: -Regarding Resident #24: -Resident #24 was admitted to the facility on [DATE] with diagnoses that included asthma, major depressive disorder, and opioid use with unspecified opioid induced disorder. A care plan-initiated [DATE] revealed no focus related to substance abuse or dependency. A quarterly Minimum Data Set (MDS) assessment dated on [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14 which indicated resident was cognitively intact. Review of a Nurse Practioner (NP) progress note dated [DATE] at 4:14 PM revealed that the resident reported recent methamphetamine abuse, and reported trying to refrain from use. An interview was conducted on [DATE] at 1:29…

    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
  • Actual harm · Gcited before2024-04-19 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, resident and staff interviews, and review of facility documentation and policies, the facility failed to protect the rights of 21 residents (#34, #183, 164, #104, #128, #156, #169, #144, #28, #184, #170, #77, #172, #182, #1, #47, #98, #196, #134, #142 and #86) to be free from abuse by another resident. The sample size was 77. The deficient practice could result in further abuse and resident(s) sustaining injury from resident to resident abuse. Findings include: Regarding residents #34 and #190 -Resident #34 was admitted to the facility on [DATE], with diagnoses that included schizophrenia, fracture of left radius, acute post hemorrhagic anemia, acute osteomyelitis left hand, psychosis, acquired absence of right upper limb below elbow, and open wound of right upper arm. The care plan dated March 29, 2023 included that the resident used anti-psychotic medication related to behavior Lewy bodies, violent behavior, psychosis, psychoactive substance abuse, stimulant abuse,…

    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 · Dcited before2026-05-22 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, and staff interviews, the facility failed to protect the right to be free from physical abuse for two residents (Residents #170, #171). The deficient practice could lead to additional resident-to-resident altercations, creating an unsafe environment. Findings include:-Resident #170 (alleged victim) was admitted to the facility on [DATE], with diagnoses that included Borderline Personality Disorder, Major Depressive Disorder, Hereditary idiopathic nervous system, and degenerative disease of the nervous System.The care plan focus problem initiated on January 21, 2019, revealed that resident #170 has a behavior problem related to personality disorder like staff splitting, making false accusations toward staff, being verbally abusive toward staff, and using manipulation to get what she wants.The annual Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident has a Brief interview for Mental Status (BIMS) score of 15, indicating the resident is…

    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 · D2026-05-22 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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, interviews, and facility policy review the facility failed to ensure one of thirty-three sampled residents (#36) was free from physical restraint related to bed rails. The universe was one hundred and seventy-eight. The deficient practice could cause a resident to suffer physical injury from entrapment or psychosocial harm related to restraint use. Findings include: Resident #36 was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder, bipolar disorder, dementia, and anxiety disorder. The Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 00, indicating the resident had severe cognitive impairment. The MDS also included that no form of restraints, including bed rails, and/or alarms were coded as in use. The MDS further indicated impairment on both sides for lower extremities, dependent for mobility, and is dependent for all self-care activities. The comprehensive care plan reviewed/revised on March…

    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 · D2026-05-22 · tag F0656 — failed to write and follow a full care plan — isolated
    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 observations, record review, interviews, and facility policy review the facility failed to ensure a comprehensive care plan with interventions was developed, revised, and implemented related to safety and prevention for two of thirty-three sampled residents (#36 and #30) regarding use of bed rails, concave mattress and use of nicotine. The universe was one hundred and seventy-eight. The deficient practice could result in the resident's needs not being met. Findings include:Regarding resident #36-Resident #36 was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder, bipolar disorder, dementia, and anxiety disorder. Review of the Morse Fall Scale dated November 11, 2025, completed post fall, revealed the resident was assessed as a high risk for falling with a score of 60.0. Further review of the assessment revealed the resident had a history of falls.The quarterly Minimum Data Set (MDS) assessment dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 00,…

    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 · D2026-05-22 · tag F0847 — isolated
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 3Number of residents cited: 1The facility failed to protect resident right to make informed decisions and choices for one resident.Based on review of clinical and administrative records, resident and staff interviews, and review of facility policy, the facility failed to protect one out of three resident's right (#20) to make informed decisions and choices. The deficient practice could lead to a vulnerable resident not understanding their legal rights.Findings include:Resident #20 was admitted to the facility on [DATE], with diagnoses that included hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, schizoaffective disorder, major depressive disorder, recurrent, anxiety disorder, heart failure, chronic obstructive pulmonary disease, unspecifiedThe annual Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident has a Brief interview for Mental Status (BIMS) score of 06, indicating severe cognitive impairment.The care plan problem…

    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 · Dcited before2026-03-20 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff and resident interviews, and facility policy, the facility failed to protect the rights of one Resident (#6) out of the five sampled residents to be free from abuse by another resident (#10). The deficient practice could result in other residents being abused.The facility census was 168. Finding include--Regarding Resident #6 (Alleged Victim)Resident #6 was admitted to the facility on [DATE], with diagnoses that included anoxic brain damage, mood disorder, depression, post-traumatic stress disorder (PTSD), and speech disturbance.A care plan initiated on May 20, 2025, revealed that the Resident #6 had been screened for traumatic history and is positive for adult sexual abuse, child physical abuse, domestic violence, and other vehicular victimization. The intervention included Resident #6 will be encouraged to socialize with other residents that have a similar history as opportunity allows and staff members would seek to avoid re-traumatization by minimizing 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-02 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 a closed record review, staff interviews, review of facility documentation, policy, and procedures, the facility failed to ensure that the resident's representative was notified of an injury for one resident (#222). The deficient practice could result in resident representatives not being informed of resident's injuries. Findings included:Resident #222 was re-admitted on [DATE] with a diagnosis that included Senile degeneration of brain, chronic obstructive pulmonary disease, type 2 diabetes mellitus with diabetic chronic kidney disease, major depressive disorder, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety.A review of the electronic health record progress notes dated from October 19, 2025 to October 24, 2025 revealed discoloration observed at multiple places on the resident's body, along with the Physician's orders for X-ray for the resident #222; however, the progress notes revealed no documentation that the family had been notified subsequent to the injury or…

    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 · Dcited before2025-07-15 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident and staff interviews, and review of facility policy, the facility failed to protect the rights of one resident (#16) to be free from abuse from another resident (#3). The deficient practice could result in residents being physically or emotionally harmed.Findings include:-Resident #16 was admitted to the facility on [DATE] with diagnoses that included anoxic brain damage, paraplegia, and obesity.Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition.Review of the progress notes revealed a nurses' note, dated July 7, 2025 at 11:15AM, which revealed that Resident #16 was experiencing increased hallucinations, delusions, and false allegations towards staff and peers.Further review of the progress notes revealed a room change notice, dated July 7, 2025 at 1:57PM, which revealed that Resident #16 had his room moved to another hall. The reason listed was prevention.Review of the nurses…

    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 · D2025-07-15 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 clinical record review, resident and staff interviews, facility documentation, and policy review, the facility failed to develop and implement policies and procedures for documenting and reporting alleged violations involving abuse, in accordance with federal and state laws and regulations. The deficient practice resulted in an alleged violation concerning abuse (involving Resident #16 and Resident #3) not being investigated timely and reported within the mandatory two-hour timeframe to Adult Protective Services (APS) and the State Agency. This deficient practice could result in further allegations not being documented or reported in a timely manner, which could impact residents' quality of life and care.Findings include:Regarding Resident #16Resident #16 was admitted to the facility on [DATE] with diagnoses that included anoxic brain damage, paraplegia, and obesity.Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14, indicating intact…

    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 · D2025-07-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, and staff interviews, the facility failed to ensure that an alleged violation involving abuse (involving Resident #16 and Resident #3) was reported to the State Agency and Adult Protective Services (APS) within the required timeframe of two hours. The deficient practice could cause a delay in response to potential abuse, putting residents at risk.Findings include:Regarding Resident #16Resident #16 was admitted to the facility on [DATE] with diagnoses that included anoxic brain damage, paraplegia, and obesity.Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. Review of the facility self-report investigation revealed that Resident #16 reported to his insurance case manager on July 7, 2025 that he was struck on the left side of his face by another resident. Resident #16 did not identify the resident at first, but later stated that it was Resident #3 who struck…

    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 · Dcited before2025-07-03 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, and staff interviews, the facility failed to protect the rights of one resident #222 to be free from abuse by another resident #333. The deficient practice could result in further abuse.Findings include:-Resident #222 was admitted on [DATE] with diagnoses that included unspecified intracranial injury with loss of consciousness.An MDS (Minimum Data Set) assessment dated [DATE] revealed a BIMS (Brief Interview of Mental Status) score of 04, which indicated that the resident was severely cognitively impaired.Progress note dated April 14, 2024 revealed that Resident #222 was observed sitting outside during a smoke break when Resident #333 stood up, turned around, hit Resident #222 in the face. Further, the progress note revealed that Resident #222 had been immediately separated from the location of the incident, and assessed for any pain and injuries. The progress note also revealed that mild redness was observed on Resident #222's face. The progress note also…

    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
Show the remaining 21 citations
  • Potential for harm · Dcited before2025-05-27 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#32) did not abuse another resident (#121). The deficient practice could result in residents being physically harmed. Findings include: -Resident #32 was admitted on [DATE] with diagnoses that included pityriasis versicolor, bipolar disorder, aphasia, mild neurocognitive disorder, psychoactive substance abuse, history of traumatic brain injury, and schizoaffective disorder bipolar type. Review of a care plan initiated on May 4, 2023 revealed no evidence of physical behaviors or the incident that occurred between the two residents. An Annual Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 05, which indicated the resident was severely cognitively impaired. The assessment also indicated no behaviors were exhibited. A progress note dated June 1, 2024 at 3:58 p.m. revealed that the resident was being physically and verbally aggressive with staff…

    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 · Dcited before2025-03-20 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, resident and staff interviews, and policy review, the facility failed to ensure that two residents (#1 and #2) were free from physical abuse. The deficient practice could result in further incidents of staff to resident abuse. Findings include: - Regarding resident#1: Resident #1 was admitted to the facility on [DATE] with diagnosis including conduct disorder, unspecified, personal history of traumatic brain injury, unspecified mood [affective] disorder, violent behavior, anxiety disorder, unspecified. A review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 00, indicating severe cognitive impairment. Further review of the MDS revealed no indicators for mood or behaviors and dependent for activities of daily living and substantial/maximal assist for mobility. A review of the care plan initiated on November 25, 2024 revealed a focus area indicating that the resident has a psychosocial…

    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 · E2025-01-31 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 review of clinical records and policy, and staff interviews the facility failed to ensure that the medication administration records accurately reflected targeted behavior monitoring as specified within physician orders for residents (# 118, # 123). The deficient practice may result in administering unnecessary medication and/or undesirable medication-induced harm. Findings include: -Resident # 118 was initially admitted into the facility on February 23, 2023 and readmitted on [DATE] with diagnoses that included major depressive disorder, bipolar disorder, and insomnia. A review of the Quarterly MDS (minimum data set) assessment dated [DATE] revealed a BIMS (brief interview of mental status) score of 11, which indicated the resident was moderately cognitively impaired. Review of electronic medical records (EMR) revealed a physician order initiated on October 25, 2024 as follows: trazadone hydrochloride oral tablet 100 milligram, give 1 tablet by mouth at bedtime for depression as evidenced by inability…

    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 · D2025-01-31 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    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 onsite investigation, interviews, review of facility documentation and policy, the facility failed to ensure that one resident # 64 was treated with dignity and respect and that the resident was cared for in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing the resident 's individuality. The deficient practice could result in a lower quality of life for residents in the facility. Findings include: Resident #64 was admitted on [DATE] with diagnosis including schizoaffective disorder, bipolar type, major depressive disorder, single episode, unspecified, unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. A review of the quarterly MDS dated [DATE] revealed a BIMS score of 04, which indicated resident was severely cognitively impaired. A review of the care plan revealed a focus for mood problems related to dementia. Interventions included monitor and record mood 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY -Regarding Resident #12: Resident #12 was admitted to the facility on [DATE] with diagnoses that included quadriplegia, bipolar disorder, major depressive disorder, and auditory hallucinations. A care plan revised November 24, 2020 revealed that resident #12 had a potential to be verbally abusive. The Minimum Data Set (MDS) dated [DATE] included a brief interview for mental status (BIMS) score of 15 which indicated that the resident was cognitively intact. -Regarding Resident #400 Resident #400 was admitted to the facility on [DATE] with diagnoses that included paraplegia, paranoid personality disorder, restlessness and agitation. A quarterly MDS dated [DATE] included a BIMS score of 15 which indicated that the resident was cognitively intact. On January 29, 2025 at 10:58 a.m. a phone interview attempt was made with resident #12, however resident did not answer the phone call. An interview was conducted with resident #12's representative on January 29, 2025 at 11:01 a.m., the resident's representative stated…

    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 · Dcited before2024-12-20 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, documentation, resident and staff interviews, and the facility policy and procedures, the facility failed to ensure that residents (#55 and #33) were allowed to leave their rooms during a COVID-19 outbreak. The deficient practice could result in residents not being treated with dignity and respect or afforded their rights. Findings include: Resident #55 was admitted to the facility on [DATE] with diagnoses that included dementia in other diseased classified, traumatic brain injury, adjustment disorder, schizoaffective disorder, and bipolar disorder. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 9 indicating the resident had a moderate cognitive impairment. The COVID-19 line listing documentation revealed that resident #55 tested positive for COVID-19 on December 2, 2024 and was asymptomatic. Note: resident #55 remained quarantined on December 20, 2024, which was a total of 18 days. -Resident #33 was admitted to the facility on [DATE] with…

    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 · D2024-12-20 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 documentation, resident and staff interviews, and the facility policy and procedures, the facility failed to ensure that residents (#55 and #33) were offered activities when they were COVID-19 positive and the residents on their unit were not allowed to attend activities in the common area. The deficient practice could impact the psychosocial well being of residents. Findings include: Resident #55 was admitted to the facility on [DATE] with diagnoses that included dementia in other diseased classified, traumatic brain injury, adjustment disorder, schizoaffective disorder, and bipolar disorder. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 9 indicating the resident had a moderate cognitive impairment. The COVID-19 line listing documentation revealed that resident #55 tested positive for COVID-19 on December 2, 2024 and was asymptomatic. Note: resident #55 remained quarantined on December 20, 2024, which was a total of 18 days. -Resident #33 was admitted 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 · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-20 · 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 documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure one resident (#77) was provided the supervision needed to maintain her health and safety. The deficient practice could result in residents being harmed physically and psychologically. Findings included: Resident #77 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included borderline personality disorder, schizoaffective disorder, major depression, and generalized anxiety. The behavior psychiatric evaluation dated September 21, 2024 revealed that the chief complaint was depressed mood and suicidal thoughts. The patient was admitted with depressed mood and suicidal attempt. As per the clinical and multidisciplinary team (MDT) assessment, the patient is functionally impaired due to influence of symptoms and is risky to get discharged from the inpatient unit. The Approach Plan/behavior plan date May 9, 2023 revealed that the resident had a self-harming/suicidal history.…

    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 before2024-09-05 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, facility documentation, staff interviews, policy review, and the State Agency (SA) complaint tracking system, the facility failed to ensure that a resident (resident #1) was free from verbal abuse from staff members. The deficient practice could lead to further abuse of residents. Findings include: Resident #1 was admitted on [DATE] with diagnoses of bipolar disorder, essential hypertension, paraplegia, other neuromuscular dysfunction of the bladder, type 2 diabetes mellitus, personal history of sudden cardiac arrest, chronic pain syndrome, obesity and anxiety. A review of the MDS (Minimum Data Set) assessment revealed a BIMS (Brief Interview for Mental Status) score of 15, indicating the resident was cognitively intact. Review of the reported incident submitted on August 29, 2024, revealed that the Administrator was informed by a staff member of unprofessional conduct when trying to redirect a resident not to smoke unattended. On August 28, 2024, resident #1 became…

    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 · D2024-07-10 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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, clinical record review, staff interviews, review of facility documentation and policy, the facility failed to ensure that the skin assessment was complete and accurately documented in the clinical record for one resident (#43). The deficient practice could result in inaccurate information of the condition or status of the resident that could affect the care provided to the resident. Findings include: Resident #43 was admitted on [DATE] with diagnoses of senile degeneration of brain, chronic kidney disease, stage 2, dementia, anxiety, major depressive disorder. A review of the annual MDS (minimum data set) dated June 18, 2024 revealed that the resident had a BIMS (brief interview of mental status) score of 00 indicating the resident had severe cognitive impairment. The care plan with revision date of June 19, 2024 included that the resident was at risk for skin breakdown. Interventions included padding of the left side of the bed rails due to resident reaching through the pull bars to reach…

    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 · D2024-03-08 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 clinical record review, facility documents, staff interviews and facility policy, the facility failed to ensure that a resident (#90) was provided with care consistent with professional standards. Findings include: Resident #90 was admitted on [DATE] with diagnoses of anxiety disorder and quadriplegia. A Quarterly Minimum Data Set (MDS) dated [DATE] included that this resident was not mentally impaired, used a wheelchair and was dependent for most activities of daily living. A care plan dated 5/31/22 included that this uses anti-anxiety medications related to anxiety as evidenced by verbalizing anxiety and agitation/restlessness. Interventions included to Monitor/document/report PRN any adverse reactions to ANTI-ANXIETY therapy including impaired thinking and judgment, and impulsive behavior. A Human Resources Personnel Action Notice dated 2/5/24 included that staff #323 was terminated for inappropriate behavior with a resident. This document included On 2/1/24, after normal business hours, a nurse…

    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 before2024-03-08 · 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 clinical record review, facility documents, staff interviews and facility policy, the facility failed to ensure that a resident (#90) did not elope. Findings include: Resident #90 was admitted on [DATE] with diagnoses of anxiety disorder and quadriplegia. A Quarterly Minimum Data Set (MDS) dated [DATE] included that this resident was not mentally impaired, used a wheelchair and was dependent for most activities of daily living. A care plan dated 5/31/22 included that this uses anti-anxiety medications related to anxiety as evidenced by verbalizing anxiety and agitation/restlessness. Interventions included to Monitor/document/report PRN any adverse reactions to ANTI-ANXIETY therapy including impaired thinking and judgment, and impulsive behavior. However, review of the care plan did not find a care plan for elopement. A physician's order dated 6/1/23 included that this resident may not go out on pass. A progress note dated 2/4/24 at 17:05 included that Front desk at Immanual called Pleasant Cove 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 · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-03 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical documentation, staff and resident interviews, and the facility policy and procedures, the facility failed to ensure that three residents (#15, #165, #31) had access to their personal phones and were afforded privacy when making phone calls. The deficient practice could result in the rights and personal choices of the residents being denied. Findings include: Resident #15 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included unspecified psychosis, major depressive disorder single episode, anxiety disorder, and peripheral vascular disease. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 13 indicating the resident was cognitively intact. During an interview conducted on October 30, 2023 at 12:05 p.m. with resident #15, he stated that he is only allowed to have access to his phone between 10:00 a.m. and 12:00 p.m. and 6:00 p.m. to 8:00 p.m. daily. He stated that his phone is taken away from him and he is treated…

    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 · E2023-11-03 · tag F0576 — pattern
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure that 3 resident had reasonable access to the use of a telephone. Based on observation, interviews and record review, the facility failed to have reasonable access to the use of a telephone and a place in the facility where calls can be made without being overheard or timed for three sampled residents (#418) (#100) and ) (#35). Findings include: On November 2, 2023 an interview with resident (#418) revealed that she does not have a telephone in her room. She stated that when there is a phone call for her or if she needs to make a call, she has to go to the nurses' station and make the call. She also stated that she is only allowed to make calls at certain times of the day and only for a few minutes. Resident (#418) stated she dislikes being limited with her calls and having to talk at the nurse's station where she feels staff are listening to her conversations. She further stated she has not been informed there is a cordless phone for use for the residents and has only been told 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-03 · tag F0600 — failed to protect residents from abuse and neglect — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility documentation, staff interviews, and the the facility policy and procedures, the facility failed to ensure that two residents (#27 and #53) were free from abuse. The deficient practice could result in residents being physically and psychosocially injured. Findings include: Resident #27 was admitted to the facility on [DATE] with diagnoses that included schizoaffective disorder, paraplegia, and major depressive disorder. The Minimum Data Set, dated [DATE] included a brief interview for mental status score of 13 indicating the resident was cognitively intact. Review of a written statement dated October 19, 2013 by the housekeeper (staff #802) revealed that he called the resident's mother a bitch. Review of the employee record revealed an associate disciplinary report dated October 20, 2023 revealed that staff #802 was witnessed having a verbal altercation with a resident and told the resident that his mother was bitch. Staff #802 was terminated. Review of a written statement dated October 20,…

    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 · D2023-11-03 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS [NAME]VE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure one sampled resident (#160) needs were addressed in the resident's care plan and admission process for left breast lump, unspecified malignant neoplasm of bone and articular cartilage, liver cirrhosis, and viral Hepatis C infection. The deficient practice could result in residents' needs not being addressed. The facility census was 165 at the time of the survey. Findings include: Review of the resident's discharge/transfer documentation (June 23, 2023) from radiology in North Dakota revealed CT Chest findings Of note are left breast calcifications including calcification in mass. This is probably a fibroadenoma but I would recommend mammograms for this patient has not had previous mammograms that I can see. Impression: 7. Left breast changes as described. Mammography is suggested. Review of the resident's discharge/transfer documentation (June 23, 2023) from Hospital in North Dakota revealed…

    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 · D2023-11-03 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 and record review, the facility failed to have reasonable access to the use of a telephone and a place in the facility where calls can be made without being overheard or documented for one sample resident (#418) Findings include: Resident (#418) was admitted to the facility on [DATE] with diagnosis, that included cellulitis of right lower limb, unspecified mood [affective] disorder, post-traumatic stress disorder, unspecified, major depressive disorder, single episode, unspecified, borderline personality disorder, post-traumatic stress disorder, chronic, post-traumatic stress disorder, unspecified. The Minimum Data Set (MDS) dated [DATE] included a brief interview for mental status score of 15 which indicates resident is cognitively intact. Further review of Section F - Preferences for Routine & Activities revealed activity preferences are very important for the resident. to do things with groups of people. Review of the progress note dated 10/26/2023 revealed the following…

    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 · D2023-11-03 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    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 review of clinical records, staff interviews and review of facility policy and procedure, the facility failed to ensure that a Pre- admission Screening and Resident Review (PASARR) Level 2 referral was completed for one resident (#48). The deficient practice could lead to residents not receiving needed care and services. Findings include: Resident #48 was admitted to the facility on [DATE] with diagnosis of Unspecified mood (affective) disorder, anxiety disorder, unspecified, hallucinations, unspecified. The resident had a PASARR Level 1 at that time. A review of the resident record revealed that resident #48 was readmitted to the facility May 27, 2022 with a new diagnosis of Schizoaffective Disorder, Bipolar Type. Further review of the clinical record revealed a level I PASARR was not completed nor referred for a level II for the new diagnosis of Schizoaffective Disorder, Bipolar Type. A review of the September 9, 2023 quarterly minimum data set (MDS) was conducted. Section C revealed that 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-20 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 clinical documentation, staff interviews, and facility policy and procedures, the facility failed to provide bowel care for one resident (#1) in accordance with standards of practice. The deficient practice could result in residents being constipated resulting in bowel obstructions. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included iron deficiency anemia, plantar facial fibromatosis, and other intervertebral disc displacement. A care plan for depression dated August 15, 2022 includes an intervention to monitor for side effects: dry mouth, eyes, constipation, urinary retention, suicidal ideations. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 15 indicating the resident was cognitively intact. It also included that the resident required a two-person extensive assist with toileting. The care plan for pain dated May 16, 2023 states the resident has potential for pain and is taking routine medication for…

    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 before2023-09-14 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and facility documentation and policy review, the facility failed to ensure that one resident (#176) were free from physical abuse of another. The sample size was 4. The deficient practice could result in resident(s) sustaining physical injuries and/or psychosocial harm. Findings include: Resident # 176 was admitted on [DATE], with diagnoses of diffuse traumatic brain injury (TBI) with loss of consciousness of unspecified duration, psychoactive substance dependent, and anxiety. The annual MDS (Minimum Data Set) assessment dated [DATE], included a BIMS (Brief Interview for Mental Status) score of 00, which indicated the resident had severe cognitive impairment. The current care plan included the resident has a behavior problem related to TBI and required psychoactive medication to help manage mood and behavior symptoms which include agitation and yelling. -Resident # 70 was admitted [DATE] with diagnoses of bipolar disorder, schizoaffective disorder, antisocial…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2023-08-28 · 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, clinical record review, staff interviews, and facility documentation and policy, the facility failed to ensure adequate supervision was provided to prevent elopement for one resident (#41). The deficient practice could result in increased risk of harm and injury. Findings include: Resident #41 was admitted on [DATE] with diagnoses of encephalopathy, hypertension, cardiomyopathy, altered mental status, history of traumatic brain injury, and neurocognitive disorder. -First incident: May 4, 2023: A nursing note dated May 4, 2023 included that resident left the facility through the window. A health status note dated May 4, 2023 included that the resident had left the unit through the window and local police had been notified. The admission summary note dated May 9, 2023 included the resident arrived back to the unit and was able to ambulate without an assistive device. The elopement risk dated May 9, 2023 revealed that resident was at risk for elopement due to history of leaving without…

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

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$18,529 in federal fines across 2 penalties.

  • $9,110 — penalty dated 2025-01-31
  • $9,419 — penalty dated 2024-03-07

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.

Who owns this facility

Owner / managerTypeRoleSince
MCCARTHY-ROBINSON, SUSANIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
LITMAN, LAWRENCEIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/09/2015
MCNELLIS, GREGORYIndividualCORPORATE OFFICERsince 04/06/1988
IMMANUEL CARING MINISTRIES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2025
NASSOUR, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2017
TRAUTMAN, RAYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/28/2024

CMS files one row per role, so the 13 rows in the source record cover these 6 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.

1 organizational owner 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.

$29.4M
Net patient revenuemost recent cost report
+6.7%
Operating marginrevenue minus expenses
$3.1M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 92%Medicare 0%Other / private 8%

About 92% 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 $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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

$431per resident / day
operating cost
$13,114per month
≈ monthly operating cost
$462per day
avg. revenue, all payers

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 AZ

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arizona Medicaid page.

Typical monthly cost in Arizona
$8,365/mo
Nursing home (semi-private)
$11,437/mo
Nursing home (private)
$6,250/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 035250. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-22, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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