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Folsom Care Center

510 Mill Street, Folsom, CA 95630 · For profit - Corporation · 99 certified beds · (916) 985-3641 Medicare & Medicaid certified

Call the home — (916) 985-3641 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Apr 2026Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2026
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing rating runs 2 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
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
702 Sutter St · (916) 461-7020 · Call to confirm hours
Pharmacy
Rite Aid0.6 mi
526 E Bidwell St · (916) 984-7749 · Call to confirm hours
Grocery
718 Sutter St · (704) 701-6920 · Call to confirm hours
Park
200 Stafford St · (916) 984-2850 · Typically dawn to dusk
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 measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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 5 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 rating5★
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 increased11.4%10.2%15.4%better
Long-stay residents who lose too much weight4.5%4.0%5.4%better
Long-stay residents with a catheter left in their bladder1.3%0.8%0.9%worse
Long-stay residents with a urinary tract infection0.4%1.2%2.0%better
Long-stay residents with depressive symptoms6.2%7.3%6.5%typical
Long-stay residents who were physically restrained0.0%0.4%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.2%1.6%3.3%typical
Long-stay residents whose ability to walk worsened17.3%9.8%16.1%typical
Long-stay residents on antianxiety or hypnotic medication12.6%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%98.2%95.3%typical
Long-stay residents with pressure ulcers2.0%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control23.3%10.2%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table6.9%12.0%17.1%better
Short-stay residents who newly got an antipsychotic medication1.4%1.5%1.4%typical
Short-stay residents given the seasonal flu vaccine97.5%93.2%79.4%better
Short-stay residents rehospitalized after admission21.9%23.0%22.6%typical
Short-stay residents with an outpatient ER visit14.1%11.2%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.682.251.67typical
Long-stay outpatient ER visits per 1,000 resident days2.111.571.80worse

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.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

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.

56.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 245 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.6%U.S. median 51.5%
Got home and stayed home
11.3%U.S. median 10.7%
Went back to hospital
64.8%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 64.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 196 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 SNF56.6%CMS range 50.2–61.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.3%CMS range 8.6–14.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge64.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge68.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge56.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified75.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting97.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.0%CMS range 3.8–9.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 2022–Sep 2024CMS makes no comparison for this 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

0.86
RN hours/ resident / day
0.91
LPN hours/ resident / day
2.89
Aide hours/ resident / day
4.67
Total nurse hours/ resident / day
0.55
RN hoursweekends
31.7%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 99 beds and averages 85.4 residents a day — about 86% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.89 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 4.16 hrs/resident/day on weekends vs 4.87 on weekdays — 14% thinner on weekends. RN hours go from 0.99 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%. 1 administrator has left in the past year.

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

14
deficiencies at the latest standard inspection (2026-04-24)
2
at the previous standard inspection (2025-02-14)

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.

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.

34 citations, most serious first. The 10 most serious are shown; the remaining 24 are one tap away and print in full.

  • Potential for harm · Fcited before2026-04-24 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure: 1. Medication storage rooms were kept secure when the automatic closing mechanism failed and the door was unlocked and accessible;2. Two of two medication storage room refrigerators were not monitored according to facility policy and procedure (P&P), and temperatures were not accurately documented;3. Emergency medications were not stored according to manufacturer specifications;4. Medication brought by family for Resident 69 was not labeled in accordance with facility P&P; and5. Medication carts were not kept locked and secure when unattended by nursing staff. These failures had the potential for diversion of medications, residents exposed to medications with unsafe or reduced potency, and incorrect or unsafe administration of medication from the absence of labeling on the container.Findings: 1. During a medication pass (med pass) observation on [DATE] at 8:22 a.m. with Licensed Nurse 3 (LN 3), LN 3 was observed preparing two…

    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 · Ecited before2026-04-24 · tag F0658 — failed to meet professional standards of care — pattern
    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

    Based on observation, interview, and record review, the facility failed to ensure professional standards were followed when: Nursing staff did not wear appropriate personal protective equipment (PPE) while handling hazardous medication (medications that can cause serious effects including cancer, organ toxicity, fertility problems, genetic damage, and birth defects if not handled appropriately). Pain medication was not administered in accordance with the physician's order.An unclear PRN (as need) psychotropic medication order for Resident 11 was not clarified for indication for use prior to administration. These failures had the potential to result in worsening resident health conditions and unwanted exposure to hazardous medications leading to health complications. Findings: 1. During a medication pass observation on 4/21/26 at 7:50 a.m. with Licensed Nurse 2 (LN 2), LN 2 was observed preparing four medications for Resident 63 including mycophenolate mofetil (a medication to suppress the immune system) 500 milligrams (mg, a unit of measurement), two tablets. The pharmacy label…

    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 · E2026-04-24 · tag F0730 — pattern
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure four out of five sampled employee personnel records included annual performance evaluations (formal, written, mandated processes typically occurring annually and during probationary periods to assess skill, knowledge, and work habits).This failure had the potential to result in poorly trained and managed employees, decreased quality of care provided, and safety risks for a vulnerable population.Findings: During a concurrent interview and record review on 4/23/26 at 8:53 a.m. with the Director of Staff Development (DSD) and the Administrator (Adm), the Certified Nursing Assistants (CNAs) personnel records reviewed did not have a completed Annual Performance Evaluations (APE). The Adm stated the APE's had not been completed in a while. The Adm indicated the performance evaluations have not been on the facility's radar and the employee performance evaluations were not completed as required. The Adm stated the performance evaluations were used to ensure the staff perform up to current laws and regulations and maintain…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-24 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure: Nursing staff disposed of medication that was prepared but not administered in accordance with facility policy and procedure;Medications for destruction were disposed of in a manner that limited potential for diversionEmergency medications (E-kit) were replaced timely for a census of 84;Two of 2 randomly selected medication cart controlled drug sign-in/sign-out sheets (a sheet used to reconcile inventory of controlled medications in the medication cart by the outgoing and incoming nurse during a shift change) were signed by the outgoing and incoming nursing shift. These failures resulted in the facility not having accurate accountability of controlled medications and potential for abuse or misuse of these medications, the potential for emergency medications to be unavailable when needed, and the potential for not meeting the residents' therapeutic needs or worsening of their medical conditions.1. During a medication pass (med pass) observation on 4/21/26 at 8 a.m. with Licensed Nurse 2 (LN 2), LN 2…

    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 · E2026-04-24 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility had a 7.69% error rate when three medication errors out of 39 opportunities were observed during a medication pass for three of nine Residents (Residents 73, 84, and 103). This failure resulted in medications not given in accordance with the prescriber's order and potential to affect the residents' clinical conditions. 1. During a medication pass (med pass) observation on 4/21/26 at 8:22 a.m. with Licensed Nurse 3 (LN 3), LN 3 was observed preparing two medications for Resident 103 including aspirin (a medication to prevent blood clots) EC (enteric coated, a special delayed release coating to prevent stomach irritation) 81 milligrams (mg, a unit of measurement), 1 tablet. A review of Resident 103's physician's orders indicated an order for aspirin delayed release 81 mg, give one tablet by mouth two times a day for VTE (venous thromboembolism, dangerous blood clots that form in the veins) prophylaxis (prevention) for 30 days, dated 4/16/26. LN 3 looked in the medication cart and stated the aspirin was not available 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-24 · 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 and interview, the facility failed to implement infection control and prevention practices when:1. Laundry Staff 1 (LS 1) reused a gown after handling soiled linens;2. Incentive spirometers (IS, a handheld device designed to encourage deep breathing) were not labeled for 3 out of 22 sampled residents (Resident 21, Resident 56, Resident 101). These failures increased the potential for the spread of infections among vulnerable residents.Findings: 1. During a concurrent observation and interview on 4/23/26 commencing at 9:36 a.m. with LS 1 in the laundry room, LS 1 was observed putting on gown and gloves and sorting soiled linens in separate bins, then LS 1 removed the gown [rolled into a ball] and placed it on the top of the shelf. LS 1 removed washed clothes from two washers and placed them in the dryers. LS 1 walked back to the shelf, took a previously used gown, put it on, put on a new pair of gloves, loaded soiled linens into two washers, and started the washing cycles. LS 1 stated that she reused the same gown throughout her eight (8) hour shift. LS 1 agreed…

    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 · D2026-04-24 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure informed consent was obtained prior to the administration of as needed (PRN) lorazepam (a psychotropic medication to treat anxiety) for one of 22 sampled residents (Resident 3). This failure increased the potential for Resident 3's Responsible Party (RP) to not be informed of the risks and benefits of the medication and possible alternatives.A review of Resident 3's medical record indicated he was admitted to the facility in October 2025 with diagnoses which included dementia, Alzheimer's disease (a progressive disease that destroys memory and other important mental functions), depression, and anxiety. A review of Resident 3's medical record indicated the following physician's orders for lorazepam:- Lorazepam 0.5 milligram (mg, a unit of measurement): Give 0.5 mg by mouth in the afternoon for anxiety manifested by restlessness related to anxiety disorder, dated 4/22/26- Lorazepam 0.5 mg: Give one tablet by mouth every 8 hours as needed for anxiety manifested by restlessness related to anxiety disorder for 14 days,…

    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 · D2026-04-24 · 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 observation, record review, and interview, the facility failed to implement a care plan intervention for the use of eyeglasses for one of 22 sampled residents (Resident 8), when Resident 8's glasses were not applied.This failure had the potential to negatively affect Resident 8's communication needs and quality of life.Findings:A review of Resident 8's admission record indicated she was admitted in Fall 2021 with diagnoses which included a history of bed confinement status (inability to leave the bed due to illness, injury, or severe frailty), bilateral cataracts (where the natural, clear lens inside your eye becomes cloudy or foggy), and Alzheimer's disease (a disease characterized by a progressive decline in mental abilities).During a review of Resident 8's Care Plan Report (CPR), dated [DATE], the CPR indicated, The resident has impaired visual function, with interventions that included environmental factors and use of glasses for visual support.During a review of Resident 8's Valuable List (VL),…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-24 · 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 observation, interview, and record review, the facility failed to maintain a safe environment for one of 22 sampled residents (Resident 80), when wheelchair footrests were found in Resident 80's room walking pathway. This failure had the potential risk to result in accidents or injuries of Resident 80. Findings:A review of Resident 80's admission record indicated she was admitted in Spring 2026 with diagnoses which included history of falling, muscle weakness, abnormalities of gait and mobility (difficulty walking and moving around), lack of coordination, and osteoporosis (disease that makes bones weak, thin, and brittle, causing them to break easily).A review of Resident 80's Minimum Data Set (MDS- a federally mandated resident assessment tool), dated [DATE], the MDS indicated that Resident 80 had decision-making capacity, at risk for falls, and required a wheelchair, walker, and staff assistance for mobility.A review of Resident 80's Care Plan Report (CPR), dated [DATE], the CPR indicated Resident 80…

    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 · D2026-04-24 · tag F0757 — failed to avoid unnecessary drugs — isolated
    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 observation, interview, and record review, the facility failed to ensure one of 22 sampled residents (Resident 8) remained free from unnecessary medication, when Resident 8 was prescribed and administered with antibiotics (ABX, medications that treat bacterial infections) for prophylactic (preventative medical measure or medication designed to stop a disease, infection, or health condition before it occurs) for a urinary tract infection (UTI, an infection in the bladder/urinary tract).This failure had the potential for antibiotic resistance and infection.Findings:A review of Resident 8's admission record indicated she was admitted in Fall 2021 with diagnoses which included history of bed confinement status (inability to leave the bed due to illness, injury, or severe frailty), pressure ulcer (localized, pressure-related damage to the skin and/or underlying tissue usually over a bony prominence), and Alzheimer's disease (a disease characterized by a progressive decline in mental abilities).A review of…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 24 citations
  • Potential for harm · D2026-04-24 · 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

    Based on interview and record review, the facility failed to ensure accurate records were maintained for one of 22 sampled residents (Resident 3) when the physician updated Resident 3's bisoprolol (medication to treat high blood pressure) order to remove hold parameters (specific, pre-determined safety rules that tell a nurse or caregiver to skip a dose of medication if a resident's vital signs or lab results are not in a safe range) for blood pressure medication and nursing staff did update Resident 3's medication order to reflect the change. This failure resulted in an inaccurate medication order for Resident 3 and had the potential for Resident 3 to not receive blood pressure lowering medicine when it was scheduled to be administered.Findings: A review of Resident 3's medical record indicated he was admitted to the facility in October 2025 with diagnosis including high blood pressure and atherosclerosis (the slow buildup of fats, cholesterol, and other substances inside artery walls, making them thick, stiff, and narrow). A review of Resident 3's medical record indicated 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-24 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the interview and record review, the facility failed to implement the antibiotic stewardship protocol when the physician was not notified that McGeer's criteria (standardized surveillance definitions used in long-term care facilities to detect infections) for diagnosis of urinary tract infection (UTI) were not met for one resident (Resident 53) in a census of 84. This failure increased the potential for Resident 53 to receive unnecessary antibiotics.Findings: During a review of Resident 53's admission Record (AR), dated 4/24/26 (print date), the AR indicated Resident 53 was admitted to the facility in April of 2026 with diagnoses which included ischemic heart disease (a condition where reduced blood flow to the heart muscle causes, or threatens to cause, tissue damage due to a lack of oxygen and nutrients) and coronary angioplasty (implants in the vessels of the heart). During a review of Resident 53's Medication Administration Record (MAR - a daily documentation record used by a licensed nurse to document medications and treatments given to a resident) for April 2026, the…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure one of five sampled residents (Resident 2) was free from abuse when Resident 1 pushed Resident 2 and caused him to fall.This failure had the potential to cause physical harm to Resident 2.Findings:Resident 1 was admitted to the facility in July of 2024 with diagnoses that included degenerative disorders of the nervous system (memory loss, cognitive decline-relating to the mental processes of thinking, knowing, learning, and understanding) and dementia (decline in memory function).A review of Resident 1's Minimum Data Set (MDS, a standardized assessment tool used in nursing homes), dated 1/13/26, indicated Resident 1 had a Brief Interview for Mental Status (BIMS) score of 11, which indicated Resident 1 had moderate cognitive impairment.Resident 2 was admitted to the facility in October with a diagnosis of Alzheimer's disease (severe memory loss, cognitive decline) and dementia (a decline in memory function). A review of Resident 2's Minimum Data Set (MDS), a standardized assessment tool used in nursing…

    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 before2026-03-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure two of four sampled residents (Resident 1 and Resident 3) were free from abuse, when:1. Resident 2 swung her right arm and hit Resident 1's stomach; and2. Resident 4 hit Resident 3's shoulder while Resident 3 was in bed.These failures had the potential to negatively impact Resident 1 and Resident 2's psychosocial well-being.Findings:1. A review of Resident 1's admission Record, dated 3/7/26, indicated Resident 1 was admitted to the facility in 2025 with diagnoses including dementia (a progressive state of decline in mental abilities) and adjustment disorder with depressed mood (a short-term mental health condition when an individual struggles to cope with stress, resulting in low mood, sadness, and feelings of hopelessness).A review of Resident 1's Minimum Data Set (MDS, a federally mandated resident assessment tool), dated 12/5/25, indicated Resident 1's Brief Interview of Mental Status (BIMS, an assessment test) score was 14 out of 15 with no memory impairment.A review of Resident 1's care plan,…

    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 before2025-11-25 · 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 interview and record review the facility failed to provide adequate supervision to ensure a safe environment for one of two sampled residents (Resident 2) when Resident 1, who had a history of wandering and touching residents was witnessed to touch Resident 2 in the groin area. This failure had the potential to cause physical and emotional distress to Resident 2.Findings:A review of Resident 1's admission Record indicated Resident 1 was admitted to the facility in 2020 with diagnoses that included Traumatic Brain Injury (an injury to the brain that can range in severity from mild to severe) and Dementia (a decline in memory function). A review of Resident 1's, Minimum Data Set (MDS - an assessment tool used to guide care) Cognitive (having full understanding) Patterns, dated 7/10/25, indicated Resident 1 had a Brief Interview for Mental Status (a tool to assess a person's full understanding) score of 12 out of 15 which indicated Resident 1 had some understanding. A review of Resident 1's, MDS Section E - Behavior under physical behavior symptoms directed at others (hitting,…

    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 · D2025-02-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure one of 24 sampled residents (Resident 16) was provided assistance with nail care when Resident 16 was observed with long untrimmed nails with a brown substance underneath. These findings had the potential for increased infections, shame, discomfort, and feelings of frustration for Resident 16. Findings: A review of Resident 16's admission record indicated Resident 16 was re-admitted to the facility in 2021 with diagnoses which included major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), anxiety disorder (a condition of excessive worry, fear, and nervousness that can interfere with daily life), dementia (a progressive state of decline in mental abilities), hepatitis C (a viral infection of the liver that leads to illness and can be spread by contact with the contaminated blood), nail dystrophy (a group of conditions that cause abnormal changes in the structure, appearance, and growth of the nails), and other nail disorders. A review of 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-14 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement infection control and preventive practices when: 1. There was no infection control and preventive practices training provided by the Infection Prevention nurse (IP, who specializes in preventing and controlling infections in healthcare settings) during a norovirus outbreak (a very contagious virus that causes stomach inflammation, vomiting, diarrhea, and stomach cramps); 2. Resident 335's urinary catheter (a hollow tube inserted into the bladder (a hollow organ of the lower stomach that holds urine before it leaves the body) drainage bag (a bag that collects urine) was found on the floor; 3. Resident 335's intravenous (IV- a needle or tube inserted into a vein) tubing was not dated; and, 4. Licensed Nurse (LN) placed a dirty pillow under Resident 335's leg. These failures decreased the facility's ability to ensure infection would not spread among residents for a census of 83. Findings: 1. During a review of the facility's…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-28 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 provide an accessible call system for two of six sampled residents (Resident 1, and Resident 6) when Resident 1 and Resident 6's call light buttons were not within their reach. This failure has the potential to result in the residents' not attaining their needs and not maintaining their highest practicable physical, mental, emotional, and psychosocial well-being. Findings: 1a. A review of Resident 1's clinical record indicated Resident 1 was admitted April of 2022 and had diagnoses that included cardiomyopathy (a disorder that affects the heart muscle and causes the heart to lose its ability to pump blood well), and dementia (impairment of the ability to remember, think, or make decisions that interferes with everyday activities). A review of Resident 1's Minimum Data Set (MDS- an assessment tool used to guide care) Cognitive Patterns, dated 1/10/24, indicated Resident 1 had a Brief Interview for Mental Status (BIMS- a tool to assess cognition) score of 11 out of 15 which indicated Resident 1 had a moderately…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-01-26 · tag F0880 — failed to prevent and control infections — widespread
    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 interview and record review, the facility failed to develop a water management plan to address potential Legionella contamination (a pathogenic microorganism that tends to colonize water systems and capable of causing pneumonia). This failure decreased facility's potential for early detection, prevention, and mitigation of Legionella-associated infections for a census of 77 residents. Findings During a concurrent interview and record review on 1/25/24 at 11:30 a.m. with the Infection Preventionist (IP), the facility's infection control policies and practices were reviewed. The IP stated she wasn't sure about water testing for Legionella and if the facility has a water management plan to address potential contamination. In a follow-up interview on 1/26/24 at 1:39 p.m., the IP stated, It [water management plan] doesn't exist. In an interview on 1/26/24 at 1:54 p.m. the Director of Nursing (DON) confirmed he expected the facility to have a water management plan addressing potential Legionella contamination. In an interview on 1/26/24 at 3:25 p.m. the Facility's Administrator…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-26 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to: 1. Ensure emergency medications (E-kit) were replaced timely for a census of 77 residents; and 2. Dispose of medications in accordance with facility policy and procedure. These failures had the potential for emergency medications to be unavailable when needed, the potential for not meeting the residents' therapeutic needs or worsening of their medical conditions, and the potential for diversion of medications. Findings: 1. During a concurrent observation and interview on 1/23/24 at 10:38 a.m. in the Mill station medication storage room with the Director of Nursing (DON), the First Dose Oral Medications E-kit was observed with a white plastic tie indicating it had been opened by nursing staff. Inside the oral medication E-kit were two E-kit logs (a document completed by nursing staff whenever a medication is removed from the emergency supply), with the earliest entry into the kit documented on 1/13/24. The DON confirmed the E-kit had been opened and stated, E-kits need to be replaced 72 hours after opening.…

    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 · Ecited before2024-01-26 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure: 1. Medication refrigerator temperatures were monitored twice daily; 2. An opened multi-dose biological was dated with an open and discard date to ensure it was not used beyond the discard date; 3. Single resident over-the-counter (OTC) products and prescription medications were appropriately labeled with a pharmacy label or name to correctly identify which resident they were for; and 4. Expired medications were available for resident use. The deficient practices had the potential for residents to receive unsafe or ineffective medications or biologicals from inadequate temperature monitoring and storage, medications with unsafe and reduced potency from being used past their discard date, and incorrect medications from inadequate labeling. Findings: 1. During a concurrent observation, interview and record review on 1/23/24 at 10:10 a.m., in the Sutter nursing station medication room, with the Director of Nursing (DON), the Medication Refrigerator Daily Temperature Records dated 11/1/23 through 1/23/24…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-26 · tag F0802 — failed to prepare enough nourishing food — pattern
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    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 two food service personnel were able to safely and effectively carry out the functions of the food and nutrition services when Dietary Aide (DA) 1 and DA 2 were unable to demonstrate and verbalize the procedure for verifying sanitizer strength for contact surfaces to ensure effective sanitation. This failure had a potential to result in ineffective sanitation and cause food borne illness in a high-risk population of 75 out of 75 residents who consumed food from the kitchen. Findings: During an initial kitchen tour observation and concurrent interview on 1/23/24, at 9:47 a.m., Dietary Aide (DA) 1 was sanitizing resident meal carts using a solution from a red bucket (the bucket is used as a standard of practice to contain sanitizer solution). The surveyor asked DA 1 to verbalize the procedure for testing the concentration of the sanitizer using the test strip. She stated she would dip the test strip in the sanitizer for one minute and the concentration should be at 150-200 ppm (parts per million-a unit…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-26 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to offer and provide updated COVID-19 (Coronavirus Disease, an infection affecting the lungs) vaccinations to four out of five sampled residents (Resident 4, Resident 17, Resident 27, and Resident 43). This failure placed Resident 4, Resident 17, Resident 27, Resident 43 at an increased risk for illness that the vaccine could have prevented or decreased the severity of symptoms. Findings: A review of Resident 4's Face Sheet document indicated Resident 4 was admitted to the facility in summer of 2023. A review of Resident 4's vaccination record indicated Resident 4's latest COVID-19 vaccine was administered on 9/11/22. A review of Resident 17's Face Sheet document indicated Resident 17 was readmitted to the facility in winter of 2023. A review of Resident 17's vaccination record indicated Resident 17's latest COVID-19 vaccine was administered on 2/26/21. Vaccination record also indicated that resident was at the facility with initial admission from Summer of 2023 to December of 2023. A review of Resident 27's Face Sheet…

    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 before2024-01-26 · 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

    Based on observation, interview and record review the facility failed to provide care and services in accordance with acceptable professional standards of quality for one of 19 sampled residents (Resident 573) when nursing staff administered the wrong narcotic (pain) medication to Resident 573. This failure had the potential for worsening their clinical condition. Findings: During a concurrent observation, interview and record review on 1/23/24 at 10:48 a.m. with the Director of Nursing (DON) at the Natoma nursing station, the First Dose Narcotic Emergency box (E-kit) was observed with a white plastic tie indicating it had been opened by nursing staff. Inside the narcotic medication E-kit were three E-kit logs (a document completed by nursing staff whenever a medication is removed from the emergency supply). The latest entry into the kit was documented on 1/16/24, for one tablet of Oxycodone (a narcotic pain medication to treat moderate to severe pain) 5 mg (milligram, a unit of measurement), one tablet as needed for pain, for Resident 573. A review of the E-kit inventory list from…

    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 · D2024-01-26 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility's consultant pharmacist (CP) failed to identify drug-related issues for one of 19 sampled residents (Resident 57), when the CP failed to identify the lack of target behavior monitoring and inadequate indication for use of antipsychotic medications. These failures had the potential for unsafe medication use. Findings: A review of Resident 57's medical record (MR) indicated Resident 57 was admitted to the facility in March 2022 with diagnoses including dementia (a condition characterized by memory loss) with psychotic disturbance, psychotic disorder with delusions (a mental disorder characterized by a disconnection from reality) and mood disorder (general emotional state or mood is distorted or inconsistent with circumstances and interferes with the ability to function). A review of Resident 57's MR indicated the following physician's orders: - Divalproex (a mood stabilizer used to treat certain psychiatric conditions) DR (delayed release) 125 milligrams (mg, a unit of measurement), take 1 tablet twice a day for mood…

    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 · D2024-01-26 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 one of 19 sampled residents (Resident 57) was free from unnecessary psychotropic medications (drugs that affect brain activities associated with mental processes and behaviors) when Resident 57 received psychotropic medications without adequate indication for use and was not being appropriately monitored. This failure resulted in unnecessary medications for the resident, which had the potential for increased risks and exposure of side effects associated with psychotropic medications such as sedation, falls, abnormal involuntary movements, and memory loss. Findings: A review of Resident 57's medical record (MR) indicated Resident 57 was admitted to the facility in March 2022 with diagnoses including dementia (a condition characterized by memory loss) with psychotic disturbance (a mental disorder characterized by a disconnection from reality), and psychotic disorder with delusions and mood disorder (general emotional state or mood is distorted or inconsistent with circumstances and interferes with the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-26 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 one of 19 sampled residents (Resident 31) was free of a significant medication errors when Resident 31's budesonide/formoterol inhaler (a medication to treat asthma, swelling of the airways making it difficult to breathe) and chronic obstructive pulmonary disease (COPD, a group of lung diseases that block airflow and make it difficult to breathe) was continuously given after it had expired. This deficient practice resulted in Resident 31 receiving expired medication and had the potential for worsening Resident 31's medical conditions. Findings: A review Resident 31's medical record indicated she was admitted to the facility in 11/2023 with diagnoses that included COPD and asthma. A review of Resident 31's medical record indicated a physician's order, dated [DATE], for budesonide/formoterol 80/4.5 microgram (mcg, a unit of measurement) inhaler, administer 2 puffs twice daily for COPD. During a concurrent observation and interview on…

    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 · D2024-01-26 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 interview and record review, the facility failed to offer and administer pneumococcal vaccine (immunization against pneumonia [an inflammatory condition of the lung]) to one of five sampled residents (Resident 27). This failure placed Resident 27 at an increased risk for illness that the vaccine could have prevented or decreased the severity of symptoms. Findings: A review of Resident 27's Face Sheet indicated Resident 27 was admitted to the facility in Fall of 2019. During a concurrent interview and record review on 1/26/23 at 1:39 p.m. with the Infection Preventionist (IP), Resident 27's vaccination records were reviewed and indicated Resident 27 received a Pneumococcal Polysaccharide Vaccine (PPSV23) on 8/22/15, (before turning [AGE] years old) and a Pneumococcal 13-valent Conjugate Vaccine (PCV 13) on 10/18/19, (after turning [AGE] years old). The IP confirmed Resident 27's records and acknowledged Resident 27 needed to be reassessed for vaccine eligibility based on age and CDC (Centers for Disease…

    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
  • No harm found · Bcited before2026-04-24 · tag F0911 — pattern
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    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 13 of 32 resident rooms (rooms 100/102, 101/103, 104/106, 105/107, 108/110, 112/114, 200/202, 201/203, 204/206, 205/207, 208/210, 209/211, and 212/214) accommodated no more than four residents in each room.This failure had the potential to result in inadequate space for the provision of residents' care. Findings: During a review of a facility letter, dated 4/24/26, the letter indicated thirteen rooms would accommodate five residents each, with one shared bathroom. The letter further indicated, .Every resident has a reasonable amount of privacy as well as appropriate furnishings and storage in the noted rooms .the rooms have sufficient space for nursing staff to provide care and for residents to ambulate and use assistive devices. During an observation of the facility on 4/21/26 at 8:07 a.m., there were multiple rooms contained more than four residents. Rooms 100/102, 101/103, 104/106, 105/107, 108/110, 112/114, 200/202, 201/203,…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2026-04-24 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    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 11 of 32 resident rooms (rooms 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, and 310) met the minimum requirement of 80 square feet (sq. ft.) per resident.This failure had the potential to result in inadequate space for the provision of residents' care.Findings: During a review of a facility letter, dated 4/24/26, the letter indicated 11 rooms measured less than 80 sq. ft. per resident. The letter further indicated, Each resident will have a reasonable amount of privacy as well as appropriate furnishings and storage space .the rooms provide sufficient space for nursing staff to provide care and for residents to ambulate and use assistive devices. During an observation of room [ROOM NUMBER] on 4/23/26 at 10:32 a.m., staff assisted a resident using a walker in the room. Both the staff member and resident had adequate space to maneuver without complaints. During an interview on 4/23/26 at 10:44 a.m. with Certified Nursing…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2025-02-14 · tag F0911 — pattern
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    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 13 of 32 resident rooms (rooms 100/102, 101/103, 104/106, 105/107, 108/110, 112/114, 200/202, 201/203, 204/206, 205/207, 208/210, 209/211, and 212/214) accommodated no more than four residents in each room. This failure had the potential to result in inadequate space for the provision of care. Findings: During a review of facility letter, dated 2/11/25, the letter indicated thirteen rooms would accommodate five residents each, with one shared bathroom. The letter further indicated, .Every resident has a reasonable amount of privacy as well as appropriate furnishings and storage in the noted rooms .the rooms have sufficient space for nursing staff to provide care and for residents to ambulate and use assistive devices. During a tour of the facility on 2/11/25 at 8:07 a.m., multiple observations of rooms containing more than four residents per room were made. Rooms 100/102, 101/103, 104/106, 105/107, 108/110, 112/114, 200/202,…

    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.

    Environmental Deficiencies · Waiver has been granted
  • No harm found · Bcited before2025-02-14 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    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 11 of 32 resident rooms (rooms 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, and 310) met the minimum requirement of 80 square feet (sq. ft.) per resident. This failure had the potential to result in inadequate space for the provision of care. Findings: During a review of facility letter, dated 2/11/25, the letter indicated 11 rooms measure less than 80 sq. ft. per resident. The letter further indicated, Each resident will have a reasonable amount of privacy as well as appropriate furnishings and storage space .the rooms provide sufficient space for nursing staff to provide care and for residents to ambulate and use assistive devices. During a tour of room [ROOM NUMBER] on 2/11/25 at 8:52 a.m., staff was observed assisting a resident using a walker in the room. Both the staff member and resident had adequate space to maneuver without complaints. During an interview on 2/13/25 at 3:51 p.m. with Certified Nursing Assistant 1 (CNA…

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

    Environmental Deficiencies · Waiver has been granted
  • No harm found · Bcited before2024-01-26 · tag F0911 — pattern
    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure 13 resident rooms accommodated no more than 4 residents per room. This failure had the potential to result in inadequate space for the provision of care. Findings: A variation was applied for and approved under §483.90(e)(1)(i) to accommodate 5 residents per room for 13 rooms (Rooms 100/102, 101/103, 104/106, 105/107, 108/110, 112/114, 200/202, 201/203, 204/206, 205/207, 208/210, 209/211, and 212/214). The variation was continued after the 11/2021 recertification survey. Observations of these rooms were made throughout the survey. The rooms were uncluttered and residents had adequate space for safe mobility around each bed. Interviews were conducted with residents currently residing in the affected rooms and there were no complaints. The residents verbalized comfort and safety in the rooms. The Department recommends the continuation of the variation.

    Environmental Deficiencies · Waiver has been granted
  • No harm found · Bcited before2024-01-26 · tag F0912 — pattern
    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure 11 resident rooms (Rooms 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, and 310) met the required 80 square feet (sq. ft.) per resident when the following rooms were measured as 145 sq. ft. for a two resident occupancy or 72.5 sq. ft. per resident. This failure had the potential to result in inadequate space for the provision of care. Findings: Observations were made throughout the survey of the rooms with two resident occupancy. The space was adequate to store assistive devices in the room (such as wheelchair and/or walker) to facilitate provision of care and needs. Interviews were conducted with available residents currently residing in the affected rooms. The residents verbalized the space was adequate for the provision of care. The Department recommends continuation of the waiver for the above mentioned rooms.

    Environmental Deficiencies · Waiver has been granted

“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

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
CALLAWAY, CALVINIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF50%since 10/01/2010
ELMONT, NINELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; ADP OF THE SNF50%since 10/01/2010
DVNC VENTURES LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 05/15/2026
ELMONT, BRETTIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/01/2013
BLUFF ENTERPRISES CORPOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2010
GUTMAN, DONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/10/1980
HAMER, CHRISTOPHERIndividualADP OF THE SNFsince 10/01/2019

CMS files one row per role, so the 14 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

$11.2M
Net patient revenuemost recent cost report
+5.9%
Operating marginrevenue minus expenses
$915K
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 67%Medicare 17%Other / private 16%

This home reported $915K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$437per resident / day
operating cost
$13,289per month
≈ monthly operating cost
$464per 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 CA

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 California Medicaid page.

Typical monthly cost in California
$12,167/mo
Nursing home (semi-private)
$15,178/mo
Nursing home (private)
$7,000/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 055173. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-24, 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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