Stonehaven Senior Living

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.18 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.65 hrs/resident/day on weekends vs 4.39 on weekdays — 17% thinner on weekends. RN hours go from 0.35 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 deficiencies

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

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

• Potential for harm · Dcited before2026-06-03 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain an effective infection prevention and control program to provide a safe and sanitary environment for three of five sampled residents (Residents 2, 3, and 4) when:1. Housekeeping Staff (HS) 1 did not perform hand hygiene after removing his gloves when he cleaned Residents 4's bathroom then proceeded in cleaning Resident 4's bedside table on 6/3/26.2. HS 1used the same pair of gloves and disinfectant wipe (pre-moistened disposable cloths treated with active cleaning agents that kill bacteria, .) for cleaning and disinfecting (uses chemicals (disinfectants) to kill germs on surfaces and objects) call light buttons and bed rail for Residents 2 and 3 on 6/3/26. Resident 3 was on Enhanced Barrier Precaution (EBP- measures used in healthcare settings to prevent the spread of infections) for history of Methicillin Resistant Staphylococcus Aureus (MRSA-a type of bacteria that could cause an infection and was harder to treat because some antibiotics [medication used to treat infections] did not work against…

  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 · F2025-06-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to have a sanitary environment in the kitchen when: 1. Discoloration was observed in the ice machine in the kitchen. This failure had the potential risk of exposing residents in the facility to contaminate the ice which could result in foodborne illness (is a sickness caused by eating or drinking food or water that has germs) 2. Floors in the dry food storage room in the kitchen had food crumbs. This failure had the potential risk for pest infestation and led to contamination of food and food preparation areas which could result in compromise resident safety and health. Findings: 1. During a concurrent observation and interview on 6/10/25 at 9:42 a.m. at the ice machine in the kitchen with registered dietician (RD), the underside of the ice machine back panel had pink and blue discoloration. No ice was observed in the ice machine. The discoloration in the ice machine was confirmed by the RD. During an interview on 6/12/25 at 8:48 a.m. with Certified Dietary Manager (CDM), the CDM stated it was important for the…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-16 · 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 observation, interview and record review the facility failed to ensure the facility was maintained in a clean and sanitary condition for eight of eight sampled residents when the laundry room floor had an accumulation of a brown sludge-like residue approximately six inches wide and 30 inches long. This failure had the potential risk of cross contamination (the harmful transfer of germs from one surface object or substance to another) from contaminated laundry which could lead to spread of infection and compromise resident health and safety. Findings: During a concurrent observation and interview on 6/16/25 at 8:59 a.m. with Laundry Worker (LW) 1, the floor to the right of the washing machine was covered in brown sludge. LW 1 stated it appeared water had accumulated on the floor overtime. LW 1 stated the floor had not been cleaned regularly and resulted in the buildup of the brown sludge. LW 1 stated the sludge buildup made it difficult to fully clean and sanitize the floor. During a concurrent observation and interview on 6/16/25 at 9:11 a.m. with The Maintenance Supervisor…

  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 · F2025-06-16 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  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 maintain essential equipment in safe operating condition for eight of eight residents, when the facility walk-in freezer had ice builds in several areas. This failure had the potential risk to result in unsafe food storage temperatures and foodborne illnesses (getting sick from eating contaminated foods) affecting all residents receiving meals from the facility. Findings: During a concurrent observation and interview on 6/10/25 at 9:38 a.m. with registered dietician (RD) in the kitchen walk-in freezer, ice build was seen in several areas. These included the top left of the door frame, an electrical box above the door, a shelving rack near the door, a laminated paper Refrigerator and Freezer storage chart attached to the top shelf of storage rack and a thermometer hanging on storage rack. The RD confirmed the ice buildup in the walk-in freezer and stated it would be addressed. During an interview on 6/12/25 at 8:46 a.m. with Certified Dietary Manager (CDM), CDM stated it was important to prevent ice buildup in…

  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 · D2025-06-16 · tag F0761 — failed to label and store drugs safely — isolated
  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 properly ensure medications were stored in accordance with pharmaceutical standards when one of 30 Ipratropium bromide and albuterol sulfate medication (a combination medication used to treat difficult breathing associated with respiratory diseases) vials was out of the manufacturer provided foil packaging. This failure had the potential to cause the medication to lose effectiveness as a result of not being stored in its intended packaging. Findings: During a review of Resident 53's admission Record (AR- a document that provides resident contact details, a brief medical history, level of functioning, preferences, and wishes), dated 6/16/25, the AR indicated, Resident 53 was admitted to the facility on [DATE] with a diagnosis of chronic obstructive pulmonary disease (COPD-a long term lung disease that makes it hard to breath). During a review of Resident 53's Order Summary Report, dated 6/16/25, indicated, .[generic name] Solution . vial…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-16 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  2. During an observation on 6/10/25 at 11:55 a.m. in the kitchen, Resident 53's meal tray did not include the chocolate ice cream dessert. During a concurrent observation and interview on 6/10/25 at 12:03 p.m. with Resident 53 and IP 1, Resident 53 was not served a chocolate ice cream cup as listed on her meal ticket. IP 1 stated Resident 53 should have been served ice cream because it was listed on her meal ticket, and it was her preference. Resident 53 stated she wanted to eat her ice cream over the rest of her food. During an interview on 6/12/25 at 8:56 a.m. with the CDM, the CDM stated Resident 53 should have received her listed preference of chocolate ice cream. The CDM stated resident meal tickets were person centered, and residents had the right to receive the food they wanted. During an interview on 6/16/25 at 11:07 a.m. with the DON, the DON stated staff should have followed Resident 53's meal preference in order for her to fulfill her nutritional needs. The DON stated she expected the nursing staff to thoroughly check the meals before serving them to residents to ensure…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

What families pay in CA