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The Terraces At San Joaquin Gardens Village

5551 N. Fresno St, Fresno, CA 93710 · Non profit - Corporation · 54 certified beds · (559) 430-8202 Medicare & Medicaid certified

Call the home — (559) 430-8202 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

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 (30% vs 45% nationally) — better care continuity
Worth asking about
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll- and facility-reported staffing and quality-measure scores sit 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.

5/5
CMS overall
5 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 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Urgent care / clinic
5475 N Fresno St · (559) 436-8800 · Call to confirm hours
Pharmacy
302 E Bullard Ave · (559) 261-9888 · Call to confirm hours
Grocery
5614 N Fresno St · (559) 860-9889 · Call to confirm hours
Park
401 E Browning Ave · (559) 621-6720 · 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 5 of 5
Long-stay residentspeople who live here 5 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 improved from 3 to 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 increased15.0%10.2%15.4%typical
Long-stay residents who lose too much weight1.6%4.0%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms0.0%7.3%6.5%check this — see note marked star below the table
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 injury1.3%1.6%3.3%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication19.4%13.7%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%98.2%95.3%typical
Long-stay residents with pressure ulcers1.8%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control17.6%10.2%21.2%worse than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table6.7%12.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.9%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine97.6%93.2%79.4%better
Short-stay residents rehospitalized after admission25.9%23.0%22.6%worse
Short-stay residents with an outpatient ER visit12.5%11.2%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.772.251.67worse
Long-stay outpatient ER visits per 1,000 resident days0.931.571.80better

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

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

§ 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.

66.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 545 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

66.2%U.S. median 51.5%
Got home and stayed home
11.4%U.S. median 10.7%
Went back to hospital
59.2%U.S. median 56.6%
Met the expected recovery
0.87U.S. median 0.31
Therapy hours / resident / day
0.51hours / resident / day
Physical therapy
0.31hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 59.2% 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 174 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.87 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 54% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF66.2%CMS range 61.9–69.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.4%CMS range 9.5–13.710.7%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 discharge59.2%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 discharge66.7%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 discharge62.1%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 identified98.8%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 setting99.4%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 discharge97.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this 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 worsened0.4%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 hospitalization5.4%CMS range 3.4–7.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 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

1.02
RN hours/ resident / day
1.26
LPN hours/ resident / day
2.85
Aide hours/ resident / day
5.13
Total nurse hours/ resident / day
0.80
RN hoursweekends
30.3%
Total nursing turnover
16.7%
RN turnover

How full it usually is: this home is certified for 54 beds and averages 47.3 residents a day — about 88% occupied, or roughly 7 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 5.13 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.02 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.85 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 4.45 hrs/resident/day on weekends vs 5.40 on weekdays — 18% thinner on weekends. RN hours go from 1.11 to 0.80 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

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

Inspection trend

11
deficiencies at the latest standard inspection (2025-03-21)
8
at the previous standard inspection (2024-02-12)

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.

31 citations, most serious first. The 11 most serious are shown; the remaining 20 are one tap away and print in full.

  • Actual harm · I2022-05-10 · tag F0692 — failed to prevent malnutrition and dehydration — widespread
    Provide enough food/fluids to maintain a resident's health.
    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 a comprehensive systemic approach to ensure effective monitoring and systems to maintain acceptable parameters of nutritional status for 10 of 10 sampled Residents (145, 146, 25, 1, 28, 40, 31, 201, 197, and 34) when: 1. Resident 145 experienced a severe unplanned weight gain of 25.2 pounds (lbs-measurement of weight), or 10% of previous weight, in two days. Weights were obtained but were not communicated to the Physician and Registered Dietitian (RD) to determine effective interventions. The Interdisciplinary Team (IDT- an interdisciplinary team comprised of professionals from various disciplines who work in collaboration to address a Resident with multiple physical and psychological needs) did not meet to discuss the severe unplanned weight gain, interventions were not implemented to address the severe unplanned weight gain and the care plan did not reflect the weight gain. Resident 145 was diagnosed with congestive heart…

    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 before2025-04-23 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to meet professional standards of practice for one of four sampled residents (Resident 1) when Resident 1 ' s family member reported Resident 1 ' s abuse allegation to a licensed nurse (LN) and the LN perform a resident assessment and document on an SBAR (situation, background, assessment, recommendation- a communication tool used by healthcare workers when there is a change of condition among the residents) note in the electronic medical record (EMR) according to the facility ' s policy and procedure (P&P). This failure placed Resident 1 ' s safety at risk by not assessing her for signs and symptoms of potential abuse. Findings: During a review of Resident 1 ' s admission Record, undated, the admission record indicated, Resident 1 was admitted to the facility on [DATE] with diagnoses which included fracture (a break in a bone) of the shaft of right humerus (middle part of the upper arm bone), aphasia (language disorder resulting from brain damage)…

    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 · F2025-03-21 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 a safe and sanitary environment when the facility's three tumble dryers in the laundry room was not maintained per the manufacturer's recommendations and had a layer of gray and white debris collected on the back of the dryer's vent and pipes. This failure had the potential to create a fire hazard that could have placed 50 of 50 residents at risk for displacement. Findings: During an observation and interview on 3/19/25 at 11:15 a.m. with the Director of Buildings and Grounds (MAIN) and laundry (LAU) in the laundry room, a layer of small gray and white particles covered the back of the three dryer vents and the pipe that lead from the back of the dryer to the wall. The LAU stated maintenance cleans behind the dryers and keeps the air ducts clean. Laundry stated the dust to the pipes and grate look good it's not bad. LAU stated it was important to remove the lint to avoid a buildup of dust. MAIN stated the facility provides maintenance to the dryer vents annually or as needed. MAIN stated it was…

    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 · Ecited before2025-03-21 · tag F0655 — pattern
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 develop and implement a baseline care plan for three of 10 sampled residents (Resident 17, 197, 247) when: 1. Resident 17 had broken teeth and visible signs of tooth decay and no specific care plan interventions were put in place to address Resident 17's dental needs. This failure had the potential to result in Resident 17's dental needs to not be met which placed Resident 17 at an increased to develop dental infection. 2. Resident 197 and 247's care plans did not include their physician prescribed oxygen therapy (the administration of oxygen at concentrations greater than that of ambient air (20.9%) with the intent of treating or preventing the symptoms and manifestations of hypoxia-decreased perfusion of oxygen to the tissues). This failure had the potential for Resident 197 and 247 to not receive oxygen therapy as prescribed by their physician which had the potential to result in hypoxia and respiratory failure (a condition where there…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-21 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop and implement a resident-centered comprehensive care plan for two of five sampled residents (Resident 347 and Resident 24) when: 1. Resident 347 did not have a care plan for the use of sling to left arm and splint to left foot. These failures placed Resident 347 at risk for complication from not having care plan needs planned by licensed nurses to determine if nursing interventions needed to be added, changed or completed. 2. Resident 24 did not have a care plan for the use of antibiotic for clostridium difficile (C-diff-germ that causes diarrhea and colitis [inflammation of the colon]). This failure placed Resident 24 at risk for care needs not met. Findings: 1. During a concurrent observation and interview on 3/17/25 at 9:16 a.m. with Resident 347 in his room, Resident 347 was lying in bed with eyes closed. Resident 347 was observed with sling to left arm and splint to left foot. Resident 347 stated he fell at home and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-03-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to meet professional standards of practice for two of five sampled residents (Residents' 98 and 247) when: 1. Resident 98's oxygen (a colorless, odorless, tasteless gas essential to living organism) flow rate (the amount of oxygen being delivered to the body) was not administered according to the physician order. This failure resulted in Resident 98 to not receive the ordered amount of oxygen via oxygen concentrator (a machine that pulls in oxygen from the surrounding air) which could lead to breathing problems which includes shortness of breath, headache and confusion. 2. Resident 247's oxygen flow rate was set to 1.5L (liters-a unit of measurement) instead of the physician prescribed 2L/minute. This failure resulted in Resident 247 not receiving the correct amount of oxygen as ordered by the provider could have resulted in shortness of breath (SOB) and respiratory distress (difficulty breathing). 3. Licensed Nurses (LN)s did not clarify…

    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 · Ecited before2025-03-21 · 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

    During an observation, interview, and record review, the facility failed to ensure all medications used in the facility were properly labeled and discarded after the discontinued date when: 1. In the west wing medication cart, Resident 36's discontinued ondansetron (medication used for nausea and vomiting) was not separated from active medications 2. In the south wing medication cart, Resident 37's discontinued benzonatate (medication used for cough) was not separated from active medications and Resident 98's insulin lispro (medication used to lower blood sugar) multidose vial was stored in medication cart, partially used and not labeled with an open or discard date. These failures had the potential for medications to be administered incorrectly causing an underdosing or overdosing of medications, or to be administered to the wrong residents causing harm to the residents. Findings: 1. During a concurrent observation and interview on 3/17/25 at 3:58 p.m., with Licensed Vocation Nurse (LVN) 1 at the west wing medication cart, Resident 36's ondansetron 8 milligram (mg- unit of measure)…

    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 · E2025-03-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. During a concurrent observation and interview on 3/17/25 at 4 p.m. with Resident 98 in her room, Resident 98 was in semi-sitting position in bed watching TV and stated she did not know how long she had been in the facility. Observed in the room next to Resident 98 bed was a nasal cannula on the floor under a bedside chair and connected to a oxygen concentrator (device that produces oxygen for breathing). Resident 98 stated she used the oxygen every day and had difficulty breathing without the oxygen. During a review of Resident of Resident 98's admission Record, (AR-document containing resident demographic information and medical diagnosis), dated 3/19/25, the AR indicated Resident 98 was admitted to the facility on [DATE] with diagnoses which included pulmonary edema (excess fluid accumulates in the lungs making it difficult to breath), shortness of breath and dependence on supplemental oxygen. During a review of Resident 98's Minimum Data Set (MDS-a functional and cognitive abilities assessment) assessment,…

    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 · D2025-03-21 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 the Minimum Data Set assessment (MDS-assessment of physical and psychological functions and needs) accurately reflected resident's health and functional status of one of five sampled residents (Resident 98) when Resident 98's surgical wound was inaccurately coded on the MDS assessment. This failure had the potential to result in Resident 98's care needs to not be met. Findings: During a concurrent observation and interview on 3/17/25 at 4:15 p.m., with Resident 98 in her room, Resident 98 was laying in bed watching TV. Resident 98 had a surgical wound with scabs on her midchest (middle area of the chest). Resident 98 stated she had an open heart surgery. During a review of Resident 98's admission Record (AR-a summary of information regarding a patient which includes patient identification, past medical history, family contact information and other pertinent information) dated 3/19/25, the AR indicated, Resident 98 was admitted to…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-21 · 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

    Based on observation, interview, and record review, the facility failed to ensure residents were free from unnecessary drugs for two of six randomly sampled residents when: 1. Resident 12 was administered ondansetron (a medication for nausea) and had active orders for both routine and as needed (prn) ondansetron, which exceeded the maximum daily dose (maximum dose in 24 hours). 2. Staff administered apixaban (a blood thinner) to Resident 24, but did not monitor for side effects of apixaban. These failures had the potential for Resident 12 to experience ondansetron toxicity including irregular heartbeat, and for Resident 24 to experience apixaban side effects including bleeding. Findings: 1. During a medication administration observation on 3/17/2025 at 8:06 a.m., in Resident 12's room, Registered Nurse (RN) 1 was observed administering one tablet of ondansetron to Resident 12. During a record review of Resident 12's Physician Orders (PO), Resident 12's PO indicated Resident 12 had two active orders for ondansetron. Resident 12's PO dated 1/7/2025, indicated an active routine order…

    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 · Dcited before2025-03-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY During an interview and record review, the facility failed to ensure one of five randomly sampled residents (Resident 12) was free from unnecessary psychotropic (drugs that affect brain activities associated with mental processes and behavior) medications when the facility did not have an objective goal for number of behavioral episodes of escitalopram (medication used to treat depression) care planned for adequate monitoring and did not attempt a gradual dose reduction, when Resident 12 was administered escitalopram. These failures had the potential for Resident 12 to experience falls, sedation (sleepiness), fatigue, muscle cramps, and increased potential for Resident 12 to be isolated. Findings: During a review of Resident 12's Face Sheet (FS- a document containing resident's personal information), dated 3/20/25, Resident 12's FS indicated, Resident 12, age [AGE], had diagnoses including major depression and generalized anxiety disorder. During a review of Resident 12's Physician Orders (PO), Resident 12's PO…

    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 20 citations
  • Potential for harm · D2025-03-21 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to assist residents in obtaining routine and 24-hour emergency dental care or referred to a dental hygienist to address dental needs for one of five sampled residents (Resident 17) when Resident 17 was admitted with poor dentition characterized by visible signs of decay and missing and broken teeth and the facility did not ensure Resident 17 was referred and assessed timely by a dental hygienist to address her dental needs This failure resulted in Resident 17 reporting feelings of embarrassment due to her dental condition and placed Resident 17 at an increased to develop dental infection. Findings: During a review of Resident 17's admission Record (AR- a document that provides resident contact details, a brief medical history, level of functioning, preferences, and wishes), dated 11/22/24 , the AR indicated Resident 17 had the following diagnoses: Parkinson's Disease (condition which affects the body's movements), Malignant neoplasm ( a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-21 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure menus were followed for one of three sampled residents (Resident 198) when Resident 198 was served roasted red potatoes while on a mechanical soft-chopped diet. This failure placed Resident 198 at risk for choking. Findings: During a concurrent observation and interview on 3/17/25 at 11:43 a.m. with Resident 198 in the resident's room, the resident was sitting in her wheelchair next to her bed. Resident 198 wore a black sling that supported her right arm. Resident 198 stated she admitted to the facility for therapy after fracturing (a partial or complete break in a bone) her shoulder. Resident 198 stated she needed assistance with cutting her food and spreading butter on bread due to the limited motion of her right hand. During a record review of Resident 198's admission Record (AR-a summary of important information regarding a patient which include patient identification, past medical history, insurance status, care providers,…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-03 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 and implement a resident-centered comprehensive care plan for three of four sampled residents (Residents 1, 2 and 3) when Residents 1, 2 and 3 did not have a care plan addressing the residents ' food allergies. This failure placed Residents 1, 2 and 3 at risk for being served foods they were allergic to and had the potential for a severe anaphylactic reaction (extreme, life-threatening allergic reaction). (cross reference F806) Findings: During a review of Resident 1 ' s admission Record (AR), undated, the AR indicated, . admission Date . 8/12/24 . Allergies . shrimp . Diagnosis Information . cervical disc degeneration [spinal discs in neck wear down] . chronic obstructive pulmonary disease [lung disease which restricts airflow and breathing problems] . Gastro-esophageal reflux disease [stomach acid flows back into the esophagus (tube connecting mouth and stomach)] . During a review of Resident 2 ' s AR, undated, the AR indicated, . admission Date . 11/11/2020 . Allergies . peanut butter flavor . Diagnosis…

    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 · D2024-09-03 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of four sampled residents (Resident 1) was served food that accommodated the resident ' s allergies (when the immune system [defends the body against harmful substances] overreacts to a food triggering a protective response) and intolerances when Resident 1 with a documented shrimp allergy was served shrimp for lunch on 8/19/24. This failure resulted in Resident 1 experiencing an allergic reaction causing nausea, vomiting, and abdominal pain and required a transfer to the emergency department (ED) by ambulance for treatment. (cross reference 657) Findings: During an interview on 9/3/24 at 10:21 a.m. with the Certified Dietary Manager (CDM), the CDM stated Resident 1 had an allergic reaction to shrimp during lunch on 8/19/24. The CDM stated Resident 1 was mistakenly served shrimp because the allergy was not listed on his meal ticket. The CDM stated the facility process was to list all food allergies on the meal tickets to prevent residents…

    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 · Dcited before2024-05-30 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to ensure one of six sampled residents (Resident 1) received treatment and care in accordance with professional standards of practice when Licensed Vocational Nurse (LVN) 1 discharged Resident 1 home with seven medications which belonged to Resident 2. This failure resulted in Resident 1 not being administered her prescribed blood pressure medications for four days as prescribed by the physician and placed Resident 1 at risk for adverse effects of medication. Findings: During a review of Resident 1 ' s admission Record (AR-a document with person identifiable and medical information), dated, 05/30/24 the AR indicated, Resident 1 was admitted to the facility on [DATE] with diagnoses which included Type 2 Diabetes Mellites (body has trouble controlling blood sugar), hypertensive heart disease (heart problems that develop over time in people with long term high blood pressure), Hyperlipidemia, (abnormally high levels of lipids (fatty acids), Osteoarthritis…

    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 · E2024-02-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide pharmaceutical services which ensured appropriate administration and disposal of medications to meet residents needs when: 1. 3. Nursing staff administered and failed to clarify Resident 243's pancrelipase (medication containing enzymes for those that have pancreatic problems) medication order lacked appropriate instructions to administer with meals. Nursing staff administered and failed to clarify Resident 240 and Resident 242's midodrine (medication given to raise blood pressure) medication orders with inappropriate hold parameters. 2. Nursing staff administered and failed to clarify Resident 241's amlodipine (medication given to lower blood pressure) medication order with inappropriate hold parameters and Resident 241's diclofenac sodium (medication used to reduce pain and stiffness) gel order which lacked dosage parameters These failures resulted in Residents 240, 242, 12, 241 and 243 being at risk of adverse effects 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-12 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure that four out of four residents (Residents 10, 11, 14 and 15) were free from unnecessary psychotropic (drugs that affect brain activities associated with mental processes and behavior) medications when: 1. Resident 10 was administered citalopram (a medication used to treat depression- mental health condition with a persistent feeling of sadness and loss of interest), lorazepam (a medication used to treat anxiety- a mental health disorder characterized by fear and worry) and aripiprazole (medication used in conjunction with an anti-depressant medication for those with an inadequate response) and the facility did not attempt or implement resident specific non-pharmacological interventions (an intervention not based on medicine such as breathing techniques or massage) prior to prescribing and administering citalopram, lorazepam and aripiprazole, facility did not adequately monitor side effects and facility did not monitor for behaviors…

    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 · E2024-02-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the facility medication error rate did not exceed five percent or greater when observation of 26 opportunities during the medication pass resulted in five errors. The calculated medication error rate was 19.23%. These failures resulted in: 1. Placing Resident 23 at risk of a stroke (damage to the brain caused by a blockage or bleeding) and blood clots when Licensed Vocational Nurse (LVN) 5 administered a chewable Aspirin (drug that reduces blood clotting, fever, pain and inflammation) tablet instead of the prescribed Aspirin Delayed Release (DR- a medication designed to release the active ingredients later after it is taken) tablet. 2. Placing Resident 241 at risk of elevated levels of vitamin D when LVN 1 administered Oyster Shell Calcium plus Vitamin D tablet instead of the prescribed Oyster Shell Calcium tablet. 3. Placing Resident 21 at risk for decreased levels of Vitamin B12 and anemia when LVN 1 administered a Vitamin B12…

    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 before2024-02-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure all medications used in the facility were properly labeled and discarded after the expiration date or discontinued date when: 1. In the East Wing medication storage room, discharged Resident 244's carboxymethylcellulose sodium eye drops (eye moisturizer and lubricant), white petrolatum-mineral oil eye drops, hypromellose eye drops, and nasal spray were found in the patient own med bin not separated from for residents currently in the facility. 2. In the [NAME] Wing medication cart, Resident 19's discontinued lactulose (medication used to treat constipation and liver disease) 10 GM (gram- unit of measurement)/15 ML (milliliter- unit of measurement) solution bottle was found not separated from medications that were in use for facility residents. 3. In the South Wing medication cart, Resident 21's discontinued ondansetron (medication used for nausea) 4 mg (milligram- unit of measurement) medication card was found not separated 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety when: 1. One of two dry storage pantries had two boxes of instant cereal, one box of dry yeast, three cans of black olives and two jars of dill pickles did not have a received by and expiration date. 2. One of two dry storage pantries had a large plastic container of flour with an open ill-fitting lid. 3. One of two freezer storages had a large plastic container of ice cream with an open ill-fitting lid. These failures placed residents at risk for food borne illness. Findings: During a concurrent observation on 2/6/24 at 9:30 a.m. with the Certified Dietary Manager (CDM), in the dry storage pantry, two boxes of instant cereal, one box of dry yeast, three cans of black olives and two jars of dill pickles did not have a received by and expiration date. During a concurrent observation and interview, on 2/6/24 at 9:31 a.m. with the Certified Dietary Manager (CDM), in the dry storage pantry, 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-12 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain medical records for residents that were complete, accurately documented and readily accessible for seven of nine sampled residents (Resident 15, 18, 17, 33, 11, 31, and 10) when a copy of the Physician Orders for Life-Sustaining Treatment (POLST) forms (a legal document that specifies the type of care a resident's treatment and services would like in an emergency life threatening medical situation) were incomplete and not readily available as part of the residents' medical record. These failures had the potential risk for Residents 15, 18, 17, 33, 11, 31, and 10's end-of-life care decisions to not be followed in case of an emergency. Findings: During a review of Resident 15's admission Record (AR-a document with personal identifiable and medical information), undated, the AR indicated, Resident 15 was admitted on [DATE] with diagnoses which included dementia (loss of cognitive functioning-thinking, remembering and reasoning), hypertensive…

    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 · D2024-02-12 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents were treated with dignity and respect for one of three sampled residents (Resident 16) when Resident 16's urinary catheter (is a tube that is inserted into the bladder, allowing the urine to drain freely) bag was not covered and was visible to the public while Resident 16 was in her room. This failure violated Resident 16's privacy to ensure dignity and respect which resulted in Resident 16's urinary catheter bag to be visible to other residents and visitors in the facility. Findings: During the initial tour of the facility on 2/06/2024 at 11:31 a.m., Resident 16's urinary catheter bag was observed on the left side of her bed without a privacy cover. The urinary catheter bag was visible from the door of the resident's room. During a concurrent interview and record review, on 2/06/2024 at 3:03 p.m. with Licensed Vocational Nurse (LVN)1, the photo taken on 02/06/2024 at 11:31 a.m. was reviewed. The photo was of 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-12 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 develop and implement a baseline care plan (individualized plan of care to document patient needs and potential risks, to work collaboratively toward optimal outcomes) within 48 hours of admission for one of five sampled residents (Resident 18) when Resident 18 did not have a care plan for diabetes mellitus (chronic condition with persistently high blood sugar level). This failure placed Resident 18 at risk for hyperglycemia (high blood sugar) and ketoacidosis (a life-threatening complication of diabetes). Findings: During a review of Resident 18's admission Record (AR-a document with personal identifiable and medical information), undated, the AR indicated, Resident 18 was admitted on [DATE] with diagnoses which included Type 2 diabetes mellitus with ketoacidosis (complication of diabetes in which acids build up in the blood to levels that can be life-threatening), kidney failure (kidneys lose the ability to remove waste from the body) and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-05-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure food safety and sanitation requirements were met in accordance with professional standards for food service when: 1. A systematic process was not used to ensure meats were thawed properly, 2. Resident dishes were not washed to prevent cross contamination, 3. One of three ice machines was not clean, 4. Hair restraints were not worn during food service activities, 5. Frozen foods were not stored to prevent freezer burn, and 6. Food preparation equipment was not air dried. These failures had the potential for the growth of microorganisms which can result in food borne illnesses in a highly susceptible resident population of 46 facility residents that consumed food prepared in the kitchen. Findings: 1. During a concurrent observation and interview on 5/3/33, at 9:36 a.m., with the Registered Dietitian (RD), in the meat walk-in refrigerator, the following food items were observed: a. one 10-pound (lb- unit of measurement) box of thawed pork with the date of 4/28/22 (no additional dates or stickers were…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-05-10 · 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 services which met professional standards of quality for one of three sampled residents (Residents 199) when Resident 199's enoxaparin (medication used to prevent blood clot) injection site was not rotated. This failure placed Resident 199 at risk of developing skin bruising and scarring. Findings: During an observation on 5/4/22, at 12:00 p.m., in Resident 199's room, LVN 3 injected enoxaparin on Resident 199's right lower quadrant (section of the abdomen). During a concurrent interview and record review on 5/4/22, at 12:27 p.m., with LVN 3, Resident 199's Non-PRN [as needed] Medication Notes, dated 5/4/22 was reviewed. The notes indicated, .Enoxaparin 40 mg [milligrams (unit of measure)] .subcutaneous [under skin] syringe .5/2/2022 13:00 [1:00 p.m.] Injection site Abdomen - Right Upper Quadrant .5/3/2022 13:00 Injection Site Abdomen - Right Upper Quadrant . LVN 3 stated the enoxaparin injection required different injections sites for effectiveness and should not have been injected in the same site 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-10 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    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 grooming needs were met for one of three sampled residents (Resident 195) when Certified Nursing Assistants (CNAs) failed to assist Resident 195 with her shaving. This failure resulted in Resident 195 's hygiene care needs being unmet. Findings: During a concurrent observation and interview, on 5/3/22, at 11:22 p.m., with Resident 195 in Resident 195's room, Resident 195 had long facial hair underneath her chin. Resident 195 stated she did not like having facial hair and wanted the facial hair removed. During a review of Resident 195's Minimum Data Set (MDS- a resident assessment tool used to identify cognitive (mental processes) and physical functional level assessment undated, the MDS indicated Resident 195's Brief Interview for Mental Status (BIMS - screening tool used to assess resident cognitive level) score was 12 of 15 points which indicated Resident 195 had moderate cognitive impairment. During a concurrent observation and interview, on 5/3/22, at 11:41 a.m., with CNA 4 in Resident 195's room,…

    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 · D2022-05-10 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 pain management services consistent with professional standards of practice for one of three sampled residents (Resident 200) when Licensed Vocational Nurse (LVN) 1 did not assess Resident 200's pain prior to administering acetaminophen (pain medication). This failure had the potential for Resident 200 to experience pain without adequate pain relief. Findings: During an observation on 5/5/22, at 8:09 a.m., near Resident 200's room, Physical Therapy Assistant (PTA) informed LVN 1 that Resident 200 was requesting pain medication. LVN 1 proceeded to walk to the medication cart, opened Resident 200's clinical record and clicked on the PRN (as needed) acetaminophen. LVN 1 documented a pain level of 3 out of 10 (pain scale- is a tool that measures pain intensity to help assess a person's pain) pain without asking or assessing Resident 200's pain. During an interview on 5/5/22, at 8:12 a.m., with LVN 1, LVN 1 stated the PTA informed him that Resident 200 was in pain. LVN 1 stated Resident 200 pain is usually…

    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 · D2022-05-10 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure two of 46 sampled residents received pureed foods that were prepared by methods to conserve nutritive value, when puree food items were cooked more than one and a half hours prior to meal service. This failure placed residents receiving a pureed diet at risk for compromised nutritional status. Findings: The nutritional value of food, in particular vegetables, which are heated multiple times compromises both the palatability and nutritional value of food (Nutrition.gov). During a concurrent observation and interview, on 5/4/22 at 10:15 a.m., an observation of the preparation of the puree vegetables was conducted with [NAME] 2. [NAME] 2 stated he prepared two portions of puree Italian cut green beans. The [NAME] 2 stated the Italian cut green beans had been previously cooked in the steamer. After measuring all the ingredients, [NAME] 2 pureed the mixture. The puree vegetables were put in the steamer to heat them up again then put in the hot box (a warming device used to hold hot foods) at 180 degrees Fahrenheit (F)…

    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 · D2022-05-10 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure food was prepared in a form to meet resident needs for one sampled resident (Resident 18) when Resident 18 did not received thickened liquids as ordered. This failure placed Resident 18 at risk for aspiration (when food or liquids are breathed into the lungs). Findings: During a review of Resident 18's Face Sheet (FS-a document containing resident profile information) dated 5/5/22, the FS indicated Resident 18 was admitted to the facility on [DATE] with diagnoses which included Chronic Obstructive Pulmonary Disease (COPD- a lung disease that blocks airflow making breathing difficult) During a review of Resident 18's Physician Orders dated 12/19/21, the Physician Orders indicated Resident 18 was on a mechanical soft regular diet with nectar thickened liquids. During a concurrent observation and interview, during the lunch meal observation on 5/4/22, at 11:36 a.m., with the Dietary Aid (DA), the DA delivered Resident 18's lunch meal.…

    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 · D2022-05-10 · tag F0888 — isolated
    Ensure staff are vaccinated for COVID-19
    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 follow their contingency plan (backup plan to protect residents from being exposed to COVID-19) for employees who were granted COVID-19 vaccination exemptions when one of six employees exempted from receiving the COVID-19 vaccination (Cook 1) was not wearing an N95 mask that fit properly and was not wearing a face mask or goggles while he prepared, cooked, and delivered food throughout the facility; and [NAME] 1 had never been fit tested (a test to ensure a specific brand/type of N95 mask creates a proper seal with a specific person's face to ensure protection). This failure placed all residents at risk for exposure to COVID-19 by an unvaccinated employee which could lead to hospitalization, severe illness, and death. Findings: During an interview on 5/3/22, at 11:12 a.m., with Licensed Vocational Nurse (LVN) 1, LVN 1 stated all employees not vaccinated against COVID-19 must wear an N95 mask and a face shield and were tested every day. During a concurrent observation and interview on 5/3/22, at 12:05 p.m.,…

    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

“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.

Part of a chain

This home belongs to HUMANGOOD — 17 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 54.5+0.5 vs chain
Health inspection 3 of 53.6-0.6 vs chain
Staffing 5 of 54.9≈ chain avg
Quality measures 5 of 54.2+0.8 vs chain
The other 16 homes this chain runs (chain average 4.5★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
HUMANGOOD FRESNOOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 08/01/2012
HUMANGOODOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 04/10/2025
U.S. BANKOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 04/01/2018
BAKER, JUDITHIndividualCORPORATE DIRECTORsince 04/25/2012
BATTISON, WILLIAMIndividualCORPORATE DIRECTORsince 02/03/2011
BROWN, HERMANIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 05/01/2016
DOWELL, ROBERTIndividualCORPORATE DIRECTORsince 03/15/2024
GRIFFITH, ALANIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 06/30/2019
HOLMES, MICHELLEIndividualCORPORATE DIRECTORsince 05/01/2016
KELLEY, ALBERTIndividualCORPORATE DIRECTORsince 04/21/2008
COCHRANE, JOHNIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 08/10/2009
GHASSEMI, BETHANYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 05/21/2019
MCDONALD, ANDREWIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2020
OGUS, DANIELIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 08/27/2009
HUMANGOOD NORCALOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/26/2012
CASE, ALEXISIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/21/2022
CHAHAL, PARMVEERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/04/2023
COLEMAN, ESMERALDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/02/2023
GROSSMAN, STEPHENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/1998
LOPEZ, JESSICAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/20/2020
VANGELISTO, GWENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/30/2021
BAKER TILLY ADVISORY GROUP LPOrganizationADP OF THE SNFsince 03/21/2025
BAKER TILLY US LLPOrganizationADP OF THE SNFsince 10/15/2024
HANSEN HUNTER LLCOrganizationADP OF THE SNFsince 03/27/2017
WASHINGTON FEDERALOrganizationADP OF THE SNFsince 11/06/2020

CMS files one row per role, so the 41 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

$33.9M
Net patient revenuemost recent cost report
-3.8%
Operating marginrevenue minus expenses
$2.3M
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 5%Other / private 95%

This home reported $2.3M 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

$238per resident / day
operating cost
$7,225per month
≈ monthly operating cost
$229per 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 055846. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-21, 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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