Kings Healthcare & Wellness Center LP
851 Leslie Lane, Hanford, CA 93230 · For profit - Limited Liability company · 70 certified beds · (559) 582-4414 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2024
- it has 2 actual-harm citations
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,824 in federal fines (most recent 2024-01-23)
- its payroll-based staffing rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 5 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 11.3% | 10.2% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.8% | 4.0% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.2% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 3.8% | 7.3% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.4% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.0% | 1.6% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 9.5% | 9.8% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 2.8% | 13.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.1% | 98.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.1% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 23.9% | 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 table | 15.8% | 12.0% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.5% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.3% | 23.0% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.0% | 11.2% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.41 | 2.25 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.46 | 1.57 | 1.80 | better |
‡ 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.
59.0% 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 235 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 62.0% 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 71 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 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 59.0%CMS range 53.2–64.4 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.0%CMS range 5.6–10.9 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 62.0% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 53.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 54.9% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 98.4% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.9%CMS range 3.9–10.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.12 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 70 beds and averages 62.2 residents a day — about 89% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.36 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.25 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.74 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 3.99 hrs/resident/day on weekends vs 4.51 on weekdays — 12% thinner on weekends. RN hours go from 0.28 to 0.17 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 trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.
- Actual harm · G2024-01-23 · tag F0697 — failed to manage pain — isolatedProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to perform a resident comprehensive assessment and provide pain management services in accordance with professional standards of practice for one of three sampled residents (Resident 1) when Resident 1's left hip internally rotated (twisting movement of the thigh inward from your hip joint) and experienced severe pain with a pain scale level of eight out of 10 (is a tool that measures pain intensity to help assess a person's pain; 0- no pain, 1-3 mild pain, 4-7 moderate pain, 8-10 severe pain) and License Vocational Nurse (LVN) 3 did not perform a resident comprehensive assessment. LVN 3 did not reassess Resident 1's pain level an hour after LVN 3 administered pain medication to assess the medication effectiveness. These failures resulted in Resident 1 experiencing severe pain on 1/25/23 at 5:11 a.m. to 10:48 a.m. with a delay in transferring Resident 1 to the acute care hospital for treatment of a hip dislocation. Findings: During a review of Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · G2022-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Resident 22 's fall care plan interventions were in place to prevent or minimize fall related injuries for one of three sampled residents (Resident 22) when Resident 22 was assessed as at risk for falls, had known behavior of leaning forward in her wheelchair and the care plan interventions to use tilt-back feature on the wheelchair was not implemented. This failure resulted in Resident 22 experiencing an unwitnessed fall from the wheelchair on 10/18/22 onto the floor at the facility's hallway, resulting in loss of consciousness, sustaining a laceration (skin tear) and the use of antibiotic. Resident 22 was sent to the general acute care hospital (GACH) for treatment of her fall related injuries on 10/18/22. Dermabond (skin adhesive that is used to glue laceration) was applied to Resident 22's laceration at the GACH. Findings: During an observation on 12/13/22, at 9:41 a.m., in Resident 22's room, Resident 22 laid in bed, her…
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.
- Potential for harm · F2026-06-04 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data by the required deadline.This failure resulted in CMS not knowing how many direct care staff provided daily care and services for 61 residents to attain or maintain their highest practicable physical, mental, and psychosocial well-being.Findings:During an interview and record review on 6/1/2026 at 8:39 a.m. with the Administrator (ADM) and Director of Nursing (DON) during the Facility Entrance Conference, the CMS document titled, Payroll Based Journal (PBJ) Staffing Data Report, dated Fiscal Year (FY) Quarter 1 2026 (October 1 - December 31) was reviewed. the document indicated, .Metric.Failed to Submit Data for the Quarter.Result.Triggered.Definition.Triggered = No Data Submitted for Quarter. The ADM stated the PBJ data was submitted for the wrong quarter. The ADM stated Corporate…
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.
- Potential for harm · Ecited before2026-06-04 · tag F0658 — failed to meet professional standards of care — patternEnsure 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 provide care and services in accordance with professional standards of practice for three of 11 sampled residents (Resident 34, Resident 76, and Resident 78) when:1. Resident 34's oxygen therapy (a colorless, odorless, tasteless gas essential to living organisms) was not administered according to the physician order (a set of instructions written by a doctor for clinicians to follow when caring for a resident).This failure resulted in Resident 34 not receiving her oxygen therapy as ordered by the physician, which had the potential to result in shortness of breath, and respiratory distress (difficulty breathing).2. Resident 34's oxygen tubing and nasal cannula (n/c-flexible, clear tube that connects to an oxygen source and placed in the nostrils to deliver oxygen) were not labeled with the date and time and were not stored appropriately when not in use.These failures had the potential for Resident 34 to use a dirty and contaminated nasal…
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.
- Potential for harm · D2026-06-04 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure one of nine sampled residents (Resident 43) was assessed to safely store and self-administer medication at bedside when Resident 43 had a bottle of [brand name C 1000mg (over the counter vitamin C medication supplement)] medication bottle stored at bedside for self-administration without a physician's order or Medication Self-Administration Assessment Form (MSA- an assessment form to determine if a resident is clinically appropriate to safely and securely store and self-administer their own medication at bedside).This failure resulted in Resident 43 storing and self-administering medications at bedside without nursing oversight which could lead to duplicate drug therapy, adverse medication interactions (when two medications mixed inside the body caused unexpected bad reactions) and unsafe bedside medications storage.During a concurrent observation and interview on 6/1/26 at 10:25 a.m. with Resident 43, in Resident 43's room, Resident 43 was observed sitting on her bed. Resident 43 was observed with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-06-04 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 ensure a comprehensive person-centered care plan (CP - a detailed approach to care customized to an individual resident's needs) was developed and implemented for one of three sampled residents (Resident 81), when Resident 81 did not have a care plan for the use of Cervical Collar (C-Collar -a neck brace used to support and immobilize a person's neck) for cervical spinal cord injury (damage to the uppermost part of the spine located in the neck area).This failure had the potential for Resident 81 to not receive the necessary care required for cervical collar, increasing the risk for skin breakdown, improper alignment, and compromised airway. During an observation on 6/1/26 at 9:35 a.m. during initial tour in Resident 81's room, Resident 81 was observed lying in bed, eyes opened, and C-Collar in place. The resident did not answer questions asked.During a review of Resident 81's Face Sheet (FS - a summary of information regarding a resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-04 · tag F0732 — isolatedPost nurse staffing information every day.
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 daily nurse staffing information contained all required information when the total number and actual hours worked by Registered Nurses (RN), Licensed Vocational Nurses (LVN), and Certified Nursing Assistants (CNA) were not posted for 61 residents and visitors to view.This failure resulted in 61 residents and visitors not knowing how many direct care hours were actually provided daily for each resident by licensed and unlicensed staff.Findings:During an observation on 6/03/26 at 12:23 p.m. a facility document titled, [NAME] HealthCare and Wellness Center Staffing Information (Staffing Information), dated 6/3/26 was observed posted in the hallway. The document did not indicate if the posted hours were anticipated or actual hours worked by licensed and non-licensed staff. During an interview on 6/3/2026 at 3:27 p.m. with the Director of Staff Development (DSD) the DSD stated she was responsible for staff scheduling and completing 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.
- Potential for harm · D2026-06-04 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to provide pharmaceutical services to ensure controlled substance medications (is a drug that is strictly regulated by the government because of high risk of misused and abused) are administered and recorded accurately in accordance with the facility's policies and procedures for one of two sampled residents (Resident 39) when Licensed Vocational Nurse (LVN) 2 failed to accurately document Resident 39's controlled substance medication on the controlled substance log to accurately reflect the controlled substance administration. This failure placed Resident 39 at potential risk for medication errors, duplicated dosing and undetected controlled substances diversion (theft or illegal redirecting of a regulated drug).During a medication administration observation on 6/3/26 at 8:28 a.m. with Licensed Vocation Nurse (LVN)2 in Resident 39's room, Resident 39 was lying in bed, with facial grimacing and moaning. LVN 2 left Resident 39's room and prepared pain medication from the medication cart. LVN 2 prepared Morphine…
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.
- Potential for harm · Dcited before2026-06-04 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 and served safely in accordance with professional standards of food service safety for 57 out of 57 residents eating at the facility when 4 single serve pre-prepared ice cream cups and an opened box of kielbasa rope sausage were in the freezer past the use by date.This failure resulted in food items being retained past the use by date which could lead to the serving of expired food items and foodborne illness.During a concurrent observation and interview on 6/1/26 at 9:02 am with the Certified Dietary Manager (CDM), in the kitchen, 4 single serve pre-prepared ice cream cups were observed with a use by date of 5/29/26. The label indicated the 4 single serve pre-prepared ice cream cups were 3 days past the use by date. An opened box of kielbasa rope sausage was observed with a use by date of 5/22/26. The label indicated the opened box of kielbasa rope sausage were 10 days past the use by date. The CDM stated all kitchen staff were expected to accurately and correctly label all food items…
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.
- Potential for harm · Dcited before2026-06-04 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 establish and maintain an effective infection prevention and control program to help prevent the development and transmission of infections when, two of two licensed nurses (Licensed Vocational Nurse [LVN] 3 and LVN 4), failed to follow the manufacturer's instructions for use (IFU- the official step by step directions provided by the maker of a product) by not maintaining the required germicidal disposable wipes dwell time (the exact amount of time a disinfectant must stay visibly wet on a surface to completely kill germs) during the disinfection (chemical process that kills harmful germs) of a glucometer (a medical device used for determining the amount of sugar in the blood) after use on Resident 13, Resident 21, Resident 40, Resident 65, and Resident 85. This failure had the potential to result in the spread and transmission of communicable (infectious disease - a condition that can be transmitted from one person to another through various means including direct contact and indirect contact) diseases 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.
- Potential for harm · Ecited before2025-01-16 · tag F0912 — patternProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents' room measured at least 80 square (sq) feet (ft) per resident in 16 (Rooms 101 - 104 and Rooms 110 - 121) of 29 resident rooms in the facility. Findings included: The Client Accommodations Analysis, dated 01/13/2025, revealed the following measurements: - In room [ROOM NUMBER], there was 76 sq ft for each resident. - In room [ROOM NUMBER], there was 76 sq ft for each resident. - In room [ROOM NUMBER], there was 77 sq ft for each resident. - In room [ROOM NUMBER], there was 75 sq ft for each resident. - In room [ROOM NUMBER], there was 71 sq ft for each resident. - In room [ROOM NUMBER], there was 73 sq ft for each resident. - In room [ROOM NUMBER], there was 75 sq ft for each resident. - In room [ROOM NUMBER], there was 76 sq ft for each resident. - In room [ROOM NUMBER], there was 75 sq ft for each resident. - In room [ROOM NUMBER], there was 76 sq ft for each resident. - In room [ROOM NUMBER], there was 75 sq ft for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-29 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents were free from abuse for one of five sampled residents (Resident 1) when Certified Nursing Assistant (CNA) 1 hit Resident 1 in the shoulder during transfer from the bed to the wheelchair. This failure violated Resident 1's right to be free from abuse. Findings: During a review of Resident 1's admission Record (a document containing demographic information), indicated, Resident 1 was admitted to the facility on [DATE]. During a review of Resident 1's Diagnosis Report (a document listing resident's diagnoses) dated 4/8/24, indicated Resident 1 was admitted to the skilled nursing facility with diagnoses which included, .Dementia (progressive or persistent loss of intellectual functioning) .Parkinson (a brain disorder that causes unintended or uncontrollable movements) .Type 2 Diabetes Mellitus (high blood sugar) . During a review of Resident 1's Minimum Data Set (MDS-a resident assessment tool used to identify resident cognitive 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.
Show the remaining 11 citations
- Potential for harm · Ecited before2022-12-19 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 comprehensive person centered care plan for three of 17 sampled residents (Residents 34, 50 and 2) when: 1. Resident 34 was identified as having a behavior of yelling, cursing and threatening staff on 12/1/22 and licensed nursing staff did not develop an individualized care plan and implement effective interventions. This failure had the potential for Resident 34 to not receive appropriate care and not meet his health, safety, psychosocial, and behavioral needs. 2. Resident 50 did not have an individualized care plan to identify his 1500 milliliters (ml- a unit of measurement) fluid restriction. This failure placed Resident 50's care needs to go unmet and had the potential to result in fluid overload. 3. Resident 2 did not have an individualized care plan to identify the use of low air loss (LAL- an air mattress with fluctuating air). This failure had the potential for Resident 2 to have ineffective pressure…
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.
- Potential for harm · E2022-12-19 · tag F0803 — failed to meet residents' dietary needs — patternEnsure 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
Based on observation, interview, and record review, the facility failed to ensure 1. The Controlled Carbohydrate Diet (a meal plan for diabetic residents) lunch dessert was provided for 17 (Resident 2, 3, 5, 15, 22, 23, 25, 29, 32, 36, 37, 38, 40, 48, 50, 51, 52) of 17 sampled residents who have a physician order to receive Controlled Carbohydrate Diet (CCHO) diet received a regular dessert for lunch on 12/14/22. 2. The fortified dessert was provided for one of one sampled resident (Resident 10) who have a physician order to receive fortified diet (diet with added extra nutrients to increase the calories and/or protein density to promote improvement residents' nutrition status) received a regular dessert for lunch on 12/14/22. These failures had the potential to negatively impact the residents' nutritional status and further compromising residents' medical status. Findings: 1. During a dietary production observation, on 12/14/22, at 10:53 AM, in kitchen, Diet Aide 1 (DA) used a spatula to cut the Apple Hill cake from a 15-inch width x 21-inch length x 1-inch depth sheet pan into 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.
- Potential for harm · E2022-12-19 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure 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 interviews, the facility failed to provide appetizing foods for eight of 65 sampled residents (Resident 24, 33, 34, 53, 209, 357, 359, 360). This failure placed Resident 24, 33, 34, 53, 209, 357, 359 and 360 at potential risk of decreased nutritional intake and affect the residents' nutrition status which could compromise their medical status. Findings: During an interview on 12/13/22, at 9:25 a.m., with Resident 357, Resident 357 stated, Food is not good. During an interview on 12/13/22, at 9:42 a.m., with Resident 33, Resident 33 stated, Food is terrible. During an interview on 12/13/22, at 9:53 a.m., with Resident 359, Resident 359 stated, Food is so so. During an interview on 12/13/22, at 9:59 a.m., with Resident 209, Resident 209 stated, Food is not good . Bland and does not taste good. During an interview on 12/13/22, at 10:02 a.m., with Resident 53, Resident 53 stated, Food is terrible. All of it tasted bland. I cannot hardly eat it. During an interview on 12/13/22, at 10:15 a.m., with Resident 360, Resident 360 stated, Provided food could be better.…
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.
- Potential for harm · Ecited before2022-12-19 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 store, prepare and serve food in accordance with professional standards for food safety when: 1. The fire hood and ventilators above the stove had black debris and had grease. This failure had the potential risk to cause foodborne illness (stomach illness acquired from ingesting contaminated food) for 65 of 65 sampled residents who received food from the kitchen. 2. The reach in refrigerator number (#) 1 and # 2 ventilators had black debris. This failure had the potential risk to cause foodborne illness for 65 of 65 sampled residents who received food from the kitchen. 3. The oven had black substance on the bottom and a yellow/brown discoloration around the knobs. This failure had the potential risk to cause foodborne illness for 65 of 65 sampled residents who received food from the kitchen. 4. The can opener blade and based in the kitchen was not kept in sanitary condition. This failure had the potential risk to cause foodborne illness for 65 of 65 sampled residents who received food from the kitchen. 5. 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.
- Potential for harm · E2022-12-19 · tag F0814 — failed to dispose of garbage properly — patternDispose of garbage and refuse properly.
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 dispose garbage under sanitary conditions when trash dumpsters were left uncovered, and trash were found on the floor surrounding the trash dumpsters. This failure had the potential to attract rodents, insects and flies and could spread infection which placed residents at risk for foodborne illness. Findings: During an observation on 12/13/22, at 8:41 a.m., in the facility trash dumpster area near the employee parking spaces, Two of three trash dumpster's lids were open and uncovered. There was an unknown food substance that was yellow in color and there were trashes which included gloves, plastic wrapping and paper on the floor surrounding the trash dumpsters. During a concurrent observation and interview, on 12/13/22, at 3:38 p.m., with the Registered Dietician (RD) and the Food and Nutrition Service Director (FND), outside at the facility's trash dumpster area, two of three trash dumpsters lids were not closed properly, one trash bag hanged over the edge of the dumpster and one bag laid on top of the lid…
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.
- Potential for harm · Ecited before2022-12-19 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain an effective infection control program when: 1. Nine of sixteen sampled residents' (Resident 4, 408, 53, 21, 17, 360, 359, 208 and 357) oxygen concentrator (a device that concentrates the oxygen from the ambient air) filters were found with lint and dust. This failure placed Residents 4, 408, 53, 21, 17, 360, 359, 208 and 357 at an increased risk to develop respiratory and healthcare-associated infections. 2. Five bags of wet, soiled mops and cleaning cloths were found on the floor in the laundry area. This failure had the potential to result in cross contamination and placed residents at risk to develop an infection. Findings: 1. During a concurrent observation and interview on 12/13/22 at 11:03 a.m., in Resident 4 and Resident 408's room with Licensed Vocational Nurse (LVN) 1, LVN 1 pulled out the oxygen concentrator filters and stated they were dirty with white and gray dust. LVN 1 stated the filters should be clean and 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.
- Potential for harm · D2022-12-19 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure one of six sampled residents (Resident 359) received information on their plan of care in a language they could understand when staff did not consistently provide an interpreter when communicating to Resident 359 in her preferred language. This failure violated Resident 359's rights to participate in the development and implementation of his plan of care in a language he could understand and placed Resident 359 at risk for not making informed decisions about his care and treatment decisions. Findings: During an observation on 12/14/2022, at 12:09 p.m., in Resident 359's room, there was no communication board (a tool used to help staff communicate with residents) visible in Resident 359's room. During a concurrent observation and interview, on 12/14/2022, at 12:15 p.m., with Resident 359, in the living room, the transport staff arrived to pick resident up for his dialysis (the process of removing waste products and excess fluid 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.
- Potential for harm · Dcited before2022-12-19 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 quality when: 1. Licensed Vocational Nurse (LVN 3) used an unapproved medication administration technique while using an insulin flex pen (a device used to inject insulin [hormone- regulatory substance made by the body to control blood sugar production]) for one of two sampled residents (Resident 25) during a medication pass observation. This failure placed Resident 25 at risk for dosing errors and had the potential for adverse side effects such as hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar). 2. Licensed nurses did not administer oxygen per physician's order for two of three sampled residents (Resident 14 and 17) when physician ordered parameters for oxygen administration were not followed. This failure had the potential for Resident 14 and 17 to receive inadequate amount of oxygen. 3. The facility did not notify the State Agency per facility policy for one of three sampled 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.
- Potential for harm · D2022-12-19 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
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 who are receiving dialysis (the process of removing waste products and excess fluid from the body when the kidneys are not able to adequately filter the blood) treatment received services consistent with professional standards of practice for one of two sampled residents (Resident 50) when Resident 50 received more than her physician prescribed 1500 milliliters (ml- a unit of measurement) of fluids per day during lunch on 12/13/22. (Cross Reference F 656). This failure placed Resident 50's care needs to go unmet and had the potential to result in fluid overload. Findings: During a review of Resident 50 's Face Sheet (a summary of important information regarding a patient which include patient identification, past medical history, insurance status, care providers, family contact information and other pertinent information), the face sheet indicated Resident 50 was readmitted to the facility on [DATE] with diagnosis which…
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.
- Potential for harm · D2022-12-19 · tag F0908 — failed to keep essential equipment working — isolatedKeep 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 all mechanical equipment in a safe operating condition for one of three sampled residents (Resident 2) when the low air loss (LAL- an air mattress with fluctuating air) digital control unit (pressure redistribution device to stimulate blood flow) was not powering on. This failure had the potential for Resident 2 to have ineffective pressure management surface for the prevention and treatment of pressure ulcer (an injury that breaks down the skin and underlying tissue). Findings: During an observation on 12/13/22, at 10:12 a.m., in Resident 2's room, Resident 2 was lying in bed with the digital control unit attached to the foot of the bed. The digital control unit indicators were not illuminated. During an observation on 12/13/22, at 2:33 p.m., in Resident 2's room, Resident 2 was lying in bed with the digital control unit attached to the foot of the bed. The digital control unit indicators were not illuminated. During a concurrent interview and record review on 12/13/22, at 2:41 p.m., with Licensed…
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.
- Potential for harm · Dcited before2022-12-19 · tag F0912 — isolatedProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation during the survey period of 12/13/22 through 12/19/22, the facility failed to maintain rooms that measured at least 80 square feet per resident in 16 of 29 resident rooms. This failure had the potential to place residents and families at risk for not having sufficient space to accommodate residents' needs, privacy, and comfort. Findings: During the initial tour of the facility on 12/13/22, the following rooms did not provide the minimum square footage as required by regulation: Rooms 101, 102, 103, 104, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, and 121. However, variations were in accordance with the particular needs of the residents. The residents had a reasonable amount of privacy. Closets and storage space were adequate. Bedside stands were available. There was sufficient room for nursing care and for residents to ambulate. Wheelchairs and toilet facilities were accessible. The waiver will not adversely affect the health and safety of residents. Rm # Square Feet # of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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.
- 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.
Fines & penalties
$8,824 in federal fines across 1 penalty.
- $8,824 — penalty dated 2024-01-23
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to CORPORATE INTERFACE SERVICES — 40 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 2.5 | +1.5 vs chain |
| Health inspection | 4 of 5 | 2.4 | +1.6 vs chain |
| Staffing | 1 of 5 | 2.4 | -1.4 vs chain |
| Quality measures | 5 of 5 | 3.9 | +1.1 vs chain |
The other 39 homes this chain runs (chain average 2.5★, 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 / manager | Type | Role | Since |
|---|---|---|---|
| CORPORATE INTERFACE SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/18/2024 |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/01/2021 |
| COOKE, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2022 |
| GROSSMAN, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 10/27/2021 |
| KINGS WELLNESS GP, LLC | Organization | GENERAL PARTNERSHIP INTEREST | since 10/09/2020 |
| RECHNITZ, SHLOMO | Individual | LIMITED PARTNERSHIP INTEREST | since 10/09/2020 |
| ERETZ KINGS PROPERTIES | Organization | ADP OF THE SNF | since 02/01/2021 |
CMS files one row per role, so the 11 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $854K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CA
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.
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 555485. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-04, 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.