Bella Vista Health Center
7922 Palm Street, Lemon Grove, CA 91945 · For profit - Limited Liability company · 99 certified beds · (619) 644-1000 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
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) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 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 | 4 of 5 |
| Long-stay residentspeople who live here | 4 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 fell from 5 to 4 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 | 23.7% | 10.2% | 15.4% | worse |
| Long-stay residents who lose too much weight | 0.8% | 4.0% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 5.1% | 0.8% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 1.5% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 33.9% | 7.3% | 6.5% | check this† — see note marked dagger below the table |
| 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 | 0.0% | 1.6% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 16.2% | 9.8% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 6.5% | 13.7% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 98.2% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.6% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 16.9% | 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 | 2.8% | 12.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.1% | 1.5% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 99.7% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 16.7% | 23.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.1% | 11.2% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.68 | 2.25 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.69 | 1.57 | 1.80 | typical |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. 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.
61.6% 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 342 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.2% 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 246 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 1.05 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 36% 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 | 61.6%CMS range 56.8–66.5 | 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 | 11.9%CMS range 8.9–15.1 | 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 | 53.2% | 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 | 49.2% | 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 | 46.3% | 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 | 93.4% | 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 | 98.9% | 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 | 95.8% | 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 | 0.3% | 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 | 0.6% | 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 | 7.8%CMS range 5.2–10.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.56 | 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 99 beds and averages 89.3 residents a day — about 90% occupied, or roughly 10 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 4.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.83 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 4.54 hrs/resident/day on weekends vs 5.01 on weekdays — 9% thinner on weekends. RN hours go from 0.81 to 0.73 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 48% is about the same as 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
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.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · D2026-04-15 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to administer medication as ordered for one of four sampled residents (1). As a result, Resident 1 was at increased risk of medication side effects.Findings: Per the facility's admission Record, Resident 1 was admitted to the facility on [DATE] with diagnoses to include fibromyalgia (a pain disorder). Per the facility's Medication Administration Record (MAR), dated April 2026, Resident 1 had an order for oxycodone (a pain medication) 10 milligram (mg) 1 tablet every six hours as needed for pain. On 4/4/26 at 12:24 P.M., Licensed Nurse (LN) 2 signed that he administered one tablet to Resident 1. Per the facility's Medication Count sheet for oxycodone 10mg, LN 2 signed out two tablets for Resident 1 on 4/4/26 at 12:24 P.M. On 4/17/26 at 4:22 P.M., a telephone interview was conducted with LN 2. LN 2 stated he did not remember why he signed out two tablets for Resident 1's 10mg oxycodone on 4/4/26. On 4/22/26 at 2:09 P.M., a telephone interview was conducted…
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 · E2025-11-17 · tag F0802 — failed to prepare enough nourishing food — patternProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure the dietary staff were competent on the ambient temperature (the temperature of the surrounding air, room temperature) food cool down process and cooked food cool down process for Time/Temperature Control for Safety Food (TCS- foods that can rapidly spoil and cause illness). These failures placed the facility's residents who consumed food prepared in the kitchen at risk of foodborne illness. Findings:According to the Federal Food and Drug Administration (FDA) Food Code 2017, Section 3-501.14 Cooling, Time/Temperature control for Safety Food shall be cooled within 4 hours to 5oC (degrees Celsius) (41oF) (degrees Fahrenheit) or less if prepared from ingredients at ambient temperature, such as .canned tuna.According to the FDA's online job aid titled Cooling Cooked Time/Temperature Control for Safety Foods and the FDA's Food Code: For Food Employees dated July 2024, indicated, .Bacteria or other pathogens that cause foodborne illness can grow rapidly on TCS foods when they are not cooled properly. 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 · Ecited before2025-11-17 · 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 ensure practices that mitigated the risk of resident food contamination were followed when: Fruit flies were observed flying around the kitchen. An open food thickener container was placed right next to the open trash can. A staff food cart was stored in the kitchen. An expired cream cheese was found in the walk-in refrigerator. Tuna salad sandwiches and hard-boiled eggs were not cooled down (a two-stage method for rapidly cooling food to prevent the growth of bacteria) properly. Washed dishes were stacked wet and with food residue on them. Washed coffee mugs had residue on them. Cooked chicken did not have a temperature taken before being plated and placed in the meal cart.These failures had the potential to cause foodborne illnesses among residents who received food from the kitchen.Findings: On 9/28/25 at 7:48 A.M., an initial kitchen tour was conducted with Dietary Aid (DA) 1. During the kitchen tour, some fruit flies were seen flying around where onions, potatoes, and bananas were stored in boxes under 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 · Ecited before2025-11-17 · tag F0813 — patternHave a policy regarding use and storage of foods brought to residents by family and other visitors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on the observation, interview, and record review, the facility failed to ensure safe storage of resident food brought from outside of the facility when: Resident food was stored in the resident refrigerator for over 72 hours. Resident food containers were not properly labeled. The thermometer located in the resident food refrigerator was broken and the temperatures entered in the log were consistently over 41 degrees F (Fahrenheit). Staff food items were found in the designated resident refrigerator. The facility did not implement its policy titled Food Brought from Outside.As a result, the residents were at risk of consuming potentially contaminated food.Findings: On 09/28/25 at 12:13 P.M., an observation of the resident refrigerator and interview with Certified Nurse Assistant (CNA) 1 was conducted. CNA 1 stated the refrigerator located in the dining hall stored resident food brought from outside the facility. A temperature log and a sign with All items in this refrigerator must be dated and label [sic]. Open food good for 3 days only was observed on the outside 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.
- Potential for harm · Dcited before2025-11-17 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 the Pre-admission Screening and Resident Review Level II (PASARR II - an evaluation of the resident's psychiatric treatment requirements) was followed up on and completed for two of four residents (Resident 26 and 49) reviewed for PASARR.This failure had the potential for Resident 26 and Resident 49 to not receive necessary mental health care services in an appropriate healthcare setting.Findings:A review of Resident 26's admission Record indicated the resident was admitted to the facility on [DATE] with a diagnosis of schizophrenia, unspecified (a mental health condition that combines symptoms such as hallucinations and delusions), major depressive disorder (a mood disorder causing persistent feelings of sadness, hopelessness, and a loss of interest in activities), and bipolar disorder (a mental health disorder with mood swings). A review of Resident 26's Level I PASARR 1 screening from the Health Care Services dated 6/5/25, indicated 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 · D2025-11-17 · 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 interview and record review, the facility failed to provide pharmaceutical services according to acceptable standards of practice when the documentation on the Controlled Drug Record (CDR an accounting of controlled medications, drugs with a high abuse potential) and the Medication Administration Record (MAR documentation in the medical record that a resident received a medication) did not reconcile for one of three randomly selected residents (Resident 14). This failure had the potential for drug diversion (illegal acquisition, misuse, or transfer of prescription medication for an unauthorized purpose) and/or inadequate pain management. Findings:A review of Resident 14's admission Record indicated he was admitted to facility on 2/8/25 with a diagnosis of surgical aftercare following surgery on the skin and subcutaneous tissue (fatty tissue).A review of Resident 14's order summary dated 8/27/25, indicated the resident was to receive Morphine Sulfate (medication used to treat pain) oral tablet 15 milligrams (mg) every four hours as needed for moderate to severe pain.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.
- Potential for harm · D2025-11-17 · tag F0791 — failed to provide routine dental services — isolatedProvide or obtain dental services 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 interview and record review, the facility failed to provide outside dental resources and services in a timely manner for one resident (Resident 6). As a result, Resident 6 waited over 11 months to be evaluated for a new denture and was at risk for potential issues with the fitting of the new denture caused by the delay in receiving dental care and treatment. Findings:A review of Resident 6's admission Record indicated the resident was admitted to the facility on [DATE]. On 9/28/25 at 9:43 A.M., an interview was conducted with Resident 6. When the resident was asked if she had any issues with her care, she stated she was waiting for her teeth. On 9/30/25 at 9:11A.M., a joint interview and record review was conducted with the Social Services Director (SSD). The SSD reviewed Resident 6's Dental Progress Notes dated 10/31/24 and stated Resident 6 was waiting for a denture evaluation by a dentist from the newly approved dental program, because the resident insurance did not cover dentures. On 10/1/25 at 8:05…
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 before2024-07-26 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and facility policy review, the facility failed to ensure a Level I Preadmission Screening and Resident Review (PASRR) accurately reflected the presence of a diagnosed mental disorder for 1 (Resident #44) of 5 residents reviewed for PASRR requirements. Findings included: An undated facility policy titled, Preadmission Screening and Resident Review revealed, Purpose: To ensure that all facility applicants are screened for mental illness and/or intellectual disability and to ensure coordination with the appropriate state agencies if indicated. The policy specified, II. The Facility, ensures that PASRR Level I is completed either by the transferring general acute care hospital (GACH), or by the Facility for all applicants, regardless of Payor source, prior to admission to determine if they have a serious mental illness (SMI) and/or intellectual disability, developmental disability or related condition(s) (ID/DD/RC). An admission Record revealed the facility admitted Resident #44 on 06/04/2024. According to the admission Record, the resident had 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 · Dcited before2024-07-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and facility policy review, the facility failed to ensure expired medications and/or biologicals were removed from 1 (Station 1) of 2 medication storage rooms and 1 of 1 central supply closet. Findings included: A facility policy titled, Storage of Medications, revised in 11/2020, indicated, The facility stores all drugs and biologicals in a safe, secure, and orderly manner. The policy specified, Discontinued, outdated, or deteriorated drugs or biologicals are returned to the dispensing pharmacy or destroyed. An observation on 07/24/2024 at 12:07 PM of the medication storage room located on Station 1 revealed a Nozin Nasal Sanitizer with an expiration date of 03/2024. During an interview on 07/25/2024 at 12:09 PM, Registered Nurse (RN) #3 stated the Nozin Nasal Sanitizer was not supposed to be in the medication storage room, because it was expired. An observation on 07/24/2024 at 12:16 PM of the central supply closet revealed two boxes of Tucks (medicated pads) with an expiration date of 03/2024. During an interview on 07/25/2024 at 12:13 PM, 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 · D2024-02-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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 the necessary care and treatment to a resident's (1) identified skin issues (redness of the buttocks), for one of three sampled residents, when Resident 1's physician was not informed of the resident's skin condition during admission to the facility. The delayed care and treatment to Resident 1's skin issues had the potential to worsen Resident 1's skin condition. Findings: On 2/9/24, an unannounced onsite at the facility was conducted related to a complaint on quality of care. During a review of the facility's admission Record, dated 12/31/23, the admission Record indicated Resident 1 was admitted to the facility, with diagnoses which included generalized body weakness, dementia (inability to think, remember and reason), hemiplegia (paralysis that affect one side of the body), and hemiparesis (weakness or inability to move on one side of the body). During a review of Resident 1's minimum data set (MDS, an assessment tool), dated…
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 12 citations
- Potential for harm · Fcited before2022-01-27 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 proper food handling practices, and sanitation requirements were met when: 1. Kitchen staff (KA 1) did not perform hand hygiene between kitchen tasks, and 2. Dishwashing racks (used for storing dinnerware, cups and glasses) were worn, and covered in a gray residue. These failures had the potential to cause the spread of food borne illness to residents in the facility. Findings: 1. On 1/26/22 at 8:20 A.M., an observation was conducted in the kitchen. KA 1 washed his hands, donned (put on) disposable gloves, opened the kitchen door, proceeded out of the kitchen, opened an outside door that led to the driveway at the side of the building, and walked outside. KA 1 came back inside the facility, with the gloves still on, opened the kitchen door and proceeded to the dirty side of the dishwashing section of the kitchen and began to wash the dirty pots and pans from breakfast preparation. KA 1 did not change gloves or wash his hands after he returned to the kitchen, and before he started to wash the dishes. 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.
- Potential for harm · F2022-01-27 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 provide infection control standards of practice when; In the facility's designated Red Zone: 1a. CNA 6 and Maintenance (Mnt 6) staff was observed entering and exiting (clean to dirty area) the Red Zone not donning PPE (personal protective care equipment). 1b. A resident (Resident 58) was observed wandering the halls of the Red Zone without a mask. 1c. Social service (SS 6) staff member was observed exiting an isolation room and entering a clean room without performing handwashing. 1d. CNA 8 was observed entering an isolation room not donning PPEs. 2. During lunch meal service a CNA 7 did not perform handwashing when passing resident meal trays. 3. Urinary collection bags (a bag that collects uring draining from the body) and their attached dignity bags A fabic bag that covers the urine collection bag for privacy) were allowed to touch the floor for two of three residents (Residents 249, 250), reviewed for urinary catheter care and one…
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 · E2022-01-27 · tag F0561 — failed to honor residents' choices — patternHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 support four of seven residents (Residents 26, 47, 56, and 254), reviewed for resident rights, when their normal activity of smoking was not permitted. This failure resulted in Residents 26, 47, 56, and 254 to experience increased anxiety and anger. Findings: 1. Resident 26 was admitted to the facility on [DATE], with diagnoses of polyneuropathy (peripheral nerve deterioration) and nicotine dependence, per the facility's admission Record. On 1/26/22 at 4:05 P.M., an interview was conducted with Resident 26 in her room. Resident 26 stated about four weeks ago the facility staff told us the usual smokers could no longer go outside and smok, because the Covid virus (a highly contagious virus transported by air-particles) was in the building. Resident 26 stated she and other smokers were not in the Covid unit, so they did not understand why they could not continue to smoke. Resident 26 and others requested to have a meeting with the Administrator in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-27 · tag F0809 — failed to serve meals on a reasonable schedule — patternEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to consistently offer snacks to five of six confidential residents (CR 1, CR 2, CR 3, CR 4, CR 5 ) and two unsampled residents (55, 90) reviewed for evening snacks. This failure had the potential for residents to experience hunger between meals. Findings: On 1/25/22 at 10:26 A.M., CR 1, CR 2, CR 3, and CR 4 stated they were never offered evening snack by staff. CR 1 and CR 3 stated they never knew snacks were available and yes, they would like to have something to eat at night, every once and a while. CR 2, and CR 4 stated they were aware they could get something, but they had to ask the staff when they wanted a snack. On 1/26/22 at 3:39 P.M., an interview was conducted with CR 5. CR 5 requested to remain anonymous. CR 5 stated she had been at the facility for almost a year and she had never been offered an evening snack. CR 5 stated she did not want a snack every night, but she would like to be asked. On 1/26/22 at 4 P.M., an interview was conducted with Resident 55. Resident 55 stated he used to be in another room and over…
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 · D2022-01-27 · tag F0557 — isolatedHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to: 1. Provide dignity and privacy to one of three residents (Resident 249) reviewed for urinary catheter (a flexible tube that collects urine from the bladder and leads to a drainage bag) care, when a dignity bag, (a solid colored bag, which covers the urine collection bag) was not properly placed over the catheter collection bag and was viewable from the hallway;. and 2. A resident's property was not safeguarded by having the property identified, inventoried and properly secured for one of one sampled residents (Resident 297), when a bag of prescription medications was found in a the residents' room. These failures had the potential to effect Resident 249's self esteem and for Resident 297's property to be lost or stolen. Findings: 1. Resident 249 was admitted to the facility on [DATE], with diagnoses which included chronic kidney disease (kidneys cannot filter blood and urine as they should), per the facility's admission Record. 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.
- Potential for harm · D2022-01-27 · tag F0641 — isolatedEnsure 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 accurately assess and document the dental needs for one of three residents (Resident 32) reviewed for accuracy of MDS assessment. As a result, Resident 32's dental needs went unrecognized and untreated. Findings: Resident 32 was admitted to the facility on [DATE], with diagnoses which included dysphagia (difficulty swallowing), and protein-calorie malnutrition, per the facility's admission Record. On 1/25/22 at 8:45 A.M., Resident 34 was observed sitting up in bed. A breakfast tray was in front of her and 50% of the meal was consumed. Resident 34 smiled and appeared to have very few teeth in her mouth. Resident 34 did not speak when asked questions, but shook her head no, or nodded up and down for yes. On 1/25/22 at 11:59 A.M., an interview was conducted with Resident 32's Responsible Party (RP). The RP stated Resident 32 lost her dentures prior to admission to the facility. The RP stated Resident 32 could eat, but he would like her 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.
- Potential for harm · D2022-01-27 · 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 develop a person-centered care plan regarding refusal of care, for one of eight residents (64) reviewed for individualized care plans. This failure had the potential to deny Resident 64 the care required to meet her daily needs. Findings: Resident 64 was admitted to the facility on [DATE], with diagnoses which included metabolic encephalopathy (an alteration in brain function and mental state), per the facility's admission Record. On 1/25/22 at 12:30 P.M., an observation was conducted in the resident's room. Resident 64 was the only occupant of the room and was asleep. A meal tray was sitting on the overbed table. The untouched meal consisted of scrambled eggs and four slices of toast on a plate. A small carton of orange juice, a container of milk, and a small carton of fortified milk shake (a drink containing extra calories and protein) sat on the tray. All drinks were unopened. On 1/26/22 at 11:45 A.M., an observation was conducted in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-27 · 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 secure a resident's personal medications, including a controlled substance for 1 of 1 resident (Resident 297), reviewed for accidents. In addition, residents and staff were at risk for injuries related to exposed sharps in one of two shower rooms. This failure puts residents at risk for accidents and hazards. Findings: 1. Resident 297 was admitted to the facility on [DATE], with diagnoses that include left hip replacement, per the facility's admission Record. On 1/24/22, a review of Resident 297's MDS (a health status screening and assessment tool), dated 01/20/22, indicated a BIMS (Brief Interview for Mental Status-test for cognitive function) was 15 out of 15, indicating cognition was intact. On 1/24/22 at 4:11 P.M., a concurrent observation and interview was conducted with Resident 297. Resident 297 was in a room with another resident (Resident 58) who was noted to be wandering about their room in a wheelchair, opening and closing 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 · D2022-01-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to administer the appropriate amount of oxygen (O2), ordered by the physician and the oxygen was administered when there was no indication of need, for one of two residents (Resident 62), reviewed for oxygen administration This failure had the potential for Resident 62 to experience hypercapnia (high carbon dioxide levels in the blood). Findings: Resident 62 was admitted to the facility on [DATE], with diagnoses which included chronic obstructive pulmonary disease (COPD-poor gas exchange in the lungs), per the facility's admission Record. On 01/24/22 at 9:19 A.M., and at 11:07 A.M., Resident 62 was observed sitting on the side of her bed with a nasal cannula (a clear plastic tube that delivers oxygen through the nostrils) in her nose. An oxygen condenser (a machine that delivers oxygen) was on the left side of the bed and was set at delivering 3 liters of oxygen per minute (lpm). On 1/25/22 at 8:19 A.M., and at 12:24 P.M., Resident 62 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.
- Potential for harm · Dcited before2022-01-27 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 a residents property was properly secured for one of one sampled resident (Resident 297) when a bag of prescription medications including a narcotic was found in a the residents' room. This failure had potential for health and safety risk to other residents. Findings: Resident 297 was admitted to the facility on [DATE], with diagnoses that include left hip replacement, per the facility's admission Record. On 1/25/22, a review of Resident 297's MDS (health status screening and assessment tool), dated 01/20/22, indicated Resident 297's BIMS (Brief Interview of Mental Status-a test for cognitive function) score was 15 out of 15, indicating an intact cognition. On 1/24/22 at 4:11 P.M., a concurrent observation and interview was conducted with Resident 297. Resident 297 was in a room with another resident who was noted to be wandering about their room in a wheelchair opening and closing the bedside table. Resident 297 had two hospital…
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 before2022-01-27 · tag F0813 — isolatedHave a policy regarding use and storage of foods brought to residents by family and other visitors.
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' food brought into the facility from the outside, was dated and discarded timely. This failure had the potential to cause the spread of food borne illness in the facility if residents consumed spoiled food. Findings: On 1/26/22 at 9:15 A.M., an interview was conducted with LN 3. LN 3 stated residents' food brought into the facility from outside had to be dated so staff would know when it should have been discarded. LN 3 stated food was stored in the refrigerator for up to 72 hours, then discarded. On 1/26/22 at 9:30 A.M., a joint observation was conducted with LN 3 of the residents' food storage refrigerator, located in the facility Conference Room. Inside the refrigerator a plastic shopping bag held a disposable container of meat in a pasta sauce, and a plastic bag with several tamales inside. The shopping bag and disposable containers of food were not dated. A separate disposable container of food (left over salad), sat on the refrigerator shelf, with no date on the container. Another…
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 · D2022-01-27 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to accurately record the amount of food consumed by one of eight residents (64), reviewed for meal intake. This failure had the potential to affect Resident 64's health because the RD and physician were unaware of the resident's lack of food intake. Findings: Resident 64 was admitted to the facility on [DATE] with diagnoses that included metabolic encephalopathy (an alteration in brain function and mental state), per the facility's admission Record. On 1/25/22 at 12:30 P.M., an observation was conducted in the resident's room. Resident 64 was the only occupant of the room. Resident 64 was asleep. A meal tray was placed on the overbed table. A meal of scrambled eggs and four slices of toast was on a dinner plate and untouched. A small carton of orange juice, a small carton of milk and a small carton of fortified milk shake (a drink containing extra calories and protein) sat on the tray. All drinks were unopened. On 1/26/22 at 11:45 A.M., an…
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
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| FLOYD, SUSAN | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 10/07/2014 |
| HASSEL, EVELYN | Individual | W-2 MANAGING EMPLOYEE | since 10/01/2014 |
| BARI, MOHAMMED | Individual | GENERAL PARTNERSHIP INTEREST | since 07/10/2010 |
| ISHAQUE, SALEEM | Individual | GENERAL PARTNERSHIP INTEREST | since 07/10/2010 |
CMS files one row per role, so the 5 rows in the source record cover these 4 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.
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 $825K 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
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 555870. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-17, 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.