The Terraces Of Los Gatos

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

57.3% 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 711 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.6% 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 256 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 0.75 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 59 beds and averages 48.3 residents a day — about 82% occupied, or roughly 11 beds typically open. It usually has some room. 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 4.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.08 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.61 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 4.17 hrs/resident/day on weekends vs 4.95 on weekdays — 16% thinner on weekends. RN hours go from 1.24 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

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

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. 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.

30 citations, most serious first. The 14 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · G2023-11-09 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow physician orders for one of three residents (Resident 1) when: 1. A physician order for Resident 1's use of an abduction pillow (device used to separate the legs and stabilize the hips) was not carried out upon admission to the facility; and, 2. The facility staff failed to transcribe the physician orders for hip precautions (restrictions for after having a total hip replacement), and use of an abduction hip brace (device to maintain correct body alignment and reduce the risk of dislocation) on the Treatment Administration Record (TAR). These failures prevented the Resident 1 from receiving the necessary treatment prescribed by the physician and had the potential for joint repair dislocation, which would jeopardize the rehabilitation of Resident 1. Findings: Review of Resident 1's face sheet (brief summary of a resident's important information) indicated she was admitted on [DATE] with diagnoses including aftercare following joint replacement…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-08-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 interview and record review, the facility failed to ensure one of three residents (Resident 1) received necessary care and services to achieve and maintain her highest practicable health and well-being when: 1. Staff did not develop an individualized resident-centered care plan to address Resident 1's use of a CAM (controlled ankle movement) boot, 2. Licensed nurses did not follow-up with the physician for clarification of instructions for Resident 1's CAM boot, 3. Licensed nurses did not assess and monitor Resident 1's surgical incision on the right ankle, and 4. Licensed nurses did not follow the manufacturer's guidelines to perform circulation checks for the CAM boot that was applied by Resident 1's orthopedic surgeon. These failures negatively affected the Resident 1's health and well-being when her right foot developed two deep tissue injuries (DTI, injury to underlying tissue below the skin's surface that results from prolonged pressure in an area of the body). Findings: Review of Resident 1's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-12-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 follow their pressure ulcer (PU, ijuries to skin and underlying tissue resulting when soft tissue is compressed between a bony prominence and an external surface for a long period of time) prevention policy for one of two sampled residents (Resident 16) with a PU. The facility did not plan for or implement the intervention to protect Resident 16's left heel from undue pressure by keeping it off of the bed. This failure resulted in Resident 16 developing a facility-acquired Stage III PU (involves full-thickness skin loss and extends into the tissue beneath the skin, forming a small crater) on his left heel. Findings: Review of Resident 16's clinical record indicated he was admitted to the facility on [DATE] with diagnoses of rhabdomyolysis (a serious syndrome due to muscle injury which results in the death of muscle fibers and their release into the bloodstream) and Type II diabetes (a chronic condition which affects the way the body…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to plan for and implement new post-fall interventions to prevent falls for one of six sampled residents (Resident 4) with falls. These failures resulted in Resident 4 falling six times between 4/17/19 and 8/15/19, and on the sixth fall, Resident 4 sustained a right hip fracture. Findings: A review of Resident 4's clinical record indicated diagnoses of dementia (decline in mental abilities and memory affecting judgment and behavior), muscle weakness, difficulty in walking and intracapsular fracture of right femur (occurs when the top part of the femur (leg bone) is broken; the ball on the top of the femur has broken off at its junction within the hip joint). A review of Resident 4's general acute care hospital (GACH) emergency department History and Physical (H&P) dated 8/16/19, indicated Resident 4 was admitted to the GACH for treatment of a right hip fracture resulting from a fall on 8/15/19. A review of Resident 4's Progress Notes (PN) 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 care and services were provided in accordance with professional standards of practice for one of three sampled residents (Resident 1) when there was no documentation that licensed nurses notified the physician that Resident 1 did not receive multiple medications. Failure to notify the physician had the potential to result in additional orders not being received and carried out as needed. Findings: Review of Resident 1 ' s medical record indicated Resident 1 was admitted to the facility on [DATE] at 9:20 p.m. Resident 1 had diagnoses including osteomyelitis (a bone infection), Parkinson ' s Disease (a disorder of the nervous system that affects movement), dementia (a mental disorder caused by brain disease or injury), duodenal ulcer (a sore in part of the intestine), and gout (a type of arthritis [joint tenderness and swelling] that causes pain and stiffness). Review of Resident 1 ' s medication administration record (MAR), dated 1/2024,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-21 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to administer medications as ordered for one of three sampled residents (Resident 1) because the medications were not available in the facility. This failure had the potential to compromise Resident 1 ' s health and well-being. Findings: Review of Resident 1's medical record indicated Resident 1 was admitted to the facility on [DATE] at 9:20 p.m. Resident 1 had diagnoses including osteomyelitis (a bone infection), Parkinson ' s Disease (a disorder of the nervous system that affects movement), dementia (a mental disorder caused by brain disease or injury), duodenal ulcer (a sore in part of the intestine), and gout (a type of arthritis [joint tenderness and swelling] that causes pain and stiffness). Review of Resident 1's medication administration record (MAR), dated 1/2024, indicated Resident 1 was scheduled to receive the following medications: 1.) Amlodipine (medication used to treat high blood pressure) 5 milligrams (mg, unit of dose measurement) to be…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-11-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop an individualized resident-centered care plan to address Resident 1's physician orders for total hip precautions (restrictions for after having total hip replacement) and use of an abductor (to position the leg away from the midline of the body) hip brace. These failures had the potential to result in the inability to identify Resident 1's individualized care issues and implement person-centered care. Findings: Review of Resident 1'sface sheet (brief summary of a resident's important information) indicated she was admitted on [DATE] with diagnoses including aftercare following joint replacement surgery, presence of right artificial hip joint, dementia (a decline in mental capacity affecting daily function), difficulty in walking, muscle wasting and atrophy (decrease in size). Review of Resident 1's Minimum Data Set (MDS, an assessment tool), dated 2/11/23, indicated she had a BIMS (Brief Interview for Mental Status) score of 6 (a score of 0 to…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-14 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 when: 1. Staff did not implement the facility's policy for four of seven residents (Residents 163, 166, 59 and 209) with pacemakers or automatic implantable cardioverter-defibrillators (surgically implanted devices that help control the heartbeat); and 2. Staff did not implement the facility's protocol after discovering a skin discoloration for one of 13 sampled residents (Resident 24). These failures had the potential to negatively affect the residents' health, safety and well-being. Findings: 1a. Review of Resident 163's medical record indicated he was admitted on [DATE] and had the diagnosis of heart failure (the heart does not pump blood as well as it should). During an interview with Resident 163 on 11/10/22 at 10:23 a.m., he stated he had a pacemaker and that he has had it for several years. Resident 163's family member, who was present during this…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-14 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to monitor the side effects related to the use of Eliquis (an anticoagulant [blood thinner] medication that interrupts the formation of blood clots) for three of 13 sampled residents (Residents 11, 16 and 6). This failure had the potential to affect the residents' physical well-being while in the facility. Findings: 1. Review of Resident 11's clinical record indicated he was admitted on [DATE] and had the diagnosis of atrial fibrillation (irregular heart rate). Review of Resident 11's Physician's Order Sheet, dated November 2022, indicated, Eliquis 2.5 milligrams (mg, unit of measurement) tablet oral two times daily. Review of Resident 16's clinical record indicated he was admitted on [DATE] and had the diagnosis of atrial fibrillation. Review of Resident 16's Physician's Order Sheet, dated November 2022, indicated, Eliquis 2.5 mg tablet oral every 12 hours. During an interview and concurrent record review with the nurse supervisor (NS) on 11/10/22 at…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-11-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to store, prepare, and serve food under sanitary conditions when: 1. Two kitchen personnel were not wearing hair nets and one kitchen staff's hair was not completely covered; 2. Thawed chicken in the walk-in refrigerator was undated; 3. Dried tomatoes were not discarded by the good thru date on the label; 4. A box of popcorn kernels in the dry storage was not tightly sealed; and 5. Wild rice and a bottle of mayonnaise did not have an expiration date on the label. These failures had the potential to cause food borne illnesses to the residents in the facility. Findings: 1. During an observation on 11/7/22 at 8:50 a.m., the dietary manager (DM) and dietary director (DD) were not wearing hair nets while in the kitchen. During another observation on 11/9/22 at 9:50 a.m., a kitchen staff (KS) only placed the hairnet on the crown of his head, which did not effectively cover all his hair. During an interview with the registered dietitian (RD) 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to implement infection control and prevention practices when: 1. Certified nursing assistant A (CNA A) was not screened for Coronavirus Disease 2019 (COVID-19, a contagious viral infection that can cause severe respiratory symptoms) before entering the facility and providing resident care; 2. Staff did not perform hand hygiene and medical equipment sanitization during medication pass; 3. Staff did not change gloves between tasks; and 4. Staff did not change Q-tips and did not label a dressing during wound treatment. These failures had the potential to result in transmission and spread of infection in the facility. Findings: 1. During an observation on 11/7/22 at 10:54 a.m., CNA A was in Resident 60's room assisting her back into bed. Review of the facility's Nursing Assignment Sheet, dated 11/7/22, indicated CNA A was assigned to provide care for seven residents. Review of the facility's COVID-19 screening log, dated 11/7/22, indicated there was no documentation that CNA A was screened for COVID-19 prior 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-11-14 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 implement its written policies and procedures for reporting and investigation of allegations of abuse for one of 13 sampled residents (Resident 1) when Resident 1's abuse allegation was not reported and investigated. These failures had the potential to result in the abuse recurrence to residents in the facility. Findings: Review of Resident 1's clinical record indicated she was an elderly female and admitted on [DATE] with the diagnoses of Alzheimer's disease (progressive disease that destroys memory and other important mental functions), dementia (loss of memory) with behavioral disturbances, chronic obstructive pulmonary disease (COPD, lung disease that causes obstructed airflow), history of transient ischemic attack (TIA, temporary blockage of blood flow to the brain), generalized muscle weakness, chronic atrial fibrillation (irregular heartbeat), presence of prosthetic heart valve (designed to replicate the function of native valves by maintaining…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-11-14 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to accurately complete the discharge Minimum Data Set (MDS, an assessment tool) for one of three residents (Resident 57). Failure to accurately assess had the potential to compromise the facility's ability to provide resident-centered discharge care planning and interventions for the resident. Findings: Review of Resident 57's discharge summary report indicated he was discharged to an assisted living facility (ALF) on 8/13/22. During an interview with registered nurse D (RN D) on 11/9/22 at 1:42 p.m., she verified that Resident 57 was discharged to an ALF on 8/13/22. Review of Resident 57's discharge MDS, dated [DATE], indicated he was discharged to the acute hospital. During an interview and concurrent record review with the director of nursing (DON) on 11/9/22 at 4:43 p.m., the DON confirmed the coding for Resident 57's discharge MDS was incorrect. The DON verified Resident 57 was discharged to an ALF, not to the acute hospital. The DON explained there…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2022-11-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to completely assess two of 13 sampled residents (Residents 1 and 209) after fall incidents when: 1. For Resident 1, the facility did not do fall risk assessments after two falls; and 2. For Resident 209, the facility did not complete post-fall assessments after three falls. These failures had the potential to increase the recurrence of falls and to compromise the facility's ability to anticipate and implement interventions to prevent future falls. Findings: 1. Review of resident 1's clinical record indicated she had falls on 1/21/22, 3/17/22, 7/30/22 and 10/31/22. There was no documentation that the facility did fall risk assessments after Resident 1 fell on 1/21/22 and 3/17/22. Further review of Resident 1's clinical record indicated she was an elderly female with the diagnoses of Alzheimer's disease (progressive disease that destroys memory and other important mental functions), dementia (loss of memory) with behavioral disturbances,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$32,487 in federal fines across 2 penalties.

• $8,190 — penalty dated 2023-11-09
• $24,297 — penalty dated 2023-08-22

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

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

CMS files one row per role, so the 41 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.6M 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.

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