Vi At Palo Alto
600 Sand Hill Road, Palo Alto, CA 94304 · For profit - Limited Liability company · 44 certified beds · (650) 853-5001 Medicare only — no Medicaid
The public record raises real questions here. Weigh the concerns below carefully.
- 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 payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (20% vs 45% nationally) — better care continuity
- it has 1 actual-harm citation
- a high number of inspection citations overall (19) — 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) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 16.4% | 10.2% | 15.4% | typical |
| Long-stay residents who lose too much weight | 8.5% | 4.0% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.8% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.2% | 1.2% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 7.3% | 6.5% | check this* — see note marked star 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 | 15.0% | 9.8% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 4.1% | 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 | 1.4% | 4.3% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 2.7% | 10.2% | 21.2% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 9.1% | 12.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.5% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 93.2% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 13.4% | 23.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.2% | 11.2% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.94 | 2.25 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.25 | 1.57 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
67.6% 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 602 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 52.3% 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 218 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 0.71 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 22% 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 | 67.6%CMS range 65.3–70.5 | 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 | 7.5%CMS range 5.6–10.4 | 10.7% | Oct 2022–Sep 2024 | better than 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 | 52.3% | 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 | 31.6% | 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 | 53.7% | 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 | 99.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 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 | 0.4% | 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 | 0.4% | 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 | 4.7%CMS range 3.0–7.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.70 | 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 44 beds and averages 35.7 residents a day — about 81% occupied, or roughly 8 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 6.10 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.32 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 5.46 hrs/resident/day on weekends vs 6.36 on weekdays — 14% thinner on weekends. RN hours go from 1.87 to 1.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 20% 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.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Actual harm · Gcited before2024-03-22 · 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 interview and record review, the facility failed to provide adequate assessment and supervision to prevent an accident for one of three residents (Resident 1) when physical therapy (PT, a healthcare profession that helps you move better or strengthen weakened muscles) did not follow physician's orders to assess Resident 1's functional ability level upon admission and develop a resident-centered plan of care. This resulted in Resident 1's fall, head injuries, multiple fractures, and subsequent death. Findings: Review of Resident 1's face sheet (a document that gives a resident's information at a quick glance) indicated Resident 1 was admitted to the facility on [DATE] with diagnoses of dementia (loss of memory, language, problem-solving and other thinking abilities severe enough to interfere with daily life), congestive heart failure (heart muscle does not pump blood as well as it should), atrial fibrillation (irregular heartbeat), osteoporosis (condition that causes the bones to become brittle and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-01-26 · 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 Kitchen Staff F (KS F) used proper technique when testing sanitizer concentration for cleaning food contact surfaces. This failure had the potential to increase the risk of contamination and exposure to food borne illness for 37 residents in the facility.Findings: During a kitchen observation on 1/22/26, at 10:10 a.m., KS F was observed checking the sanitizer bucket used for cleaning food contact surfaces. KS F dipped the sanitizer test strip into the sanitizer solution and immediately removed the test strip. KS F did not allow the test strip to remain in the solution for the required contact time. According to the manufacturer's instructions on the Hydrion QT-40 sanitizer test strips indicated: Immerse for 10 seconds During an interview and concurrent review on 1/22/26 at 2:40 p.m., the Registered Dietitian (RD) was informed of the observation related to improper testing of the sanitizer bucket. The RD confirmed that the manufacturer's instructions on the Hydrion test strips require 10 second immersion…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-26 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure comprehensive care plans were developed and revised timely for two of 12 sampled residents (Residents 30 and 7) when: 1.Resident 30's Care Plan indicated Full Code and the physician's order indicated DNR;2a.Resident 7's Care Plan indicated Full Code and the POLST indicated DNR; and2b.Resident 7's Care Plan did not indicate self-administration of medication. These failures had the potential to affect the provision of care. Findings: Review of Resident 30's Physician Order Report, dated [DATE] to [DATE], indicated Resident 30's code status was Do Not Resuscitate/Do Not Intubate (DNR, no CPR/chest compressions if the heart stops; DNI means no breathing tube or ventilator if breathing stops). Review of Resident 30's Care Plan, date [DATE], indicated the resident's code status was Full Code (all possible life-saving measures, including cardiopulmonary resuscitation (CPR) and other medical interventions, should be used in the event of 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 · D2026-01-26 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to act upon the pharmacy consultant's medication regimen review recommendation for one of 12 sampled residents (Resident 1). This failure had the potential to affect the safety and management of the resident's medication regimen. Findings: Review of Resident 1's clinical record indicated diagnoses including benign prostatic hyperplasia (BPH, enlargement of the prostate gland). Review of Resident 1's Physician Orders, dated 12/23/25 through 1/23/26, indicated an order for Tamsulosin (medication that helps relax prostate and bladder) 0.4 milligrams (mg, unit of weight) one capsule by mouth twice a day for BPH. Review of Resident 1's admission Medication Regimen Review, dated 12/26/25, indicated the consultant pharmacist recommended updating the instructions to Tamsulosin 0.4 mg, take two capsules (0.8 mg) by mouth once daily, to be administered 30 minutes after the evening meal, and that the capsules should not be crushed, chewed, or opened. During a concurrent interview and record review on 1/23/26 at 3:30 p.m., the Director…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-26 · 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 record review, the facility failed to ensure proper medication storage and labeling of medications when inspection of two of three medication carts identified an insulin pen without a visible resident's name on it. This failure had the potential for the unlabeled insulin to be administered to the wrong resident. Findings:Findings: During an inspection of Medication Cart #3 on 1/26/26 at 10:59 a.m. with Registered Nurse (RN) C, an insulin pen (a pre-filled pen containing insulin to lower blood sugar) was identified opened and did not have resident specific labeling on it. RN C verified this finding and acknowledged it should have a label to indicate the name of the resident. During an interview on 1/26/26 at 3:26 p.m. with the Director of Nursing (DON), the DON confirmed the insulin pen did not have a resident specific label. The DON stated the resident specific label is only placed on the box of insulin pens when delivered from the pharmacy and stored in the refrigerator in the Medication Room. The DON confirmed one pen would be removed from 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 before2026-01-26 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented when the shared glucometer was not sanitized and disinfected for one out of two sampled residents. This failure could result in cross-contamination and the spread of infection throughout the facility.Findings: During a medication pass observation on 1/22/26 at 11:27 a.m., Licensed Vocational Nurse (LVN) A was observed returning the glucometer to the medication cart drawer after obtaining the blood sugar reading for Resident 1 without disinfecting it. During an interview on 1/22/26 at 11:20 a.m., LVN A stated she was supposed to use the Sani-Cloth (a germicidal disinfectant) wipes to disinfect the glucometer to prevent the spread of infection between residents. LVN A stated, It's usually sanitized after every resident but I forgot. During an interview on 1/26/26 at 11:41 p.m. with the Infection Preventionist (IP), the IP stated the nurses should sanitize before and after use of the glucometer with the Sani-Cloth wipes. The IP explained the disinfection…
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 · E2024-08-23 · tag F0700 — patternTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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 restraint protocol and ensure the proper use of side rails or bed canes (adjustable rigid bars attached to the side of a bed) for nine (Residents 1, 12, 22, 26, 32, 33, 191, 243, and 246) of 24 residents (residents who used side rails or bed canes) when: 1. Resident 1 there was no physician order, side rail assessment, consent, or care plan for the use of side rails; 2. For Resident 243 there was no physician order or care plan for the use of bed canes; 3. For Resident 246 there was no physician order for the use of bed canes; 4. For Resident 191 there was no physician order or care plan for the use of bed canes; 5. For Resident 12 there was no physician order or consent for the use of bed canes; 6. For Resident 22 there was no consent for the use of bed canes; 7. For Resident 33 there was no consent for the use of bed canes; 8. For Resident 32 there was no consent for the use of bed canes; and 9. For Resident 26 there was no…
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 before2024-08-23 · 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 food was stored in accordance with professional standards for food safety when: 1. There was an opened undated food item in the pantry freezer; 2. There were open and undated food items, and unopened food items with no expiration dates in the dry storage area of the main kitchen. These failures had the potential to cause food contamination and food-borne illness to 37 of 37 residents who received their food from the kitchen. 1. During an initial kitchen tour on 8/19/24 at 9:20 a.m., accompanied by the Executive Chef (EC), inside the reach-in freezer there was an opened, undated container of mango sorbet. The EC confirmed the sorbet was opened and not dated and he stated all items should have been dated when opened. The EC stated the mango sorbet must be discarded. 2. During a continuation of the initial kitchen tour on 8/19/24 at 9:45 a.m., accompanied by the EC, an inspection of the main kitchen dry storage area was conducted. There was a box labeled Green French Lentils which contained an opened bag…
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 · D2024-08-23 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and policy review, the facility failed to protect the rights of residents to confidentiality of protected health information (PHI, any information in the medical record that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service) when staff members left the computer screen open and unattended in the hallways of resident care areas. This deficient practice had the potential to compromise the rights of the residents to privacy and confidentiality. Findings: During an observation on 8/19/24 at 1:00 p.m., a rolling cart containing an open laptop computer was left unattended in the hallway outside of a resident's room. The laptop computer was on and the screen displayed information about multiple residents. On 8/19/24 at 1:08 p.m., certified nursing assistant A (CNA A) returned to the computer. When CNA A was asked about the resident information visible on the screen, CNA A stated she was working on that computer then left to answer a call light and did not close the laptop. CNA 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 · D2024-08-23 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility failed to provide appropriate pharmaceutical services when there were discrepancies between the controlled drug (those with high potential for abuse and addiction) record (CDR, an inventory/accountability sheet) and the medication administration record (MAR) for two out of two residents (Residents 140 and 26). This failure resulted in the facility not having accountability of controlled medications, which had the potential for misuse or diversion. Findings: During the survey, two random CDRs for two residents (Residents 140 and 26) were requested for review. On 8/22/24 at 11:00 AM, a review of the residents' physician orders, the CDRs and MARs indicated the following: 1. Resident 140 had a physician order, dated 8/5/24 for oxycodone (pain medication) 5 milligrams one tablet ever 4 hours PRN (as needed) for mild to moderate pain. Resident 140 had two instances initially noted to be in the CDR but not documented as given in the MAR: On 8/19/24 at 12:40 a.m., 8/19/24 at 8:40 a.m. and 8/20/24 at 8:40 p.m. 2. Resident 26 had…
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 · D2024-08-23 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, the facility had a facility medication error rate of 7.59% when two medication errors occurred out of 26 opportunities during medication administration for two out of 5 residents (Resident 21 and Resident 32). This failure resulted in medication not given in accordance with the prescriber's orders which resulted in residents not receiving the full therapeutic effects of the medications. Findings: 1. During a concurrent medication pass observation and interview on 8/19/24 at 11:00 AM with registered nurse (RN) C , RN C administered Timolol (an eye drop medication) to Resident 21, one eye drop in each eye. RN C then administered Simbrinza (another eye drop medication) one eye drop in Resident 21's left eye without waiting 5 minutes after giving the Timolol. RN C stated I should have wait 5 minutes before giving the other eye drop. During an interview with the director of nursing (DON) on 8/22/24 at 11:45 a.m., the DON stated she expects staff to wait 5 minutes between eye drops if residents get more than one eye drop. A review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · Dcited before2024-08-23 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement infection prevention and control practices for two out of two sampled residents when: 1) A Licensed Vocational Nurse E (LVN E) did not disinfect a glucometer after using it to test a resident's blood sugar (Resident 32). 2) A Registered Nurse C (RN C) did not scrub the hub (an endcap) at the end of a peripherally-inserted central catheter (PICC, a type of tube that goes directly to the heart) line for 15 seconds before flushing the PICC line with normal saline solution and before connecting the intravenous (IV) drug tubing to the PICC line (Resident 191). 3) RN D did not wear gloves when removing a medicated patch from a resident's chest, then did not wear gloves or perform hand hygiene when applying a new medicated patch to the resident's chest (Resident 15). These deficient practices had the potential to result in transmission of infection causing agents to the residents in the facility. Findings: 1. During a concurrent…
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 before2024-02-15 · 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
Based on interview and record review, the facility failed to ensure an environment free of accidents when one of three sampled residents (Resident 1) fell during mechanical lift transfer. This failure resulted in Resident 1 sustaining lots of bruises to the body and had been feeling fearful during transfers. Findings: During a review of Resident 1 ' s activity of daily living (ADL) care plan (CP) dated 1/31/20, the CP indicated Resident 1 had self-care deficit and decreased physical mobility due to generalized weakness, may use Hoyer lift (a mechanical lift with a sling) for transfer with two people assist. During a review of Resident 1 ' s minimum data set (MDS, a clinical assessment) dated 10/28/23, the MDS indicated Resident 1 ' s brief interview of mental status (BIMS, a brief cognitive screening measure that focuses on orientation and short-term word recall) score 12, which indicated Resident 1 was cognitively intact. During an interview on 2/7/24 at 1:15 p.m. with Resident 1, the resident stated the CNA [certified nursing assistant] was trying to transfer her from the chair 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 · D2023-08-15 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide the resident and /or their representative with a summary of the care plan for one of three sampled residents (Resident 1). This failure had the potential to limit communication concerning the resident's needs and development of a person-centered plan of care. Findings: A review of Resident 1's July 2023 clinical record, the clinical record indicated Resident 1 was admitted on [DATE] with diagnoses including malignant neoplasm of the endometrium (a type of cancer that starts in the lining of the uterus). During a concurrent interview and record review with the Nurse Supervisor (NS) on 8/15/2023 at 12:56 p.m., no document indicated that Resident 1 had received a summary of the baseline care plan. The NS reviewed Resident 1 clinical record and confirmed she did not see any documentation that Resident 1 had received the baseline care plan. The NS stated the licensed nurses should provide the baseline care plan to Resident 1 to sign and keep a copy…
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 before2023-03-17 · 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 document review, the facility failed to ensure food was stored and prepared under sanitary conditions when: 1. There were unlabeled and undated food items in the kitchen refrigerator and blast chiller (equipment that quickly lowers food temperature); 2. There were dented cans of food in the dry storage area of the kitchen; 3. There was a black substance on the inside of one out of two ice machines; and 4. Kitchen attendant B (KA B) did not follow printed instructions when testing the surface sanitizer (solution used to kill microorganisms on kitchen surfaces). These failures had the potential to cause food contamination and illness for all residents who received food from the kitchen (34 of 35 residents). Findings: 1. During a kitchen observation on 3/13/23 at 9:13 a.m., accompanied by the executive chef (EC), the refrigerator designated for the skilled nursing facility (SNF) was inspected. There was one medium-sized metal container filled with a dark red liquid. The container was not labeled with any dates or the name of the food item. The EC…
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 · D2023-03-17 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 and/or document restorative nursing assistant (RNA) treatments for one of five sampled residents (Resident 26). This failure had the potential to result in functional decline for Resident 26. Findings: Review of Resident 26's medical record indicated he was admitted on [DATE] and had the diagnoses of atrial flutter (a condition in which the upper chambers of the heart beat too quickly), chronic obstructive pulmonary disease (COPD, a condition of the airways that causes difficulty breathing), and Parkinson's Disease (a nervous system disease that causes muscle rigidity and tremors). During an interview with Resident 26's family member (FM) on 3/14/23 at 12:34 p.m., the FM stated staff have provided Resident 26 with RNA treatments, but the treatments were sporadic. Review of Resident 26's Order History indicated he had a physician's order for RNA treatments from 9/15/22 to 12/15/22. The order indicated the RNA was to ambulate (walk) Resident 26…
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 · D2023-03-17 · 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 oxygen in accordance with professional standards of practice for one of two sampled residents (Resident 5), when her oxygen humidifier bottle (a bottle filled with water connected to the oxygen source to keep the airways moist) was empty and oxygen humidifier bottle was not changed weekly. These failures had the potential to affect the residents' health and safety. Findings: Review of Resident 5's clinical record indicated she was admitted to the facility on [DATE] with diagnoses including idiopathic sleep related nonobstructive alveolar hypoventilation (a rare disorder in which a person does not take enough breaths per minute), sleep-related hypoxia (low levels of oxygen in the body tissues), and hypoxemia (when oxygen levels in the blood are lower than normal). Review of Resident 5's clinical record indicated she had a physician's order, dated 2/22/23, to administer oxygen at 2 - 5 liters per minute (LPM, oxygen flow rate)…
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 before2023-03-17 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented for two of 12 sampled residents (Resident 5 and 24) when: 1.The licensed nurse irrigated the left and right nephrostomy (an artificial opening created between the kidneys and the skin to facilitate urine drainage) tubes with one syringe; and 2.The licensed nurse did not perform hand hygiene between tasks. These failures had the potential for the development and the spread of infections in the facility. Findings: 1. A review of the Resident 24's physician orders indicated Resident 24 was admitted to the facility on [DATE] with diagnoses including malignant neoplasm of the prostate (Cancer in a man's prostate), urinary tract infection(an infection in any part of the urinary system), streptococcal infection (a type of bacteria that can cause skin, soft tissue, and respiratory tract infections), and artificial openings of urinary tract status-Nephrostomy status. During a concurrent…
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 · D2023-03-17 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
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 the antibiotic stewardship program (program intended to prevent the overuse of antibiotics) for one of three sample residents (Resident 26). Resident 26 received a course of antibiotics, but did not meet the criteria for antibiotic treatment. This failure had the potential to increase the prevalence of multi-drug resistant organisms in the facility. Findings: Review of Resident 26's medical record indicated he was admitted on [DATE] and had a history of urinary tract infection (UTI) and long-term use of antibiotics. Further review of the medical record indicated Resident 26 did not have an indwelling catheter (flexible tube inserted and left in the bladder to drain urine). Review of Resident 26's Progress Notes, dated 1/29/23, indicated he had increased confusion. The notes further indicated Resident 26's physician ordered a urinalysis with culture and sensitivity (UA/C&S, a urine test to determine if bacteria is present and which antibiotics…
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.
Part of a chain
This home belongs to VI LIVING — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.4 | +0.6 vs chain |
| Health inspection | 4 of 5 | 4.0 | ≈ chain avg |
| Staffing | 5 of 5 | 5.0 | ≈ chain avg |
| Quality measures | 5 of 5 | 4.7 | +0.3 vs chain |
The other 8 homes this chain runs (chain average 4.4★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| MARGOT AND TOM PRITZKER FOUNDATION | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | since 05/22/2025 |
| P. G. - DANIEL TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 01/01/2012 |
| P. G. - DON #3 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 01/01/2012 |
| P. G. - JIM TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 01/01/2012 |
| P. G. - JOHNNY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 01/01/2012 |
| P. G. - KAREN TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 01/01/2012 |
| P. G. - LINDA TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 01/01/2012 |
| P. G. - NICHOLAS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 01/01/2012 |
| P. G. - TONY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 01/01/2012 |
| PRITZKER PUCKER FAMILY FOUNDATION NO. 2 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 05/22/2025 |
| COPE, TARA | Individual | CORPORATE DIRECTOR | — | since 06/01/2018 |
| MASLOW, CARY | Individual | CORPORATE DIRECTOR; ADP OF THE SNF | — | since 08/01/2019 |
| MUSZYNSKI, THOMAS | Individual | CORPORATE DIRECTOR | — | since 06/01/2022 |
| BOYLE, NEAL | Individual | CORPORATE OFFICER | — | since 02/14/2020 |
| FOWLER, STEVEN | Individual | CORPORATE OFFICER | — | since 10/11/2024 |
| HIBBS, ALEXANDER | Individual | CORPORATE OFFICER | — | since 11/10/2022 |
| CLASSIC RESIDENCE MANAGEMENT LIMITED PARTNERSHIP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/11/2025 |
| ALVES, VALERIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/10/2022 |
| EVRAETS, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/31/2020 |
| FADEM, ANDREA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/23/2021 |
| HALVAEI, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/06/2025 |
| HUSSAIN, YUSRA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/23/2008 |
| KOSELAK, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/16/2016 |
| KOSZYLKO, TOMEK | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/18/2018 |
| WILLIAMS, BRIDGET | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/01/2022 |
| POORMAN, JOHN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/28/2025 |
| SMITH, GARY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 07/11/2025 |
CMS files one row per role, so the 37 rows in the source record cover these 27 parties — each is shown once here with every role it holds. Nothing is omitted.
11 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 $1.3M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
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
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the California Medicaid page for homes that do.
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 555835. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-26, 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.