College Oak Nursing and Rehabilitation Center

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.

57.9% 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 289 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.3% 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 84 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 120 beds and averages 115.0 residents a day — about 96% occupied, or roughly 5 beds typically open. It runs essentially full — expect a waiting list. 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 4.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.55 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.92 hrs/resident/day on weekends vs 4.49 on weekdays — 13% thinner on weekends. RN hours go from 0.90 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

25 citations, most serious first. The 12 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · J2025-11-20 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 a safe and appropriate discharge was provided to one of three sampled residents (Resident 1), when Resident 1 was not permitted admission to the facility upon return from a day leave and was discharged to her car.This failure resulted in Resident 1's unanticipated discharge and homelessness with no resources, medical care, or information on how to file an appeal.On 10/23/25 at 1:52 p.m. an Immediate Jeopardy (IJ, a situation in which the facility's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) was identified in the presence of the facility's Administrator (Admin). The IJ began on 9/24/25 when the facility failed to reassess or allow readmission to Resident 1 which resulted in Resident 1's homelessness. The Admin was informed of the facility's failure to follow discharge protocols to ensure resident safety and rights were protected.On…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-02-09 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, facility document review, and facility policy review, the facility failed to ensure 1 (Resident #72) of 2 residents reviewed for vision services received treatment to maintain vision abilities. Specifically, the facility failed to obtain an ophthalmology appointment for the treatment of cataracts for Resident #72, who requested multiple times to be seen by a specialist for treatment. This failure resulted in Resident #72's vision worsening. Findings included: A review of a facility policy titled Referrals, Social Services, revised in December 2008, revealed, Social services personnel shall coordinate most resident referrals with outside agencies. The policy revealed, 3. Social services will collaborate with the nursing staff or other pertinent disciplines to arrange for services that have been ordered by the physician. A review of Resident #72's admission Record revealed the facility admitted the resident on 04/15/2022 with diagnoses that included major depressive disorder,…

  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 before2026-05-29 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to provide written notice of bed hold policy upon transfer to one of three sampled residents (Resident 1). When Resident 1 was transferred to an acute care hospital and Resident 1's responsible party (RP) was not given a written notice of the facility's bed hold policy.This failure had the potential for Resident 1 and their RP to not be informed of their rights to return to the facility.A review of Resident 1's progress note dated 5/11/26 indicated, resident was sent to an acute care hospital for treatment via 911 as an emergency transfer.A review of Resident 1's Notice of Transfer/discharge date d 5/11/26 indicated, Resident 1's RP was notified via phone of the transfer. Notice indicated, [RP name] did not give concent [sic] for bed hold via phone. Notice indicated, no signature from RP or indication it was sent to RP.During an interview on 5/29/26, at 12:01 p.m., with the Director of Nursing (DON), DON stated, We did not send a written notification of bed hold for Resident 1's transfer on 5/11/26. DON stated, the facility…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure food was stored, prepared and served in a sanitary manner for a census of 112 when:1.Three bags of food were found unsealed in the freezer, and 2.There was a large buildup of black residue on the inside door jam of the walk-in refrigerator .These failures present a potential risk of foodborne illnesses for residents eating facility prepared meals.Findings:1.During a concurrent observation and interview on 4/6/26 at 8:12 a.m. with the Dietary Supervisor (DS) in the facility kitchen, a plastic bag of 216 biscuits, about 1/3/full, a large bag of 144 enchiladas in an open box and a partial bag of 107 sausage patties were found in unsealed plastic bags, open and exposed to the air and contamination in the facility freezer. DS verified the bags were unsealed and available for use.2. During an observation on 4/6/26 at 8:28 a.m. of the walk-in refrigerator in the facility kitchen, a heavy black residue was observed around the door frame inside the walk-in fridge. There was heavier residue toward the bottom 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0559 — isolated
  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to notify a room change and to provide room transfer assessment for two of 112 sampled residents (Resident 32 and Resident 127) when Resident 127 was moved into Resident 32's room.These failures resulted in both Resident 32 and Resident 127 to be inadequately informed regarding the transfer and did not receive complete assessments following the room change.Findings:Resident 127 was admitted to the facility in December of 2025 with diagnoses which included Diabetes Type II with neuropathy (nerve damage) and Asthma (a condition in which your airways narrow and swell and may produce extra mucus)Resident 32 was admitted to the facility in August of 2023 with diagnoses which included Epilepsy (a type of seizure) and Diabetes Type II.A review of Resident 127's Order Summary Report (ORS) indicated, Resident has capacity to understand choices and make health care decisions.A review of Resident 127's Minimum Data Set (a standardized assessment tool used in nursing homes), dated 3/17/26, indicated Resident 127 had a Brief Interview for…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, observations, and record review the facility failed to manage pain for two of 24 sampled residents (Resident 3 and Resident 136), when Resident 3 and Resident 136 reported significant pain to staff and did not receive their ordered pain medication when requested. This failure led to prolonged pain for Resident 3 and Resident136.Findings:Resident 3 was admitted to the facility in March of 2026 with diagnoses that included epididymitis (inflammation in the sperm-carrying tube at the back of the testicle causing pain and swelling).A review of Resident 3's Minimum Data Set (MDS, an assessment tool used in skilled nursing facilities), dated 3/25/26, indicated Resident 3's Brief Interview for Mental Status (BIMS, an assessment to test cognitive function) was 15, indicating that Resident 3 had no cognitive deficits.A review of Resident 3's, Order Details, dated 3/30/26, indicated, oxyCODONE [medication used to treat moderate to severe pain] HCL [hydrochloride] Oral tablet 10 MG [milligrams, a unit of measurement] Give 1 tablet by mouth every 6 hours as needed for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were properly labeled and stored in accordance with the accepted professional principles and current standard of practice for a census of 112 when an over the counter medication was found stored out of its original package. These failures had the potential for residents to receive medications that were expired and with unsafe or reduced potency.Findings: During a concurrent observation and interview on [DATE] at 1:52 p.m., with Licensed Nurse (LN) 5 on south medication cart, seven cough drops were found in a clear plastic cup and not in their original packaging. LN 5 confirmed the observation. LN 5 stated there were no expiration dates on the cough drops and they should have been in their original packaging. During an interview on [DATE] at 2:04 p.m., with LN 4, LN 4 stated over the counter cough drops needed to be stored in their original package. LN 4 further stated if not stored in the original package, the cough…

  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 · D2026-04-09 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to maintain accurate medical records for one out of 13 sampled residents when Resident 12's Medication Administration Record (MAR, a legal document that list administered drugs) was inaccurate and inconsistent with the Controlled Drug Record (CDR- a paper log of controlled drug removal for administration to resident).This failure placed Resident 12 at risk for medication errors, adverse drug reactions and ineffective drug therapy. Findings: A review of Resident 12's clinical record indicated Resident 12 was admitted March of 2026 with multiple diagnoses which included anxiety disorder and bipolar disorder (mental illness that causes extreme mood swings). A review of Resident 12's active physician's order, dated 4/7/26, indicated, Valium [medication to treat anxiety] Oral Tablet 5 MG [milligrams- unit of measurement] (Diazepam) Give 1 tablet by mouth every 6 hours as needed for Anxiety.A random audit of Resident 12's MAR and the CDR for valium (Diazepam), for March and April 2026, indicated nursing staff did not document valium…

  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 before2025-11-20 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 resident out of three sampled residents (Resident 1) was provided with the required discharge notices, when Resident 1 was discharged from the facility.This failure resulted in Resident 1's denied access for advocacy and information for appeal options before being discharged unexpectedly to her car. Findings:A review of Resident 1's admission Record indicated Resident 1 was admitted to the facility in [DATE] with diagnoses which included a right femur (thigh bone) fracture, history of venous thrombosis (blood clot in the veins of the legs), embolism (when the blood clot breaks off and travels to another part of the body, commonly the lungs), localized edema (swelling from trauma, surgery or thrombosis), and chronic kidney disease (damage and dysfunction to the kidneys).During a review of Resident 1's Minimum Data Set (MDS, federally mandated resident assessment tool), dated [DATE], the MDS indicated Resident 1 was cognitively intact and…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-07 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure accurate accountability of controlled medication when: 1. There was a discrepancy between the Controlled Drug Record (CDR-inventory sheet that keeps record of the usage of controlled medications) and medication blister card (medcard-a type of medication packaging) for Resident 76, Resident 151 and Resident 17. 2. A bottle of morphine sulfate solution (controlled medication [medication with high potential for abuse or addiction] to relieve pain) was not reconciled properly. These failures resulted in the facility not having an accurate accountability of controlled medications, and the potential for abuse or misuse of these medications. Findings: 1. During a medication cart check of the south B medication cart on 2/5/25 starting at 12:20 p.m. with LN 5, controlled medications were reconciled. The following discrepancies were found between the CDR and the medcard: a. Resident 76's CDR for clonazepam (used to treat anxiety-feeling of worry) 0.5 mg (milligram-a unit of measure) indicated there were 28 doses…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-07 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure medication error rate was not less than 5% when the error rate was 17.86% based on five medication errors out of 28 opportunities observed during a medication pass observation for three out of six residents (Resident 7, Resident 204 and Resident 351). This failure resulted in medications not given in accordance with the prescriber's orders or manufacturer's specifications and had the potential to affect the resident's clinical conditions. Findings: 1. During a concurrent medication observation and interview on 2/5/25 at 7:29 a.m. with Licensed Nurse (LN) 3, LN 3 was observed preparing 11 medications for Resident 7, including ArgiMent AT packet (medical food specifically formulated to provide essential nutrients for the dietary management of pressure injuries and wounds). LN 3 emptied the contents of the packet into a Styrofoam cup and mixed it with water without measuring it. At 7:48 a.m., LN 3 went inside the room to give the medication to Resident 7, Styrofoam cup was placed on the overbed table. LN 3…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-07 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and facility policy and procedure (P&P) review, the facility failed to ensure the residents' medications were stored and labeled properly when: 1. An insulin pen did not have an open date on it. 2. Methadone (controlled medication to relieve pain) pills were not stored in their original packaging. 3. A bottle of morphine sulfate solution was not in the correct box and did not have the correct administration instruction on the label. These failures had the potential for medication diversion, medication errors and resident exposure to the expired medication. Findings: 1. During a medication cart check of the south B medication cart on [DATE] starting at 12:20 p.m. with Licensed Nurse (LN) 5, an opened (Brand name)(an insulin pen used to lower blood sugar level) 100 u/ml (unit per milliliter, unit of measurement) was found in the cart. LN 5 confirmed that the (Brand name) pen had been opened and used. During an interview on [DATE] at 10:08 a.m. with Director of Nursing (DON) 1, DON 1…

  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

“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

$9,814 in federal fines across 1 penalty.

• $9,814 — penalty dated 2025-11-20

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 CYPRESS HEALTHCARE GROUP — 13 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 24 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

This home reported $1.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA