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San Francisco Health Care

1477 Grove Street, San Francisco, CA 94117 · For profit - Corporation · 168 certified beds · (415) 563-0565 Medicare & Medicaid certified

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Abuse/neglect citation on record (F0602) — cited Apr 20261 immediate-jeopardy citation$152,404 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Apr 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $152,404 in federal fines (most recent 2025-02-28)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2425 Geary Blvd · (415) 260-2806 · Call to confirm hours
Pharmacy
1750 Fulton St · (415) 923-6411 · Call to confirm hours
Grocery
550 Divisadero St · (415) 551-7900 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased7.4%10.2%15.4%better
Long-stay residents who lose too much weight4.1%4.0%5.4%better
Long-stay residents with a catheter left in their bladder4.6%0.8%0.9%worse
Long-stay residents with a urinary tract infection2.6%1.2%2.0%worse
Long-stay residents with depressive symptoms0.5%7.3%6.5%better
Long-stay residents who were physically restrained0.0%0.4%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.4%1.6%3.3%better than state — see note marked double-dagger below the table
Long-stay residents whose ability to walk worsened8.1%9.8%16.1%better
Long-stay residents on antianxiety or hypnotic medication2.4%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine99.0%98.2%95.3%typical
Long-stay residents with pressure ulcers5.1%4.3%4.7%typical
Long-stay residents with worsening bladder/bowel control3.7%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 table6.3%12.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine64.4%93.2%79.4%worse
Short-stay residents rehospitalized after admission23.9%23.0%22.6%typical
Short-stay residents with an outpatient ER visit21.1%11.2%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.182.251.67worse
Long-stay outpatient ER visits per 1,000 resident days2.151.571.80worse

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.

50.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 114 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.6%U.S. median 51.5%
Got home and stayed home
9.6%U.S. median 10.7%
Went back to hospital
0.26U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF50.6%CMS range 41.2–59.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.6%CMS range 6.2–14.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified23.1%98.7%Oct 2024–Sep 2025CMS 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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.5%CMS range 4.0–11.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.261.02Oct 2022–Sep 2024CMS 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

0.75
RN hours/ resident / day
0.44
LPN hours/ resident / day
2.59
Aide hours/ resident / day
3.79
Total nurse hours/ resident / day
0.71
RN hoursweekends
40.2%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 168 beds and averages 152.9 residents a day — about 91% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.79 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 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 3.57 hrs/resident/day on weekends vs 3.88 on weekdays — 8% thinner on weekends. RN hours go from 0.77 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 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

12
deficiencies at the latest standard inspection (2025-02-28)
12
at the previous standard inspection (2024-01-22)

Deficiencies are unchanged from the previous inspection. 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.

ABCDEFGHIJKL

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.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2024-01-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and facility policy review, the facility failed to implement measures to prevent Resident #76 from having unsupervised access to smoking materials, including lighters, cigarettes, and marijuana. This failure affected 1 (Resident #76) of 5 total residents identified by the facility as smokers. The facility allowed Resident #76 to have unsupervised visits with Visitor #28, who repeatedly provided the resident with smoking materials despite having been educated on the facility's smoking policies multiple times. After the facility had educated both Resident #76 and Visitor #28 on the facility's smoking policies, the resident and visitor continued to be noncompliant. The facility had assessed Resident #76 as requiring supervision while smoking and the facility was required to store all of the resident's smoking materials due to non-compliance with the facility's smoking policy, including a history of smoking inside the facility and in non-designated smoking areas. It was determined the provider's non-compliance with one or more…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2025-02-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to identify environmental hazards, implement interventions, and maintain assistive device (refers to any item including wheelchair and walker, that is used by, or in the care of a resident to promote, supplement, or enhance the resident's function and/or safety) in good working condition for two of 22 sampled residents (Resident 25 and Resident 73) when: 1. A fall mat was placed on the floor between Resident 25 in bed A and his roommate in bed B obstructing the path and safe passage. As a result, Resident 25 tripped, fell onto the floor and sustained a right hip fracture requiring surgical repair. Resident 25 was re-admitted to the facility status post (s/p-a medical or clinical shorthand that refers to a state after an intervention) right hip hemiarthroplasty (a surgical procedure that replaces the femoral head (ball) of the right hip joint with an artificial implant). 2. A missing arm rest padding on Resident 73's wheelchair was not…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2025-02-28 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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, for Residents 3, one of two residents with weight loss out of a total sample of 22 residents, the facility did not: 1. Provide 1:1 assistance/support during meals as ordered by the physician. 2. Monitor percentage of supplement eaten. 3. Offered alternatives/other interventions during poor meal intake. 4. Implement a meal monitoring system that could distinguish between 0-25% intake for residents at risk for poor intake. 5. Use meal intake data to investigate refusals, assess food preferences, and/or identify other issues. 6. Assess for food preferences. This resulted in a 24.4% weight loss for Resident 3 within a six months period. Findings: Review of Resident 3's medical record titled Minimum Data Set (MDS, a standardized resident assessment tool), dated 02/07/2025, indicated she sometimes understood others and had long and short-term memory problems. Her MDS indicated there were no rejection of care. Review of Resident 3's records titled Progress Notes,…

    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 · D2026-04-28 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 inventory and secure personal properties for Residents 1, 2, 3, and 4. These failures resulted in missing properties for Residents 1 and 2 and inaccurate and/or missing inventory lists for Residents 3 and 4.Findings: During a concurrent inventory observation, interview, and record review with the Director of Nursing (DON) on 4/9/26 at 11:00 AM these issues were identified:The DON looked at Resident 3's medical records and stated Resident 3 was admitted on [DATE]. Observation/audit of Resident 3's inventory found one woman's housedress with a woman's name and room number on the inside of the dress under the collar.The DON looked at Resident 4's medical records and stated he was admitted on [DATE]. A search of Resident 4's electronic medical records found no inventory sheet and a search of his physical chart at the nursing station found no inventory sheet. Observation of Resident 4's room revealed he had: a long sleeve t-shirt, one…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-28 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to report allegations of misappropriation of personal properties for Residents 1 and 2 within 24 hours to the appropriate agencies. This failure did not ensure vulnerable residents were protected from misappropriation of personal properties. Findings: During an interview on 4/10/26 at 11:09 AM, Resident 1's responsible party (R1RP) stated she was in contact with the Administrator via phone and text regarding Resident 1's missing items such as cell phone, driver license, and debit card. R1RP sent evidence that she texted the Administrator on March 17, 2026 regarding these issues. During an interview on 4/10/26 at 12:11PM, the Administrator stated he was aware of R1RP's concerns thru phone calls and text messages but could not remember when he was first made aware of these allegations. When the Administrator was asked does March 17, 2026, sound about right? The Administrator answered sound about right. The Administrator was asked if he called this allegation in within 24 hours of learning about the allegation? The Administrator…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-28 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 investigate allegations of misappropriation of personal properties for Residents 1 and 2. This failure did not ensure the facility could uncover weaknesses within their system to safeguard personal properties or implement effective measures to prevent misappropriation of personal properties. Findings: Review of Resident 1's medical records titled admission RECORD, printed on 4/10/26, indicated Resident 1 was admitted on [DATE] under hospice for comfort focused treatment (comfort care focused on quality of life rather than curing a terminal illness). Review of an Ambulance transport document (not titled), dated 10/7/25, indicated Resident 1 was transported with .belongings consisting of 1 bag with supplies, one cell phone, a wheelchair and one backpack. Review of Resident 1's medical records titled INVENTORY OF PERSONAL ITEMS, dated 10/7/25, indicated .No Belongings upon arrival I gave her clothes from donation. During an interview on 4/10/26 at 11:09…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-02-28 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Medication Error rate- 25.9% Based on observation, interviews and record review, the facility had a medication error rate of 25.9% when seven medication errors occurred out of 27 opportunities during the medication administration for four of seven residents (Residents 256, 72, 63 and 17). The failure had the potential to result in residents not receiving full therapeutic effects or causing side effects for the residents. FINDINGS: 1. During the medication administration observation on 2/24/25 at 8:03 AM, for Resident 17, Registered Nurse (RN) 3 was observed preparing and administering four oral medications. RN 3 crushed all 4 tablets, poured them in a medication cup, mixed with applesauce and administered to patient. Patient took the medication with applesauce. Per RN 3, patient takes medications with no problem. Review of Resident 17's admission Record, admitted 0n 3/15/24 with diagnoses including: Dementia (memory loss) and Failure to Thrive (a decline characterized by weight loss, decreased appetite, poor…

    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 before2025-02-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to prepare, store, and serve food in a sanitary manner when these were observed in the kitchen and other areas: 1. One of the icemaker's dispensing spouts was dripping water. 2. The ice maker had two water filters and one of the water filters was not replaced. 3. The bottom of the kitchen hood was covered in a film of a greasy-looking substance. These failures had the potential to result in putting residents at risk for food borne illnesses. Findings: During initial kitchen observation on 02/24/2025 at 6:21 AM with Dietary Aide (DA), the following were observed and confirmed with the DA: 1. One of the icemaker's dispensing spouts was dripping water. 2. The icemaker had two water filters and one of the water filters was not replaced. 3. The bottom of the kitchen hood was covered in a film of a greasy-looking substance. The film was heavy enough there were at least 30+ spots on the hood where the substance were lumped into early droplets and ready to drip down. During an interview on 02/26/2025 at 9:52 AM with 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-28 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, interview and record review the facility failed to dispose of kitchen refuse properly when two garbage containers within the kitchen did not have lids. This failure had the potential to result in flying insects contaminating food items, food prep areas and utensils. Findings: During initial kitchen observation on 02/24/2025 at 6:21 AM with Dietary Aide (DA), two garbage containers without lids were found in the kitchen and these observations confirmed with the DA. During an interview on 02/24/2025 at 10:57AM with the Registered Dietacian (RD), the RD agreed that there should be lids on all garbage containers in the kitchen. Review of the facility's policy titled MISCELLANEOUS AREAS GARBAGE AND TRASH, dated 2023, indicted .Adequate, clean, . areas must be provided for storage of garbage .All food wasted must be placed in a sealed leak-proof, non-absorbent, tightly closed containers .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-02-28 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement its infection control program when enhanced barrier precautions (EBP) was not followed for four of 11 residents (Resident 62, Resident 204, Resident 25, Resident 256) with indwelling medical devices. This failure has the potential to result in cross contamination of infection which may jeopardize the health and safety of the residents and staff. Definition: Enhanced Barrier Precautions (EBP) - refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities. Indwelling medical devices - refers to a device that is inserted into the body and remains there for a period of time, such as central lines, urinary catheters, and feeding tubes. Additionally, there was no signage posted and personal protective equipment (PPE) cart set up by the resident's care area. Findings: 1. Review of Resident 62's admission…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-02-28 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to maintain an effective pest control program, when flying insects were seen in the facility. This failure had the potential to result in exposing residents to pest borne illnesses. Findings: During a concurrent observation and interview on 02/24/2025 at 1:00 PM, in Resident 93's room, with Resident 93's family member, Resident 93's family member stated you can see these insects here and pointed to a little flying insect resting on the wall approximately 8 feet above the floor. During a concurrent observation and interview on 02/25/2025 2:07 PM, with Kitchen Supervisor (KS) a flying insect was observed flying in the room while interviewing Resident 82. KS confirmed he saw the flying insect. During an interview on 02/26/2025 at 9:52 AM, the Maintenance Manager (MM) stated the facility was subcontracted with a pest control company as part of their pest management program. Review of the facility's policy titled Pest Control, revised on May 2008, indicated .This facility maintains an on-going pest control program 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-28 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 urinary catheter (a hollow tube inserted into the bladder to drain or collect urine) drainage bag was covered with a privacy bag for one of 6 residents with indwelling catheters (Resident 25). This failure had the potential to affect Resident 25's psychosocial (mental, emotional, social, and spiritual effects) well-being. Findings: During the initial tour on 2/24/25 at 7:10 AM in resident's room, Resident 25 was sleeping in bed. A partially filled urinary catheter drainage bag was observed hanging on the side rail by the left side of the foot of the bed exposing its contents. The urinary catheter drainage bag had no cover and a reddish-brown discoloration on the front of the bag was observed. The drainage bag was unlabeled and undated. A reddish-brown fluid was also observed in the tube attached to the urinary catheter drainage bag. During a concurrent observation and interview on 2/24/27 at 7:18 AM with Certified Nursing Assistant (CNA) 3, Resident 25's urinary catheter drainage bag was uncovered,…

    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 · D2025-02-28 · tag F0655 — isolated
    Create 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 ensure baseline care plan was developed within 48 hours of admission for one of 22 sampled residents (Resident 204). This failure had the potential to result in inadequate care and services rendered to the residents. Findings: Review of Resident 204's admission record indicated, was admitted on [DATE] with diagnoses including heart failure, acquired absence of left leg below knee, kidney disease, and dependence on renal dialysis (a treatment that removes waste products and excess fluid from the blood when the kidneys are unable to do so). During an interview on 2/24/25 at 7:41 AM with Resident 204, Resident 204 stated he has a catheter on his right upper chest used for dialysis. Resident 204 stated that he was not able to go to dialysis on Saturday (2/22/25) because transportation needed to be arranged. During an interview on 2/24/25 at 8:42 AM, Registered Nurse Supervisor (RNS) stated, Resident 204 has a central venous catheter (CVC - a tube inserted…

    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
Show the remaining 21 citations
  • Potential for harm · Dcited before2025-02-28 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop a plan of care for one of 22 sampled residents (Resident 25) who fell and fractured his hip. This failure resulted in Resident 25 not receiving the necessary care and treatment such as physical and occupational therapy. Additionally, this resulted in miscommunication between the staff and Resident 25 regarding aftercare and weight bearing activities. Findings: During an observation on 2/24/25 at 7:10 AM in resident's room, Resident 25 was sleeping in bed. A blue fall mat was observed on the floor, situated between the beds of Resident 25 (bed A) and his roommate (bed B). Review of Resident 25's admission record indicated, Resident 25 was re-admitted to the facility on [DATE] with diagnosis including fracture of unspecified part of neck of right femur (refers to a broken bone in the neck of the right thigh bone, where the exact location of the fracture within the neck is not specified), presence of right artificial hip joint…

    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 · D2025-02-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to develop a coordinated plan of care and communication process with the Hospice agency, when there was no care plan to address what services Hospice will provide and for facility when to notify Hospice for one (Resident 61) of two sampled residents. This failure had the potential to result in hospice residents being at risk for gaps in their hospice services. Findings: Review of Resident 61's admission record dated 6/15/21, indicated admitted to SNF under Hospice Services on 1/31/25 with End Stage diagnosis of Dementia (decline in cognition including memory). Review of Order Summary Report, dated 2/27/25, indicated, Admit to facility under Hospice Service for comfortable care. DNR, Comfortable-Focus Treatment. No artificial nutrition. During an interview on 2/24/25 at 11:30 AM, with MDS Coordinator (MDSC, MDS - minimum data set, a standardized tool used to plan resident care) , MDSC stated the Hospice residents each have a binder which contains the name of hospice agency and their plan of care, names of hospice…

    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 · D2025-02-28 · tag F0825 — isolated
    Provide or get specialized rehabilitative services as required for a resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide specialized rehabilitative services (includes but is not limited to physical therapy, speech-language pathology, occupational therapy, or respiratory therapy and are provided or arranged for by the nursing home) for one of 22 sampled residents (Resident 25) that required physical therapy (PT-treatment that helps you improve how your body performs physical movements) and occupational therapy (OT-a healthcare profession that focuses on helping individuals improve their ability to perform everyday activities) status post (s/p-a medical or clinical shorthand that refers to a state after an intervention) right hip hemiarthroplasty (a surgical procedure that replaces the femoral head (ball) of the right hip joint with an artificial implant). This failure may result in further decline in condition for Resident 73 and the potential to negatively affect the ability to attain and maintain his highest practicable level of physical, mental,…

    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 · D2024-08-01 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    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 appropriate discharge for one of 3 sampled residents (Resident 1) when there was no evidence of discharge basis and discharge summary for Resident 1 regarding his discharge on [DATE]. This failure could result in an inappropriate discharge that may disrupt the provision of care for Resident 1. Findings: Review of Resident 1's clinical record indicated, Resident 1 was admitted to the facility on [DATE], with diagnoses including cachexia (a condition that causes significant weight loss and muscle loss), severe protein-calorie malnutrition (the state of severely inadequate intake of food), iron deficiency (a condition that your body does not have enough iron), and unsteadiness (inability to stand firmly) on feet. Review of Resident 1's Minimum Data Set (MDS, resident assessment tool), dated 4/19/24, indicated, his memory was moderately impaired. Review of Resident 1's doctor's order, dated 7/16/24, indicated, May discharge to home on 7/17/2024 with…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-01-22 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 observations, interviews, and facility policy review, the facility failed to ensure that 4 of 4 resident shower rooms were maintained in a clean and homelike condition. Findings included: A review of a facility policy titled Homelike Environment, revised in February 2021, revealed, Residents are provided with a safe, clean, comfortable and homelike environment and encouraged to use their personal belongings to the extent possible. The policy revealed, 2. The facility staff and management maximizes, to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting. These characteristics include: a. clean, sanitary and orderly environment. A review of a facility policy titled Cleaning and Disinfection of Environmental Surfaces, revised in August 2019, revealed, Environmental surfaces will be cleaned and disinfected according to current CDC [Centers for Disease Control and Prevention] recommendations for disinfection of healthcare facilities and the OSHA…

    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 before2024-01-22 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, facility document review, and facility policy review, the facility failed to ensure they completed a facility-specific risk assessment to identify where Legionella and other opportunistic waterborne pathogens could grow and spread in the facility's water system. This failure had the potential to affect all residents residing in the facility. Findings included: A review of a facility policy titled Legionella Surveillance and Detection, revised in September 2022, revealed, Our facility is committed to the prevention, detection and control of water-borne contaminants, including Legionella. Legionnaire's disease is included as part of our infection surveillance activities. A review of a facility policy titled Legionella Water Management Program, revised in September 2022, revealed, 5. The water management program includes the following elements, which included, b. A detailed description and diagram of the water system in the facility, including the following: (1) Receiving; (2) Cold water distribution; (3) Heating; (4) Hot water distribution; and (5) Waste. c. 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-22 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and facility policy review, the facility failed to ensure comprehensive care plans reflected all care needs for 1 (Resident #400) of 2 sampled residents reviewed for hospice services, 1 (Resident #15) of 1 sampled resident reviewed for clothing preferences, 1 (Resident #86) of 1 sampled resident reviewed for behavioral needs, and 1 (Resident #49) of 1 sampled resident reviewed for an indwelling urinary catheter. Specifically, the facility failed to ensure: 1. Resident #400's comprehensive care plan accurately reflected the resident's current hospice provider and contact information; 2. Resident #15's comprehensive care plan reflected the resident's preference to wear a hospital gown instead of personal clothing; 3. Resident #86's comprehensive care plan identified the resident's documented behaviors and directed staff how to respond; and 4. Resident #49's comprehensive care plan identified the use of an indwelling urinary catheter and directed staff on the care needs associated with the resident's catheter. Findings included: A review…

    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 · E2024-01-22 · tag F0678 — failed to provide CPR when needed — pattern
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    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 observations, interviews, record review, and facility policy review, the facility failed to ensure each resident's electronic health record (EHR) and physical medical chart accurately and consistently reflected their treatment wishes, including their decision regarding cardiopulmonary resuscitation (CPR), for 3 (Residents #39, #12, and #92) of 13 sampled residents reviewed for advance directives. Specifically, the facility failed to ensure residents' orders regarding code status (guidance to medical providers regarding the resuscitation efforts one would like to receive in the event they were found in cardiac arrest or not breathing), physical medical chart, and visual indicator on their chart all matched and reflected the resident's treatment wishes as directed by their current Physician Orders for Life Sustaining Treatment (POLST). Findings included: A review of a facility policy titled Advance Directives, revised in [DATE], revealed, h. Physician Orders for Life-Sustaining Treatment (or POLST)…

    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 · D2024-01-22 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and facility policy review, the facility failed to ensure 2 (Resident #301 and Resident #11) of 2 sampled residents reviewed for privacy were provided personal privacy during the provision of showers. Findings included: A review of a facility policy titled Quality of Life - Dignity, revised in October 2009, revealed, Each resident shall be cared for in a manner that promotes dignity and enhances quality of life, dignity, respect and individuality. The policy contained a Highlight related to Bodily Privacy During Care and Treatment that specified, 10. Staff shall promote, maintain and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures. 1. A review of Resident #301's admission Record revealed the facility admitted the resident on 12/11/2023 with diagnoses that included cerebral infarction (stroke), essential hypertension, and unsteadiness on feet. A review of Resident #301's admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 12/17/2023,…

    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 · D2024-01-22 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, record review, and facility policy review, the facility failed to include a diagnosis of a major mental illness on a Preadmission Screening and Resident Review (PASRR) Level I for 1 (Resident #26) of 2 sampled residents reviewed for PASRR screenings. Findings included: A review of a facility policy titled admission Criteria, revised in March 2019, revealed 9. All new admissions and readmissions are screened for mental disorders (MD), intellectual disabilities (ID) or related disorders (RD) per the Medicaid Pre-admission Screening and Resident Review (PASARR) process. a. The facility conducts a Level I PASARR screen for all potential admissions, regardless of payer source, to determine if the individual meets the criteria for a MD, ID or RD. b. If the level I screen indicates that the individual may meet the criteria for a MD, ID, or RD, he or she is referred to the state PASARR representative for the Level II (evaluation and determination) screening process. A review of Resident #26's admission Record revealed the facility admitted Resident #26 on 03/06/2014…

    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 · D2024-01-22 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, record review, facility policy review, and Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to ensure services provided met professional standards of quality for 1 (Resident #50) of 1 resident reviewed for an intramuscular injection. Specifically, Registered Nurse (RN) #3 prepared an intramuscular injection by reconstituting the medication and then used the same needle to administer the medication to the resident. Furthermore, RN #3 stuck the resident with the needle, removed the needle prior to administering the medication, then re-stuck the resident with the same needle and administered the medication. Findings included: A review of a facility policy titled Intramuscular Injections, revised in March 2011, revealed, 10. Inject needle quickly and firmly at a 90-degree angle into muscle. 11. After needle enters the site, grasp the lower end of the syringe barrel with nondominant hand. Move dominant hand to end of plunger. Avoid moving the syringe. 12. Slowly inject medication. 13. Withdraw needle quickly while placing…

    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 · D2024-01-22 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record review, and facility policy review, the facility failed to ensure that 1 (Resident #49) of 2 sampled residents reviewed for tube feedings received appropriate treatment and services to prevent potential complications. Specifically, staff failed to check the placement of Resident #49's feeding tube prior to the administration of water flushes and medications in accordance with a physician's order and the facility's policy. In addition, staff administered Resident #49's water flushes and medications dissolved in water by utilizing the plunger of a syringe to push them into the resident's feeding tube instead of administering them by gravity flow as directed by the facility's policy. Findings included: A review of a facility policy titled Administering Medications through an Enteral Tube, revised in November 2018, revealed, The purpose of this procedure is to provide guidelines for the safe administration of medications through an enteral tube. The policy further indicated, 3. Administer each medication separately and flush between medications.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-22 · tag F0759 — failed to keep medication error rate low — isolated
    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 observations, interviews, record reviews, and facility policy review, the facility failed to ensure the medication error rate was not greater than 5 percent (%). There were 2 errors out of 34 opportunities, resulting in a medication error rate of 5.8%, affecting 1 (Resident #50) of 10 residents observed during medication administration. Findings included: A review of a facility policy titled Administering Medications, revised in April of 2019, revealed, Policy Statement Medications are administered in a safe and timely manner, and as prescribed. The policy further specified, 4. Medications are administered in accordance with prescriber orders, including any required time frame, and 10. The individual administering the medication checks the label THREE (3) times to verify the right resident, right medication, right dosage, right time and right method (route) of administration before giving the medication. A review of Resident #50's admission Record revealed the facility admitted the resident on 11/08/2023. According to the admission Record, the resident had a medical history…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-22 · 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

    Based on observations, interviews, and facility policy review, the facility failed to ensure all drugs and biologicals were secured and accessible by only licensed personnel for 1 of 4 medication carts observed. Specifically, Registered Nurse (RN) #3 left the medication cart unlocked and not within their line of sight, with medications lying on top of the cart unsecured. Findings included: A review of a facility policy titled Storage of Medications, revised in November 2020, revealed, The facility stores all drugs and biologicals in a safe, secure, and orderly manner. 1. Drugs and biologicals used in the facility are stored in locked compartments under proper temperature, light and humidity controls. Only persons authorized to prepare and administer medications have access to locked medications. The policy further revealed, 6. Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and biologicals are locked when not in use. Unlocked medication carts are not left unattended. During an observation and interview 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-22 · tag F0925 — failed to control pests — isolated
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, facility document review, and facility policy review, the facility failed to maintain an effective pest control program so that the facility was free of pests, which affected 1 (Resident #76) of 21 sampled residents. Findings included: A review of a facility policy titled Pest Control, revised in May 2008, revealed, Our facility shall maintain an effective pest control program. The policy revealed, 1. This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents. 2. Pest control services are provided by [pest control company]. The policy revealed, 6. Maintenance services assist, when appropriate and necessary, in providing pest control services. A review of Resident #76's admission Record revealed the facility admitted the resident on 11/19/2021. The admission Record revealed the resident had diagnoses that included tobacco use, senile degeneration of the brain, delirium due to known physiological condition, and muscle wasting and atrophy. A review of Resident #76's annual Minimum Data Set…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-05-18 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility had 20.69% error rate when six medication errors out of 29 opportunities were observed during a medication pass for Resident 36, Resident 94, Resident 48, and Resident 31. These failures resulted in medications not given in accordance with the prescriber's orders and/or manufacturer's specifications which may result in the residents not receiving the full therapeutic effect of the medications. Findings: 1. Resident 36 was admitted on [DATE], with diagnoses that included osteoporosis (a bone disease that causes a loss of bone density, which increases your risk of fractures), hemiplegia (paralysis of one side of the body) and hemiparesis (weakness on one side of the body) following a cerebral infarction (or stroke, refers to damage to tissues in the brain due to a loss of oxygen to the area. During a medication pass observation on 5/12/21, at 11:45 AM, with Registered Nurse (RN) 3 , RN3 prepared and administered 1 tab of oyster calcium 500 milligram…

    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 before2021-05-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on dietary services observation, dietary staff interview, and dietary document review, the facility failed to ensure dietetic services were implemented in accordance with acceptable standards of practice when: 1. Yogurt with temperature of 48 degrees was found sitting on the night stand for Resident 246. 2. Milk was found sitting on the overhead table for more than four hours for Residents 246, 78, 32, 90 and 57. Failure to ensure safe and sanitary food handling practices had the potential to subject residents to foodborne illnesses. Findings: 1. During a follow up visit on a concern and concurrent interview with Resident 246 on 5/12/21, at 10 AM, 2 cups of yogurt was on the top of the overbed table next to the residents bed. Resident 246 stated they brought those earlier. During observation and concurrent interview with the Dietary Supervisor (DS) on 5/12/21, at 10:05 AM, the DS dipped the thermometer in one of the cups of yogurt. The temperature of the yogurt was 48 degrees. The DS stated, The staff should have offered to keep the yogurt in the refrigerator or should have…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-05-18 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement its infection prevention and control program when: 1. Registered Nurse (RN) 3 did not disinfect the glucometer in between patient use. 2. Staff did not used the appropriate disinfectant product on resident care equipment; 3. Used suction canister and yankuer tip catheter were unlabeled and undated; 4. Staff food was found on the residents overbed table. This facility failure has the potential to spread infection to residents and staff. Definitions: Disinfectant: usually a chemical agent (but sometimes a physical agent) that destroys disease-causing pathogens or other harmful microorganisms but might not kill bacterial spores. It refers to substances applied to inanimate objects. Disinfection: thermal or chemical destruction of pathogenic and other types of microorganisms. Disinfection is less lethal than sterilization because it destroys most recognized pathogenic microorganisms but not necessarily all microbial forms (e.g.,…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-05-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop a comprehensive care plan that included measurable objectives and timetables for one of 21 sampled residents (Resident 64) when care plan did not indicate the specific target behavior for the use of Seroquel (an antipsychotic medication). This deficient practice had the potential to negatively impact Resident 64's quality of life as well as the quality of care and services received. Findings: Resident 64 was admitted on [DATE] with diagnoses including bipolar disorder (a mental illness that brings severe high and low moods and changes in sleep, energy, thinking and behavior), anxiety disorder and major depressive disorder. During a review of the clinical record for Resident 64, the Order Summary Report with active orders as of 5/14/21 indicated, .Seroquel Tablet (Quetiapine Fumarate) Give 75 mg (milligram) by mouth two times a day for m/b (manifested by) verbal aggression related to BIPOLAR DISORDER .order date 8/23/19 . During a review of the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-05-18 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not provide pharmacy services to Resident 36 when correct Vitamin D dose was not available for use according to her physician's orders (also See F759). These failures resulted in medications not given in accordance with the prescriber's orders which may result in the residents not receiving the full therapeutic effect of the medication. Findings: Resident 36 was admitted on [DATE], with diagnoses that included osteoporosis (a bone disease that causes a loss of bone density, which increases risk of fractures), hemiplegia (paralysis of one side of the body) and hemiparesis (weakness on one side of the body) following a cerebral infarction (or stroke, refers to damage to tissues in the brain due to a loss of oxygen to the area). During a medication pass observation on 5/12/21, at 11:45 AM, with Registered Nurse (RN) 3 , RN3 prepared and administered 1 tab of oyster calcium 500 milligram (mg) to Resident 36. Review of Resident 36's clinical record,…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-05-18 · 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

    Based on observation, interview and record review, the facility failed to ensure safe storage of medications when: 1. Resident 246's insulin was stored with rectal suppositories on 3rd floor medication cart. 2. Resident 246's nystatin powder medication was being kept and placed on top of his bedside table. This deficient practice could lead to contamination of medication; and failure to secure medications in a locked storage could lead to unwanted residents accessing and ingesting medications that could lead to clinically significant adverse consequences. Findings: 1. During a med cart inspection on 5/12/21, at 11:40 AM, and concurrent interview with Registered Nurse (RN) 3, in 3rd floor medication cart, observed Resident 246's insulin medication was found stored together with house supply rectal suppositories. RN 3 acknowledged the above findings and stated the insulin should be stored separately from rectal suppositories to prevent possible contamination. During an interview with Clinical Pharmacist (CP), on 5/18/21, at 11:15 AM, the CP acknowledged the above findings and stated…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$152,404 in federal fines across 2 penalties.

  • $28,529 — penalty dated 2025-02-28
  • $123,875 — penalty dated 2024-01-22

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

Owner / managerTypeRoleShareSince
STUKOV, STANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR15%since 10/11/2010
STUKOV, SVETLANAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR55%since 10/11/2010

CMS files one row per role, so the 6 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$15.0M
Net patient revenuemost recent cost report
-11.3%
Operating marginrevenue minus expenses
$2.2M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 62%Medicare 14%Other / private 24%

This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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

$451per resident / day
operating cost
$13,716per month
≈ monthly operating cost
$405per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the California Medicaid page.

Typical monthly cost in California
$12,167/mo
Nursing home (semi-private)
$15,178/mo
Nursing home (private)
$7,000/mo
Assisted living

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 056272. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-28, 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.

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