No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Buena Vista Care Center

160 South Patterson Avenue, Santa Barbara, CA 93111 · For profit - Limited Liability company · 150 certified beds · (805) 964-4871 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0568)1 immediate-jeopardy citation
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0568)
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 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 — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
5333 Hollister Ave · (805) 681-7204 · Call to confirm hours
Pharmacy
5340 Hollister Ave · (805) 725-5400 · Call to confirm hours
Grocery
185 S Patterson Ave · (805) 683-1892 · Call to confirm hours
Park
Deckers Park · Typically dawn to dusk
Place of worship
5272 Hollister Ave · (805) 683-2225

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 held steady at 3 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 rating3★
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 increased4.6%10.2%15.4%better
Long-stay residents who lose too much weight2.7%4.0%5.4%better
Long-stay residents with a catheter left in their bladder1.1%0.8%0.9%worse
Long-stay residents with a urinary tract infection0.8%1.2%2.0%better
Long-stay residents with depressive symptoms1.4%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 injury2.8%1.6%3.3%worse than state — see note marked double-dagger below the table
Long-stay residents whose ability to walk worsened8.7%9.8%16.1%better
Long-stay residents on antianxiety or hypnotic medication4.4%13.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%98.2%95.3%typical
Long-stay residents with pressure ulcers5.6%4.3%4.7%worse
Long-stay residents with worsening bladder/bowel control21.8%10.2%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table4.9%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 vaccine100.0%93.2%79.4%better
Short-stay residents rehospitalized after admission25.2%23.0%22.6%worse
Short-stay residents with an outpatient ER visit20.6%11.2%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.752.251.67typical
Long-stay outpatient ER visits per 1,000 resident days2.581.571.80worse

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.

58.8% 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 163 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

58.8%U.S. median 51.5%
Got home and stayed home
8.9%U.S. median 10.7%
Went back to hospital
68.5%U.S. median 56.6%
Met the expected recovery
0.14U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy

Met the expected recovery: 68.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 73 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 SNF58.8%CMS range 49.3–66.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.9%CMS range 6.3–11.910.7%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 discharge68.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge65.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge68.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge57.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF 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 worsened0.6%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 hospitalization5.9%CMS range 3.3–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.991.02Oct 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

0.44
RN hours/ resident / day
1.10
LPN hours/ resident / day
2.36
Aide hours/ resident / day
3.91
Total nurse hours/ resident / day
0.27
RN hoursweekends
47.6%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 150 beds and averages 120.3 residents a day — about 80% occupied, or roughly 30 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 is below 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 3.47 hrs/resident/day on weekends vs 4.09 on weekdays — 15% thinner on weekends. RN hours go from 0.51 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

4
deficiencies at the latest standard inspection (2026-04-10)
5
at the previous standard inspection (2025-01-17)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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.

32 citations, most serious first. The 12 most serious are shown; the remaining 20 are one tap away and print in full.

  • Immediate jeopardy · J2025-10-03 · 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 ensure adequate supervision was provided to prevent elopement for one of three sampled residents (Resident 1) when Resident 1, who was assessed as an elopement risk and provided with a Wander Guard (device that alarms), left the facility unmonitored. This failure placed Resident 1 at risk for injury or death. During a review of Resident 1's admission Record (AR), dated 10/2/25, the AR indicated, Resident 1 was admitted to the facility on [DATE] with diagnoses that includes unspecified Schizophrenia (a chronic mental health condition that affects a person's thoughts, feelings, and behaviors) and anxiety disorder (a feeling of fear, dread, and uneasiness). The Minimum Data Set (MDS) dated [DATE] indicated a Brief Interview of Mental Status (BIMS) score of 10, reflecting moderate cognitive impairment with episodes of forgetfulness. Further reviews showed Resident 1 was independent with mobility, specifically walking, and used a Wander Guard…

    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 before2025-10-20 · 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 implement a comprehensive, person-centered care plan (a plan that includes clear goals to meet a resident's needs) in one of two sampled residents (Resident 1) with known alcohol dependence (a chronic disease in which a person craves alcoholic drinks and is unable to control his or her drinking), alcohol abuse and opioid dependence (the persistent urge to use legal and illegal drugs that reduce the intensity of pain signals). These failures had the potential of Resident 1 not having the coping mechanisms and support needed to prevent the use of illicit drug use (drugs that are illegal to produce, sell, or possess, or use in an illegal or inappropriate manner) and resulted in Resident 1 having a heroin (highly addictive, illegal opioid drug with high potential for abuse and no accepted medical use) drug overdose.During a review of Resident 1's admission Record (AR), [undated], the AR indicated, Resident 1 was admitted to the facility on [DATE] 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-10 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility staff failed to follow physician orders related to the monitoring of blood glucose levels for one of 24 sampled residents (Resident 11) when there were no documentation to indicate if blood sugar testing was done as ordered on days missed. This failure has the potential to lead to medication error that can lead to severe hypoglycemia (low blood sugar).During a review of the facility's Face Sheet (admission record), Resident 11 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes mellitus([DM] abnormal blood sugar).During a review of Resident 11's Physician Orders (PO), dated 10/6/25, the PO indicated to administer Insulin Glargine solostar pen-injection 100 unit/ml (milliliter). Inject 22 units at bedtime for DM.During a review of Resident 11's Medication Administration Record (MAR), dated 4/26, there was no documentation to show the blood sugar was taken to obtain blood sugar levels for the 9 p.m., evening dose on 4/1/26, 4/3/26,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-10 · 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 follow established policies regarding the storage of pharmaceutical products when a medication storage room was equipped with a single-door refrigerator/freezer unit, rather than a pharmacy-grade, two door unit with separate freezer compartment and door, when combine.This failure has the potential to lead to inconsistent temperatures and compromise the potency of stored medications when inuse. During an observation of the medication storage room in Station A on 4/8/26 at 9:14 a.m., a refrigerator used for medication storage had a single door for both freezer and refrigerator. The freezer was observed to have ice buildup.During the interview on 4/9/26 at 2:38 p.m. with the administrator (ADM), ADM stated that the facility does not store medication in the freezer. The ADM also stated that the facility's policy was to provide a pharmacy grade refrigerator specifically for medications to preserve their efficacy. The ADM acknowledged that there should have been separate doors for the freezer and 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-10 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    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 meet the dietary prescription of 1 unsampled resident (Resident 129).This failure had the potential for Resident 129 to have health complications.During a review of the facility's Face Sheet (admission record), Resident 129 was admitted to the facility on [DATE] with diagnoses that included Acute Kidney Failure, unspecified (a sudden loss of kidney function).During a concurrent observation and interview on 4/8/26 at 6:18 a.m., with the Dietary Manager (DM) during tray line, the meal ticket for Resident 129 indicated in part Regular, Fluid Restriction 1500 ml Thin Liquids and Renal Diet. The tray was observed with a salt packet, this observation was validated by the DM and stated will double check the dietary prescription.During a concurrent interview and record review on 4/08/26 at 2:15 p.m., with the Dietician (DIT), the dietary order for Resident 129, was reviewed. The Dietary order indicated in part, No added Salt.During a review of…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-10 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure food safety is maintained when an outdated bottle of juice was left in the refrigerator and spoiled produce were left for use and not discarded. This failure had the potential to expose residents to foodborne illnesses (diseases that are caused by eating contaminated food).During a concurrent observation and interview in the facility kitchen on 4/8/26 at 6:07 a.m. with the Dietary Manager (DM), a bottle of juice was observed in the refrigerator that had a best by date of 4/1/26. During a concurrent observation and interview on 4/8/26 at 6:11 a.m. at the facility kitchen with the DM, cucumbers were noted to have had mold and to be mushy (an unpleasant, stale, or damp smell caused by mold or mildew). DM verbalized that the person responsible for receiving the produce should inspect the foods before storage or use.During a review of Policies and Procedures titled Storing Produce dated 2003, the Storing Produce indicated in part 1. Check boxes of fruit and vegetables for rotten, spoiled items. Throw away…

    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 · Dcited before2026-01-14 · 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 ensure licensed nurses (LNs) completed wound assessments and developed a care plan that included treatment and monitoring of a surgical incision for 1 of three sampled residents (Resident 1) upon admission to the facility.This failure had the potential to result in delayed healing and infection to Resident 1's surgical wound. During a review of Resident 1's History and Physical (H&P), dated 12/10/24, the H&P indicated, Resident 1 was admitted to the facility on [DATE] with diagnoses that included post fall, had a subdural hematoma (collection of blood between brain and outer surface), and status post craniotomy (surgical procedure that temporarily removes part of skull).During a review of Resident 1's Progress Notes (PN), dated 12/6/24, this indicated, Body assessment done upon admission and noted the following: Right head surgical incision.Skin issue: #001: New skin issue. Location: Right temporal area. Laterality/Orientation: Right. Issue type:…

    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 · E2025-10-03 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working safely.
    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 perform daily functional testing of the Wander Guard system (an alert system worn on a resident's wrist that activates an audible alarm when passing doors equipped with sensors to prevent unsafe wandering) per manufacturer's instruction for use.This failure had the potential for seven residents using Wander Guard devices to elope from the facility without being detected.During the interview on 10/2/25 at 4:30 p.m. with licensed nurse (LN 2), LN 2 verified that Wander Guard devices are checked for functionality by nursing staff weekly every Thursday.During an interview on 10/2/25 at 5:00 p.m. with Director of Nursing (DON), DON stated there are seven (7) residents using Wander Guard devices and confirmed that the devices were checked weekly and not checked daily with results documented in the medical record.During a review of Wander Guard instructions for use, dated 2023, indicated, the devices should be tested daily thereafter, with results documented in the medical record. During the review of the facility's…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-20 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure pain management was provided for one of two sampled residents (Resident 2).This failure had the potential for Resident 2 and other residents to have unrelieved and/or uncontrollable pain. Findings:During the interview on 8/14/25 at 10:10 a.m. with Resident 2, Resident 2 stated she had her last dose of pain medication on 6/27/25 at noon in the hospital but did not get anything for pain from the nursing home until the next day and was told by a staff that your medication has not arrived yet.Resident 2's health record revealed the following:admission Record (Face Sheet) indicated Resident 2 was admitted on [DATE] with diagnosis of aftercare following joint replacement surgery. The Minimum Data Set (MDS- a tool for assessing the health and functional capabilities of residents in the nursing home) facilities section Cognitive (C) indicated a BIMS (Brief Interview for Mental Status- cognitive screening tool to assess memory and orientation in nursing…

    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 before2025-05-02 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure staff verified the accuracy of a physician's order in one of 2 residents' medical record (Resident 1). Resident 1 had an order of NPO (nothing by mouth) and another order was to give medication by mouth. This failure had the potential to place Resident 1 at risk for medication related adverse events and complications. Findings: During Resident 1's review of health records: a. admission record, indicated an initial admission on [DATE], readmission on [DATE] with diagnosis of dysphagia (difficulty swallowing) following cerebral infarction (a blockage of blood supply to the brain). b. An MDS (comprehensive assessment) on swallowing and nutrition dated 3/12/25 indicated Resident 1 had a feeding tube (a way of providing nutritional needs by way of a tube that is connected straight to resident's stomach). c. Physician's order dated 4/4/25 indicated diet order as NPO. d. Medication Administration Record (MAR) dated April 2025 indicated an order of: *…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-20 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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

    Based on observation, interview, and record review the facility failed to maintain a restroom in good repair for one of two sampled residents (Resident 1). This failure had the potential to deny Resident 1 with a homelike environment. Findings: During a concurrent observation and interview, on 3/20/25, beginning at 11:55 a.m., with the Housekeeping Supervisor (HS 1) and Maintenance Assistant (MA 1), Resident 1's restroom was toured. Inside the restroom there was peeling paint, and inoperable ceiling fan, a toilet seat partially without its outer coating, and a loose toilet lever. The HS 1 and MA 1 verbalized and confirmed there was peeling paint, an inoperable ceiling fan, a loose toilet lever and a toilet seat the was partially without its outer coating in Resident 1's restroom. The HS 1 verbalized there were no current work orders in the facility's maintenance system for these issues to be addressed by the maintenance department and they needed to be fixed. During a review of the facility's policy titled Preventative Maintenance dated 8/14, indicated in part The Maintenance…

    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 · Dcited before2025-03-07 · 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 record review and interview the facility failed to implement care plan interventions for 1. Feeding assistance needs for one of three sampled residents (Resident 1). 2. Pressure injury care and prevention for one of three sampled residents (Resident 1). This failure had the potential for Resident 1 to experience weight loss and progression of pressure ulcers. Findings: During a review of the admission record (AR) for Resident 1, dated 2/25/25, the AR indicated Resident 1 was admitted on [DATE] with diagnosis including but not limited to hemiplegia and hemiparesis following cerebral infarction affecting left side (weakness or paralysis following blood flow being blocked in brain causing tissue death), dysphagia (difficulty swallowing), unspecified glaucoma (eye disease causing vision loss). During a review of the facility's policy and procedure titled Care Plan, Comprehensive dated 2008, the policy indicated in part .The care plan is directed toward achieving and maintaining optimal status of health,…

    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 20 citations
  • Potential for harm · D2025-03-07 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 position a wound vacuum pump in accordance with manufacturer guidance for 1 sampled Resident (Resident 1). This failure had the potential to cause a tripping hazard to residents, staff, or visitors as well as a risk of disconnecting the device upon tripping. Findings: During a review of the Order Summary Report (OSR) dated 3/7/25, the OSR indicated an order for Resident 1 dated 3/6/25 for Dressing 1- Apply to wound location: sacrum clean with normal saline pat dry primary dressing; apply the following to the wound bed, NPWT (Negative Pressure Wound Therapy) green sponge, secondary dressing: NPWT drape tertiary dressing 125mm Hg continuous/intermittent therapy every day shift every Thursday, Sunday for pressure ulcer. During an observation on 3/7/25 at 11:29 am in Resident 1's room, the NPWT device's pump which is connected to a power adapter, extension cord and a tube that connects to the wound dressing on Resident 1 is observed sitting on the floor next to Resident 1's bed. There are multiple cables and a…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-01-17 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility policy review, the facility failed to ensure hair restraints were worn for dietary staff during meal service. This deficient practice had the potential to affect all residents who received food from the kitchen. Findings included: A facility policy titled, Personnel Sanitation Standards, effective 02/2024, revealed, 1. In addition to employee personnel policies, food and dining personnel will be required to adhere to the following sanitary standards: a. hair must be restrained or covered (via hat or hair net). During an observation on 01/15/2025 at 11:11 AM, [NAME] #5 prepared sandwiches and did not wear facial restraint. During an observation on 01/15/2025 at 12:00 PM, [NAME] #4 and [NAME] #5 both had facial hair and were not wearing a facial restraint when they were observed plating the lunch meal for residents. During an interview on 01/15/2025 at 1:23 PM, [NAME] #5 stated the facility did not require him to wear facial restraints because he did not believe his facial hair was long. During an interview on 01/15/2025 at 1:30 PM, [NAME]…

    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 · D2025-01-17 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 assess 1 (Resident #129) of 24 sampled residents for the ability to self-administer their medication(s). Findings included: A facility policy titled, Self-Administration of Medication, dated 2008, indicated, It is the policy of this facility to allow residents who request self-administration of medication to do so if the facility Interdisciplinary Team has determined that resident is capable of doing so in a safe manner that does not present a risk to other residents of the facility. Per the policy, 2. If the resident expresses a desire to self-administer their medications, or a physician orders self-administration, the facility will not allow the resident to self-administer meds until the following procedures are done: a. A Licensed Nurse will complete the Self-Administration Assessment Review which includes the resident's physical and cognitive ability to safely administer and store their medication(s). b. The assessment will then be routed to the Director of Nursing/designee to…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-17 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and facility policy review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for 1 (Resident #16) of 24 sampled residents. Findings included: A facility policy titled, MDS Standard of Practice, dated 01/2024, specified, It is the practice of this facility to conduct accurate coding and delivery of services provided to capture accurate assessment of each resident's functional capacity and health status as per CMS [Centers for Medicare & Medicaid] RAI [Resident Assessment Instrument] MDS 3.0 Manual guidelines. An admission Record indicated the facility admitted Resident #16 on 11/25/2024. According to the admission Record, the resident had a medical history that included diagnoses of neurofibromatosis (a condition that caused tumors to form in the brain, spinal cord, and nerves) and encounter for palliative care. A significant change in status MDS, with an Assessment Reference Date (ARD) of 12/31/2024, revealed Resident #16 had a Brief Interview for Mental Status (BIMS) score of 10, which indicated the resident had moderate…

    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 · D2025-01-17 · 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 interview, record review, and facility policy review, the facility failed to ensure resubmit a new Level I screening when 1 (Resident #22) of 2 sampled residents reviewed for preadmission screening and resident review (PASARR) remained in the facility on the 31st day. Findings included: A facility policy titled, Resident Assessment-Coordination with PASARR Program, revised 05/2024, revealed, This facility coordinates assessments with the preadmission screening and Resident review program under Medicaid to ensure that individuals with a mental disorder [MD], intellectual disability [ID], or a related condition receives care and services in the most integrated setting appropriate to their needs. The policy specified, 5. If a resident who was not screened due to an exception above and the Resident remains in the facility longer than 30 days: a. The facility should screen the individual using the State's Level I screening process and refer any Resident who has or may have MD, ID or a related condition to the appropriate state- designated authority for Level II PASARR evaluation…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-17 · 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 medications were stored properly for 1 (Resident #129) of 24 sampled residents. Findings included: An admission Record revealed the facility admitted Resident #129 on 12/31/2024. According to the admission Record, the resident had a medical history that included diagnoses of Parkinson's disease and type 2 diabetes mellitus. An admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 01/05/2025, revealed Resident #129 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident had intact cognition. Resident #129's Order Summary Report, revealed an order dated 12/31/2024, for a multivitamin oral tablet, give one tablet by mouth one time day for a supplement. During an observation on 01/14/2025 at 10:03 AM and 01/15/2025 at 12:19 PM, the surveyor noted a bottle of multivitamins on Resident #129's bedside table. During a concurrent observation and interview on 01/14/2025 at 10:03 AM, the surveyor noted a bottle of multivitamins on Resident #129's bedside…

    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 · D2024-08-08 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to notify the responsible party (RP) after a fall incident for one of two sampled residents (Resident 1). This failure had the potential to eliminate RP's participation in the development and implementation of Resident 1's person-centered plan of care. Findings: During a review of Resident 1's medical records, Resident 1's medical records indicated, Resident 1 was admitted to the facility on [DATE] with primary diagnosis of general muscle weakness on the right side of the body following a cerebral infarction (condition where the blood flow to some part of the brain is blocked causing brain tissue to die).Resident 1's BIMS (Brief Interview for Mental Status- a tool used to screen and identify cognitive condition of residents upon admission into a long-term care facility) score of 14, indicated Resident 1 has intact cognition. Per Resident 1's history and physical, the physician determined Resident 1 had the mental capacity to make healthcare decisions. 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-23 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to assist one of two sampled residents (Resident 1) in making an outside appointment, per a prescriber's order. This facility failure had the potential to result in a delay of care for Resident 1. Findings: During a review of Resident 1's admission Record undated, indicated in part, Resident 1 was admitted to the facility on [DATE], and discharged on 11/16/23. During a review of Resident 1's Order Summary Report undated, indicated in part, an order dated 11/1/23, for Cataract (a medical condition which can cause blurry vision) evaluation by to [outside facility name] Ophthalmology clinic. During an interview on 4/15/24, starting at 3:48 p.m., with the Administrator (Admin 1), the Admin 1 confirmed the facility could not provide documentation indicating facility staff had attempted to make Resident 1's cataract evaluation/ophthalmology appointment prior to Resident 1 being discharged from the facility. During a review of the Job Description/Performance…

    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 · D2024-04-03 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    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 maintain a system for a full and complete accounting and management of personal funds entrusted to the facility, for one of three sampled residents (Resident 1). This failure had the potential for misappropriation of Resident 1's personal funds. Findings: Resident 1 was admitted to the facility on [DATE] with primary diagnosis of multiple fractures in right ribs related to fall per the the facility's Face Sheet . Resident 1's medical record titled, Order Summary dated 11/10/23 indicated, Resident 1 as having the capacity to make own healthcare decisions. In addition, Resident 1's Minimum Data Set (MDS, an assessment tool) dated 2/17/24, indicated a Brief Interview of Mental Status (BIMS, an assessment of the resident's ability to remember and reason) score of 15 (13-15 cognitively intact) indicated Resident 1 as having intact cognition. During a concurrent observation and interview on 3/27/24 at 11:45 a.m., in the dining room, Resident 1…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-12 · 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

    Based on interview and record review, the facility failed to ensure a care plan regarding impaired skin integrity was implemented for the care of one of two sampled residents (Resident 1) when: 1. Resident 1 had a fall on 11/6/23, and acquired a skin tear to the right knee, and a wound assessment was not done. 2. Resident 1 had a fall on 11/14/23, the wound condition had changed, and a wound assessment was not done. These failures may have contributed to Resident 1 receiving antibiotics at the hospital when being treated for right lower leg cellulitis (bacterial skin infection). Findings: 1. During a review of Resident 1's Care Plan, dated 11/4/23, the care plan indicated, Resident 1 had impairment to skin integrity: skin tear to right lower leg. Resident 1's goals: will have no complications from skin integrity issues. Resident 1's interventions: monitor/document location, size, and treatment of skin injury; report abnormalities, failure to heal, signs and symptoms of infection, maceration etc., to the physician. During a review of Resident 1's SBAR (a form filled out for change in…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-26 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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

    Based on observation, interview, and record review, the facility failed to adequately maintain two shower rooms in good repair. This facility failure had the potential for residents not to experience a homelike environment. Findings: During an interview on 12/14/23, at 1:30 p.m., with resident (Resident 1), Resident 1 verbalized the shower room was in a state of disrepair and the shower head was leaking. During a concurrent observation, and interview, on 12/19/23, starting at 1:28 p.m., the facility's shower rooms were toured with the Maintenance Director (MD 1). In one shower room, located on the A side of the facility, a plastic bag was observed tied to a shower handle. When asked why a plastic bag was tied to the shower handle, the MD 1 verbalized the plastic bag was tied to the shower handle due to the shower handle leaking water, when in use. The MD 1 further verbalized the shower handle needed a new gasket and confirmed it needed to be fixed. In another shower room, located on the B side of the facility, exposed plumbing was sticking out from the wall. The MD 1 confirmed 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-03-03 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure the Physician Orders for Life-Sustaining Treatment (POLST-a care directive during life threatening situations) were reflected as signed and ordered in the POLST by the attending physician on to the residents electronic medical record (EMR) for five of 24 sampled residents (Residents 95,42,25, and 47). This failure had the potential to cause a delay or violate resident's rights as to wishes on administering life-sustaining treatments during an emergency because of inaccurate or inconsistent documentation in the EMR. Findings: 1. During a concurrent interview and record review on [DATE], at 10:46 a.m., with the assistant director of nursing (ADON) and the medical records staff (MR 1), Resident 95's POLST dated [DATE] indicated to . Attempt Resuscitation (CPR-cardiopulmonary resuscitation), provide Full Treatment, a Trial period of artificial nutrition, including feeding tubes and no advance directives. Resident 95's Physician Orders (PO) 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-03-03 · 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 maintain infection control practices when: 1. Contact time (time product should stay wet) of disinfectant/cleaner could not be verbalized by staff 2. Staff did not change gloves after cleaning dirty surfaces in the resident's room before getting supplies from the clean supply cart 3. Disinfectant/cleaner was contaminated prior to use in residents' rooms 4. Hand hygiene was not performed 5. Disposable gown reused in laundry 6. Dirty scissors were placed in clean treatment cart These facility failures had the potential to result in cross-contamination (the transfer of harmful bacteria) that could impact residents' health and safety and cause preventable HAIs (Healthcare Associated Infections) for residents in an already compromised condition. Findings: 1. During an observation and concurrent interview on 3/2/22, at 10:15 am, environmental services (EVS 1) was using disinfectant/cleaning products in room [ROOM NUMBER]. EVS 1 could 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-03-03 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure an effective pest control program was in place for a sanitary, free of insects and pests environment when: 1. Black bugs (fruit flies) were flying in Resident 47's room 2. Spiders were found in Resident 72's room 3. Black bugs (fruit flies) were flying in several residents Rooms (Residents 54, 10, 49, and 309). This failure placed these residents at risk of vector-borne diseases (diseases that result from an infection transmitted to humans by pests and insects such as cockroaches, mosquitos, flies and maggots, fleas, spiders, and rodents). Findings: 1. According to the CDC (Centers for Disease Control and Prevention), Guidelines for Environmental Infection Control in Health-Care Facilities dated 7/19, indicated Insects can serve as agents for the mechanical transmission of microorganisms, or as active participants in the disease transmission process by serving as a vector. During a concurrent observation and interview on 2/28/22,…

    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 · Dcited before2022-03-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 observation and interview, the facility failed to ensure residents rooms were free from broken ,non functional items (torn window screen , peeling off wallpapers , baseboards, broken window metal handle) for two sampled residents (Resident 72 and Resident 47) This failure had the potential to be safety risks that can affect the residents overall health and ability to function. Findings: 1. During an observation and interview with Resident 72 on 3/1/22, at 3:06 p.m., Resident 72's screen door was noted to be torned with the wallpaper and baseboards peeling off the wall. Resident 72 verbalized the room had been in this state of disrepair for many months. During an interview on 3/1/22, at 3:40 p.m., with the director of maintenance (DOM), the DOM verbalized repairing and fixing up other resident rooms and hadn't had the opportunity to address the torned screen door, peeling baseboards and wallpaper inside Resident 72's room. During a review of the facility's policy and procedure titled, Maintenance…

    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 · Dcited before2022-03-03 · 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

    Based on observation, interview, and record review the facility failed to ensure a care plan regarding ambulation was implemented for the care of one of 24 sampled residents (Resident 95). This failure placed Resident 95 at risk for decreased mobility with the potential to decline in ambulation skill. Findings: During a concurrent observation and interview on 2/28/22, at 11:00 a.m., with Resident 95, in the outside smoking patio, Resident 95 was observed sitting on a wheelchair smoking. Resident 95 indicated coming to the facility from a homeless shelter, been in the facility since October 2021 and needed to get stronger and find a place to live. During a review of Resident 95's PT-Therapist Progress & Discharge Summary, dated 11/10/21, indicated Resident 95's medical diagnosis: chronic kidney disease, hemiplegia (paralysis on one side of body) and hemiparesis (loss of strength on one side of body) following cerebral infarction (stroke) affecting left non-dominant side. Resident 95's treatment diagnosis: difficulty in walking. Resident 95's analysis of functional outcome/ clinical…

    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 · D2022-03-03 · 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 failed to ensure a bottle of Tramadol (a narcotic pain medication), was disposed as required by law. This failure had the potential to lead to drug diversion (when prescription medicines are obtained or used illegally). Findings: During a review of facility's policy and procedure (P&P) titled, Disposal/Destruction of Expired or Discontinued Medication, dated [DATE], the P&P indicated, Facility should place all discontinued or out-dated medications in a designated, secure location which is solely for discontinued medications and subject to destruction. The P&P further indicated, Facility should destroy controlled substances .Prior to destruction, controlled substance medications .should be removed from their dispensing containers and poured into a container or plastic bag under the supervision of a staff member and witnessing licensed professional. During a concurrent observation and interview on [DATE], at 2:31 p.m. station A 1's medication cart…

    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 before2022-03-03 · 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: 1. A thermometer was in one of two medication refrigerators' freezers (medication room A 1's small refrigerator) sampled. 2. No expired medications were inside two of two medication carts sampled (cart A 1 and B 2) a. A bubble pack (individualized medication pack) of Amlodipine (medication to lower blood pressure) expired 12/21/21 b. A bubble pack of Prednisone (medication that reduces swelling in the body, and also suppresses your immune system) expired 2/28/22 c. A bubble pack of Metoclopramide (medication for nausea) expired 1/31/22 d. A bottle of liquid Acetaminophen (Tylenol) expired 1/31/22 e. A bottle of Probiotic capsules (good bacteria to aid in digestive health) expired 5/30/20 f. A bottle of Prostat (liquid protein medical food) expired 2/22 3. Two medications were with no open dates on one of two medication carts (Cart A 1) a. A container of Thick It (supplement added to liquids to make it safer to swallow) opened, no date opened on label b. A bottle of Florastat Probiotics with no open…

    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 · D2022-03-03 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure food preferences as assessed and ordered were implemented in three of three residents (Residents 57, 92, and 249) when: 1. Residents 57 and 92's tray ticket /card stated No Salt but the meal trays served were with salt. 2. Resident 249's tray ticket /card indicated No bread and No beans but the resident was served with a meal tray containing bread and beans. These failures have the potential to result in medical condition changes secondary to not following physician assessed orders pertaining to residents diet. Findings: 1. During an observation on 3/2/22, at 11:30 a.m., inside the kitchen, the prepared lunch meal trays for Residents 57 and 92 were noted to be with salt packets. Review of the meal ticket/card accompanying the meal trays indicated both residents should have no salt in their meal trays . During a concurrent interview and record review, on 3/2/22, at 11:45 a.m., with the Director of Staff Development (DSD), the DSD confirmed the meal trays of both residents 57 and 92 should have no salt…

    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 · Dcited before2022-03-03 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to ensure a clean and sanitary kitchen was maintained when two kitchen fans located right above a food/drinks preparation area were with dust and debris. This failure had the potential for residents' food/drinks to be contaminated resulting to gastrointestinal or other medical issues. Findings: During a concurrent observation and interview with the dietary supervisor (DS 1) on 2/28/22 at 10:33 a.m., two kitchen fans were observed with a heavy coating debris and dust, both on the fan blades and fan guards. The two kitchen fans were directly above a kitchen staff member who was preparing fresh drinks for residents. The DS 1 confirmed both kitchen fans were dirty and verbalized they should be cleaned.

    Nutrition and Dietary 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

No federal fines in the current CMS record.

Part of a chain

This home belongs to COVENANT CARE — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.8-0.8 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 3 of 52.9+0.1 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 11 homes this chain runs (chain average 2.8★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
COVENANT CARE CALIFORNIA, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
COVENANT CARE, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
CENTRE CAPITAL INVESTORS V, LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
CENTRE COVENANT PURCHASER (B), LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
CENTRE COVENANT PURCHASER (Q), LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
CENTRE COVENANT PURCHASER (S), LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/19/2008
CENTRE V SECONDARY FUND, L.P.Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
COVENANT HOLDCO, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
COVENANT SUBCO, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/17/2008
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMSOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/19/2008
STOCKWELL FUND II LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 12/19/2008
EVANS, MARYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 04/14/2006
LEVIN, ROBERTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 04/14/2006
SIMS, CHRISTINEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 04/14/2006
TOROK, ANDREWIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERNO PERCENTAGE PROVIDEDsince 07/17/2008
MIDCAP FUNDING IV TRUSTOrganization5% OR GREATER SECURITY INTERESTsince 02/20/2014
ASHLEY, DAVAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 03/26/2018
CARNEY, KEVINIndividualCORPORATE OFFICERsince 11/01/2013
HASSELL, LANCEIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 05/17/2018
SPARKS, CAROLIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/17/2006

CMS files one row per role, so the 29 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$15.8M
Net patient revenuemost recent cost report
-3.9%
Operating marginrevenue minus expenses
$1.7M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 9%Medicare 10%Other / private 80%

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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.

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

$406per resident / day
operating cost
$12,339per month
≈ monthly operating cost
$391per 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 555394. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-10, 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.

What to do next