Shadelands Post Acute

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

68.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 890 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.2% 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 187 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 1.00 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 59 beds and averages 58.5 residents a day — about 99% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.31 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.548 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 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 3.78 hrs/resident/day on weekends vs 4.53 on weekdays — 17% thinner on weekends. RN hours go from 0.58 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

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

Inspection trend

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

Inspection deficiencies

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

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2026-05-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 interview and record review, the facility failed to ensure adequate supervision was provided for one of three sampled residents (Resident 74) to prevent falls and injuries when Resident 74 with history of unwitnessed falls was found sitting by the foot of her bed with gushing of blood from forehead and two open skin tears.This failure caused Resident 74 to continue to fall and had the potential to result in severe injuries. During a review of Resident 74's admission Record (AR), printed on 5/14/26, AR indicated Resident 74 was admitted to the facility on [DATE], with diagnoses that included abnormalities of gait and mobility (ability to move, walk or change position easily and freely), hemiplegia and hemiparesis affecting left side (stroke), lack of coordination, cognitive communication deficit.During a review of Resident 74's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 12/22/25, the MDS indicated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based an observation, interview and record review, the facility failed to observe infection control practices when residents dirty clothing were not bagged properly when transported to the laundry.This failure had the potential for spread of infections among residents at the facility. During a concurrent observation and interview on 5/13/26 at 3:19 p.m. with Environmental Services Director (ES), three mesh bags of residents dirty clothing were observed on the floor in the laundry room. ES stated resident's dirty clothing should be covered with a plastic bag when transported to the laundry room to prevent spread of infection.During an interview on 5/14/26 at 9:18 a.m. with Certified Nursing Assistant (CNA3), CNA 3 stated that residents dirty clothing are place in a plastic bag then hamper when transported to the laundry. During an interview on 5/14/26 at 10:45 a.m. with CNA 2, CNA 2 stated she received training of how to transport resident's personal dirty clothing to the laundry. CNA 2 stated dirty personal…

  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 · E2026-05-14 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure the implementation of its antibiotic use protocols for one of nine sampled residents (Resident 25), that address unnecessary or inappropriate antibiotic use.This failure had the potential for residents to receive unnecessary antibiotics and risk of development of antibiotic-resistant organisms. During a review of Resident 25's Nurse's Note (NN), dated 4/11/26, The NN indicated Resident 25's daughter stated Resident 25's had frequent urination throughout the night. Resident 25's daughter called the facility and spoke with supervisor. MD was notified of Resident 25's symptoms and Urine test /Culture & Sensitivity (UA/C/S) was ordered.During a review of Resident 25's Lab Results Report (LR), dated 4/14/26 and 4/20/26, the LR indicated Resident 25 UA/CS, collected on 4/11/26 and 4/17/26, final result indicated urogenital flora was isolated. During a concurrent interview and record review on 5/13/2026 at 2:02 p.m. with Licensed Vocational Nurse/…

  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 · E2026-05-14 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 four of nine sampled residents (Residents 3, 9, 24) were offered appropriate pneumococcal (PNA- a disease that can cause infection in the lung) vaccination series.This failure had the potential to place Residents 3, 9, 24 and 34 at risk to be infected and spread of pneumococcal infection.During a review of Resident 3's admission Record (AR), printed on 5/13/26, AR indicated Resident 3 was admitted to the facility on [DATE], with diagnoses that included dementia (memory loss). During a concurrent interview and record review on 5/13/2026 at 2:02 p.m. with Licensed Vocational Nurse/ Infection Preventionist (IP), Resident 3's Immunization Record (IR). was reviewed. IR indicated Resident 3 had pneumococcal PPSV23 vaccine in 10/28/16. IP stated she did not know the time interval of when to recommend pneumococcal vaccine after the last dose. IP stated she was not aware of Center for Disease Control and Prevention (CDC) recommendations for use 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure one of five sampled residents (Resident 74), was provided information necessary to obtain an informed consent prior to the administration of Trazodone ( an antidepressant medication used for treatment of major depressive disorder in adults), when the physician (MD1) did not inform Resident 74's responsible party (RP) in advance of the use, risks, and benefits of Trazodone. This failure had the potential to deny residents and surrogate decision maker information needed to make an informed decision. During a review of Resident 74's admission Record (AR), printed on 5/14/26, AR indicated Resident 74 was admitted to the facility on [DATE], with diagnoses that included hemiplegia and hemiparesis affecting left-dominant side (stroke), cognitive communication deficit, depression (mood disorder) and anxiety disorder ( fear or worry that interferes with daily life). AR indicated RP was Resident 74's responsible party.During a review of Resident 74'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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure appropriate pain assessment was performed for one of eight sampled residents (Resident 18) when Resident 18, who was able to communicate verbally, was assessed for pain by facility staff using the Pain Assessment in Advanced Dementia (PAINAD, is an observational tool used to assess pain in patients with severe cognitive impairment who cannot verbally communicate their pain).This failure resulted in Resident 18 to receive pain medication without appropriate pain assessment.During a review of Resident 18's admission Record, dated 5/14/26, the admission Record indicated Resident 18 was admitted in the facility on 5/4/26 with an admission diagnosis of metabolic encephalopathy (a change in how your brain works due to an underlying condition), chronic diastolic heart failure (a condition when the heart's left fluid-filled chamber becomes thick and stiff and does not fill with enough blood between beats) and pleural effusion (an abnormal buildup of excess fluid between the layers of the thin selective barrier…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · 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

  Based on observation, interview and record review, the facility failed to ensure controlled medication (those with high potential for abuse and addiction) were fully accounted when random controlled medication use audit for one of three residents (Resident 1) did not reconcile. The controlled medication was signed out of the controlled drug record (CDR, an inventory sheet that keeps record of the usage of controlled medications) but not documented on the Medication Administration Record (MAR) to indicate the medication was given to the resident.This failure resulted in inaccurate accountability and had the potential for misuse or diversion (illegal distribution or abuse of prescription drugs or their use for purpose not intended by the prescriber) of controlled medications.During a review of Resident 1's admission Record, dated 5/13/26, the admission Record indicated Resident 1 was admitted in the facility on 5/6/26 with an admission diagnosis of osteomyelitis of cervical vertebra (rare infection of the bones of the neck), acute respiratory failure with hypoxia (a life-threatening…

  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 · D2026-05-14 · 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 observation, interview and record review, the facility had a 7.69% error rate when two medication errors out of 26 opportunities were observed during the medication administration for two of eight sampled residents (Residents 18 and 59) when:1. Resident 18 received tramadol (medication used to treat pain) with a pain level of zero (no pain).2. Resident 59 did not receive polyethylene glycol (an over-the-counter medication used to treat occasional constipation) as ordered.These failures resulted in Resident 18 and 59 receiving medication not in accordance with the prescriber's orders.1. During a review of Resident 18's admission Record, dated 5/14/26, the admission Record indicated Resident 18 was admitted in the facility on 5/4/26 with an admission diagnosis of metabolic encephalopathy (a change in how your brain works due to an underlying condition), chronic diastolic heart failure (a condition when the heart's left fluid-filled chamber becomes thick and stiff and does not fill with enough blood between beats) and pleural effusion (an abnormal buildup of excess fluid…

  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 before2026-05-14 · 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 proper medication storage and labeling practices when:1. An afrin nasal spray (an over-the-counter medication that provides relief for nasal and sinus congestion) was unlabeled with Resident 60's name during medication administration observation.2. Resident 60's alvesco inhaler (medication used for the maintenance treatment of asthma) was stored in the medication cart without prescriber's order during the inspection of one of two sampled medication cart.These failures had the potential to result in unsafe medication administration and storage practices.1. During a review of Resident 60's admission Record, dated 5/12/26, the admission Record indicated Resident 60 was admitted in the facility on 4/29/26 with an admission diagnosis of pulmonary embolism without acute cor pulmonale (blood clot that blocks and stops blood flow to a blood vessel in the lung without right-sided heart failure), bacteriuria (presence of bacteria in the urine) and hypothyroidism (common condition where the thyroid gland fails 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0801 — isolated
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to employ a full-time registered dietitian, the person designated to serve as the director of food and nutrition services met both the federal and/or state educational qualifications for the position, when facility's dietary manager was also not qualified/certified. This failure had the potential for lack of competency and skill set necessary to carry out all the functions of the food services. During an interview on 5/11/26 at 2:46 p.m. with Dietary Manager (DM), DM stated that he was not a certified dietary manager. DM stated he was currently in school.During an interview on 5/11/26 at 3:06 p.m. with Registered Dietician (RD), RD stated that she was hired to work on part time. RD stated she worked 24 hours a week.During an interview on 5/13/2026 at 1:02 p.m. Administrator (Admin), Admin stated he was aware DM was in school and not certified.During a concurrent interview and record review on 5/14/26 at 8:04 a.m. with Admin, DM's Employee Record (ER), was reviewed. The ER indicated DM was hired 10/3/22 as a DM. Admin 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.

  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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PACS GROUP — 274 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

This home reported $3.8M paid to related parties — landlords or management companies under common ownership — equal to about 23% 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

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