Suites At Someren Glen Care Center, The

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.

68.8% 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 195 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.1% 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 91 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 109 beds and averages 84.9 residents a day — about 78% occupied, or roughly 24 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 4.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.18 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.72 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.28 hrs/resident/day on weekends vs 4.77 on weekdays — 10% thinner on weekends. RN hours go from 1.22 to 1.06 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% 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

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.

31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.

• Actual harm · G2024-04-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, record review and interviews, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure injuries for two (#1 and #27) of three residents out of 39 sample residents. Resident #27, who was known to be at risk for skin breakdown due to immobility, developed two stage 3 pressure injuries to his left and right ischium (lower part of the pelvic bone that helps absorb weight when sitting) on 4/17/24. Resident #27's care plan documented the resident was to be offered repositioning at night during care and encouraged to lie in bed after lunch. Additionally, the resident was always incontinent of urine and frequently incontinent of bowel. However, the care plan failed to include an intervention to encourage the resident to reposition while he was sitting in his recliner and offer toileting/incontinence care to the resident frequently. Continuous observations during the survey revealed Resident #27 was not offered frequent…

  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 before2020-02-12 · 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 observations, record review and interviews, the facility failed to ensure effective fall interventions were in place to prevent resident falls for two (#85 and #300) of four residents reviewed for falls out of 34 sample residents. Record review and interview revealed the facility failed to effectively and consistently develop and implement care plan interventions to ensure the residents were provided the assessed levels of supervision recommended by nursing and therapy staff. Resident #85 had a history of falls with fractures. The facility was aware upon Resident #85's initial admission on [DATE], that she had a history of falling and had a prior fracture to her right femur. Documentation starting in December 2019, with her second fall revealed the resident was experiencing increased confusion and unsteadiness of her gait/balance and her care plan documented that she was at significant risk for future falls due to weakness, impulsivity, and unawareness of safety needs. The facility failed to reassess,…

  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 · E2026-05-08 · tag F0552 — pattern
  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 record review and interviews, the facility failed to ensure residents were informed of the treatment, including the risks and benefits, of proposed care and to choose the alternative option if they preferred for three (#4, #9 and #76) of six residents reviewed out of 51 sample residents.Specifically, the facility failed to: -Ensure Resident #4's consent explained the risks versus benefits for psychotropic medications; -Ensure Resident #9 and/or Resident #9's representative were informed and agreed to an increase in the dose of the resident's psychotropic medication; and, -Ensure Resident #76 and/or the resident's representative consented to antibiotic therapy prior to the administration of antibiotics.Findings include: I. Facility policy and procedure The Psychotropic Medication Management policy and procedure, dated [DATE], was provided by the vice president of clinical services on [DATE] at 12:32 p.m. It read in pertinent part, Residents and or representatives shall be educated on the risks and…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-08 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to ensure a response, action, and rationale to residents involved in group grievances. Specifically, the facility failed to effectively address, resolve, and demonstrate the facility's response to group grievances regarding long call light wait times.Findings include:I. Facility policy and procedureThe Grievance Management policy, dated September 2025, was provided by the executive director on 5/8/26 at 12:32 p.m. It read in pertinent part, A complaint or issue brought to the attention of the facility by a resident or resident representative that is not resolved more informally and in a very timely manner, generally within three days, will be referred to the formal problem-resolution procedure outlined in this policy. The nursing home administrator (NHA), or designee, is the designated facility associate responsible for receiving grievances. Any resident, resident representative or resident council that wishes to complain about treatment, conditions, or violations of rights, shall present such grievance to the facility NHA…

  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 · E2026-05-08 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to report allegations of abuse to the State Survey and Certification Agency in accordance with state law for three of six allegations of abuse.Specifically, the facility failed to:-Report an allegation of verbal abuse between Resident #46 and Resident #56 on 2/18/26 within two hours of the incident;-Report an allegation of sexual abuse between Resident #82 and certified nurse aide (CNA) #6 on 12/19/25 within two hours of the incident; and,-Report an allegation of sexual abuse between Resident #79 and CNA #6 on 1/3/26 within two hours of the incident.Findings include:I. Facility policy and procedureThe Abuse policy, dated March 2024, was provided by the nursing home administrator (NHA) on 5/4/26 at 4:35 p.m. It read in pertinent part, The (facility) will strive to prevent abuse and report, investigate and respond to actual and suspected abuse, as well as care for and treat those who may be victims of abuse. The facility will meet the requirements of Federal, State, and local law in its response to actual or suspected abuse.…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-08 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to thoroughly investigate allegations of abuse for three out of six allegations reviewed for abuse.Specifically, the facility failed to:-Thoroughly investigate a sexual abuse allegation by certified nurse aide (CNA) #6 towards Resident #82 on 12/19/25;-Thoroughly investigate a sexual abuse allegation by CNA #6 towards Resident #79 on 1/3/26; and,-Thoroughly investigate a neglect allegation involving CNA #5 on 4/1/26.Findings include: I. Facility policy and procedure The Abuse policy and procedure, dated March 2024, was provided by the nursing home administrator (NHA) on 5/4/26 at 4:03 p.m. It read in pertinent part, Sexual abuse includes, but is not limited to, sexual harassment, sexual coercion, or sexual assault. Neglect means failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness. Examples of neglect include but are not limited to, failing to provide needed care such as not responding to a call light,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-08 · 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 interviews, the facility failed to ensure two (#82 and #79) of four residents out of 51 sample residents were treated with respect, dignity and care in a manner that promoted quality of life or recognized the residents' individuality. Specifically, the facility failed to ensure Resident #82 and Resident #79 were treated with dignity and respect during transfers.Findings include: I. Resident #82 A. Facility investigation The facility's investigation of the 12/19/25 allegation of sexual abuse was provided by the NHA on 5/5/26 at 2:00 p.m. The facility's investigation report revealed an interview with Resident #82 was conducted on 12/22/25 (three days after the allegation was made) by the social services director (SSD). The interview revealed Resident #82 felt like the male care giver (CNA #6) had his hands where they should not be. When the resident was asked to clarify, she stated she was referring to her breasts. The SSD asked Resident #82 if she would feel more comfortable during…

  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 · D2026-05-08 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews, the facility failed to ensure the self-administration of medications was clinically appropriate for two (#53 and #79) of five residents out of 51 sample residents. Specifically, the facility failed to ensure assessments were conducted to determine whether the self-administration of medications was clinically appropriate for Resident #53 and Resident #79.Findings include: I. Facility policy and procedure The Medication Administration: Self-Administration by Resident policy, dated January 2026, was provided by the executive director on 5/8/26 at 12:34 p.m. It read in pertinent part, Residents who desire to self-administer medications are permitted to do so with a prescriber's order and if the nursing care center's interdisciplinary team has determined that the practice would be safe and the medications are appropriate and safe for self-administration. Facilities must adhere to state specific laws and regulations. If the resident desires to self-administer…

  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 · D2026-05-08 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to ensure one (#80) of one resident reviewed out of 51 sample residents was provided personal privacy in his room. Specifically, the facility staff failed to knock before entering Resident #80's room to protect the resident's right to personal privacy.Findings include:I. Facility policy and procedure The Know Your Rights policy, revised October 2023, was provided by the executive director on 5/8/26 at 12:32 p.m. It read in pertinent part, You have the right to be treated with respect and dignity and in a manner that promotes maintenance and enhancement of your quality of life. You have the right to use a phone, including your own personal cell phone, and talk privately. You have the right to privacy in treatment and caring for your personal needs. II. Resident #80A. Resident statusResident #80, age [AGE], was admitted on [DATE]. According to the May 2026 computerized physician orders (CPO), diagnoses included Alzheimer's disease, dementia without…

  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 · D2026-05-08 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 interviews, the facility failed to ensure residents were free from chemical restraints for two (#4 and #79) of five residents out of 51 sample residents.Specifically, the facility failed to -Ensure Resident #4's use of an antipsychotic medication was appropriately monitored and reviewed by the interdisciplinary (IDT) for continued medical necessity; -Ensure Resident #4 and Resident #79's behaviors related to the use of psychotropic medications were identified and monitored; and, -Ensure Resident #4 and Resident #79's care plans included resident-specific non-pharmacological care approaches for the residents' behaviors.Findings include: I. Facility policy and procedure The Psychotropic Medication Management policy and procedure, revised December 2024, was provided by the vice president of clinical services on 5/8/26 at 12:32 p.m. It read in pertinent part, The IDT (interdisciplinary team) will first identify and address any medical, physical, psychological causes and or social and…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-08 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to provide and document sufficient discharge preparation and documentation for one (#93) of one resident reviewed for a safe and orderly discharge out of 51 sample residents. Specifically, the facility failed to ensure a discharge summary was completed at the time of Resident #93's hospital transfer.Findings include:I. Facility policy and procedureThe Discharge and Transfer policy, dated May 2025, was provided by the executive director on 5/8/26 at 12:34 p.m. It read in pertinent part, For a transfer to another provider, for any reason, the following information will be provided to the receiving physician: contact information of the practitioner who was responsible for the care of the resident; resident representative information, including contact information; advance directive information; and, all other information necessary to meet the resident's needs. Anticipated transfers or discharges - resident initiated discharges. Obtain physician orders for…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-08 · 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 observations, record review and interviews, the facility failed to develop and implement a comprehensive care plan for two (#12 and #53) of two residents out of 51 sample residents.Specifically, the facility failed to:-Ensure Resident #12's care planned intervention for a positioning pillow was consistently implemented to support and elevate her right arm while seated in her wheelchair;-Ensure Resident #12's care plan was updated when the resident refused the wrist-hand-finger orthosis (WHFO) brace intervention for her right hand contractures;-Develop and implement a care plan focus for Resident #53's knee contracture, including identifying interventions to prevent worsening of the resident's contractures; and,-Include the interventions for physician-ordered heel booties on Resident #53's skin integrity care plan.Findings include: I. Facility policy and procedure The Care Plan policy, dated January 2026, was provided by the executive director on 5/8/26 at 12:32 p.m. It read in pertinent part, 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

“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

$36,446 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $36,446 — penalty dated 2024-04-25
• Medicare payment denial — starting 2024-05-23 for 32 days

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

Who owns this facility

CMS files one row per role, so the 17 rows in the source record cover these 6 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.

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

Follow the money — this home’s finances

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

This home reported $1.6M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in CO