Avon Health Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

65.4% 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 98 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.9% 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 56 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 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 120 beds and averages 99.8 residents a day — about 83% occupied, or roughly 20 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 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 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 3.83 hrs/resident/day on weekends vs 4.40 on weekdays — 13% thinner on weekends. RN hours go from 1.01 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Immediate jeopardy · Kcited before2026-03-17 · 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 interviews, observations, clinical record review, and review of facility policy for the only sampled resident reviewed for respiratory care (Resident #29), the facility failed to maintain a safe environment for a resident (Resident #29) on continuous oxygen by allowing long-term unsupervised use of petroleum-based jelly on the face and lips without a physician order, staff oversight, or self-administration assessment. Staff were aware of the resident's repeated use of petroleum jelly but did not intervene, despite flammability warning on the oxygen equipment and established contraindications. The facility also failed to monitor and control water temperatures at resident points of use, resulting in widespread temperatures exceeding 120 degrees ( ) Fahrenheit (F) and exposing residents to an immediate risk of scalding. These systemic failures demonstrated a lack of monitoring, a lack of staff awareness, a lack of adherence to policies, and a failure to protect residents from avoidable immediate harm.…

  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 before2025-07-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, facility documentation, and interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure the resident was provided care in accordance with physician orders and the plan of care to prevent a fall resulting in a femur fracture that required a closed non-surgical reduction of fractured bone. Resident #1 was admitted to the facility with diagnoses that included Alzheimer's disease, anxiety, and osteoarthritis. An annual Minimum Data Set (MDS) dated [DATE] identified Resident #1 had severe cognitive impairment, required extensive assistance with two (2) staff for bed mobility, and was incontinent. A Resident Care Plan (RCP) dated 6/5/2025 identified Resident #1 was at risk for falls due to impaired mobility, incontinence and cognitive impairment. Interventions directed assist of two (2) staff for Activities of Daily Living (ADLs). A physician order dated 6/5/2025 directed comfort care (CMO) and do not hospitalize (DNH).A physician order…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-17 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, interviews, facility documentation and facility policy for 1 of 2 residents (Resident #76) reviewed for mistreatment, the facility failed to complete a thorough investigation related to an allegation of untimely incontinent care. The findings include: Resident #76 was admitted to the facility in March 2021 with diagnoses that included cerebral infarction (CVA), hypertension, and behavior disturbances.Physician orders dated 7/16/25 directed to provide 2 caregivers for care. The Resident Care Plan (RCP) dated 7/16/25 identified Resident #76 had urinary incontinence with interventions that included providing incontinent care every 2 hours and as needed, utilize an incontinent pad and brief, and preventive skin care with each incontinent episode.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #76 had a short and long term memory problem, was moderately cognitively impaired in making decisions related to daily care, was always incontinent 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-17 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observation, review of the clinical record, and facility policy for 1 resident of 1 resident (Resident #29) reviewed for respiratory therapy, the facility failed to administer oxygen as per physician orders. The findings include: Resident #29's diagnoses included chronic obstructive pulmonary disease (COPD), chronic respiratory failure with hypoxia, and obstructive sleep apnea. Physician orders dated 1/20/26 and currently in effect directed Oxygen at 3 liters/minute via nasal cannula related to hypoxia for COPD and continuous every shift. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #29 had intact cognition and was independent with toileting, transfers, and bed mobility. The MDS further indicated Resident #29 had a diagnosis of COPD and was on oxygen therapy.The Resident Care Plan (RCP) dated 2/23/26 identified Resident #29 had an altered respiratory status and difficulty breathing related to oxygen dependence and COPD. Interventions included to monitor…

  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 beforedisputed · IDR2026-03-17 · 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 observations, interviews and review of facility policy for 2 of 3 medication storage rooms, the facility failed to ensure expired heparin syringe flushes for Intravenous (IV) lines and IV 0.45% hydration bags were not expired. The findings include:Observation and interview with Registered Nurse (RN) #5 on 3/13/26 at 6:49 AM identified that there were 52 expired (7/2022) Heparin lock flushes 50 United States Pharmacopeia (USP) (medication meets official standards)/units 5 milliliters (mL) in10 units/mL syringes (for flushing IV line to prevent blood clots) in a drawer in the medication storage room on the North unit. In addition, there were 2 expired (one bag expired April 2025 and one expired November 2025) 1000mL 0.45% Normal Saline (NS) IV hydration bags in the over the counter (OTC) storage room where IV stock supplies were stored. RN #5 indicated there should be no expired IV supplies stored in the medication storage rooms per facility policy. RN #5 indicated that she was not sure of who was responsible for removing the expired IV supplies, but it was not assigned to RN…

  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 before2026-03-17 · tag F0880 — failed to prevent and control infections — isolated
  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 interviews, observation, review of the clinical record, and facility policy for 1 of 1 resident (Resident #6) reviewed for enteral (tube) feedings, the facility failed to adhere to Enhanced Barrier Precautions (EBP) during the initiation of a tube feeding. The findings include:Resident #6 was admitted to the facility on [DATE] with diagnoses that included severe dysphagia with gastric tube (G-tube) dependence, traumatic brain injury, and schizophrenia. The quarterly Minimal Data Set (MDS) assessment dated [DATE] identified Resident #6 was severely cognitively impaired, dependent on activities of daily living, and had a swallowing disorder that required a tube feed. The Resident Care Plan (RCP) dated 1/13/26 identified that Resident #6 was on enhanced barrier precautions related to receiving enteral feeding through a gastric tube, with interventions that included maintaining enhanced barrier precautions as ordered and ensuring that personal protective equipment (PPE) was available to staff on the 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-26 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, review of facility documentation and interviews for one (1) of three (3) sampled residents (Resident #1) who were reviewed for an allegation of missing personal property, the facility failed to ensure Resident #1's credit card and cash money were not stolen from the resident's wallet by a staff member. The findings include: Resident #1's diagnoses included acute-on-chronic diastolic heart failure, essential hypertension and Type 2 diabetes. The admission Minimum Data Set assessment dated [DATE] identified Resident #1 was alert and oriented to person, place and time and required assistance from staff with Activities of Daily Living. The Facility Reported Incident form dated 11/12/24 identified the Rehab Director reported that Resident #1 had informed her his/her credit card and cash money were missing from his/her wallet that was stored at the bedside. The investigation identified Resident #1 had last seen the cash money and credit card on 11/9/24 which was in his/her wallet…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  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 clinical record reviews, observations, review of policy for 2 of 2 residents ( Resident # 32 and Resident # 52) reviewed for respiratory treatment, the facility failed to ensure the residents nebulizer tubing was changed and stored according to facility policy. The findings included: 1. Resident #32's diagnoses included centrilobular emphysema and presence of a cardiac pacemaker. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #32 was moderately cognitively intact and required one person assist with bed mobility, supervision with transfers, eating and toileting. The Resident Care Plan, (RCP) dated 6/7/24 identified Resident #32 experienced a decline in activities of daily living (ADL) related to dementia and oxygen due to shortness of breath related to emphysema. Interventions directed to provide two caregivers for ADL care and change tubing weekly. The physician's orders dated 6/27/24 directed DuoNeb (medication prescribed to open airways) 0.5mg-3 mg (2. 5mg base/3 ml…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-22 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, clinical record review, review of facility documentation, review of the facility policy and staff interviews for 1 of 3 residents reviewed for abuse (Resident #98), the facility failed to report an allegation of potential abuse to the state agency. The findings include: Resident #98 was admitted on [DATE] with diagnoses that included heart disease, respiratory failure, and diabetes mellitus. The admission MDS assessment dated [DATE] identified Resident #98 had moderate cognitive impairment and did not exhibit disorganized thinking, altered level of consciousness, or rejection of care. Additionally, Resident #98 required substantial assistance with toileting and personal hygiene. A care plan dated 5/3/2024 indicated Resident #98 did not have a history of dementia but had some short/long-term memory deficit. Interventions included encouraging the resident to participate in activities and providing cues and supervision. A care plan dated 6/28/2024 further indicated Resident #98 received…

  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 · D2024-07-22 · 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 clinical record reviews, review of facility policy and staff interviews and for 1 of 1 resident, (Resident #18), reviewed for nutrition, the facility failed to provide supervision with meals according to the plan of care and for 1 of 1 resident reviewed for pain (Resident # 24) the facility failed to ensure the resident's care plan included nonpharmaceutical interventions for pain relief and for 1 of 5 residents (Resident #70) reviewed for unnecessary medications, the facility failed to ensure a resident care plan addressed resident specific behaviors and interventions. The findings included. 1. Resident #18 had diagnoses included Alzheimer's disease, dysphagia (swallowing difficulties), and dyskinesia of esophagus (disorder of esophageal sphincters). On 4/22/24 The Advanced Practicing Registered Nurse (APRN) order directed a dysphagia advanced diet with thin liquids and no straws. An additional order on the same date and time directed aspiration precautions, 90 degrees with anything by mouth and 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-22 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, observations, facility policy and interviews for 1 of 7 residents (Resident #69) reviewed during medication administration, the facility failed to ensure staff appropriately prepared Extended release/delayed release medications for administration to a resident. The findings include. Resident #69's diagnoses included essential hypertension, mood disorder and gastric esophageal reflux. A physician's order dated 3//19/2024 at 11:07 PM directed to provide Propranolol 120 MG, 24 hour extended-release capsule by mouth daily at 9:00 AM for hypertension. A physician's order dated 3//19/2024 at 11:07 AM directed to provide Duloxetine 60 MG capsule, delayed release by mouth daily at 9:00 AM for mood disorder. The care plan dated 4/1/2024 indicated Resident #69 had dysphagia with swallowing difficulty and interventions included in part to provide speech therapy as needed. The quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #69 as severely cognitively impaired. On…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-22 · 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 clinical record reviews, facility documentation, facility policy and interviews for 2 of 3 sampled residents (Resident # 25 and # 42 ) reviewed for pressure ulcers, the facility failed to ensure a nutritional assessment was completed for a newly identified pressure injury and failed to reposition the resident according to the plan of care. The findings include: 1. Resident # 25's diagnosis include Multiple Sclerosis. The quarterly Minimum Data Set, (MDS) assessment dated [DATE] identified Resident #25 was moderately cognitively impaired, required extensive two person assist with bed mobility/transfers, was at risk for the development of pressure ulcers and had no unhealed pressure ulcers. The Resident care Plan (RCP) dated 2/12/24 identified Resident #25 was at risk for the development of pressure ulcers. Interventions directed to offload heels, check skin condition weekly and apply skin prep to heels twice daily. A Nutritional assessment dated [DATE] identified Resident #52's skin was intact with no…

  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

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$45,838 in federal fines across 2 penalties.

• $37,560 — penalty dated 2026-03-17
• $8,278 — penalty dated 2025-07-22

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

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.1M 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 CT