Davis Place

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.

58.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 134 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.6% 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 84 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 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 190 beds and averages 167.9 residents a day — about 88% occupied, or roughly 22 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 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 3.25 hrs/resident/day on weekends vs 3.93 on weekdays — 17% thinner on weekends. RN hours go from 0.57 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below 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 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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 13 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · J2025-04-16 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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, interviews, facility documentation and facility policy for one (1) of three (3) residents (Resident #3) reviewed for medication errors, the facility failed to prevent a significant medication error by failing to accurately transcribe and verify Provider's orders for a resident readmitted to the facility. This failure resulted in the finding of Immediate Jeopardy. The findings include: Resident #3 received 30,000 mg of Hydroxyurea in excess from the hospital order which resulted in a hospitalization due to critical lab values (lab value date range: 3/14/25 through 3/28/25) which identified decreasing white blood cell (WBC) values from 12.62 to 0.99 (normal range 4.5 to 11) and decreasing platelet values from 962 to 129 (normal range 150 to 450). Resident #3 was admitted to the facility in February of 2025 with diagnoses which included dysphagia, epilepsy, and neurocognitive disorder with Lewy bodies. Review of the admission Minimum Data Set (MDS) assessment dated [DATE]…

  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
• Actual harm · Gcited before2025-09-09 · 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, review of clinical records, facility documentation, facility policy, and interviews for one of three residents (Resident #1) reviewed for accidents, staff failed to move the food service cart in a safe manner to ensure no residents were in the path. The failure resulted in a resident fall with injury. The findings include: Resident #1's diagnoses included dementia, glaucoma, and schizoaffective disorder. The Resident Care Plan (RCP) dated 6/11/2025 identified Resident #1 ambulated independently with a cane. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of six out of fifteen, indicative of severe cognitive impairment, and required supervision with ambulation. Physician order dated 8/14/2025 directed independent ambulation in room and hall with or without single point cane (SPC). Facility Reportable Event dated 8/27/2025 at 9:30 AM identified Resident #1 was alert and forgetful and ambulated…

  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 · Past Non-Compliance
• Actual harm · Gcited before2025-06-16 · 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 the clinical record, facility documentation, facility policy, and interviews, for one (1) of three (3) residents (Resident #1) reviewed for falls, the facility failed to ensure wheelchair footrests were in place to support a safe transfer. Resident #1, who was severely cognitively impaired, was directed by staff to lift his/her feet during the transfer; subsequently, the resident fell from the wheelchair and sustained multiple fractures. The findings include: Resident #1 's diagnoses included dementia with behavioral disturbances, mood disorder and muscle weakness. Review of the Morse Fall Scale assessment dated [DATE] identified that Resident #1 had a history of falls, exhibited an impaired gait (abnormal walking pattern) and overestimates or forgets his/her own limits, categorizing the resident as a high risk for falling. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Mental Interview for Mental Status (BIMS) of three (3) indicative of severely…

  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 · D2026-06-03 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a clinical record review, facility documentation, facility policies, and interviews, for one (1) of three (3) residents (Resident #1) reviewed for falls, the facility failed to ensure appropriate pain management and documentation. Specifically, licensed nursing staff did not document administered pain relief medication, did not complete a pain reassessment within one (1) hour of administration, and did not provide additional pain relief or interventions despite Resident #1 experiencing ongoing severe pain and having a confirmed fracture prior to transfer to the Emergency Department (ED). The findings include:Resident #1's diagnoses included low back pain, type I diabetes mellitus with diabetic neuropathy (nerve damage caused by persistently high blood sugars), long term use of anticoagulants (medication that prevents blood clots), absence of the left leg above the knee, and anxiety disorder.A Physician's order dated 10/8/25 directed to administer acetaminophen 325 milligrams (mg), two (2) tablets by…

  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 plan of correction
• Potential for harm · D2026-06-03 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  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 a clinical record review, facility documentation, facility policy, and interviews, for one (1) of three (3) residents (Resident #1) reviewed for falls with major injury, the facility failed to ensure a STAT x ray was obtained in a timely manner by not contacting the diagnostic provider when they failed to arrive within the required four (4) to six (6) hour timeframe. As a result, the x ray was not performed for approximately eleven (11) hours, and the provider was not notified of the delay, resulting in delayed diagnosis and treatment. The findings include:Resident #1's diagnoses included low back pain, type I diabetes mellitus with diabetic neuropathy, long term use of anticoagulants, absence of the left leg above the knee, and anxiety disorder.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had intact cognition (Brief Interview for Mental Status (BIMS) score of 15), required substantial assistance with bed mobility, and was dependent on staff for toileting hygiene…

  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.

  Administration Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Dcited before2025-06-16 · 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 review of the clinical record, facility documentation, facility policy and interviews for one (1) of three (3) residents (Resident #1) reviewed for falls, the facility failed to ensure a resident was treated in a respectful and dignified manner which caused an escalation of behaviors resulting in a fall with fractures. The findings include: Resident #1 's diagnoses included dementia with behavioral disturbances, mood disorder and muscle weakness. Review of the Morse Fall Scale assessment dated [DATE] identified that Resident #1 had a history of falls, exhibited an impaired gait (abnormal walking pattern) and overestimates or forgets his/her own limits, categorizing the resident as a high risk for falling. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Mental Interview for Mental Status (BIMS) of three (3) indicative of severely impaired cognition and was dependent on staff for bed mobility and transfers. Additionally, the MDS identified Resident #1 had not…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-16 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, interviews, facility documentation and facility policy for two (2) of three (3) residents (Resident #2 and Resident #3) reviewed for Resident Care Plans (RCPs), the facility failed to update comprehensive RCPs to address the residents needs. The findings included: 1. Resident #2 was admitted to the facility in March of 2025 with diagnoses that included periprosthetic fracture around internal prosthetic left knee joint, pain in the left knee, and depression. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #3 had a Brief Mental Interview for Mental Status (BIMS) of seven (7) indicative of severely impaired cognition and required substantial assistance with eating, oral and personal hygiene and was dependent with transfers. The RCP dated 3/19/25 identified the potential for altered mood state and psychosocial well-being related to diagnoses of depression and adjustment to short term rehabilitation and administration of psychoactive…

  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 · Ecited before2025-04-16 · tag F0658 — failed to meet professional standards of care — pattern
  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 clinical records, interviews, facility documentation and facility policy for eleven (11) of sixteen (16) residents (Resident #8, #9, #10, #11, #13, #14, #15, #16, #18, #19, and #20) reviewed for physician's orders, the facility failed to ensure residents orders were reviewed and signed by the physician/advanced practice registered nurse monthly. The findings included: 1. Resident #8 was admitted to the facility on [DATE] with diagnoses that included heart failure, anxiety and vascular dementia. Review of physician orders identified medical orders were reviewed and signed on 10/1/24, 12/31/24, and 3/11/25, however failed to identify medical orders were reviewed in 11/2024, 1/2025, and 2/2025 in accordance with facility practices. 2. Resident #9 was admitted to the facility on [DATE] with diagnoses that included systolic congestive heart failure, dementia, and anxiety. Review of physician orders identified medical orders were reviewed on 4/24/24, 7/17/24, 8/11/24, 9/11/24, 11/14/24, 1/22/25, 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-16 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, interviews, and review of facility documentation and policies for one (1) of five (5) residents (Resident #3) reviewed for orders, the facility failed to ensure a physician's inquiry to a lab result was responded to timely and that lab results were forwarded to all pertinent physician's in a timely manner, and for one (1) of three (3) residents reviewed for medication administration, the facility failed to ensure that a resident was administered an antibiotic in accordance with physician's orders. The findings included: 1. Resident #3 was admitted to the facility February 2025 with diagnoses of dysphagia, epilepsy, and neurocognitive disorder with Lewy bodies. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #3 had a Brief Mental Interview for Mental Status (BIMS) of seven (7) indicative of severely impaired cognition and required substantial assistance with eating, oral and personal hygiene and was dependent with transfers. (If an…

  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 · E2024-08-15 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility documentation, and interviews, the facility failed to ensure the residents had the opportunity to experience their choice of in-person community dining. The findings include: During the resident council meeting with the residents on 8/12/24, it was identified that the residents had previously brought up the concern during their resident council meetings that there was no in person dining in the main dining rooms. They identified that it had been approximately a year since they'd had in person dining and that the concern had been raised several times in resident council, however they still did not have in person dining in place. Review of the Resident Council meeting minutes dated 6/27/24 identified the food service director spoke about the plans for the dietary department including satellite dining and main dining. Recreation spoke about the action plan for resident dining. Review of the Resident Council meeting minutes dated 7/25/24 identified dietary spoke about the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-15 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to ensure an outdoor concrete patio (smoking area) was safe and free of accident hazards. The findings include: Observation of the smoking area on the unit three patio on 8/15/24 at 10:00 AM noted that the concrete patio contained multiple holes causing the surface to be uneven. After observing the unit three patio with the Administrator on 8/15/2024 at 10:15 AM, the Administrator identified that staff and Residents utilize the patio for smoking, and noted he was unaware of the status of the patio. The Administrator further indicated it was a safety issue and would be fixed that day. An interview with the Maintenance Director on 8/15/24 at 10:45 AM indicated he had been aware of the condition of the patio since 8/8/24 but had not notified the Administrator or the DNS. The Maintenance Director further indicated he had been busy and had planned to get the supplies to make the repairs. On 8/15/24 at 10:48 AM the Administrator was made aware that the Maintenance Director had known of the condition of the patio since 8/8/24. An…

  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 · E2024-08-15 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 review, facility documentation review, facility policy review, and interviews for one sampled resident (Resident #133) reviewed for missing property, the facility failed to follow up on a resident reported concern related to missing items in a timely manner. The findings include. Resident #133's diagnoses included dementia and anxiety. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #133 had severe cognitive impairment and required one to two person assist with activities of daily living (ADL). The Resident Care Plan dated 5/5/24 identified Resident #133 had decreased cognition related to dementia and an ADL deficit. Interventions directed to provide safety measures in all activities and provide assistance with ADL care as needed. An interview with Person #2 on 8/11/24 at 12:20 PM identified that Resident #133's prescription glasses were reported missing to Corporate admission Staff #1 about a month prior and was told the matter would be investigated 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 · E2024-08-15 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 facility policy and interviews for one of three sampled residents (Resident #6) reviewed for respiratory care, the facility failed to develop and implement a comprehensive care plan for a resident utilizing oxygen therapy and for one of four sampled residents (Resident #138) reviewed for accidents, the facility failed to revise the comprehensive care plan to ensure safe food consumption for a resident who was repeatedly provided unsafe food items with a known swallowing disorder. The findings include: 1. Resident #6's diagnoses included chronic obstructive pulmonary disease (COPD), metabolic encephalopathy, and muscle wasting and atrophy. The quarterly MDS assessment dated [DATE] identified Resident #6 was cognitively intact, was totally dependent on staff for toileting, transfers, and personal hygiene. It further identified Resident #6 had shortness of breath or trouble breathing when lying flat and required oxygen therapy. The resident care plan (RCP)…

  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

$14,015 in federal fines across 1 penalty.

• $14,015 — penalty dated 2025-09-09

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 12 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

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

This home reported $1.7M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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