Ludlowe Center For Health & Rehabilitation

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

59.6% 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 634 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.3% 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 169 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 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 144 beds and averages 133.8 residents a day — about 93% occupied, or roughly 10 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 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.83 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.37 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 3.84 hrs/resident/day on weekends vs 4.41 on weekdays — 13% thinner on weekends. RN hours go from 0.95 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

24 citations, most serious first. The 13 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · Gcited before2025-10-06 · 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 of three residents (Resident #3) reviewed for accidents, the facility failed to ensure a resident with known grabbing behaviors was free from injury related to side rail use. The findings include:Resident #3 had diagnoses that included dementia with behavioral disturbance, anxiety, depression, reduced mobility, and generalized muscle weakness. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #3 had Brief Interview for Mental Status (BIMS) score of one (1) out of fifteen (15) indicative of severely impaired cognition, exhibited physical and verbal behavioral symptoms directed toward others, was dependent on staff for all ADLs, including bed mobility and transfers, was non-ambulatory and was dependent for wheelchair mobility. The Resident Care Plan (RCP) dated 7/10/2025 identified Resident #3 had a potential for altered mood and behavior due to dementia, had the potential to be…

  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 before2025-09-15 · 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 interview, for the resident (Resident #12) reviewed for accidents, the facility failed to provide adequate supervision for a resident at risk to fall, who was placed in a common area to be closely watched and fell, sustaining an acute fracture at the base of the femoral neck. Additionally, the facility failed to maintain supervision during shift changes, ensure staff assignment/accountability, timely identify and report significant changes in condition, and implement care plan interventions.The findings include:Resident #12's diagnosis included Alzheimer's Disease and dementia. The care plan dated 05/2/2025 indicated Resident #12 was at risk for falls due to poor communication/comprehension, impaired mobility, impaired cognition, resistance to care and the use of psychiatric and cardiac medications. Interventions included to provide non-skid footwear when ambulating or mobilizing in the wheelchair, encourage Resident #12 to be…

  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 before2024-10-02 · 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 record review and staff interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure the environment was free from hazards when the resident hit his/her leg on the side rail during a transfer resulting in a laceration that required 15 sutures. The findings include: Resident #1 had diagnoses that included difficulty in walking, muscle weakness, and unsteadiness on his/her feet. The admission [NAME] Data Set (MDS) assessment dated [DATE] identified Resident #1 was severely cognitively impaired and was dependent for transfers. The Resident Care Plan (RCP) dated 7/30/2024 identified Resident #1 had a deficit in self-care and mobility. Interventions directed to transfer with the assistance of 2 without an assistive device. Review of a physician's order dated 7/30/2024 directed pivot assist of two (2) staff for transfers without assistive device. Review of a facility incident report dated 7/31/2024 at 5:15 PM identified Resident #1 hit his/her leg against the side…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-06 · 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 review of the clinical record, facility documentation, facility policy, and interviews for one of three residents (Resident #3) reviewed for accidents, the facility failed to develop and implement a comprehensive a comprehensive care plan was implemented with person-centered interventions for a resident with known grabbing behaviors. The findings include: Based on review of the clinical record, facility documentation, facility policy, and interviews for one of three residents (Resident #3) reviewed for accidents, the facility failed to develop and implement a comprehensive comprehensive care plan was implemented with person-centered interventions for a resident with known grabbing behaviors. The findings include: Resident #3 had diagnoses that included dementia with behavioral disturbance, anxiety, depression, reduced mobility, and generalized muscle weakness. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #3 had Brief Interview for Mental Status (BIMS) score of one (1)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-15 · 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 observation, review of the clinical record, facility documentation, facility policy and interview for 1 of 4 residents (Resident #98) reviewed for respiratory care, the facility failed to determine if it was clinically appropriate for the resident to self-administered oxygen. The findings include:Resident #98 was admitted to the facility in April 2025 with diagnoses that included atherosclerotic heart disease (plaque buildup inside the arteries that supply blood to the heart), chronic kidney disease, and heart failure.The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #98 was cognitively intact and required moderate assistance (helper does less than half the effort) with toileting hygiene, showering, upper and lower body dressing, and transfers. The Resident Care Plan (RCP) dated 7/31/25 identified Resident #98 had altered respiratory status, difficulty breathing and hypoxemia (low levels of oxygen in the blood). Interventions included position resident with proper body…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-15 · tag F0585 — failed to handle grievances — isolated
  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 review of the clinical record, facility documentation, facility policy and interviews for the only resident (Resident #44), reviewed for missing clothing, the facility failed to acknowledge the resident's complaint of missing clothing and actively work toward resolution of that complaint. The findings include: Resident #44 was admitted with diagnoses that included chronic pain. The quarterly MDS dated [DATE] identified Resident #44 was cognitively intact. The MDS further indicated that Resident #44 required set-up or clean-up assistance for upper-body dressing and supervision or touching assistance for lower-body dressing. A care plan dated 7/11/2025 indicated that Resident #44 had a self-care deficit with interventions that included to provide supervision, such as verbal cues or touch assist for dressing. Interview with Resident #44 on 9/8/2025 at 12:44 PM identified that he/she was missing 2 to 3 pairs of pants, 2 shirts, and a sweater that had been taken to the laundry 3 weeks ago. Resident #44…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-15 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 1 of 4 residents (Resident #76), reviewed for abuse, the facility failed to ensure the resident was free from abuse. The findings include: Resident #76's diagnoses included Dementia, anxiety disorder and adjustment disorder. The revised care plan dated 4/6/24 identified prior resident to resident incident. Interventions included providing emotional support, monitoring changes in mood or behavior, psychiatric follow up etc. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #76 was cognitively impaired, required set-up assistance with bed mobility and was independent in chair to bed mobility and sit to stand. Review of a facility statement dated 11/30/24 at 2:50 PM by Recreation #1 identified as she was charting; Resident #64 began yelling at Resident #76 telling him/her (no) then proceeded to slap Resident 76 in the face on the right side. A progress note dated 11/30/24 at 5:02 PM identified…

  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 · D2025-09-15 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 and interviews for 1 of 2 residents (Resident #154) reviewed for discharge, the facility failed to ensure complete information regarding the discharge was documented in the resident's medical record and complete information was communicated to the receiving health care institution or provider. The findings include:Resident #154's diagnosis included pneumonia and dysphagia.The care plan dated 07/3/2025 indicated Resident #154 was in need of a safe and appropriate discharge plan with interventions including to assess discharge needs, at admission and throughout stay, involve the resident, family, and/or responsible party in discharge planning, providing education, regarding medications and/or treatments and therapy home evaluations if needed.The admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #154 had a moderate cognitive impairment.A Discharge Summary Guide-V4 dated 07/25/2025 at 1:35 PM was incomplete with sections not completed by 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-15 · 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 observation, review of the clinical record, facility documentation, and interviews for 1 of 2 residents (Resident #102) reviewed for indwelling catheter, the facility failed to develop a care plan with interventions to care for the catheter and for 1 resident (Resident #13) reviewed for skin, the facility failed to ensure the care plan was updated to include noncompliance with geri sleeves. The findings include: Resident #102‘s diagnoses included retention of urine. A physician's order dated 7/31/25 directed to irrigate the indwelling catheter with 60cc of sterile saline. The admission Minimum Data Set assessment dated [DATE] identified Resident #102 was cognitively intact, dependent with toilet hygiene and max assistance with bed mobility. The care plan dated 8/7/25 failed to reflect the indwelling catheter. Interview with Resident #102 on 09/08/2025 at 12:07 PM indicated ongoing pain due to catheter. The resident indicated he/she has reported the pain to staff; however, they have not been able to give…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  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 the clinical record, facility documentation, facility policy and interview for the only resident (Resident #12) reviewed for accidents the facility failed to ensure staff transferred the resident with the assistance of 2 per the plan of care, and for 1 resident (Resident #13) reviewed for skin, the facility failed to ensure geri sleeves were applied per the physician's order. The findings include: Resident #12's diagnosis included Alzheimer's Disease. The admission Minimum Data Set (MDS) dated [DATE] indicated Resident #12 was severely cognitively impaired, used a walker and a wheelchair, required maximum assistance for transferring from sitting to a standing position and for transfers to a chair, and had no signs or symptoms of pain. The care plan dated 05/5/2025 indicated Resident #12 had a deficit in functional mobility with interventions that included the need for the assistance of 2 staff members for transfers and bed mobility. The Reportable Event Form completed by LPN #5 dated…

  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 · D2025-09-15 · 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 4 residents (Resident #98) reviewed for respiratory care, the facility failed to obtain a physician's order for oxygen for a resident who was using oxygen as needed and failed to ensure the oxygen tubing was dated when changed. The findings include: Resident #98 was admitted to the facility on [DATE] with diagnoses that included atherosclerotic heart disease (plaque build up inside the arteries that supply blood to the heart), chronic kidney disease, and heart failure. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #98 was cognitively intact and required moderate assistance (helper does less than half the effort) with toileting hygiene, showering, upper and lower body dressing, and transfers. The Resident Care Plan (RCP) dated 5/16/25 identified Resident #98 had altered respiratory status and difficulty breathing with hypoxemia (low levels of oxygen in 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-15 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 1 of 5 residents (Resident #4) reviewed for unnecessary medications, the facility failed to address pharmacy recommendations in a timely manner. The findings include: Resident #4 was admitted [DATE] with diagnoses included chronic respiratory failure with hypercapnia (too much carbon dioxide in blood), dependence on ventilator (a machine that helps person breathe), anxiety disorder, major depressive disorder, and gastrostomy (a small opening made in the stomach to put in a tube so person can get food and medicine). The RCP dated 4/28/24 identified Resident #4 had a nutrition diagnosis of swallowing difficulty. Interventions included to administer enteral nutrition (a method of providing nutritional support directly into the gastrointestinal tract through a tube) and flushes per Medical Doctor orders.A Pharmacy Consultant Drug Regimen Review dated 3/20/25 identified the resident with a as needed (prn) order for milk…

  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 · D2025-02-25 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for one of two residents (Resident #1), reviewed for a change in condition, the facility failed to ensure the nursing assistant notified the nurse timely of a change in condition. The findings include: Resident #1 was admitted with diagnoses that included chronic kidney disease, heart failure and dementia. A resident care plan (RCP) dated 12/13/2024 had fluid deficit due to diuretic use and increased caloric demand. Interventions directed to monitor vital signs. A 5-day admission minimum data set (MDS) dated [DATE] identified Resident #1 had severe cognitive impairment (BIMS 3), and was dependent for ADLs. Record review identified the following blood pressures: 12/29/2024 at 2:59 PM was 158/67. 12/29/2024 at 5:50 PM was138/66. 12/30/2024 at 12:18 AM was 124/63. 12/30/2024 at 8:55 PM was 101/69. 12/31/2024 at 8:13 AM was 158/50. 12/31/2024 at 5:15 PM was 135/67. 1/1/2025 at 12:34 AM was 94/53. 1/1/205 at 9:46 AM…

  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

“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

$47,905 in federal fines across 2 penalties.

• $39,081 — penalty dated 2025-09-15
• $8,824 — penalty dated 2024-10-02

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.

Part of a chain

This home belongs to NATIONAL HEALTH CARE ASSOCIATES — 42 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

This home reported $7.0M paid to related parties — landlords or management companies under common ownership — equal to about 30% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in CT