Water's Edge Center For Health & Rehabilitation

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.

51.9% 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 116 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.0% 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 75 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 150 beds and averages 137.6 residents a day — about 92% occupied, or roughly 12 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 3.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 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 3.26 hrs/resident/day on weekends vs 3.76 on weekdays — 13% thinner on weekends. RN hours go from 0.56 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

36 citations, most serious first. The 14 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-07-03 · 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 observation, record review and interviews for 1 of 4 residents (Resident #78) who was on a secured locked unit and wore a wander guard, the facility failed to ensure the residents wander guard was changed when it expired, failed to investigate and implement interventions after Resident #78 was able to exit the secured locked unit on [DATE]; and failed to provide adequate supervision and devices to prevent the resident from exiting the secured locked unit on [DATE] when the resident accessed the elevator on the 4th floor, (secured locked unit), took the elevator to the 1st floor, and walked out the front door unsupervised. These failures resulted in a finding of Immediate Jeopardy. The findings include: Resident #78 was admitted to the facility in [DATE] with diagnoses that included dementia and traumatic brain injury. A fall risk evaluation, done upon admission in 12/2021, identified Resident #78 was at high risk to fall due to a history of multiple falls prior to admission and use of multiple sedative,…

  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 · G2026-03-25 · 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 clinical record review, interviews, and facility documentation for 1 of 5 residents reviewed for abuse (Resident #22), the facility failed to protect the resident from repeated non consensual physical/sexual contact by another resident (Resident #129) despite a known history of prior sexual abuse between the same residents. The facility failed to implement required safety interventions, ensure effective 1:1 supervision, separate the residents as care planned, or follow its Abuse and Sexual Interaction policies, resulting in actual harm to Resident #22. Resident #129, who had a documented history of sexually inappropriate contact toward Resident #22, again made non consensual physical contact by grabbing the resident's chest/shirt area while under 1:1 supervision, and the facility did not complete a Reportable Event Form or document the incident in Resident #22's medical record. Despite a care plan directive to move Resident #22 to another unit for safety, the residents remained on the same unit with…

  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
• Actual harm · Gcited before2026-03-05 · 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 The facility failed to provide adequate supervision and implement effective fall prevention interventions for a cognitively impaired resident with incontinence and a known fall risk, resulting in two (2) unwitnessed falls with major injuries (right and left humerus fractures). The findings include:Resident #1 was admitted to the facility with diagnoses that included osteoarthritis of the knee, anxiety and Alzheimer's dementia. Resident #1 had a conservator of person and estate.The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #1 had impaired cognition (Brief Interview for Mental Status (BIMS) score of 5), was frequently incontinent of bowel and bladder and was not currently on a toileting program.The Resident Care Plan (RCP) dated 12/2/25 identified Resident #1 had a deficit in self-care function related to weakness and deconditioning. Interventions included toileting with a straight point cane with a supervise/touching assist of one (1) staff (helper gives verbal cues or touch assist) 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-07-30 · 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 clinical record review, facility documentation review, and interviews for one (1) of three (3) residents (Resident #1) reviewed for accidents, the facility failed to ensure care was provided in accordance with the plan of care. The failure resulted in a fall with injury. The findings include: Resident #1's diagnoses included cerebral infarction (stroke) and morbid obesity. The quarterly 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. The Resident Care Plan (RCP) dated 4/16/2025 identified that Resident #1 a deficit related to deconditioning and weakness. Interventions directed side-rails to assist with bed mobility, and two (2) staff for assistance personal hygiene, and turning and repositioning in bed. Facility reportable event dated 6/27/2025 at 8:15 AM identified Resident #1 had severe cognitive impairment, 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-03-25 · 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #43) reviewed for activities of daily living, the facility failed to ensure that the resident was treated in a dignified manner. The findings include:Resident #43 was admitted to the facility in October 2014 with diagnoses that included Alzheimer's disease, macular degeneration, and muscle weakness.The quarterly MDS dated [DATE] identified Resident #43 had severely impaired cognition, was always incontinent of bowel and bladder and was dependent on staff for assistance with toileting, bathing, and dressing.The care plan dated 3/18/26 identified Resident #43 had a self-care deficit due to Alzheimer's disease. Interventions included to provide the assistance of 2 staff members with showering/bathing.Observation on 3/23/26 beginning at 8:43 AM identified Resident #43 seated in a wheelchair in the hallway directly in front of the nurse's station on the 4th floor unit, with NA #2…

  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 before2026-03-25 · 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 review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #107) reviewed for rehabilitation, the facility failed to notify the physician that rehabilitation services were not provided according to specialty service recommendations. The findings include:Resident #107 was admitted in November 2025 with diagnoses that included nondisplaced fracture of the seventh cervical vertebra, and non-displaced fracture of the right tibia due to a motor vehicle accident.The admission MDS dated [DATE] identified Resident #A107 was cognitively intact, required two person assist with bed mobility, transfers, utilized a manual wheelchair with one assist for locomotion and was receiving occupational, physical and speech therapy.The care plan dated 11/7/25 identified Resident #107 had a fracture of the right tibia and cervical spine. Interventions included maintaining a cervical collar (neck collar) at all times, follow up with orthopedic consultations as indicated 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 · D2026-03-25 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 facility documentation, facility policy, and interviews for 2 of 7 nurse aide (NA #4 and #5) personnel files reviewed, the facility failed to ensure criminal background checks were completed, per the facility's screening prospective employee's policy. The findings include: a. NA #4 was hired on [DATE]. Review of NA #4's personnel file identified an undated Applicant Background Check Management System (ABCMS) Person Summary that identified NA #4's current eligibility determination was in process, and the ABCMS Final Registry Results Form dated [DATE] identified NA #4 had not been previously determined eligible for employment and must be fingerprinted. b. NA#5 was hired on [DATE].Review of NA #5's personnel file identified an undated Applicant Background Check Management System (ABCMS) Person Summary that identified NA #5's current eligibility determination noted: a new application must be submitted, and the ABCMS Final Registry Results Form dated [DATE] identified NA #4 had not been previously…

  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 before2026-03-25 · 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 review of the clinical record, facility documentation, facility policy and interviews for 1 of 5 residents (Resident #22) reviewed for abuse, the facility failed to report an allegation of abuse to the state agency. The findings include:a. Resident #22 was admitted in October 2024 with diagnoses that included anoxic brain damage and dementia.The quarterly MDS dated [DATE] identified Resident #22 had severely impaired cognition and required one person assist with locomotion with the use of a manual wheelchair.The care plan dated 1/22/25 identified Resident #22 had a behavior problem that included anxiety and aggression towards others. Interventions included monitoring behavior and administering medications as ordered.b. Resident #129 was admitted in August 2023 with diagnoses that included schizophrenia and dementia.The quarterly MDS dated [DATE] identified Resident #129 had moderately impaired cognition and was independent with ambulation.The care plan dated 1/7/25 identified Resident #129 had a mood…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · 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, facility documentation, facility policy and interviews for 1 of 5 residents (Resident #22) reviewed for abuse, the facility failed to investigate an allegation of abuse and protect the resident during the investigation. The findings include:a. Resident #22 was admitted in October 2024 with diagnoses that included anoxic brain damage and dementia.The quarterly MDS dated [DATE] identified Resident #22 had severely impaired cognition and required one person assist with locomotion with the use of a manual wheelchair.The care plan dated 1/22/25 identified Resident #22 had a behavior problem that included anxiety and aggression towards others. Interventions included monitoring behavior and administering medications as ordered.b. Resident #129 was admitted in August 2023 with diagnoses that included schizophrenia and dementia.The quarterly MDS dated [DATE] identified Resident #129 had moderately impaired cognition and was independent with ambulation.The care plan dated 1/7/25…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-25 · tag F0657 — failed to keep the care plan current — isolated
  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 review of the clinical record, facility documentation, facility policy and interviews for 1 of 5 residents (Resident #22) reviewed for abuse, the facility failed to revise the care plan to address and prevent further occurrences of non-consensual physical/sexual contact by Resident #129. The findings include:a. Resident #22 was admitted in October 2024 with diagnoses that included anoxic brain damage and dementia.The quarterly MDS dated [DATE] identified Resident #22 had severely impaired cognition and required one person assist with locomotion with the use of a manual wheelchair.The care plan dated 1/22/25 identified Resident #22 had a behavior problem that included anxiety and aggression towards others. Interventions included monitoring behavior and administering medications as ordered.b. Resident #129 was admitted in August 2023 with diagnoses that included schizophrenia and dementia.The quarterly MDS dated [DATE] identified Resident #129 had moderately impaired cognition and was independent with…

  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 · D2026-03-25 · 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, facility documentation, facility policy, and interview for 1 of 3 residents (Resident #125) reviewed for medication administration, the facility failed to administer transdermal medication according to professional standards during a 2 week period when licensed staff applied a 12.5 mcg Fentanyl patch every 3 days despite the order directing 75 mcg be applied. The findings included:Resident #125 was admitted to the facility in July 2025 with diagnoses that included nontraumatic intracerebral hemorrhage in brain stem, chronic respiratory failure, and congestive heart failure.Review of physician's orders dated 11/5/25 through 12/31/25 directed to apply Fentanyl (opioid pain medication) 12 mcg patch, 1 patch transdermal every 72 hours for pain and remove per schedule. Review of the controlled substance disposition records dated 11/5/25 through 12/31/25 identified the pharmacy dispensed Fentanyl 12 mcg patches which were applied/removed to Resident #125 every 72 hours. The…

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

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-03-25 · 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 observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 2 residents (Resident #103) reviewed for accidents, the facility failed to ensure a safe transfer of the resident with a mechanical lift per the physician's order. The findings include:Resident #103 was admitted to the facility in May 2020 with diagnoses that included Alzheimer's disease, colostomy and muscle weakness.A physician's order dated 6/26/23 directed to transfer the resident with the assistance of 2 staff using a mechanical lift.The quarterly MDS dated [DATE] identified Resident #103 had severely impaired cognition, had an ostomy, was always incontinent of bladder and was dependent on staff to assist with toileting, bathing, and transfers.The care plan dated 2/28/25 identified Resident #103 had a self-care deficit due to dementia. Interventions included to provide assistance of 2 staff using a mechanical lift.A nurse aide care card dated 5/11/25 identified Resident #103 required 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 · D2026-03-25 · 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 the clinical record, facility documentation, facility policy, and interview for 1 of 3 residents (Resident #125) reviewed for medication administration, the facility failed to ensure the resident was free from a significant medication error. The findings included:Resident #125 was admitted to the facility in July 2025 with diagnoses that included nontraumatic intracerebral hemorrhage in brain stem, chronic respiratory failure, and congestive heart failure.Review of physician's orders dated 11/5/25 through 12/31/25 directed to apply Fentanyl (opioid pain medication) 12 mcg patch, 1 patch transdermal every 72 hours for pain and remove per schedule. Review of the controlled substance disposition records dated 11/5/25 through 12/31/25 identified the pharmacy dispensed Fentanyl 12 mcg patches which were applied/removed to Resident #125 every 72 hours. The quarterly MDS dated [DATE] identified Resident #125 had severely impaired cognition and was not on oxygen. The MDS failed to identify 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.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · D2026-03-25 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a 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 review of the clinical record, facility documentation, facility policy and interviews for 1 resident (Resident #107) reviewed for rehabilitation, the facility failed to implement specialty service recommendations in a timely manner for a resident requiring rehabilitative services. The findings include:Resident #107 was admitted in November 2025 with diagnoses that included nondisplaced fracture of the seventh cervical vertebra, and non-displaced fracture of the right tibia (leg bone) secondary to a motor vehicle accident.The admission MDS dated [DATE] identified Resident #107 was cognitively intact, required two person assist with bed mobility, transfers, utilized a manual wheelchair with one assist for locomotion and was receiving occupational, physical and speech therapy.The care plan dated 11/21/25 identified Resident #107 had a fracture of the right tibia and cervical spine. Interventions included maintaining a cervical collar (neck collar) at all times, follow up with orthopedic consultations as…

  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.

Fines & penalties

$99,037 in federal fines across 3 penalties.

• $20,395 — penalty dated 2026-03-05
• $63,000 — penalty dated 2026-03-05
• $15,642 — penalty dated 2024-07-03

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

7 organizational owners 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 77% 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 $4.8M paid to related parties — landlords or management companies under common ownership — equal to about 25% 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