Monsignor Bojnowski Manor, INC
50 Pulaski Street, New Britain, CT 06053 · Non profit - Corporation · 60 certified beds · (860) 229-0336 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- CMS has flagged it for abuse
- it has abuse, neglect, or exploitation citations (F0600, F0603) — most recent Mar 2026
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (37) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $21,991 in federal fines (most recent 2025-01-16)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- nursing-staff turnover (70%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.9% | 18.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 8.6% | 6.5% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 22.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 4.7% | 3.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 7.6% | 16.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 30.5% | 17.6% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 94.3% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.0% | 4.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 22.5% | 24.7% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 6.7% | 17.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.5% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 71.4% | 69.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 24.7% | 24.3% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 3.3% | 10.7% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 3.18 | 2.06 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.34 | 1.46 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
61.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 89 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 25 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 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 36% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 61.8%CMS range 51.6–71.2 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.7%CMS range 7.2–15.0 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 48.0% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 60.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 60.0% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.6% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.1%CMS range 3.0–10.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.87 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 60 beds and averages 54.1 residents a day — about 90% occupied, or roughly 6 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 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 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 3.09 hrs/resident/day on weekends vs 3.39 on weekdays — 9% thinner on weekends. RN hours go from 0.79 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
37 citations, most serious first. The 11 most serious are shown; the remaining 26 are one tap away and print in full.
- Actual harm · Gcited before2025-01-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, observations, facility documentation review, facility policy review, and interviews for two of three residents (Resident #1, #2) reviewed for accidents, the facility failed to ensure the residents were transferred in accordance with the plan of care to prevent an injury. The findings include: a. Resident #1's diagnoses included osteoarthritis, non-thrombocytopenia purpura, and dermatitis. Review of the Nurse Aide (NA) care card dated 7/23/2024 directed transfers with assist of one (1), device needed walker. The annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had a Brief Interview for Mental Status (BIMS) score of fourteen out of fifteen, indicative of no cognitive impairment and required partial/moderate assistance with transfers. The Resident Care Plan (RCP) dated 10/24/2024 identified Resident #1 had arthritis and required assistance with transfers. Interventions directed to transfer per MD orders and use of supportive devices as recommended.…
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.
- Potential for harm · D2026-03-02 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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, facility policies and interviews for one (1) of one (1) sampled resident (Resident #1) reviewed for an allegation of involuntary seclusion, the facility failed to report a change in behavior to the physician when facility staff were unable to de-escalate Resident #1's increased agitated behaviors which resulted in facility staff placing Resident #1 in the medication room with the door closed for one and one half (1 1/2) hours. The findings include: Resident #1's diagnoses included dementia, insomnia, end stage renal disease, failure to thrive, and depression.The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 was moderately cognitively impaired (Brief Interview for Mental Status (BIMS) score of 9), unable to make reasonable and consistent decisions regarding tasks of daily living, was dependent with all care including bed mobility and transfers, and was wheelchair bound. The Resident Care Plan (RCP) dated 12/23/25 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.
- Potential for harm · D2026-03-02 · tag F0603 — failed to not confine residents against their will — isolatedProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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, facility policies and interviews for one (1) of one (1) sampled resident (Resident #1) reviewed for an allegation of involuntary seclusion, the facility failed to ensure Resident #1 was not separated from other residents or his/her room when they placed the resident in the medication room with the door closed for one and one half (1 1/2) hours when Resident #1 exhibited increased agitated behaviors. The findings include:Resident #1's diagnoses included dementia, insomnia, end stage renal disease, failure to thrive, and depression.The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 was moderately cognitively impaired (Brief Interview for Mental Status (BIMS) score of 9), unable to make reasonable and consistent decisions regarding tasks of daily living, was dependent with all care including bed mobility and transfers, and was wheelchair bound.The Resident Care Plan (RCP) dated 12/23/25 identified Resident #1 had a self-care…
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.
- Potential for harm · Dcited before2026-03-02 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 clinical record review, facility documentation, facility policies and interviews for one (1) of one (1) sampled resident (Resident #1) reviewed for an allegation of involuntary seclusion, the facility failed to timely report the allegation of involuntary seclusion. The findings include:Resident #1's diagnoses included dementia, insomnia, end stage renal disease, failure to thrive, and depression.The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 was moderately cognitively impaired (Brief Interview for Mental Status (BIMS) score of 9), unable to make reasonable and consistent decisions regarding tasks of daily living, was dependent with all care including bed mobility and transfers, and was wheelchair bound.The Resident Care Plan (RCP) dated 12/23/25 identified Resident #1 had a self-care deficit. Interventions directed staff to assess the resident every shift, administer medications as ordered, encourage the resident to participate in care, and if Resident #1's mood was…
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.
- Potential for harm · Ecited before2025-02-04 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of facility policy/procedures and interviews, the facility failed to ensure medications designated for destruction and/or return to pharmacy were secured. The findings include: Observation on 1/30/25 at 10:28 AM identified the DNS office door opened and unoccupied with a yellow basket located on top of the medication safe that contained several blister packs containing medications. The office is located on a nursing unit and opens to the resident corridor. There was one resident seated in a chair located next to the nurses' station approximately 20 feet from the opened door/office. Observation on 1/31/25 at 1:18 PM identified the DNS office door open with medications in sight. The office was unoccupied, and four residents were seated in wheelchairs outside of the unoccupied office. There was no facility staff present in the area. Observation on 2/3/25 at 12:07 PM noted the office door opened with medications in sight and unsecured. Interview on 2/3/25 at 12:39 PM with RN#2 identified discontinued and expired medications are stored in a cabinet 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.
- Potential for harm · Ecited before2025-02-04 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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, review of facility policy, review of facility documentation, and interviews for five of five sampled residents (Resident #12, Resident #31, Resident #43, Resident #46, and Resident #49) reviewed for immunizations, the facility failed to ensure that the pneumococcal vaccine was assessed/and administered and failed to offer the influenza vaccine to residents (Resident #12 and Resident #31). The findings include: Resident #12's diagnoses included hypertension, osteoarthritis, and hypercholesterolemia. Review of the Resident Vaccine Consent form which consists of the pneumococcal vaccine consent identified Resident #12 gave the facility permission to administer the pneumococcal vaccine on 4/21/24 and on 7/7/24. Review of Resident #12's vaccination report failed a history of receiving the pneumococcal vaccine(s) or that he/she had been administered the vaccine while at the facility. Interview with the DNS (who is an Infection Preventionist (IP) and is covering for the IP) on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-02-04 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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, review of facility policy/procedures and interviews for one sampled resident (Resident #52) reviewed for hospice care and had the behavior of refusing care and medications, the facility failed to ensure the resident's care plan addressed the refusals of care and medication. The findings include: Resident #52 was admitted to the facility in October of 2024. Diagnoses included vascular dementia with agitation, anxiety disorder due to known physiological condition, open wound of unspecified front wall of thorax without penetration into thoracic cavity, disorientation and insomnia. The admission MDS assessment dated [DATE] identified the resident had intact cognition, required supervision or touching assistance with toileting, showering, and personal hygiene, independent with position changes and required supervision/touching assistance with transfers and walking. The assessment further indicated Resident #52 exhibited delusions, but did not exhibit physical or verbal…
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.
- Potential for harm · Dcited before2025-02-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, clinical record review, facility documentation review, facility policy review, and interviews for one of three sampled residents (Resident #16) reviewed for accidents, the facility failed to ensure the resident was provided accurate supervision to prevent an elopement and failed to ensure staff responded to the door alarm when the resident exited the building. The findings include: Resident # 16 's diagnoses included dementia, poly-osteoarthritis, restlessness and agitation. The elopement evaluation dated 6/24/24 identified Resident #16 was at risk for elopement. A physician's order dated 6/24/24 identified Resident #16 wander guard on right wrist and check bracelet application every shift, check function once a shift. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #16 had severe cognitive impairment, required supervision with transfers and ambulation and had a wander guard (monitoring device that triggers an alarm) in place. The care plan dated 9/13/24…
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.
- Potential for harm · Dcited before2025-02-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, review of facility policy/procedures and interviews, the facility failed to ensure the hand hygiene procedures were followed by staff involved in direct resident contact. The findings include: Continuous observations of medication administration on 1/30/25 at 9:21 AM identified LPN#5 took Resident #34's blood pressure and then exited the room without performing hand hygiene. LPN #5 then preceded to the medication cart, prepared Resident #34's medications, and re-entered the resident's room and administered the medications. LPN#5 spoon fed the resident a few medications at a time and assisted the resident with drinking the water. LPN#5 then returned to the med cart and prepared an additional medication that Resident #34 had requested. It was noted that Resident #34 had a new complaint of rash to bilateral arms. At 9:45 AM, LPN#5 exited Resident #34's room, retrieved the blood pressure machine (which had been wiped down by the NA) and entered Resident 50's room and obtained a blood pressure. LPN#5 exited the room without performing hand hygiene, and did 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.
- Potential for harm · Dcited before2025-02-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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, review of facility documentation, review of facility policy/procedures and interviews for one of two sampled residents (Resident #35) reviewed for hospitalization, the facility failed to ensure medication was administered as ordered. The findings include: Resident #35's diagnoses included epilepsy, dementia and anxiety. The quarterly MDS assessment dated [DATE] identified Resident #35 was moderately cognitively impaired, had no behaviors, required max assistance for bed mobility, dressing, and hygiene, was dependent for transfers, utilized a mechanical lift and utilized a wheelchair for mobility. The physician's orders for June/July 2024 (original order dated 10/5/22) directed to administer Clobazam (benzodiazepine/used to treat seizures) 10mg orally once a day in the evening. The Controlled Substance Disposition Record dated 6/14/24 indicated a 30-day supply (30 tabs) of Clobazam 10mg tablets were delivered to the facility on 6/14/24. The disposition record 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.
- Potential for harm · D2025-01-16 · tag F0940 — failed to train staff — isolatedDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, facility documentation review, facility policy review, and agency staff file review for three of three agency NAs (NA #1, 2 and 3), the facility failed to ensure agency staff received facility orientation to include emergency procedures and abuse training prior to working in the facility. The findings include: A. Agency NA #1 file review identified NA #1 worked at the facility on 12/28/2024 during the 3 to 11 PM shift. File review for NA #1 failed to identify a general orientation to include facility emergency procedures and abuse training. B. Agency NA #2 file review identified NA #2 worked at the facility on 9/2/2023 during the 3 to 11 PM shift. File review for NA #2 failed to identify a general orientation to include facility emergency procedures and abuse training. C. Agency NA #3 file review identified NA #3 worked at the facility on 9/2/2023 during the 3 to 11 PM shift. File review for NA #3 failed to identify a general orientation to include facility emergency procedures and abuse training. Interview, facility documentation review and facility…
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.
Show the remaining 26 citations
- Potential for harm · Dcited before2024-09-18 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for wound care, the facility failed to ensure hand hygiene was performed during a dressing change in accordance with accepted infection control practices. The findings include: Resident #1's diagnoses included an open knee wound and osteomyelitis of the knee. The admission assessment dated [DATE] identified Resident #1 was alert and oriented, had a left shin surgical incision with a surgical dressing and Jackson Pratt drain in place. The physician order dated 8/17/2024 directed left anterior knee wound: apply skin prep, allow to dry, cut a thin strip of Alginate AG with silver and gently pack into the wound bed using a cotton tipped applicator leaving the end exposed, apply Aquacel AG over the wound bed and cover with an adhesive foam dressing, change daily and as needed. The Resident Care Plan (RCP) dated 8/6/2024 identified chronic antibiotic use…
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.
- Potential for harm · D2024-03-07 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 clinical record review, observations, facility documentation, facility policy and interviews for one of three residents (Resident #3), reviewed for abuse, the facility failed to ensure the resident was treated in a dignified manner. The findings include: Resident #3's diagnoses included sepsis, fracture of T9-T10 vertebra, moderate protein-calorie malnutrition, osteoarthritis, and acute/chronic pain. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #3 as alert and oriented, and required extensive assistance of one (1) person with bed mobility, transfers, dressing, toilet use, and personal hygiene. The Resident Care Plan (RCP) dated 1/19/2024 identified Resident #3 had a diagnosis of arthritis and may be prone to fractures. Interventions directed to monitor for pain/discomfort, and assist with care. The facility incident report dated 2/1/2024 at 9:00 PM identified Resident #3 reported NA #1 was verbally abusive during care. Resident #1 alleged that NA #1 used a loud voice while…
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.
- Potential for harm · Dcited before2024-03-07 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for abuse, the facility failed ensure the State Agency was notified timely of an allegation of mistreatment. The findings include: Resident #1's diagnoses included Alzheimer's dementia, peripheral vascular disease, non-pressure chronic ulcers, urinary tract infection, and depression. The quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #1 had significantly impaired cognition and required extensive assistance with assist of one (1) with bed mobility and transfers. The Resident Care Plan (RCP) dated 12/22/2023 identified Resident #1 was sometimes confused and forgetful due to age-related forgetfulness/dementia. Intervention directed to allow resident time to respond when speaking to resident, offer one step at a time directions, if the resident does not seem to understand what you are saying, please restate using simpler terms, and if…
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.
- Potential for harm · E2023-01-24 · tag F0726 — failed to have competent, trained nursing staff — patternEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility documentation of licensed staff training for Intravenous (IV) Therapy, review of facility policy and interview, the facility failed to ensure that annual (IV) education and competencies were completed. The findings include: On 1/23/2023 at 10:55AM an interview and review of facility training/ education for licensed staff identified the initial IV Therapy training for licensed staff was completed. However, the facility failed to evidence that annual IV Therapy educational training or competencies were completed for 2022. The Infection Control Preventionist ( IP) identified she was unable to find any annual IV in servicing or competencies for the licensed personnel for 2022 and indicates she could not explain why they had not been completed. A review of the facility IV Therapy log on 1/23/23 identified the most recent Intravenous therapy was initiated and ended on 1/22/2023. Prior Intravenous therapy were provided on 9/15/2022, 8/25/2022 and 8/20/2022. The log then indicated prior intravenous therapy was provided in 2020 and 2021. No facility policy was…
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.
- Potential for harm · Ecited before2023-01-24 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview for 2 of 4 medication carts and refrigeration of medications, the facility failed to discard expired medications and store topical creams separately from medications. The findings include: a. Observation of the medication cart for the [NAME] Unit with LPN #3 on 1/24/23 at 10:35 AM identified the following: 1. Nitroglycerin 0.4 milligram (mg) tablets (tabs) with an expiration date of 5/2022 (25 tabs) 2. Lispro Kwikpen 100 Units (U) /1 milliliter (ml) with an expiration date of 12/22/22 3. An opened bottle of B-100% (B Complex) with an expiration date of 12/2022 Additionally, the following topical creams were also observed to be stored in the medication cart: 1. One tube of Preparation H 2. One tube of Triamcinolone Cream 3. One tube of Ketoconazole 2% Cream 4. One tube of Mupirocin ointment 5. One tube of Clotrimazole/Betamethasone Cream 6. One tube of Skin Protectant Additional observations of the medication cart for [NAME] Unit identified the following topical creams…
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.
- Potential for harm · D2023-01-24 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 policy and interviews for 1 of 3 residents (Resident # 254) reviewed for advanced directives, the facility failed to ensure a physician's order was obtained when implementing an advanced directive. The findings include: Resident #254 was admitted on [DATE] with diagnoses that included dementia, hypertension, chronic kidney disease. The care plan dated [DATE] identified Resident #254 required assist with Activities of Daily Living (ADL). An intervention includes Advanced Directives per resident/representative. The Medical Treatment Decision form dated [DATE] signed by the responsible party identified all measures excluding Cardiopulmonary Resuscitation (CPR) and respiratory support via respirator be taken to maintain life. An admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #254 had moderate cognitive impairment and required assist with personal care. An interview on [DATE] at 9:32 AM with the Director of Nursing Services ( DNS)…
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.
- Potential for harm · D2023-01-24 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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, review of facility policy, and staff interviews for 1 of 3 sampled residents (Resident #28) reviewed for an allegation of mistreatment, the facility failed to ensure Resident #28 did not verbally mistreat Resident #47. The findings include: 1. Resident #28's diagnosis include dementia, adjustment disorder with mixed anxiety and depressed mood, and mild cognitive impairment. The Annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #28 was moderately cognitively impaired, required total assistance with two persons for transfers and extensive assistance with two persons for bed mobility and toilet use. The MDS further identified that Resident #28 required extensive assistance with one person for dressing and personal hygiene. A Resident Care Plan dated 10/19/22 identified Resident #28 had a problem with confusion and forgetfulness due to dementia with interventions that included to orient to surroundings, room, staff and call light system, to allow resident time…
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.
- Potential for harm · D2023-01-24 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop 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 clinical record review, review of facility policy and staff interview for 1 of 4 residents reviewed for abuse for (Resident # 47), the facility failed to follow their policy regarding examining the resident for psychological concerns following a verbal abuse within accordance to facility policy. The finding include: Resident #47's diagnoses include pneumonia, anxiety, paranoid schizophrenia, bipolar disorder and Chronic Obstructive Pulmonary Disease (COPD). The quarterly MDS assessment dated [DATE] identified the resident was cognitively intact , required limited assistance with bed mobility , transfers and personal hygiene and noted no behavior symptoms. A nurse's note dated 1/3/23 at 10:36 PM identified Resident #28 was overheard and observed by LPN #4 and other staff using profanity at Resident #47 directly despite redirection. A review of Resident # 47's progress notes dated 1/3/23 through 1/23/23 failed to reflect that staff had conducted a psychosocial assessment on Resident # 47 after 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.
- Potential for harm · Dcited before2023-01-24 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 clinical record review, review of facility policy, and staff interviews for 1 of 3 sampled residents (Resident #28) reviewed for an allegation of mistreatment, the facility failed to ensure LPN #4 report the verbal mistreatment to the facility and therefore the State Agency had not been notified. The findings include: 1. Resident #28's diagnosis include dementia, adjustment disorder with mixed anxiety and depressed mood, and mild cognitive impairment. The Annual Minimum Data Set (MDS) assessment dated [DATE] identified Resident #28 was moderately cognitively impaired, required total assistance with two persons for transfers and extensive assistance with two persons for bed mobility and toilet use. The MDS further identified that Resident #28 required extensive assistance with one person for dressing and personal hygiene. A Resident Care Plan dated 10/19/22 identified Resident #28 had a problem with confusion and forgetfulness due to dementia with interventions that included to orient to surroundings,…
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.
- Potential for harm · D2023-01-24 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations and staff interviews for 2 sampled residents reviewed for implementation of the care plan for (Resident #6), the facility failed to ensure the resident plan of care was followed regarding the use of a Tubi-grip, and for (Resident #42) reviewed for a skin tear, the facility failed to ensure that Geri-Sleeves were implemented according to interventions for a skin tear. The findings included: 1. Resident #6's Diagnosis included atherosclerotic heart disease, heart failure and edema. The resident care plan dated 9/14/2022 indicated Resident #6 had cardiopulmonary concerns due to diagnosis of Congestive Heart Failure (CHF), hypertension, and coronary artery disease. Interventions included in part, to be aware of symptoms of heart failure, arrythmias and to provide medication as ordered and to follow up with the cardiologist. The care plan further indicated Resident #6 requires assistance with ADL. Interventions include to assistance the resident with daily washing,…
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.
- Potential for harm · Dcited before2023-01-24 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 observation, staff interview, and clinical record review for 1 of 1 sampled resident (Resident #42) reviewed for a skin tear, the facility failed to ensure that Geri-Sleeves were implemented according to interventions for a skin tear. The findings include: Resident #42's diagnosis included dementia, nutritional anemia, vitamin d deficiency and age-related osteoporosis. APhysicians order dated 1/31/2022 directed to apply Tubi Grip stockings to bilateral lower extremities in the Am and to remove them in the PM daily. A Resident Care Plan dated 11/7/22 identified that Resident #42 had a problem with being at risk for pressure ulcers due to impaired mobility with interventions that included to minimize skin exposure to moisture, to report any signs of skin breakdown and to conduct weekly skin inspections. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #42 was cognitively intact, required extensive assistance with two persons for bed mobility, transfers, and dressing. 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.
- Potential for harm · D2023-01-24 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 interview and record review for 1 of 1 sampled residents (Resident #4) reviewed for medication errors, the facility failed to ensure medication was administered according to professional standards of practice, which resulted in Resident #4 receiving an unscheduled dose of an antibiotic. The finding include: Resident #4's diagnoses included high blood pressure, elevated cholesterol, and urinary tract infection (UTI). A Resident Care Plan initiated 4/12/18 through 10/7/22 identified a problem with occasional incontinence of urine or stool requiring assistance with toileting. Interventions included a toileting program which included assisting with toileting before and after meals, and at bedtime. The quarterly MDS assessment dated [DATE] indicated Resident #4 had intact cognition and required extensive assistance with 2 staff for mobility, toilet use and personal hygiene. Nurse's notes dated 6/29/22 at 12:22 PM identified Resident #4's family requested a urine be obtained secondary to increased weakness,…
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.
- Potential for harm · Dcited before2023-01-24 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 clinical record review, review of facility policy and staff interview for 1 of 3 closed records review for (Resident # 52), the facility failed to obtain physician's orders or to release the resident's body to the funeral home. The findings include: Resident # 52 was admitted on [DATE]. The resident's diagnoses included chronic anxiety, hypertension, end stage renal insufficiency and hyperlipidemia. The significant change MDS assessment dated [DATE] identified the resident was cognitively intact, required two person assists with bed mobility and transfers, limited one person assist with eating and extensive one person assistance with personal hygiene. The nurses notes dated 11/7/22 identified Resident # 52 code status was Do Not Resuscitate (DNR), Do Not Intubate (DNI) and Do Not Hospitalize ( DNH). The social service note dated 11/10/22 record as late entry on 11/16/22 identified Resident # 52's code status was DNR, the resident was alert and orient time to person, place , time and situation. 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.
- Potential for harm · Dcited before2023-01-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 clinical record review, review of facility documentation, facility policy and interviews for 1 of 3 residents reviewed for accidents (Resident #25), the facility failed to supervise a resident who exhibited wandering behaviors and was at risk for elopement. The findings include: Resident #25's diagnoses included dementia with behavioral disturbance and Cerebrovascular Accident (CVA). The quarterly MDS assessment dated [DATE] identified Resident #25 was severely cognitively impaired requiring limited assistance of one staff member for transfer and needed supervision with set up assistance for walking in hallway and on unit. The MDS assessment dated [DATE] also identified Resident #25 exhibited wandering behaviors that occurred 4 to 6 days during the assessment timeframe but less than daily. A care plan dated 12/7/22 identified Resident #24 has altered psychosocial well-being as resident is occasionally combative during care due to dementia. Interventions included: to document resistance to care and to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-24 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility documentation of staffing ratios, review of facility policy and interview, the facility failed to ensure sufficient staffing in a 24-hour period. The findings include: A four-day selected sample of the nursing staffing schedule dated 1/1/23 through 1/23/23 identified on 1/1/23 the facility had 148.5 combined license/CNA hours for a 24-hour period reflecting 4.5. hours less than the required 153 hours for a census of 51. An interview on 1/23/23 at 8:42 AM with the DNS identified while families may complain of the facility experiencing staffing shortages, the facility generally did not experience staffing shortages. On 1/1/23 many staff called out unexpectedly and efforts were made to replace staff including she, herself coming into work. Ongoing efforts to acquire new staff were ongoing which included the following : bonuses to come in when short, use of agency staff and overstaffing shifts when able to offset anticipated call outs. The Facility Assessment identified an average daily balance of 52 with 92% of residents requiring assist of 1-2, 2% total…
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.
- Potential for harm · D2023-01-24 · tag F0730 — isolatedObserve each nurse aide's job performance and give regular training.
What the surveyor found here — the official record, unedited, may be distressing
Based on review of facility employee files, facility policy and interview for 1 of 5 employees for ( NA #5), the facility failed to ensure that the NA's annual performance review was completed according to facility policy. The findings include: A review of employee files on 1/14/23 identified NA #5 did not receive her/an Annual Performance Evaluation. An interview on 1/24/23 at 11:32 AM with the DNS identified she was responsible for ensuring Annual Performance reviews were completed for nurse aides. The DNS indicated not completing NA #5's Performance Evaluation was an oversight. The policy for Annual Performance Appraisals directs the job performance of each employee will be reviewed and evaluated annually.
- Potential for harm · Dcited before2023-01-24 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, facility documentation, facility policy and interviews, the facility failed to ensure staff practiced proper cleaning of the multi-use glucometer and failed to ensure appropriate Personal Protective Equipment ( PPE) was available to staff members upon entrance to the building and failed to maintain appropriate length of time required for transmission-based precautions for 2 residents as required by the Centers for Disease Control and Prevention ( CDC). The findings included: 1. An observation of LPN #1 on 1/19/2023 at 11:52 AM while obtaining a fingerstick for blood glucose for a resident. LPN #1 indicated that one glucometer was available on the medication cart. LPN #1 then proceeded to clean the glucometer before use with Sani Wipes. LPN #1 further indicated that after wiping off the glucometer s/he would allow the meter to dry completely about 30 seconds to one minute. After hand sanitizing, LPN #1 gathered supplies for the procedure went into a resident's room then verified identification. Glucometer strip was placed into the glucometer. The resident's…
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.
- Potential for harm · Dcited before2023-01-24 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, review of the facility Infection Control Program, facility documentation and interviews for 1 of 5 residents (Resident #37) reviewed for vaccination , the facility failed to ensure the resident received a consent and education regarding the influenza (Flu) vaccine. The findings include: Resident # 37's diagnosis included Covid 19, Acute Respiratory Disease, hypertension, and atrial fibrillation. Review of Resident #37's clinical record identified Resident #37 received the flu vaccine in the facility on 10/1/2021. The record further identified Resident #37 received the Covid 19 Vaccine in the facility on 10/4/2022. Resident # 37's resident clinical record indicated a vaccine consent form for the annual flu vaccine that noted a yes, I agree to receive the annual influenza vaccine checked, and noted Resident #37's name, but no date or signature. On 1/24/2023 an interview with the IP at 11:25 AM identified she was unable to find a consent for the Covid 19 or influenza vaccines for Resident # 37. The IP also indicated the consent may have been misfiled.…
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.
- Potential for harm · Dcited before2020-03-05 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 observation, review of the clinical record, review of facility documentation and interviews for one sampled resident (Resident #21), reviewed for a skin condition, the facility failed to ensure that a change in the resident's skin condition was reported in a timely manner. The findings include: Resident #21's diagnoses included adjustment disorder with mixed anxiety, depressed mood and dementia with behavioral disturbances. A quarterly assessment dated [DATE] identified Resident #21 had severe cognitive impairment, required extensive assistance from staff for most activities of daily living, was without limitations in range of motion for upper and lower extremities and did not receive an anticoagulant. Resident #21's care plan (RCP) updated on 1/14/20 identified a problem with alteration in skin integrity and approaches included gentle handling during all transfers and care procedures, inspect skin when providing care for signs and symptoms of breakdown, bruising and infection and report any issues 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.
- Potential for harm · D2020-03-05 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
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 and interview for one of five sampled residents, (Resident #25), reviewed for unnecessary medications, the facility failed to ensure laboratory tests were obtained as recommended. The finding include: Resident #25's diagnoses included intracerebral hemorrhage and hyperlipidemia. A physician's admission orders dated 9/25/19 directed to administer Rosuvastatin 10mg daily at 5:30 PM. The order was discontinued on 10/4/19 and changed from administer daily to administer every other day with a start date of 10/5/19. The admission MDS assessment dated [DATE] identified Resident # 25 had intact cognition and required extensive assistance of two staff for ADLs. Review of Resident #25's care plan dated 10/10/19 did not contain a care plan for hyperlipidemia. Laboratory tests obtained on 10/4/19 identified Cholesterol 92 (normal range is 100-200), Triglyceride 81 (normal range is less than 200), HDL 35 (normal range is 35-97) and LDL 41 (normal range is less than 100). A pharmacy…
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.
- Potential for harm · Dcited before2020-03-05 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation and interview for one sampled resident (Resident #2) reviewed for pressure ulcers, the facility failed to follow recommended infection control standards. The findings include: Resident #2's diagnoses included Parkinson's disease and a history of pilonidal cyst. An admission MDS assessment dated [DATE] identified the resident had intact cognition, required extensive assistance of two staff for bed mobility and extensive assistance of one staff for transfers, dressing and hygiene. The assessment further identified that the resident was at risk for pressure ulcers but did not have any current pressure ulcers. The resident's care plan identified Resident # 2 was at risk for pressure ulcers due to decreased mobility, an open area/slit to the coccyx and a history of surgery for a pilonidal cyst. The weekly pressure ulcer monitoring form and a nurse's note dated 2/20/20 identified Resident #2 had a stage 2 pressure ulcer that measured 1.0 cm in length by 0.2 cm in width 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.
- No harm found · C2025-02-04 · tag F0623 — widespreadProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 clinical record review, review of facility documentation, review of facility policy, and interviews for one of two sampled residents (Resident #34) reviewed for hospitalization, the facility failed to ensure the Ombudsman's office was provided with the required notification of the transfer. The findings included: Resident #34's diagnoses included osteomyelitis, anemia, and osteoarthritis of the knee. The quarterly assessment dated [DATE] identified Resident #34 had moderate cognitive impairment, required maximal assistance with personal hygiene, toileting hygiene and was non-ambulatory. LPN #6's progress note dated 11/29/24 at 2:44 PM identified the nurse aide reported Resident #34 was unresponsive and LPN #6 and the Nursing Supervisor entered the Resident #34's room and found the resident slumped over in the wheelchair and was unresponsive to the administration of sternal rub. The APRN was notified and ordered Resident #34 be sent to the emergency room for evaluation. The DNS's note dated 11/29/24 at…
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.
- No harm found · C2025-02-04 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, facility policy and interviews, the facility failed to label/cover food in the refrigerator, freezer, and dry storage as well as wear proper hair/beard coverings while preparing food in the kitchen. Observation on 1/29/25 at 10:30 AM with [NAME] Supervisor #1 during the initial brief tour identified bologna wrapped in plastic wrap in the reach in fridge with no label of date opened or discard date. Interview on 1/29/25 at 10:30 AM with [NAME] Supervisor #1 identified the bologna should have been labeled when it was opened and he was unsure when it was opened and will discard. Observation on 1/29/25 at 10:42 AM with [NAME] Supervisor #2 identified a tray of pasta with meat sauce in a metal tray covered with foil with the lower right corner of the tray opened exposing the food to open air in the walk-in freezer. Interview on 1/29/25 at 10:42 AM with [NAME] Supervisor #2 identified the food should not have been opened to air in the freezer and it should have been properly covered. Observation on 1/29/25 at 10:45 AM with [NAME] Supervisor #2 identified 2 bags of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2025-02-04 · tag F0641 — patternEnsure each resident receives an accurate assessment.
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, review of facility policy, review of facility documentation, and interviews for five of five sampled residents (Residents #12, #31, #43, #46, and #49) reviewed for immunizations, the facility failed to ensure the MDS assessments were accurately encoded. The findings include: 1. Resident #12's diagnoses included hypertension, osteoarthritis, and hypercholesterolemia. The quarterly MDS assessment dated [DATE] identified Resident #12 was cognitively intact, and noted the influenza vaccine was received on 11/15/24 and the pneumococcal vaccination was up to date. Review of the clinical record with LPN #4 (MDS Coordinator) identified a hospital Discharge summary dated [DATE] that identified Resident #12 received PPSV23(PPSV23 stands for pneumococcal polysaccharide vaccine 23. It is a vaccine that helps protect against pneumococcal disease, which is caused by bacteria called Streptococcus Pneumoniae) on 8/14/2014. Further review of the clinical record failed to identify that 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.
- No harm found · C2020-03-05 · tag F0574 — widespreadThe resident has the right to receive notices in a format and a language he or she understands.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews, the facility failed to ensure that all pertinent state regulatory and informational agencies as well as information concerning how to file a formal complaint with the state survey agency was prominently posted throughout the facility. The findings included: On 3/3/20 during the period of 10:30 AM - 11:00 AM a resident council meeting was held with the following residents in attendance, Resident #4, Resident #9, Resident #27, Resident #30 and Resident #46. In discussion with the residents it was identified that the residents were happy with the care and/or services they were receiving at the facility but lacked knowledge as to how to file a formal complaint with the state survey agency and where to find the posted information in the facility. Interview, observation and review of facility documentation on 3/4/20 at 11:14 AM with the administrator identified that documentation detailing a list of state agencies inclusive of mailing and email addresses and telephone numbers of all pertinent state regulatory and informational agencies inclusive of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2020-03-05 · tag F0585 — failed to handle grievances — widespreadHonor 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
Based on observations, review of the clinical record and interviews, the facility failed to ensure, residents were informed on how to file or voice a grievance. The findings include: On 3/3/20 during the period of 10:30 AM - 11:00 AM a resident council meeting was held with the following residents in attendance, Resident #4, Resident #9, Resident #27, Resident #30 and Resident #46. In a discussion with the residents it was identified that although the residents were happy with the care and services they were receiving at the facility, they were unaware as to how to file a grievance with the facility if they were to have any issues or concerns that needed to be addressed. Review of facility documentation received during the survey from the Administrator noted there were no grievances documented from the last survey ending 4/27/19 through 3/3/20. On 03/04/20 at 11:14 AM during an interview, observation and review of facility documentation posted throughout the facility with the Administrator, he identified three bins which were mounted on the wall in the residential care area of 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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$21,991 in federal fines across 5 penalties.
- $8,278 — penalty dated 2025-01-16
- $3,176 — penalty dated 2023-11-20
- $2,823 — penalty dated 2023-11-13
- $2,470 — penalty dated 2023-11-06
- $5,244 — penalty dated 2023-10-17
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
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| INNES, INNA | Individual | W-2 MANAGING EMPLOYEE | since 06/21/2021 |
| JULMISSE, MARTIN | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | since 10/06/2017 |
| PATEL, VARSHA | Individual | W-2 MANAGING EMPLOYEE | since 06/01/2022 |
| BLADOS, MARY DEBORAH | Individual | CORPORATE DIRECTOR | since 06/16/2021 |
| JANKOWSKI, STANISLAW | Individual | CORPORATE DIRECTOR | since 06/01/2010 |
| MARTYNSKI, MARTHA | Individual | CORPORATE DIRECTOR | since 06/11/2021 |
| PANUS, JADWIGA | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
| RUDNICKI, DORIS | Individual | CORPORATE DIRECTOR | since 03/01/2010 |
| SIROTNAK, MARY CATHERINE | Individual | CORPORATE DIRECTOR | since 10/01/1974 |
| ZEBROWSKI, STEPHEN | Individual | CORPORATE DIRECTOR | since 06/11/2021 |
CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
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 $15K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in CT
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Connecticut Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 075374. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-04, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.