Center At Eden Hill, LLC
300 Banning Street, Dover, DE 19904 · For profit - Individual · 80 certified beds · (302) 677-7100 Medicare only — no Medicaid
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (25% vs 45% nationally) — better care continuity
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
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 | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
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 |
| 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 5 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 |
|---|---|---|---|---|
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.0% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 92.7% | 83.1% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 21.3% | 23.3% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 8.1% | 11.6% | 12.0% | better |
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.
66.1% 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 771 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 69.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 475 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 1.12 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 42% 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 | 66.1%CMS range 62.9–69.0 | 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 | 11.4%CMS range 9.2–13.8 | 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 | 69.3% | 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 | 69.7% | 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 | 74.3% | 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 | 99.4% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.6% | 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 | 0.3% | 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 | 7.0%CMS range 5.3–8.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.26 | 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 80 beds and averages 71.2 residents a day — about 89% occupied, or roughly 9 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 5.35 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.41 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.71 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.51 hrs/resident/day on weekends vs 5.70 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.66 to 0.81 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 25% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.
- Potential for harm · Dcited before2026-05-22 · 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
Based on record review and interview it was determined that for one (R108) out of twenty-eight sampled residents the facility failed to create an individualized care plan to address R108's use of a specialized TLSO brace. Findings include:7/18/25 - R108 was admitted to the facility with multiple diagnoses including a broken bone in her back [lumbar]. 7/21/25 - Care plans were initiated for R108. Review of the care plans lacked evidence of a care plan created for R108's TLSO brace. 7/22/25 - An admission MDS assessment documented that R108 had fractures as active diagnoses and required partial moderate assistance with upper body dressing. 8/20/25 8:52 PM - A neurologist consultant appointment note in R108's clinical record documented, continue to wear brace, must be supporting of her lumbar spine. 8/25/25 - A physician's progress note in R108's clinical record documented, Patient had L1 compression fracture. Patient was evaluated at bedside, stating that she is feeling weak. She has a (TLSO) brace, seems to be very wide as it is going to her chest. Also, she is not strong enough 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 · Dcited before2026-05-22 · 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
Based on record review and interview it was determined that for one (R108) out of four residents reviewed for hospitalization the facility failed to ensure that the residents discharge medication orders were correctly transcribed. The incorrect transcription resulted in the administration of a decreased dosage of R108's antidepressant medication. Findings include: Review of R108's clinical record revealed:7/14/25 - 7/18/25 - R108 was hospitalized . Discharge instructions dated 7/18/25 directed that R108 continue prescribed medications, including fluoxetine 20 mg daily for depression. 7/18/25 - R108 was admitted to the facility with multiple diagnoses including depression. 7/19/25 - A physician's order was written for R108 to receive fluoxetine 10 mg daily for depression. The clinical record was unclear why the antidepressant medication dosage was reduced from the order on the discharge documentation. 7/22/25 - An admission MDS assessment documented that R108 had a diagnosis of depression and received antidepressant medication. 7/24/25 - An initial psychology visit note documented…
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 · D2026-05-22 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview it was determined that for two (R77 and R2) out of six residents reviewed for unnecessary medications the facility failed to ensure prompt pharmacy services were provided to newly admitted residents resulting in missed doses of medications. Findings include:3/28/24 - The facility policy for admissions documented that persons will be accepted for admission on ly if the services and or care provided can reasonably be provided. 1. Review of R77s' clinical record revealed: 4/4/26 8:00 PM - R77 was admitted to the facility with multiple diagnoses including anxiety. 4/4/26 - A physician's order was written for R77 to receive clonazepam twice daily for anxiety. 4/4/26 11:24 PM - A progress note in R77's clinical record documented that the resident was not given their ordered clonazepam because staff was waiting for pharmacy to clear order. 4/5/26 8:07 AM - A progress note in R77's clinical record documented that the resident was not given their ordered clonazepam because pharmacy was awaiting signature. 4/5/26 10:48 PM - A progress note in R77'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 · D2025-05-20 · 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
Based on interview and record review, it was determined that for three (R38, R76, and R234) out of four residents reviewed for Advance Directives, the facility failed to offer an opportunity to formulate an advance directive. Findings include: 1. Review of R38's clinical record revealed: 4/30/25 - R38 was admitted to the facility. 5/1/25 - A BIM's assessment was completed for R38 with a score of 15 indicating R38 was cognitively intact. 5/1/25 11:05 AM - A social history assessment was completed for R38 and documented that R38 was a full code and had a general POA. The assessment did not determine if R38 had an advanced directive or wanted to formulate one. 5/14/25 10:38 AM - During an interview, E18 (Clinical Liaison) confirmed that the admitting nurse is responsible to review admission documents with the residents upon admission. 5/14/25 10:42 AM - During an interview, E13 (LPN) confirmed that the admitting nurse is responsible to complete the resident assessments. 5/14/25 12:17 PM - During an interview, E1 (NHA) and E2 (DON) stated that the physician will discuss advanced 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 · D2025-05-20 · 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
Based on record review and interview, it was determined that for one (R24) out of two residents reviewed for abuse, the facility failed to report the allegations of abuse to the State Agency within two hours. Findings include: A facility policy titled, Abuse and Neglect Prohibition last revised October 12, 2022, documented: 1. State Reporting Obligations: The facility will report all allegations and substantiated occurrences of abuse, neglect . to the administrator, State Survey Agency . in accordance with Federal and State law through established procedures. a. If the events that caused the allegation involve abuse .a report is made not later than 2 hours after the management staff becomes aware of the allegation 1. Review of R24's clinical record revealed: 4/15/25 - R24 was admitted to the facility. 4/16/25 - A BIMS assessment documented that R24 was cognitively intact with a score of 15. 5/10/25 - R24 stated that nursing staff touched her inappropriately while taking vital signs. 5/12/25 3:01 PM - E1 (ED) reported the allegation of abuse incident to the State Agency. 5/19/25 9:22…
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 before2025-05-20 · 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
Based on interview and record review it was determined that for one (R38) out of twenty-four residents reviewed in the investigative sample, the facility failed to follow a physician's order. Findings include: 1. Review of R38's clinical record revealed: 4/30/25 - R38 was admitted to the facility. 4/30/25 - A physician's order was written for metoprolol tartrate 25 mg give one tablet by mouth two times a day for hypertension and hold for SBP (systolic blood pressure) less than 110 and heart rate less than 60. 5/2025 - The May MAR documented metorprolol tartrate 25 mg given on the following dates when the systolic blood pressure or heart fell outside of the parameters: -5/11/25 BP 124/59 HR 55. -5/13/25 BP 128/62 HR 58. -5/14/25 BP 145/60 HR 55. -5/15/25 BP 143/62 HR 55. 5/20/25 9:41 AM - During an interview, E5 (NP) stated the expectation with medications not meeting parameters to administer should be reported to the medical provider and the expectation was for the medication to be held. E5 confirmed that she was not aware of R38's medication being held for parameters and confirmed…
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 before2024-06-13 · 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
Based on interview and record review, it has been determined that for one (R46) out of forty five residents reviewed for care plans, the facility failed to develop a care plan to address wax build up in the ears. Findings include: 5/18/24 - R46 was admitted to the facility. 5/31/24 11:00 AM - A physician's order written for R46 documented, Debrox Otic (relating to the ear) Solution 6.5% (Carbamide Peroxide) Otic instill five drop (sic) in both ears two times a day for earwax for five days flush with warm water on the fifth day. 6/7/24 10:53 AM - A physician's order written for R46 documented, Debrox Otic (relating to the ear) Solution 6.5% (Carbamide Peroxide) Otic instill five drop (sic) in both ears two times a day for earwax for five days flush with warm water on the fifth day. 6/13/24 10:30 AM - Further review of R46's clinical record lacked evidence that a person centered care plan had been created to address the wax build up in R46's ear. 6/13/24 10:45 AM - During an interview E19 (RN, UM) confirmed that a care plan had not been created for wax build up in R46's ear. Findings…
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 before2024-06-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review it was determined that for one (R3) out of three residents reviewed for ADL (Activities of Daily Living) the facility failed to provide nail care. Findings include: A facility policy and procedure titled, Dignity updated, 3/14/24 documented: Patients shall receive assistance with activities of daily living (ADLs) every shift, as appropriate. ADLs include bathing, grooming, dressing, eating, oral hygiene, ambulation, toilet activities and trimming of toenails. Review of R3's clinical record revealed: 5/15/24 - R3 was admitted to the facility. 5/15/24 - Review of R3's care plan for ADL's revised 5/26/24 documented interventions included provide assistance as needed with grooming, bathing, and personal hygiene and per patient's preferences and R3 required an assist of one for grooming and personal hygiene. Further review of R3's care plan lacked evidence that R3 had refused nail care. 5/17/24 - Review of R3's care plan for confusion/forgetfulness revised 5/26/24 documented interventions included assist as needed. 5/20/24 - An admission…
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 before2024-06-13 · 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
Based on interview and record review it was determined that for one (R46) out of one resident reviewed for hearing the facility failed to administer ear drops as ordered by the physician for wax build up in R46's ears. Findings include: R46's clinical record revealed; 5/18/24 - R46 was admitted to the facility. 5/18/24 - A hospitalist progress note documented R46, had left ear pain deep-seated cerumen (wax build up) status post (treated) Debrox (ear wax removal drops). 5/20/24 - A physicians encounter note documented R46, had ear wax and was treated. 5/22/24 - An admission MDS (Minimum Data Set) revealed that R46 was cognitively intact. 5/31/24 11:00 AM - A physician's order written for R46 documented, Debrox Otic (relating to the ear) Solution 6.5% (Carbamide Peroxide) Otic instill five drop (sic) in both ears two times a day for earwax for five days flush with warm water on the fifth day. 6/6/24 11:38 AM - During an interview R46 stated, I have an ear infection and I can't sleep at night because of the pain in my left ear. R46 then said, I have told them, but they are not doing…
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 · D2024-06-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, it was determined that for one (R51) out of one resident sampled for respiratory care, the facility failed to provide respiratory care consistent with professional standards of practice. Findings include: Review of R51's clinical record revealed: 5/1/24 - R51 was admitted to the facility with multiple diagnoses including a sudden onset of respiratory failure with hypoxia (low oxygen level reaching the body tissues). 5/6/24 - R51's admission MDS assessments revealed that R51 was moderately cognitively impaired and was not on oxygen therapy. 5/12/24 - R51 was care planned for alteration in respiratory status/difficulty in breathing related to sudden onset respiratory failure with hypoxia. Interventions including but not limited to providing oxygen as ordered. 5/29/24 12:31 PM - A nurse progress note documented, .patient is on 4L/min (liters/min) oxygen due to fluctuating O2 Sat (oxygen saturation or level) between 89% to 91% RA (room air) . 5/31/24 1:00 AM- A physician encounter note documented, Pulse Oximetry (measures blood oxygen…
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 14 citations
- Potential for harm · D2024-06-13 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview it was determined that for one (R40) out of five residents reviewed for unnecessary medication review the facility failed to ensure adequate monitoring of antipsychotic medication was completed. Findings include: The facility policy on antipsychotic medication use last updated 2/13/24 indicated, AIMS evaluation to be completed within 14 days of admission, then should also be evaluated for tardive dyskinesia at least every six months. 5/22/24 - R40 was admitted to the facility with multiple diagnoses including, unspecified dementia, psychotic disturbance, and mood disturbance. 5/22/24 - A physicians order was written for R40 to receive an AIMS testing/assessment every 180 days. 5/23/24 - An MRR was completed for R40 with a recommendation that indicated, resident is currently receiving an antipsychotic and requires an AIMS test at baseline and every six months thereafter. The MRR was signed as recognized the same date. 5/25/24 - An admission MDS assessment documented that R40 received antipsychotic medications. 6/1/24 - A care plan for use 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.
- Potential for harm · D2023-06-23 · tag F0790 — failed to provide dental care — isolatedProvide routine and 24-hour emergency dental care for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview it was determined that for one (R45) out of one resident reviewed for dental services, the facility failed to provide assistance with obtaining dental services. Findings include: The facility policy on dental services, last updated 5/3/22, indicated that The center is responsible for the loss or damage of dentures when the loss or damage is due to the Center staff's misplacement, inadvertent disposal and/or destruction of dentures .Patients with lost or damaged dentures must be referred for dental services within three days. 5/8/23 - R45 was admitted to the facility. 5/22/23 7:37 PM - A nursing note in R45's clinical record documented, Patient reported to writer that he was missing his teeth. Staff asked where it might be, he stated that it might be on the tray table or in his sheets when his bed was changed. Staff helped him to look for it and called the kitchen to inform them. 5/24/23 8:00 AM - A nursing note in R45's clinical record documented, This nurse just received report that the resident lost his bottom dentures yesterday. During an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2021-08-13 · tag F0868 — widespreadHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and review of facility documentation, it was determined that the facility failed to ensure that the quality assessment and assurance committee (QAA) met at least quarterly and included all of the required members. Findings include: Review of the facility's undated QAPI (quality assurance and performance improvement) framework indicated the facility Will conduct quality assurance meetings on a monthly basis. Review of the facilities QAPI meeting sign in sheets revealed the facility conducted quarterly QAPI meetings on the following dates: 7/23/20, 10/20/20, and 4/16/21. There were 6 months between the October 2020 and April 2021 meetings and there were no subsequent meetings following April 2021. During an interview on 8/12/21 at 3:12 PM, E1 (NHA) confirmed the facility was not conducting quarterly QA meetings with the required members and stated, The next meeting would have been July. Findings were reviewed during the exit conference on 8/13/21 at 10:30 AM with E1 (NHA) and E2 (DON).
- Potential for harm · E2021-08-13 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and review of the facility's policy and procedure, it was determined that the facility failed to develop policies and procedures (P & P) for the monthly Medication Regimen Review (MRR) that included the time frames for different steps in the MRR process. In addition, the facility failed to ensure that the June 2021 MRR by the Consultant Pharmacist was reviewed by the attending physician for one (R12) out of five sampled residents for unnecessary medication review. Findings include: 1. Review of the facility policy entitled, Pharmacy Services, last updated 12/3/19, failed to include the time frames for different steps in the MRR process and steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident and indicated, .The attending physician will document that he/she reviewed the identified irregularity, the action taken to address the irregularity, or the reason for not changing the medication related to the identified irregularity. 2. Review of R12's clinical record revealed: 6/30/21 -…
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 · E2021-08-13 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 observation, interview, and document review, it was determined that the facility failed to monitor food temperatures in accordance with professional standards for food safety for reheating/ holding food items, ensuring sanitary storage of food, protecting quality of food, and maintaining consistent food temperature logs. Findings include: 1. 8/5/21- 8:37 AM - During a tour of the kitchen, the surveyor observed an approximately three (3) inch long icicle attached to the sprinkler head on the ceiling and several patches of frost and ice on the floor of the walk-in freezer. Interview with E14 (Cook) confirmed that occasionally the seal on the door doesn't function correctly causing condensation to form in certain spots in the freezer, which later turns into ice. 2. 8/6/2021 - 10:10 AM - During a review of the food temperature logs, the surveyor observed numerous meals out of five hundred forty-three (543) reviewed for temperatures had no temperatures recorded for the mechanical soft and pureed foods. Temperatures of cooked foods and cold ready to eat foods with alternative…
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 · D2021-08-13 · 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
Based on interview and record review it was determined that for two (R3 and R50) out of twenty-two residents in the investigative sample the facility failed to ensure that care plans were revised to reflect residents interventions. R3's care plan for preferences was not revised to include R3's preferred time to receive morning medications. R50's care plan for skin did not include the intervention for off loading, resistance to care, and refusals to off load. Findings include: 1. Review of R3's clinical record revealed: 5/31/21 - An admission MDS assessment documented R3 as mentally intact. R3's care plan for personal preferences, last updated on 6/5/21, had a goal to meet R3's personal preferences during his stay, including an intervention of permission given to wake up R3 to administer medications, therapy or other services. During an interview on 8/9/21 at 8:05 AM, R3 responded No when asked if he can make choices that affect his daily life such as when he receives his medications. R3 then stated, I don't like that they interrupt you with pills while eating they should give them a…
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 before2021-08-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review it was determined that for one resident (R307) out of two sampled residents for ADLs, the facility failed to help R307, who was dependent with some of his ADLs. Findings include: 7/24/21- R307 was admitted to the facility post-acute kidney injury and urinary tract infection. 7/25/21 - The baseline care plan revealed that R307 required extensive assistance for toileting, bed mobility, and was dependent for lower body dressing and transfers. Interventions in the care plan included help with grooming, bathing, and personal hygiene per the resident's preferences. The care plan also stated, I have actual/potential decline in my ability to perform my activities of daily living. Care plan tasks included bathing on Monday and Thursday as needed. 8/8/21 - A Physical Therapy note documented R307 had right sided weakness from an old stroke. 8/11/21 10:0 AM - R307 was observed to be ungroomed and unshaven. The surveyor asked if it was his preference to have a beard, R307 replied no. R307 stated that he had not been bathed or shaved in nine…
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 before2021-08-13 · 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
Based on observation, interview and review of facility documentation it was determined that for two (R9 and R39) out of 22 residents reviewed for care and services, the facility failed to provide treatment in accordance with the plan of care. For R39, the facility failed to follow a physicians order for two different dressing changes and for R9, the facility failed to complete treatments to R9's feet. Findings include: 1. Review of R39's clinical record revealed: a. 7/14/21- A physician's order was written to change R39's PICC line (IV access for long term medications) dressing every seven days and as needed. 7/20/21- An admission MDS Assessment documented R39 as receiving special treatments. 8/5/21 at 3:01 PM - An observation of R39's dressing to the PICC line was dated 7/21/21. The dressing had not been changed in fifteen days. 8/5/21- Interview with E2 (DON) confirmed the PICC line dressing had not been changed and confirmed the physicians order was to change the dressing every seven days and as needed. b. 8/1/21 - A Physicians order for R39's dressing change to the right and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review, it was determined that for one (R50) out of two residents sampled for pressure ulcer review, the facility failed to ensure that R50 received treatment and services to promote the healing of a pressure ulcer when R50's heels where not off loaded as per physicians orders. Findings include: Review of the facility policy for Pressure Ulcers indicated, . Physician will authorize pertinent orders related to wound treatments. Review of R50's clinical record revealed: 7/19/21- R50 was admitted to the facility with a pressure ulcer to the right heel and a broken hip. 7/19/21 - An order was written for R50 to have heels off loaded while in bed. 7/20/21 - A physicians progress note for wound care evaluation documented, treatment twice a day and off load in bed .Recommended use of pillows vs (versus) heel boots for off loading. 7/20/21 - A care plan for the actual skin break down and pressure ulcer to the right heel was created and then revised on 7/30/21. Interventions included skin treatments per physician orders. 7/26/21- An admission 5 day…
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 · D2021-08-13 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 — the official record, unedited, may be distressing
Based on observation and interview, it was determined that the facility failed to store and maintain drugs in accordance with acceptable professional principles by having undated insulin pens in one out of three medication (med) carts that were inspected. Findings include: The facility policy entitled Medication Storage Policy, last updated 7/1/16, indicated, 12. Insulin products .note the date on the label for insulin vials and pens when first used . 8/6/21 3:30 PM - During observation of the second floor medication cart with E5 (RN), two opened and undated insulin pens were located in the first drawer. This finding was immediately confirmed by E5. Findings were reviewed during the exit conference on 8/13/21 at 10:30 AM with E1 (NHA) and E2 (DON).
- Potential for harm · D2021-08-13 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview it was determined that the facility failed to ensure the accuracy of resident records for one (R3) out of one resident reviewed for dialysis. R3 had admission orders to receive injections on Tuesdays, Thursdays, and Saturdays at dialysis. R3 goes to dialysis on Mondays, Wednesdays and Fridays. Findings include: Review of R3's clinical record revealed: 5/24/21 - admission physician orders for R3 included an order for injections at dialysis on Tuesdays, Thursdays, and Saturdays. 5/26/21 - R3's dialysis days were scheduled for Mondays, Wednesdays and Fridays. During an interview on 8/11/21 at 10:50 AM, E17 (RN, UM) on R3's floor confirmed the discrepancy for R3's injections to be given at dialysis and stated, I believe there was a change, and it was not updated. 8/16/21 - R3's orders were changed to reflect injections to be given at dialysis on Mondays, Wednesdays and Fridays. Findings were reviewed during the exit conference on 8/13/21 at 10:30 AM with E1 (NHA) and E2 (DON).
- Potential for harm · D2021-08-13 · 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, interview and review of facility documentation it was determined that for one (R39) out of one resident reviewed for wound care, the facility failed to ensure proper infection control practices and handwashing during a dressing change. The facility failed to follow a physician's order for weekly dressing changes and apply protective caps to prevent a PICC line (IV access for long term medications) infection. Findings include: 1. Observation and review of R39's clinical record revealed: a. 7/14/21- A physicians order included to change R39's PICC line dressing every seven days and as needed. 8/5/21 at 3:01 PM - During an observation of R39's dressing change to the left upper arm, a double lumen PICC line was dated 7/21/21. The dressing was ordered to be changed every seven days and as needed to prevent infection. R39's dressing had not been changed in fifteen days. 8/5/21 - During an interview, E2 (DON) confirmed the PICC line dressing had not been changed and confirmed the physicians order was to change the dressing every seven days and as needed. b. 8/10/21…
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 · D2021-08-13 · tag F0943 — isolatedGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and review of facility documentation as indicated, it was determined that the facility failed to ensure that the required training on abuse, neglect, exploitation, misappropriation of resident property and dementia was completed for three (E9, E10 and E12) out of 15 randomly sampled staff members. Findings include: The facility policy entitled . Abuse Investigations, revision indicated, . In-Service Training . All employees are required to attend our facility's resident rights and abuse prevention program in-service training sessions prior to having any resident contact . 1. Review of the facility's staff training log revealed: E10's most recent abuse training was 7/14/19 and dementia training was 7/11/19. E9's most recent abuse training was 11/14/19 and dementia training was 11/8/19. E12's most recent abuse training was 1/16/20 and dementia training was 1/16/20. 8/12/21 at 1:30 PM - During an interview with E3 (Human Resources Director), E3 confirmed the absence of training for the employees listed above. No further evidence of training was provided. Findings…
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 · C2021-08-13 · 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 observation, interview and review of facility documents, it was determined that the facility failed to ensure that residents were informed of the ombudsman including contact information and their right to file a grievance/complaint. Findings include: 8/10/21 1:21 PM - During a Resident Council Meeting, three out of three residents did not know the ombudsman's name or what the ombudsman's duties entailed and two out of three of the residents did not know how to file a grievance. 8/10/21 3:00 PM - A tour of the facility revealed that the ombudsman's name was posted at a level that would be difficult for a resident in a wheelchair to see. 8/10/21 3:15 PM - On a tour of the facility, a grievance form was found on the second and third floor nursing stations. They were located chest high when standing, too far up to be seen if sitting in a wheelchair. 8/11/21 9:00 AM - An interview with R9 revealed that he was not made aware of how to file a grievance with the facility. 8/12/21 1:22 PM - The facility admission package provided by E2 (DON), did not include what the ombudsman…
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
No federal fines in the current CMS record.
Part of a chain
This home belongs to VERITAS MANAGEMENT GROUP — 13 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.2 | +0.8 vs chain |
| Health inspection | 4 of 5 | 3.7 | +0.3 vs chain |
| Staffing | 5 of 5 | 3.1 | +1.9 vs chain |
| Quality measures | 5 of 5 | 4.8 | +0.2 vs chain |
The other 12 homes this chain runs (chain average 4.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| ESMAS, BARTOLOME | Individual | CORPORATE DIRECTOR; ADP OF THE SNF | since 07/19/2016 |
| VERITAS MANAGEMENT GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/19/2016 |
| KELLY, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 07/19/2016 |
| MURDOCK, MONTE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/19/2016 |
CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
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 DE
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Delaware Medicaid page for homes that do.
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 085057. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-06-13, 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.