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Complete Care At Silver Lake LLC

1080 Silver Lake Blvd, Dover, DE 19904 · For profit - Limited Liability company · 120 certified beds · (302) 734-5990 Medicare & Medicaid certified

Call the home — (302) 734-5990 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jan 20251 actual-harm citation$47,541 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, 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 (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $47,541 in federal fines (most recent 2025-01-23)

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
24 Hiawatha Ln · (302) 678-0213 · Call to confirm hours
Pharmacy
1572 N DuPont Hwy · (302) 678-2161 · Call to confirm hours
Grocery
837 N Dupont Hwy · (302) 883-3421 · Call to confirm hours
Park
801 Silver Lake Blvd · (302) 644-5005 · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 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 fell from 4 to 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.8%12.7%15.4%better
Long-stay residents who lose too much weight7.5%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.4%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.3%2.1%2.0%better
Long-stay residents with depressive symptoms78.5%10.3%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.8%3.2%3.3%better
Long-stay residents whose ability to walk worsened3.9%13.6%16.1%better
Long-stay residents on antianxiety or hypnotic medication19.1%21.8%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%97.4%95.3%typical
Long-stay residents with pressure ulcers7.2%3.5%4.7%worse
Long-stay residents with worsening bladder/bowel control20.0%20.2%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table7.4%10.7%17.1%better
Short-stay residents who newly got an antipsychotic medication2.4%1.0%1.4%worse
Short-stay residents given the seasonal flu vaccine95.4%83.1%79.4%better
Short-stay residents rehospitalized after admission19.9%23.3%22.6%better
Short-stay residents with an outpatient ER visit12.2%11.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.871.811.67worse
Long-stay outpatient ER visits per 1,000 resident days1.671.401.80typical

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. 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.

52.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 163 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

52.4%U.S. median 51.5%
Got home and stayed home
12.1%U.S. median 10.7%
Went back to hospital
78.9%U.S. median 56.6%
Met the expected recovery
0.24U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 78.9% 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 90 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 31% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF52.4%CMS range 44.1–58.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.1%CMS range 8.6–16.610.7%Oct 2022–Sep 2024no 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 discharge78.9%56.6%Oct 2024–Sep 2025CMS 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 discharge76.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge63.3%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.4%CMS range 4.0–9.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.161.02Oct 2022–Sep 2024CMS 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

0.94
RN hours/ resident / day
0.83
LPN hours/ resident / day
1.98
Aide hours/ resident / day
3.75
Total nurse hours/ resident / day
0.73
RN hoursweekends
34.5%
Total nursing turnover
41.9%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 116.7 residents a day — about 97% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.94 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 3.35 hrs/resident/day on weekends vs 3.91 on weekdays — 14% thinner on weekends. RN hours go from 1.02 to 0.73 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

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

11
deficiencies at the latest standard inspection (2026-01-23)
12
at the previous standard inspection (2025-01-23)

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.

ABCDEFGHIJKL

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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · G2025-01-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, the facility failed to provide supervision to prevent residents from sustaining injuries from falls and/or a burn from hot water for three (Residents (R) 40, R96, and R38) of eight sampled residents reviewed for accidents out of a total sample of 32. R40 was assessed to require two staff members for bed mobility; however, the resident was repositioned by one staff member and slid out of bed, which resulted in actual harm of bilateral femur fractures. R96 suffered actual harm of second degree burns when water, which had been heated in the microwave for three to four minutes, spilled on her. R38 suffered a fractured femur, and facility staff failed to implement identified interventions to prevent further falls and injury The deficient practices caused residents to experience a decrease in quality of life and quality of care problems. Findings include: Review of the facility's policy titled, Incidents and Accidents, updated 03/14/23,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2026-01-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure 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, document review, and policy review, the facility failed to ensure chicken salad sandwiches were served at the proper temperature. This deficient practice had the potential to affect 112 out of 114 residents.Findings included:During the second kitchen observation and interview on 01/22/26 from 11:54 AM to 12:15 PM, the following were made with the Dietary District Manager (DDM):A steam table pan was observed on the counter at the left end of the steam table. The steam table pan contained approximately 20 chicken salad sandwiches, stacked one on top of one another. At 12:05 PM the chicken salad sandwiches were being served on the tray line for room trays. A review of the temperature log for the lunch meal revealed the chicken salad sandwiches were within a safe temperature range. At 12:15 PM, the District Dietary Manager (DDM) obtained the temperature of the chicken salad on the chicken salad sandwich. The temperature was 54 degrees Fahrenheit (F). The DDM instructed that the DM stop service. The DDM stated there was another tray of chicken salad…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-01-23 · tag F0925 — failed to control pests — widespread
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and policy review, the facility failed to ensure the kitchen area was free from fruit flies. The facility failed to keep the kitchen clean and ensure bait boxes remained under the three compartments sink to deter pests as recommended by their pest control provider. This created the potential for the harborage of insects and vermin which had the potential to affect 114 out of 114 residents.Findings included:1. During the initial kitchen observation and interview on 01/20/26 from 9:30 AM to 9:54 AM, the following observations were made with the Dietary Manager (DM):a. The smaller three compartment sink in the corner of the kitchen, near the hand-washing sink, had approximately 15-20 fruit flies near the floor on the right side of the sink. On the floor, there were three bait boxes on the right side of the sink and two bait boxes on the left side. There was a one-ounce plastic, empty coffee creamer container on the floor on the right side of the sink and black debris. The Dietary Manager (DM) stated the area needed to be cleaned and confirmed they had 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review and policy review, the facility failed to ensure a call light was within reach for one resident (Resident (R) 1) out of 39 sampled residents reviewed for call lights. This failure had the potential to create a situation where the resident would need help and could not reach the call light, causing the resident's needs to go unmet.Findings Include:Review of 1's Face Sheet located under the Profile tab of the electronic medical record (EMR), revealed admission date of 10/07/25 with diagnoses which included Schizophrenia and intellectual disabilities.Review of R1's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/24/25, located in the MDS tab of the EMR, revealed a Brief Interview for Mental Status (BIMS) score of 14 out of 15 which indicated the resident was cognitively intact. R1 was dependent on staff for all Activities of Daily Living (ADLs).Review of the Care Plan located in the EMR under the Care Plan tab and dated 10/08/25 revealed, .Be sure the resident's call light is within reach and encourage the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and facility policy review, the facility failed to ensure one of five residents (Resident (R) 11) reviewed for unnecessary medications, continued to receive as needed (PRN) psychotropic medication (lorazepam) beyond 14 days, without an evaluation and documentation of the clinical indications to use the medication beyond the 14 days. This failure had the potential to place the resident at risk of adverse consequences.Findings include:Review of R11's electronic medical record (EMR) located under the Profile tab indicated the facility admitted the resident on 11/04/24.Review of R11's EMR Orders located under the Orders tab dated 12/23/25 indicated, lorazepam 0.5 milligrams (mg) [antianxiety medication] and take one half tab (0.25 mg) to be administered every four hours PRN [as needed] for agitation and restlessness.Review of R11's EMR Medication Administration Record (MAR) located under the Orders tab dated 12/25 indicated the facility administered the lorazepam on 12/24/25 one dose; on 12/26/25 one dose; 12/29/25 one dose; and on 12/30/25 one…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-23 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews, interviews, and facility policy review, the facility failed to ensure a person-centered comprehensive care plan was developed for one of one resident (R)6 receiving wound care/treatment out of a total of 39 sampled residents. This deficient practice placed R6 at risk of worsening wounds, new wound development, and for unmet resident care needs and goals for care.Findings include:Review of R6's admission Record, located under the Profile tab of the electronic medical record (EMR) revealed admission date of12/02/25 with diagnoses that included cellulitis, end stage renal disease (ESRD), dependence on renal dialysis, and difficulty in walking.Review of R6's admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/04/25 located in the EMR under the MDS tab reflected R6 was at risk of developing pressure ulcers/injuries and had one or more unhealed pressure ulcers/injuries (PU/PI) present upon admission to the facility. The MDS reflected R6 had two Stage 3 pressure ulcers (Full thickness tissue loss) and moisture associated skin damage…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, interview and policy review, the facility failed to ensure residents maintained good hygiene for two (Resident (R) 20 and 75) of five residents reviewed for activities of daily living (ADL) in the sample of 39 residents. This failure has the potential for the residents to develop skin infections, social isolation, and a general decline in health.Findings included:1. Review of R20's Record of admission located in the Profile tab of the electronic medical record (EMR) revealed admission date 11/26/24 with diagnoses including major depressive disorder, Parkinson's disease, dizziness, anxiety, and difficulty in walking.Review of R20's Care Plan Report, dated 04/23/25 in the Care Plan tab in the EMR revealed, [R20] had an ADL self-care performance deficit due to activity intolerance. A care plan dated 04/24/25 revealed [R20] had potential for skin impairment due to decreased mobility, high blood pressure (HTN), fragile skin, and poor safety awareness. An intervention for this was to R20's skin will be assessed on a weekly basis on my scheduled bath day.Review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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 record review, interview and policy review, the facility failed to ensure one resident (Resident (R) 71) of two residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene out of a total survey sample of 39 residents. This failure has the potential for the residents to develop a general decline in health.Findings include:1. Review of R71's admission Record located in the electronic medical records (EMR) under the Profile tab indicated admission date 01/06/23, with diagnoses of dementia with agitation.Review of R71's Care Plan located in the EMR under the Care Plan tab dated 12/17/25 indicated that the resident has an Activities of Daily Living (ADL) self-care performance deficit related to (r/t) limited mobility.Review of R71's quarterly Minimum Data Set (MDS) located in the EMR with an Assessment Reference Date (ARD) of 10/16/25 indicated the resident had a Brief Interview for Mental Status (BIMS) score of nine out of 15 which resident was cognition was moderately impaired. The assessment…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews, interviews, and facility policy review, the facility failed to follow care plan interventions to set the low air loss (LAL) mattress at 150 for one of one (Resident (R)66) out of a total of 39 sampled residents. This deficient practice placed R66 at risk of worsening non-pressure wounds, new wound development, and for unmet resident care needs and goals for care.Findings include:Review of R66's admission Record located under the Profile tab of the electronic medical record (EMR) revealed R66 admitted to the facility on [DATE], initial admission date 06/05/25, with diagnoses that included Type 2 diabetes mellitus with foot ulcer, non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin, non-pressure chronic ulcer of right ankle with unspecified severity, non-pressure chronic ulcer of left heel and midfoot with other specified severity, and hemiplegia and hemiparesis following cerebral infarction affecting right dominant side.Review of R66's Care Plan…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews, interviews, and facility policy review, the facility failed to follow physician orders and care plan interventions for one of one Resident (R)73 to set the low air loss (LAL) mattress at 250 out of 39 sampled residents. This deficient practice placed R73 at risk of worsening pressure wounds, new wound development, and for unmet resident care needs and goals for care.Findings include:During an observation on 01/21/26 at 1:45 PM, R73's LAL pump was set at greater than 300.Review of R73's admission Record located under the Profile tab of the electronic medical record (EMR) revealed R73 admitted to the facility on [DATE], initial admission date 05/20/21, with diagnoses that included morbid (severe) obesity due to excess calories, cellulitis of left lower limb, and paraplegia (paralysis that affects the lower half of the body).Review of R73's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 09/29/25 located in the EMR under the MDS tab reflected R73 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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, interviews, record review, and policy review, the facility failed to ensure the indwelling urinary catheter tubing and collection bag were not in contact with the floor and a securement device was in place for one resident (Resident(R)24) of one resident reviewed for indwelling urinary catheters out of 39 sampled residents. This failure placed the residents at risk for transmission of infection to the urinary tract or injury from tension, pulling, and accidental dislodgement of the catheter from the bladder.Findings include:During observations on 01/20/26 at 1:00 PM, 01/21/26 at 9:37 AM, and 01/21/26 at 2:37 PM, R24's indwelling urinary catheter rested on the floor hanging from the right side of the bedframe. There was not a securement device in place to immobilize the catheter tube against the skin on R24's right or left thigh.Review of R24's admission Record located under the Profile tab of the electronic medical record (EMR) revealed R24 was admitted to the facility on [DATE] with…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · Dcited before2026-01-23 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 record review, the facility failed to ensure the infection prevention and control program was implemented to prevent the transmission of communicable diseases, including ensuring staff adherence to required personal protective equipment (PPE) and isolation precautions for two residents (Resident (R)2 and R91) who were in Contact/Droplet isolation out of 114 residents.Findings include:During an observation on 01/23/26 at 9:04AM, Licensed Practical Nurse (LPN)6 prepared Resident (R)2's medications then entered R2's room without donning (put on) PPE. Observation of R2's room entrance indicated signage for Contact/Droplet Precautions which indicated that gown, N95 mask, face shield, and gloves to be applied prior to entering the room.During an interview on 01/20/26 at 2:10PM, LPN8 stated that R2 was positive for flu.During an observation on 01/23/26 at 9:20AM LPN6 prepared R91's medications then entered R91's room without donning PPE. Observation of R91's room entrance indicated signage for Contact/Droplet Precautions.During an interview on 01/20/26…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-01-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure 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, interviews, and facility policy review, the facility failed to ensure cold storage units contained interior temperature gauges, kitchen floors and walls were kept clean and in good repair, and leftovers were cooled down correctly, in one of one kitchen. This deficient practice had the potential to affect 107 of 107 residents who received meals prepared in the facility. This failure had the potential to affect the spread of food borne illness. Findings include: Review of the facility's policy titled, Sanitation Inspection, revised 03/29/23, revealed It is the policy of this facility, as part of the department's sanitation program, to conduct inspections to ensure food service areas are clean, sanitary and in compliance with applicable state and federal regulations. 1. All food service areas shall be kept clean, sanitary, free from litter, rubbish and protected from rodents, roaches, flies and other insects. 2. The department shall establish a sanitation program for food services based on applicable state and federal requirements. 4. Sanitation inspections will…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-01-23 · tag F0881 — failed to use antibiotics responsibly — widespread
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and facility policy review, the facility failed to ensure the Antibiotic Stewardship Program was consistently implemented. The facility failed to document criteria for the use of antibiotics, antibiotics used, and results of culture and sensitivity testing. The facility failed to analyze antibiotic stewardship data to plan process improvements. This failure placed all 111 of 111 residents at risk for adverse events related to administration of antibiotics. Findings include: Review of the facility's policy titled, Antibiotic Stewardship Program, dated 08/02/24, indicated, . Antibiotic Use Protocols. i. Nursing staff shall complete an SBAR [Situation, Background, Assessment, Recommendation] noted to notify the physician. ii. Laboratory testing shall be in accordance with current standards of practice. iii. The facility uses updated McGeer criteria to define infections. iv. The Loeb Minimum Criteria is used to determine whether to treat an infection with antibiotics. V. All prescriptions shall specify the dose, duration and indication for use. b.…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-23 · tag F0880 — failed to prevent and control infections — pattern
    Provide 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 observation, record review, and interview, the facility failed to 1.) complete wound care in a manner to prevent cross contamination for one of one resident (Resident (R) 78) reviewed for wound care out of a total sample of 32, and 2.) wear the proper Personal Protective Equipment (PPE) when entering into a contact isolation room for one of 27 residents (room [ROOM NUMBER]) noted to be COVID positive. These failures put the vulnerable population of residents at greater risk of developing infections and the increased risk of staff spreading infections throughout the facility by not adhering to the isolation precautions. Findings include: 1.Review of R78's undated Face Sheet, located under the Profile tab in the electronic medical record (EMR), revealed R78 was admitted to the facility on [DATE] with diagnoses of dementia, chronic obstructive pulmonary disease, and chronic kidney disease. Review of R78's quarterly Minimum Data Set (MDS), located under the MDS tab in the EMR and with an Assessment…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    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, interview, record review, and facility policy review, the facility failed to ensure one of one resident (Resident (R) 113) reviewed for communication out of a total sample of 32 was communicated with in a language the resident could understand. R113 was Spanish speaking only, and the lack of providing communication in the resident's language could potentially cause frustration and possible unmet care needs. Findings include: Review of facility's policy titled, Communicating with Persons with Limited English Proficiency, dated 03/14/23, revealed It is the policy of this facility take reasonable steps to ensure that persons with Limited English Proficiency (LEP) have meaningful access and an equal opportunity to participate in our services, activities, programs, and other benefits. The purpose of this policy is to ensure meaningful communication with LEP residents. Review of R113's admission Record, located under the Profile tab of the electronic medical record (EMR), revealed R72 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the facility failed to ensure two residents (Resident (R) 24 and R82) of 32 sampled residents were free from physical abuse from R90, when R90 punched R24 and R82. The abuse caused by R90 had the potential to cause harm to all current residents throughout the facility. Findings include: Review of the facility's policy titled, Abuse, Neglect, Exploitation Policy and Procedure, dated 09/12/24, revealed, The facility strictly prohibits abuse, mistreatment, neglect, or exploitation of all resident, or misappropriate of resident property . The facility will protect residents from harm during an investigation by: immediately removing the alleged perpetrator from resident care areas . 1. Review of R24's admission Record, located under the Profile tab of the electronic medical record (EMR), revealed R24 was admitted on [DATE] with diagnoses that included chronic obstructive pulmonary disease and delusional disorders. Review of R24's quarterly Minimum…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review, the facility failed to report an allegation of abuse within two hours to the state agency for one of seven residents (Resident (R) 71) reviewed for abuse out of 32 sampled residents. This had the potential to affect all the residents in the facility who were at risk of abuse. Findings include: Review of R71's undated Face Sheet located under the Profile tab in the electronic medical record (EMR) revealed R71 was admitted to the facility on [DATE] with the diagnoses of diabetes mellitus, transient ischemic attack (TIA), and major depressive disorder. Review of R71's quarterly Minimum Data Set (MDS) located under the MDS tab in the EMR with an Assessment Reference Date (ARD) of 08/17/24 revealed a Brief Interview for Mental Status (BIMS) score of five out of 15 which indicated R71 was severely cognitively impaired. Review of R71's Care Plan located under the Care Plan tab in the EMR, dated 10/17/22, revealed The resident has a behavior problem:…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0623 — isolated
    Provide 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 interview, record review, and facility policy review, the facility failed to provide written notification of a hospital transfer to the resident and responsible party (RP) for one of five residents (Resident (R) 62) reviewed for hospitalization of 32 sample residents. The failure had the potential to affect the residents and/or their representatives concerning the reason for the transfer and the resident's appeal rights. Findings include: Review of the facility's policy titled, Transfer or Discharge Notice, updated 01/19 and provided by the facility, revealed 3. The resident and/or representative (sponsor) will be notified in writing of the following information: a. The reason for the transfer or discharge . Review of R62's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 12/30/24 located in the MDS tab of the electronic medical record (EMR), revealed an admission date of 06/23/23 and a Brief Interview for Mental Status (BIMS) score of 14 out of 15 which indicated R62'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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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, record review, and facility policy review, the facility failed to provide written notification of the bed hold policy to the resident and responsible party (RP) for one of five residents (Resident (R62) reviewed for hospitalization of 32 sample residents. The failure had the potential to affect the residents planning on returning to the facility. Findings include: Review of the facility's policy titled, Bed-Hold and Returns, updated 10/19, revealed Prior to transfers and therapeutic leaves, residents or resident representatives will be informed in writing of the bed-hold and return policy. Review of R62's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 12/30/24, located in the MDS tab of the electronic medical record (EMR), revealed an admission date of 06/23/23 and a Brief Interview for Mental Status (BIMS) of 14 out of 15, indicating R62's cognition was intact, and had diagnoses of diabetes mellitus, hypertension, and chronic obstructive pulmonary disease.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    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, record review, and facility policy review, the facility failed to develop and implement an effective discharge care plan for two of two residents (Resident (R) 46 and R82) reviewed for discharge planning out of a total sample of 32. Specifically, the facility failed to have an individualized discharge care plan in place. This failure had the potential to cause confusion and unmet care needs. Findings include: Review of the facility's undated policy titled, Care Plans, Comprehensive Person-Centered, revealed, the Interdisciplinary Team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident. 1. Review of R46's admission Record, located under the Profile tab of the electronic medical record (EMR), revealed R46 was admitted on [DATE] with diagnoses that included type two diabetes and an acquired absence of right leg below the knee. It was recorded R46 required setup assistance with…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0742 — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    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, interview, record review, and policy review, the facility failed to provide medically related social services to meet the resident's needs for one of 32 sampled residents (Resident (R) R90). This failure caused the resident to not receive the required care expected to be provided by the Social Services Director (SSD). Findings include: Review of Social Services Director Job Description, undated and signed by the SSD, revealed . The Social services Director is responsible for overseeing the development, implementation, supervision and ongoing evaluation of the Social Services Department designed to meet and assist residents in attaining or maintaining their highest practicable well-being . Review of R90's admission Record, located under the Profile tab of the electronic medical record (EMR), revealed R82 was initially admitted on [DATE] with diagnoses that included dehydration, type 2 diabetes, peripheral vascular disease, and bipolar disorder. Review of R90's quarterly Minimum Data Set…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-23 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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, interview, and facility policy review, the facility failed to serve food that was palatable and at the appropriate temperature for three of five residents (Resident (R) 62, R46, and R11) reviewed for food palatability out of 32 sample residents. This deficient practice could potentially cause residents to lose weight and decrease quality of life. Findings include: Review of the facility's policy titled, Food: Quality and Palatability, revised 2/2023, revealed . Food will be prepared by methods that conserve nutritive value, flavor and appearance. Food will be palatable, attractive and served at a safe and appetizing temperature . Review of the Centers for Disease Control website, located at https://www.cdc.gov/covid/hcp/infection-control/index.html, revealed, . Recommended routine infection prevention and control (IPC) practices during the COVID-19 pandemic . Management of laundry, food service utensils, and medical waste should be performed in accordance with routine procedures . Review 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-12 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, it was determined that for six (6) out of twenty-four (24) residents reviewed, the facility failed to have input from all required interdisciplinary team members at these residents' care plan meetings. Findings include: The facility policy entitled Care Plans, Comprehensive Person-Centered (updated 10/2019) states that the IDT (Interdisciplinary Team) includes: a. The Attending Physician; b. A registered nurse who has responsibility for the resident; c. A nurse aide who has responsibility for the resident; d. A member of the food and nutrition services staff; e. The resident and the resident's legal representative (to the extent practicable) . 1. Review of R9's clinical record revealed: 4/1/23 - Resident was admitted to the facility. 1/20/24 - A Care Plan Note lacked evidence of input from the resident's physician, nurse, dietary or CNA. 2/8/24 approximately 2:00 PM - During an interview, E6 (Social Worker) confirmed that if there is no checkmark next to the department, that person did not attend or provide input. The band in the clinical record…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-12 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, it was determined that for one (R77) out of two residents reviewed for PASARR, the facility failed to ensure that a referral for a PASARR screening was completed. Findings include: Review of R77's clinical record revealed: 7/5/22 - A PASARR Level 1 evaluation was completed for R77 with an outcome stating no Level 2 evaluation required. 7/13/22 - R77 was admitted to the facility. 10/12/23 - A new diagnoses of bipolar disorder and paranoid personality disorder was identified. 2/8/24 12:56 PM - In an email correspondence, S1 (PASARR State Authority) confirmed that the facility should have submitted an up PASARR. 2/9/24 1:02 PM - An interview with E6 (Social Worker) confirmed that the facility did not submit a request for a new PASARR for R77 after the new diagnoses were added. E6 stated, I thought the depression diagnosis would encompass the bipolar diagnosis and so he did not need a resubmission [a PASARR reevaluation]. 2/12/24 2:45 PM - Findings reviewed with E1 (NHA), E2 (DON) and E3 (Corporate) during the exit conference.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-12 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, it was determined that for two (R66 and R269) out of twenty-four (24) residents reviewed for care plans, the facility failed to develop and implement a comprehensive person-centered care plan for an identified need. Findings include: 1. Review of R66's clinical record revealed: 8/19/23 - A physician's order was entered for Oxygen at 4 L/min via 4 Nasal Cannula, via humidification continuously every shift 2/9/24 approximately 1:17 PM - During an interview, E1 (NHA) confirmed that there was no care plan for R66's continuous oxygen use or reference to R66's diagnosis of chronic obstructive pulmonary disease. E1 stated that normally a unit manager would initiate a care plan. E1 will make inquiries and provide an update to the surveyor. 2/9/24 approximately 2:25 PM - E1 provided documentation of an updated care plan initiated on 2/9/24, as follows: The resident has oxygen therapy related to ineffective gas exchange, which also documented R66's continuous use of oxygen. The facility failed to have a care plan for R66's continuous use of oxygen or the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-12 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 two (R39 and R62) out of four residents reviewed for range of motion and mobility, the facility failed to provide appropriate services, equipment, and assistance to maintain function and mobility. Findings include: 1. R39's clinical record revealed: 11/21/21 - R39 was readmitted to the facility with a diagnosis of a stroke. 12/1/21 - R39's care plan revised 12/6/23 for decreased ROM (range of motion) due to contractures related to stroke documented . 1. Resident will not have an increase in contractures and maintain skin integrity this review . 2. Bilateral palm protectors on in the AM (morning) off in PM (evening) as tolerated . 3. Off for ROM, routine skin check and hygiene. ROM measurements by therapy PRN (as needed). 2/15/23 - An annual ROM Measurement for R39 documented . 1. Moderate contracture to the left wrist and left fingers . 2. Minimal contractures to the right wrist and fingers. 4/21/23 - A physician's order for R39 documented, bilateral (involving two sides) palm protectors on in the AM off…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-12 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    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 (R77) out of three sampled residents for dental services, the facility failed to assist the resident in obtaining routine dental services. Findings include: A facility policy and procedure titled, Dental Services, with last revision of 4/5/23, documented, Routine dental services means an annual inspection of the oral cavity for signs of disease . dental radiographs as needed, dental cleaning.The facility will, if necessary or requested, assist the resident with making dental appointments For residents or resident representatives who do not wish to be referred for dental services: The physician shall be notified The resident's plan of care will be revised to reflect preferences. Review of R77's clinical record revealed: 7/13/22 - R77 was admitted to the facility. 7/18/22 - The admission MDS assessment documented that R77 did not have any broken or chipped teeth, no inflamed or bleeding gums, and no mouth or facial pain. 11/15/23 - The significant change MDS assessment documented that R77 did not have…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-12 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, it was determined that for two (R61 and R306) out of twenty-five residents clinical records reviewed, the facility failed to ensure that each residents' record was complete and accurately documented. Findings include: 1. Review of R61's clincal record revealed: 1/18/24 - R61 was admitted to the facility. 1/25/24 1:27 PM - A review of R61's progress notes revealed a provider visit with the Psychologist occurred with following documentation, This is a [AGE] year old female admitted on [DATE] . 1/25/24 1:29 PM - A review of R61's progress notes revealed a provider visit with the Psychologist occurred with following documentation, This is an [AGE] year old female admitted on [DATE] . 2/12/24 1:05 PM - An interview with E4 (ADON) confirmed that the second progress note was not written for R61. 2. Review of R306's clincal record revealed: 11/3/23 - R306 was admitted to the facility. 12/9/23 3:51 PM - A pain assessment was completed for R306 which lacked evidence of accurate…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-02-12 · tag F0756 — failed to review each resident's drug regimen — widespread
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, it was determined that the facility failed to develop policies and procedures for the monthly MRR (Medication Regimen Reviews) that included time frames for different steps in the MRR process. Findings include: 2/8/24 12:58 PM - Review of the facility's policy titled, Medication Regimen Review, revised 3/13/23, lacked the information of the facility's time frame to respond to the pharmacy recommendations based on identified irregularities. 2/8/24 1:56 PM - During an interview, E7 (RN/Staff ) stated that the facility's policy did not have a specific timeframe when responding to the pharmacy recommendations. 2/12/24 10:05 AM - In an interview, E2 (DON) confirmed the missing time frame to respond to the pharmacy recommendations and stated, .Just for the staff to respond as soon as possible. 2/12/24 2:45 PM - Findings were reviewed with E1 (NHA) and E2 (DON) during the exit conference.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$47,541 in federal fines across 1 penalty.

  • $47,541 — penalty dated 2025-01-23

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to COMPLETE CARE — 85 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 →

RatingThis homeChain avg
Overall 3 of 53.1-0.1 vs chain
Health inspection 3 of 52.7+0.3 vs chain
Staffing 4 of 52.3+1.7 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 84 homes this chain runs (chain average 3.1★, per CMS)
1 of 5Complete Care At Chestnut Hill LLCPassaic, NJ 1 of 5Complete Care At HagerstownHagerstown, MD 1 of 5Complete Care At Harston Hall LLCFlourtown, PA 1 of 5Complete Care At Kimberly Hall NorthWindsor, CT 1 of 5Complete Care At Laplata LLCLaplata, MD 1 of 5Complete Care At Milford Manor LLCWest Milford, NJ 1 of 5Complete Care At Wayne Hills Rehab & Resp CenterWayne, NJ 1 of 5Complete Care at Care AgeBrookfield, WI 1 of 5Complete Care at KensingtonWaukesha, WI 1 of 5Complete Care at Maple Grove LLCMadison, WI 1 of 5Complete Care at Margate ParkChicago, IL 1 of 5Complete Care at the BoulevardChicago, IL 2 of 5Complete Care At Brakeley ParkPhillipsburg, NJ 2 of 5Complete Care At Fox HillVernon, CT 2 of 5Complete Care At Harborage LLCNorth Bergen, NJ 2 of 5Complete Care At Harrington CourtColchester, CT 2 of 5Complete Care At HyattsvilleHyattsville, MD 2 of 5Complete Care At Inglemoor, LLCEnglewood, NJ 2 of 5Complete Care At Monmouth, LLCLong Branch, NJ 2 of 5Complete Care At Ocean Grove LLCOcean Grove, NJ 2 of 5Complete Care At Prospect Heights LLCHackensack, NJ 2 of 5Complete Care At Regent LLCHackensack, NJ 2 of 5Complete Care at Christian Home LLCWaupun, WI 2 of 5Complete Care at Grande PrairiePleasant Prairie, WI 2 of 5Complete Care at Heritage LLCDundalk, MD 2 of 5Complete Care at Linwood, LLCLinwood, NJ 2 of 5Complete Care at Nazareth LLCStoughton, WI 2 of 5Complete Care at Voorhees, LLCVoorhees, NJ 2 of 5Complete Care at Wall LLCWall, NJ 3 of 5Complete Care At Fair Lawn EdgePaterson, NJ 3 of 5Complete Care At Holiday CityToms River, NJ 3 of 5Complete Care At Lehigh LLCMacungie, PA 3 of 5Complete Care At Oak Ridge LLCCharleston, WV 3 of 5Complete Care At Orange ParkEast Orange, NJ 3 of 5Complete Care At Phillipsburg, LLCPhillipsburg, NJ 3 of 5Complete Care At Severna Park LLCSeverna Park, MD 3 of 5Complete Care At Shrewsbury LLCShrewsbury, NJ 3 of 5Complete Care At SpringbrookSilver Spring, MD 3 of 5Complete Care at Brick LLCBrick, NJ 3 of 5Complete Care at Corsica Hills LLCCentreville, MD

Showing 40 of 84; lowest-rated first.

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 / managerTypeRoleShareSince
PC DE OPCOS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 06/01/2021
PC WTA OPCO HOLDCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/01/2021
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 06/01/2021
STEIN, SHALOMIndividualINDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; TRUSTEE OF THE SNFsince 06/01/2021
WELLTOWER INCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 07/30/2021
COX, VICKIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2021
MANSFIELD, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2021
RASTOGI, RITUIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2021
SILVERBERG, NISANELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2021
SMITH, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/29/2022
AURORA GUARDIAN HOLDCO II CO-BORROWER, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN HOLDCO II, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN II REALTY, LLCOrganizationADP OF THE SNFsince 07/30/2021
AURORA GUARDIAN PARTNERS II LLCOrganizationADP OF THE SNFsince 07/30/2021
HILLSIDE CENTER REALTY, LLCOrganizationADP OF THE SNFsince 07/30/2021
J & R FAMILY INVESTMENTS, LLCOrganizationADP OF THE SNFsince 07/30/2021
L FRIEDMAN 2018 FAMILY TRUSTOrganizationADP OF THE SNFsince 07/30/2021
L FRIEDMAN FAMILY HOLDINGS LLCOrganizationADP OF THE SNFsince 07/30/2021
LANDAU FAMILY INVESTMENT TRUSTOrganizationADP OF THE SNFsince 07/30/2021
M FRIEDMAN 2018 FAMILY TRUSTOrganizationADP OF THE SNFsince 07/30/2021
PC WTA ACQUISITION LLCOrganizationADP OF THE SNFsince 06/01/2021
PC WTA MULTI-STATE LLCOrganizationADP OF THE SNFsince 06/01/2021
PEACE CAPITAL HOLDINGS LLCOrganizationADP OF THE SNFsince 06/01/2021
R&J FAMILY INVESTMENTS LLCOrganizationADP OF THE SNFsince 07/30/2021
BURNS, DONNAIndividualADP OF THE SNFsince 04/18/2024

CMS files one row per role, so the 33 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

18 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

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

$15.6M
Net patient revenuemost recent cost report
+3.1%
Operating marginrevenue minus expenses
$2.3M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 74%Medicare 11%Other / private 15%

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$367per resident / day
operating cost
$11,143per month
≈ monthly operating cost
$378per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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

Paying with Medicaid

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 Delaware Medicaid page.

Typical monthly cost in Delaware
$14,494/mo
Nursing home (semi-private)
$15,132/mo
Nursing home (private)
$7,600/mo
Assisted living

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 085027. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-23, 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.

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