Westminster Village Health

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

43.5% 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 146 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.1% 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 84 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 0.54 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 75 beds and averages 54.7 residents a day — about 73% occupied, or roughly 20 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.18 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.95 hrs/resident/day on weekends vs 4.48 on weekdays — 12% thinner on weekends. RN hours go from 1.33 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 35% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-10-08 · 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

  Based on observation, interview, record review, and review of other facility documentation it was determined that for one (R1) out of four residents sampled for wandering and elopement the facility failed to ensure adequate supervision to prevent R1 from eloping putting the resident at serious immediate jeopardy and risk of a serious adverse outcome. R1, a resident that was confused was able to elope from the facility on 9/27/25 by climbing out of the window in R1's room. R1 walked across the facility's back parking lot and then proceeded to walk across a busy roadway to an area where there was a raised curb, a sloped hill with trees, shrubs and brush. R1 was missing for seven minutes. An immediate jeopardy (IJ) was identified starting on 9/27/25. Due to corrective measures following the incident, this is being cited as immediate jeopardy, past non-compliance with an abatement date of 10/1/25. Findings include:A policy titled Elopement last reviewed by the facility 12/24/24 documented Facilities will identify residents at risk for elopement and develop a plan to prevent unauthorized…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2023-11-01 · 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 and record review, it was determined that for three (R71, R68 and R43) out of six residents reviewed for abuse, the facility failed to ensure that R71, R68 and R43 were free of sexual abuse by R16, a resident with a history of sexually inappropriate behavior. The facility's failure to monitor R16 allowed the sexual abuse of R71 on 9/14/22, R68 on 11/16/22 and R43 on 12/16/22. An Immediate Jeopardy (IJ) was identified starting 9/14/22. Due to the facility's corrective measures following the last incident, this is being cited as immediate jeopardy, past non-compliance with an abatement date of 12/16/22. Findings include: A facility policy and procedure titled, Abuse, Neglect or Exploitation, revised 10/24/22, documented, Policy .each resident is provided with a safe environment where they are not subject to mental, physical .and sexual abuse .Objective: Residents are protected from real or perceived abuse .Standard: The facility is committed to ensuring that each resident is free…

  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 · Past Non-Compliance
• Potential for harm · F2025-12-16 · tag F0919 — failed to provide a working call system — widespread
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  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 review of other facility documentation it was determined that the facility failed to have a functioning call bell system. Findings include: 12/9/25 10:57 AM room [ROOM NUMBER] - During initial observations the surveyor discovered that the call bell was not functioning. There was no sound and the light outside of the doorway was not lit after the call bell was pressed. E25 (LPN) confirmed the finding.12/9/25 12:05 PM room [ROOM NUMBER] - During initial observations the surveyor discovered that the call bell was not functioning. E26 (CNA) confirmed the finding. E26 then notified E25 (LPN) who immediately placed a call to the maintenance department. The surveyor then tested the call bell function across the hall in room [ROOM NUMBER] and the call bell did not function. 12/9/25 12:07 PM room [ROOM NUMBER] - During initial observations the surveyor discovered that the call bell was not functioning. E27 (CNA) confirmed the finding. 12/9/25 12:08 PM room [ROOM NUMBER] - E28 (MT)…

  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 · Ecited before2025-12-16 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 — the official record, unedited, may be distressing

  Based on observation, record review and interview it was determined that the facility failed to ensure that food was stored and served in accordance with professional standards. Findings include:12/15/25 8:39 AM - During a tour of the facility's short-term unit refrigerator an undated unlabeled sandwich and an expired pudding cup dated 12/10/25 was discovered. 12/15/25 9:00 AM - Review of the facility's food temperature logs lacked evidence that temperatures were taken prior to serving the following meals:11/13/25 breakfast, lunch and dinner.11/20/25 lunch.11/26/25 dinner.11/28/25 dinner.12/4/25 lunch. 12/15/25 9:52 AM - During an interview E21 (DDS) confirmed the undated and expired foods. E21 then confirmed the unrecorded food temperature logs. 12/16/25 3:45 PM - Findings were reviewed at the exit conference with E1 (NHA), E2 (DON) and E3 (ED).

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that for one (R16) out of one resident reviewed for accidents, the facility failed to notify a physician of a significant injury of unknown source that was determined to be a right fifth toe fracture. Findings include:A review of R16's clinical record revealed: 7/15/25 - R16 was admitted to the facility with a diagnosis including, but not limited to, CVA and abnormal gait.8/1/25 4:00 PM - A progress note documented that R16 was transferred to the hospital after a fall in the facility.8/1/25 11:40 PM - A progress note documented R16 returned from the hospital after a fall with the following: purple bruising to the right fifth toe and right flank, scattered bruising to the left lower leg.8/2/25 12:35 AM - A progress note documented bruising to R16's right fifth toe.8/4/25 2:58 PM - A mobile X-ray provider performed an X-ray of R16's right foot at the facility. The X-ray report revealed a fracture at the base of the right fifth toe. 8/4/25 3:00 PM - A doctor's order was documented to complete an X-ray of R16's right foot. There…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-16 · 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

  Based on interview and record review, it was determined that for one (R16) out of four residents reviewed for accidents, the facility failed to report an injury of unknown source in timely manner. Findings include:A review of R16's clinical record revealed:7/15/25 - R16 was admitted to the facility with a diagnosis, including but not limited to CVA and abnormal gait.8/1/25 5:45 AM - A progress note documented R16 had a fall un-witnessed in the TV/dining room. 8/1/25 11:40 PM - A progress note documented R16 returned from the hospital with the following: purple bruising right fifth toe and right flank, scattered bruising to left lower leg.8/4/25 1:00 PM - A progress note R16 documented a stat order for x-ray of the right foot.8/4/25 - An X-ray report was performed and revealed a fracture at the base of the right fifth toe. 8/5/25:8:26 AM - A facility incident report documented R16 had a swollen right fifth toe that occurred on 8/1/25.12/15/25 11:35 PM - During an interview E4 (RN) confirmed that during an unwitnessed fall with injuries, she would get a call from the nurse, and they…

  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 · D2025-12-16 · 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 review and interview it was determined that for one (R8) out of two residents reviewed for limited ROM the facility failed to develop a care plan that addressed the residents limited ROM and interventions to prevent further contractures. Findings include: Review of R8's clinical record revealed: 4/14/22 - R8 was admitted to the facility with multiple diagnoses including dementia and an impairment to the right middle finger. 7/8/25 - A physician's order was written for R8 to have a rolled washcloth placed in the right hand. Completion of the task was signed by nurses in R8's TAR. 12/11/25 10:05 AM - Review of R8's care plans lacked evidence of a care plan that addressed R8's contractures and the rolled wash cloth intervention used. 12/11/25 10:21 AM - During an interview E2 (DON) confirmed there was no care plan to address R8's contractures. E2 stated, there is no care plan because she is on hospice E2 then initiated a care plan for R8's contracture and use of the rolled washcloth. 12/16/25 3:45 PM - Findings were reviewed at the exit conference with E1 (NHA), E2…

  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 · D2025-12-16 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview it was determined that for one (R67) out of two new admissions reviewed the facility failed to adhere of standards of practice when the initial care plan and admission assessment were not completed by a Registered Nurse. Findings include: The state of Delaware Board of Nursing Professional Regulations Decision Tree 2024 indicated that admission assessments and initial care plans must be completed by a Registered Nurse.Review of R67's clinical record revealed:11/14/25 - R67 was admitted to the facility.11/14/25 - A baseline care plan was created for R67 by E20 (LPN).11/14/25 - An admission assessment that documented the clinical details such as vital signs, skin condition, care needs and general condition of R67 upon arrival to the facility was completed by E20 (LPN).12/16/25 2:34 PM - During an interview E20 (LPN) confirmed she completed R67's admission assessment and initial care plans. E20 stated, Yes, I completed them and I did have an aide assist me with positioning for the skin assessment. 12/16/25 3:30 PM - During an interview E2 (DON)…

  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 · D2025-12-16 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that for one (R67) out of three residents reviewed for hydration, the facility failed to offer sufficient hydration. Findings include:The facility policy on hydration last updated 12/24/24 indicated, To enable all residents to be hydrated. Facilities will have a process in place to ensure that all residents receive sufficient amounts of fluids, based on individual needs, to maintain proper hydration and health. Review of R67's clinical record revealed: 11/14/25 - R67 was admitted to the facility with multiple diagnoses including mild cognitive impairment. 11/14/25 - A baseline care plan created for R67 indicated a risk of hydration concerns. 11/15/25 6:04 PM - A progress note in R67's clinical record documented, Residents husband in facility and asked nurse to speak with son over phone call regarding a request for IV placement for nutrients until Monday due to resident not eating and drinking per son and husband, on call was made aware of request and gave…

  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 · D2025-12-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined for one (R31) out of one resident sampled for respiratory care the facility failed to provide professional standards of practice by ensuring R31's BiPap equipment was stored in a protective plastic bag when not in use. Findings include:A review of R31's clinical record revealed: 11/5/25 - R31 was admitted to the facility with a diagnosis of chronic obstructive pulmonary disease, congestive heart failure and obstructive sleep apnea. 11/5/25 - A physician's order for R31 documented BiPap application off in the AM and on at night at bedtime assist with application of BiPap to use with 3L (liters) oxygen. R31's treatment administration record lacked evidence of an order to place the respiratory equipment in a plastic bag. 11/11/25 - A review of a five-day MDS admission assessment documented R31 was cognitively intact. 12/10/25 9:35 AM - During an interview E6 (RN) reported [R31's] respiratory equipment should probably be in a plastic bag but it probably isn't. E6 went to R31's room and confirmed the respiratory…

  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 · D2025-12-16 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview it was determined that for one (R7) out of five residents reviewed for unnecessary medication review the facility failed to adequately complete monitoring for side effects of a resident on psychotropic medications. Findings include: The facility policy on consultant pharmacist recommendations last updated 7/9/25 indicated Recommendations are acted upon and documented by the facility staff and/or the prescriber. Review of R7's clinical record revealed: 7/16/25 - R7 was admitted to the facility with multiple diagnoses including dementia with psychotic disturbance, psychotic disorder with delusions and schizophrenia. 7/16/25 - An AIMS assessment was completed for R7 that scored the resident as a 3, indicative of mild risk of side effects as a result of antipsychotic medications. 7/17/25 - A physician's order was written for R7 to receive quetiapine, an antipsychotic twice a day. 8/18/25 - A consultant pharmacist medication regimen review (MRR) completed for R7 recommended the following Resident is currently receiving quetiapine. Her baseline AIMS…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 (R20) out of three residents reviewed for transmission-based precautions the facility failed to ensure that a physician was notified promptly of laboratory results. Findings include:Review of R20's clinical record revealed: 12/8/25 - A physician's order was written for R20 to have a urinalysis culture and sensitivity test completed. 12/11/25 - R20's urinalysis culture and sensitivity was collected by the contracted laboratory. 12/13/25 - The results of R20's urinalysis culture and sensitivity were relayed to the facility by phone to E24 (LPN). R20's progress notes lacked evidence that E24 relayed the results to R20's physician or nurse practitioner. 12/15/25 - A copy of the results of R20's urinalysis culture and sensitivity were reviewed by E23 (NP), two days after the results were known. 12/16/25 2:00 PM - During an interview E22 (ADON/IP) and E2 (DON) confirmed the facility the delay in notification without explanation. 12/16/25 3:45 PM - Findings were reviewed at the exit conference with E1 (NHA), E2 (DON) 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.

  Administration Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$30,494 in federal fines across 2 penalties.

• $14,901 — penalty dated 2025-10-08
• $15,593 — penalty dated 2023-11-01

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 PRESBYTERIAN SENIOR LIVING — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in DE