Stonegates

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.

58.8% 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 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 14.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 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 0.59 therapist hours per resident per day in 2026Q1 — more than 88% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 49 beds and averages 27.9 residents a day — about 57% occupied, or roughly 21 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.96 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.01 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.73 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.14 hrs/resident/day on weekends vs 6.29 on weekdays — 18% thinner on weekends. RN hours go from 2.15 to 1.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%.

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

Inspection trend

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

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.

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · J2023-12-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Revised post IDR Based on interview and record review, it was determined that for two (R14 and R38) out of two residents reviewed for accidents, the facility failed to ensure residents received adequate supervision and assistive devices to prevent accidents. R14, a cognitively impaired resident with dementia and identified as high risk for wandering, eloped from the building on 2/18/23 and was found outside on the community grounds by a bystander. R14 was at risk of a severe adverse outcome. An IJ (immediate jeopardy) was identified on 12/4/23 at 2:17 PM and abated on 12/4/23 at 11:59 PM. For R38, a cognitively impaired resident who was at high risk for falls upon admission, the facility failed to implement appropriate person-centered fall interventions taking into consideration her continued impulsivity, lack of safety awareness and her diagnosis of a urinary tract infection (UTI). R38 had four falls (9/18/22, 10/5/22, 10/6/22 and 10/8/22). After each fall, the facility failed to reassess the effectiveness of the fall interventions. R38's fourth fall on 10/8/22 resulted in her…

  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 · Dcited before2025-12-12 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that for two (R18 and R27) out of three residents reviewed for accidents, the facility failed to accurately reflect R18 and R27's status by documenting their medication, carbidopa-levodopa, as an anticonvulsant. Findings include: 1. Review of R18's clinical record revealed: 11/3/23 - R18 was admitted to the facility with diagnosis including but was not limited to, Parkinson's disease.11/3/23 - E9 (MD) ordered in R18's EMR, carbidopa-levodopa oral tablet 25-100 mg - give 1.5 tablet by mouth three times a day for Parkinsons.9/20/25 - R18's annual MDS (Minimum Data Set) documented that R18 was taking an anti-convulsant.12/1/25 - R18's significant change MDS documented that R18 was taking an anti-convulsant.12/9/25 1:30 PM - A review of R18's medication orders lacked evidence that R18 was ordered any anti-convulsant medications at these times. The facility inaccurately documented carbidopa-levodopa as an anti-convulsant on R18's two MDS assessments.2. Review of R27's clinical record revealed:5/26/24 - R27 was admitted to 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 · Dcited before2025-12-12 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that for one (R29) out of five residents reviewed for unnecessary medications, the facility failed to include the required members in the care planning conference. Findings include:Review of R29's record revealed:12/9/25 - A facility form titled CARE CONFERENCE SIGN IN SHEET listed review dates of 5/27/25, 8/21/25 and 11/13/25 with participant signatures including an RN, LPN, RDN (Registered Dietitian Nutritionist) and an RNAC (Registered Nurse Assessment Coordinator).12/11/2025 8:50 AM - During an interview, E4 (LPN) confirmed that residents' medical providers do not attend or participate in care plan meetings. 12/12/2025 8:38 AM - During an interview, when asked who attends the care plan / IDT (Interdisciplinary Team) meetings, E2 (DON) reported the DON, RNAC, dietary and family attend. When asked if residents' medical providers participate in the care plan meetings, by either attending or providing input, E2 confirmed they do not. E2 then reviewed the 11/13/25 2:43 PM progress note titled Plan of Care Note, and E2 confirmed…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-12 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 (R18) out of three residents reviewed for accidents, the facility failed to have evidence of attempted alternatives, bed rail assessment, review of the risks and benefits and obtain informed consent prior to installation and use of bilateral bed rails. Findings include: Review of R18's clinical record revealed:9/20/25 - The annual MDS assessment documented R18's BIMS as 11 (moderate cognitive impairment); active diagnoses included Parkinson's disease and dementia; and R18 required substantial/maximum staff assistance with rolling left and right in bed and lying to sitting on the side of the bed.12/10/25 1:48 PM - Observation revealed R18 in bed for a nap with the bilateral quarter side rails positioned up.12/10/25 3:38 PM - Observation revealed R18 in bed with the bilateral quarter side rails positioned up.Review of R18's clinical record lacked evidence of alternatives attempted, bed rail assessment, informed consent with review of risks and benefits and a bed rail care plan for the use of bilateral…

  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 · D2025-12-12 · 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

  Based on record review and interview, it was determined that for one (R18) out of three residents reviewed for accidents, the facility failed to ensure each residents' records were accurate and complete. Findings include: Review of R18's clinical record revealed: 11/3/23 - R18 was admitted to the facility with diagnoses including but not limited to, Parkinson's disease and anxiety disorder.11/18/25 - E11 (MD) ordered in R18's EMR, Lorazepam (Ativan) oral tablet 0.5 mg- give 1 tablet by mouth every 6 hours as needed for anxiety or nausea and/or vomiting or agitation.This order was discontinued on 11/24/25. 11/24/25 - E11 ordered in R18's EMR, Lorazepam oral tablet 0.5 mg- give 1 tablet by mouth every 6 hours as needed for anxiety or nausea and/or vomiting or agitation for 14 days.This order was discontinued on 12/8/25. 12/8/25 3:52 PM - E11 documented in R18's EMR physician note, Resident is on PRN Ativan, we have seen positive benefit and will continue 1 month. 12/8/25 - E11 ordered in R18's EMR, Lorazepam oral tablet 0.5 mg- give 1 tablet by mouth every 6 hours as needed for…

  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 · D2025-12-12 · tag F0909 — failed to maintain a comfortable temperature — isolated
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, it was determined that for one (R18) out of three residents reviewed for accidents, the facility failed to ensure that R18's bed rail was included in a routine, preventative maintenance program. Findings include:12/10/25 - Observations at 1:48 PM and 3:38 PM revealed R18 in bed with bilateral quarter bed rails positioned up.12/11/25 11:35 AM - During a combined interview with E1 (NHA) and E2 (DON), surveyors reviewed the bed rail inspection requirement as part of the maintenance program.The facility lacked evidence that R18's bed rail was included in a routine, preventative maintenance program prior to 12/10/25.12/12/25 12:30 PM - Finding was reviewed during the exit conference with E1, E2 and E3 (ADON).

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-12 · tag F0944 — isolated
  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, it was determined that for two (E7 and E8) out of ten employees reviewed for training, the facility lacked evidence of QAPI training. Findings include: 3/26/25 - E8 (housekeeping) started working at the facility.8/7/25 - E7 (dietary) started working at the facility.12/11/25 1:24 PM - A review of the staff training revealed E7 (dietary) and E8 (housekeeping) lacked evidence of QAPI (Quality Assurance and Performance Improvement) training.12/11/25 1:24 PM - During an interview, E12 (Scheduling Coordinator) confirmed that there was no evidence of E7 and E8 completing QAPI training. 12/12/25 12:30 PM - Finding was reviewed during the exit conference with E1 (NHA), E2 (DON) and E3 (ADON).

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-06 · 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 and interview it was determined that the facility failed to ensure food was stored, prepared and served in a manner that prevents food borne illness to the residents. Findings include: 12/3/24 9:30 AM - Observations in the kitchen: - The walk-in refrigerator had opened food items stored in facility containers labeled and dated as follows: tartar 10/8/24, mandarins 11/23/24, and cherries 11/18/24. There were no dates to indicate when it should be consumed, sold or discarded. In addition, bread slices and sesame buns located inside did not include any dates. The dry storage area contained a bag of tortilla chips, a bag of grits, and a pan of almonds that were not dated when they were opened or prepared. During the above observation an interview with E10 (Food Service Assistant) confirmed these findings. - The walk-in refrigerator, contained raw animal foods that were not organized and stored separately to prevent contamination of other foods. Raw fish was observed next to a container of red beans and above a container of tomato paste. In addition, raw pork 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-06 · tag F0880 — failed to prevent and control infections — widespread
  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 and interview it was determined that for two random observations of the laundry room, the facility failed to handle, store and process linens to prevent the spread of infection. 12/4/24 9:30 AM - The following was observed in the laundry area: - The door from the washer room to the dryer (clean) room was open. -The room with the washing machines had blue rags on the floor to the right of the washer and a cell phone was plugged in and laying on top of a washer. -The soiled room contained an office desk, resident emergency water supply, a cell phone on the desk and a cart with clean linen that had a cover on it. 12/4/24 9:35 AM - In an interview E16 (Laundress) confirmed the door was open. 12/4/24 9:45 AM - In an interview with E14 (Supply Supervisor), the open doors were discussed and it was confirmed that the door between the soiled and clean are to be closed at all times. 12/05/24 8:32 AM - The following was observed in the laundry area: - The door from the washer room to the dryer (clean) room was propped open with a large linen cart. - The soiled room…

  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 · D2024-12-06 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a random observation and interview it was determined that four (R13, R15, R17 and R19) residents observed during dining, food service employees utilized gloves while in the dining room to serve residents and nursing staff utilized gloves in the dining room to feed residents violating resident's dignity in their home environment. Findings include: 9/25/24 - A significant change MDS documented R17 as dependent for eating and severely cognitively impaired. 10/27/24 - An annual MDS documented R15 as dependent for eating and severely cognitively impaired. 11/10/24 - A quarterly MDS documented R19 as dependent for eating and severely cognitively impaired. 11/20/24 - A significant change MDS documented R13 as dependent for eating and severely cognitively impaired. 12/3/24 12:00 PM - An observation during dining of one E12 (Dietary Aid) was observed wearing gloves in the dining room while delivering plated food to the tables. E4 (ADON), E18 (RN) and E19 (RN) three staff members in the dining room utilized gloves while feeding R13, R15, R17 and R19. 12/3/24 Approximately 12:15 PM -…

  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 · D2024-12-06 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  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 review of other documentation, it was determined that for one (R17) out of one resident reviewed for hospice, the facility failed to collaborate with the hospice provider in the development of a written plan of care. Findings include: The Nursing Facility Services Agreement, dated 1/27/17, stated: 1.i Hospice and Facility will jointly develop and agree upon a coordinated, interdisciplinary plan of care . The plan of care will identify which provider is responsible for performing the respective functions that have been agreed upon and included in the Plan of Care . 2.d.ii Facility shall ensure that each hospice patient's care plan includes both the most recent Hospice Plan of Care and a description of the Facility Services furnished by the Facility to attain or maintain the Hospice Patient's highest practicable physical, mental and psychosocial well-being as required by federal regulations. Review of R17's clinical record revealed: 9/18/24 - R17 was admitted to hospice with 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.

  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

$48,696 in federal fines across 1 penalty.

• $48,696 — penalty dated 2023-12-05

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

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

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

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