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Lofland Park Center

715 E. King Street, Seaford, DE 19973 · For profit - Corporation · 110 certified beds · (302) 628-3000 Medicare & Medicaid certified

Call the home — (302) 628-3000 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Jun 2025Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (30% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 21% of its spending goes to commonly-owned related companies

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.

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

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
801 Middleford Rd · (302) 536-5260 · Call to confirm hours
Pharmacy
1609 Middleford Rd · (302) 536-7464 · Call to confirm hours
Grocery
206 N Market St · (302) 262-9443 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
703 E King St · (302) 271-7183

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 4 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 held steady at 4 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 rating4★
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 increased25.1%12.7%15.4%worse
Long-stay residents who lose too much weight6.7%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.9%0.4%0.9%typical
Long-stay residents with a urinary tract infection2.1%2.1%2.0%typical
Long-stay residents with depressive symptoms11.6%10.3%6.5%worse
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 injury2.7%3.2%3.3%better
Long-stay residents whose ability to walk worsened16.0%13.6%16.1%typical
Long-stay residents on antianxiety or hypnotic medication27.1%21.8%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%97.4%95.3%typical
Long-stay residents with pressure ulcers9.0%3.5%4.7%worse
Long-stay residents with worsening bladder/bowel control26.3%20.2%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table6.2%10.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.4%1.0%1.4%better
Short-stay residents given the seasonal flu vaccine92.8%83.1%79.4%better
Short-stay residents rehospitalized after admission16.1%23.3%22.6%better
Short-stay residents with an outpatient ER visit13.5%11.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.051.811.67better
Long-stay outpatient ER visits per 1,000 resident days1.261.401.80better

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.

62.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 222 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.6%U.S. median 51.5%
Got home and stayed home
9.8%U.S. median 10.7%
Went back to hospital
47.1%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 47.1% 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 121 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 SNF62.6%CMS range 55.1–69.351.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 7.4–12.810.7%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 discharge47.1%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 discharge47.1%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 discharge47.9%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened2.8%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 hospitalization6.2%CMS range 3.9–9.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.001.02Oct 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

1.25
RN hours/ resident / day
0.45
LPN hours/ resident / day
2.14
Aide hours/ resident / day
3.84
Total nurse hours/ resident / day
0.85
RN hoursweekends
30.2%
Total nursing turnover
30.3%
RN turnover

How full it usually is: this home is certified for 110 beds and averages 101.6 residents a day — about 92% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.25 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 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 3.51 hrs/resident/day on weekends vs 3.97 on weekdays — 12% thinner on weekends. RN hours go from 1.42 to 0.85 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% 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

5
deficiencies at the latest standard inspection (2025-06-13)
4
at the previous standard inspection (2024-07-02)

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.

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.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

  • Potential for harm · D2026-06-30 · 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 interviews, record review and review of other facility records, it was determined that for one (R25) of eleven residents reviewed for accidents, the facility failed to provide an accident-free environment. R25 fell from a Hoyer lift onto the floor during a transfer due to improper use of the lift by two staff members. The Hoyer lift fell on R25's right knee. R25 complained of pain and was sent to the hospital for further evaluation and treatment. Due to the facility's corrective measures following this incident, this deficiency is being cited as past non-compliance with a corrected date of 1/9/26, which was verified through interviews and review of facility records. Findings include:10/22/25 - R25 was admitted to the facility.1/8/26 6:30 PM - A review of a facility incident report submitted to the Division documented R25 fell from the Hoyer lift at this time.1/8/26 9:38 PM - A review of a facility incident report to the Division documented CNA notified nursing that [R25] had fallen from the Hoyer. Further review of the report indicated R25 complained of feeling a snap in…

    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
  • Potential for harm · D2025-06-13 · 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

    Based on interview and record review, it was determined that for one (R79) out of five residents sampled for medication review, the facility failed to discuss the risk and benefits of proposed care. Findings include: Review of R79's clinical record revealed: 9/12/24 - R79 was admitted to the facility. 9/18/24 - An admission MDS documented R79 was a BIMS of 6 indicating severe cognitive impairment. 2/13/25 - A physician's order was written for buspirone (anti-anxiety) 5 mg give one tablet by mouth every morning and and at bedtime for anxiety. 3/3/25 - A physician's order was written for lorazepam (anti-anxiety) 0.5 mg give one tablet by mouth every six hours for generalized anxiety disorder for 14 days. 3/9/25 - A physician's order was written for haloperidol (anti-psychotic) 5 mg/mL inject 5 mg/mL intramuscularly every four hours as needed for agitation. 6/11/25 1:41 PM - During an interview, E11 (RN) stated the expectation is to review each new medication (psychotropic) risk versus benefits with the resident if cognitively intact or with the resident's representative. E11 also…

    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 · D2025-06-13 · 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 and record review, it was determined that for one (R79) out of five residents sampled for medication review, the facility failed to limit a PRN psychotropic medication to 14 days. Findings include: Review of R79's clinical record revealed: 9/12/24 - R79 was admitted to the facility. 3/6/25 - A quarterly MDS assessment documented that R79 was a BIMS of 9 indicating that R79 was moderate cognitively impaired. 3/9/25 - A physician's order was written for haloperidol (anti-psychotic) 5 mg/mL inject 5 mg/mL intramuscularly every four hours as needed for agitation with an indefinite stop date. 3/31/25 - A physician's order was written for lorazepam (anti-anxiety) 0.5 mg give one tablet by mouth every six hours as needed for generalized anxiety disorder for 180 days. 6/12/25 10:19 AM - During an interview, E6 (RN) stated the expectation for PRN medications have a 14 day stop date so the provider can evaluate resident for usage of the medication. E6 confirmed that the lorazepam and haldol did not have the 14 day stop date. E6 also confirmed the physician's progress note…

    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 · D2025-06-13 · 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

    Based on interview and record review it was determined that for two (R9 and R58) out of two residents reviewed for bowel and bladder, the facility failed to initiate antibiotic therapy for signs and symptoms of a UTI. For R9 with a urinary catheter who met criteria of a positive urine culture and for R58 without a urinary catheter who met criteria of a positive urine culture. Findings include: 1. Review of R9's clinical record revealed: 10/4/18 - R9 admitted to the facility with diagnoses including, but not limited to, thoracic spinal cord injury. 2/25/25 - An annual MDS documented R9 having an indwelling urinary catheter. 4/11/25 11:31 PM - A nursing note documented Obtain UA [urinalysis] and C&S [culture and sensitivity] for urinary discomfort .reported done on day shift. 4/11/25 11:50 AM - A specimen tracking report provided by E9 (Hospital Lab Supervisor) revealed the urine sample for UA and C&S was obtained. 4/11/25 3:38 PM - A specimen tracking report provided by E9 revealed the urine sample for UA and C&S was received from the facility and a urinalysis and urine culture 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 · Dcited before2025-06-13 · 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 interview, observation and record review, it was determined that for one (R346) out of one residents reviewed for respiratory care, the facility failed to change oxygen tubing weekly per plan of care. Findings include: 1. Review of R346's clinical record revealed: 7/20/24 - R346 admitted to the facility with diagnoses including but not limited to COPD and Centrilobular Emphysema. 7/20/24 4:05 PM - An order documented, Oxygen tubing change weekly on 11-7 [PM] Wednesdays .Label each component with date and initials. 6/5/25 10:34 AM - Observation of R346's continuous oxygen tubing label was dated Saturday, May 24, 2025 and nebulizer tubing dated Thursday, May 29, 2025. 6/5/25 3:15 PM - A subsequent observation of R346's continuous oxygen tubing label dated Thursday, June 5, 2025. 6/5/25 3:18 PM - During an observation interview E8 (LPN) confirmed that she changed R346's continuous oxygen tubing at the start of their shift [3 PM to 11 PM] on Thursday, June 5, 2025 and that R346's nebulizer tubing was dated Thursday, May 29, 2025. E8 further stated that R346's nebulizer tubing…

    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 before2025-06-13 · 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 interview and record review, it was determined that for one (R98) out of six residents reviewed for unnecessary medications, the facility failed to ensure a resident on insulin had adequate monitoring of blood sugar levels R98. Findings include: A review of R98's clinical record revealed: 11/25/24 - R98 was admitted to the facility, with diagnoses including diabetes mellitus. 11/25/24 - A physician's order for Humalog solution 100 unit /mL Inject 5 units subcutaneously in the evening for diabetes mellitus. 12/5/24 - A physician's order for Insulin glargine subcutaneous solution pen-injector 100 unit/mL, inject 15 units subcutaneously one time a day for diabetes mellitus. 6/9/25 - The EMR lacked evidence of a physician's order for blood sugar monitoring for R98. 6/9/25 11:48 AM, an interview with E6 (RN) confirmed that when a resident is receiving insulin, E6 obtains a physician's order to monitor a resident's finger stick blood sugar level. 6/9/25 1:10 PM - An interview with E4 (RN) confirmed that upon resident admission, finger stick blood sugars are monitored for three…

    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 · E2024-07-02 · tag F0658 — failed to meet professional standards of care — pattern
    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

    4. Review of R100's clinical record revealed: 7/26/23 - R100 was admitted to the facility. 7/26/23 - E12 (LPN) completed the following admission assessments: bed rail evaluation, oral health evaluation, and lift transfer evaluation. 7/2/24 10:15 AM - In an interview, E2 (DON) confirmed that LPN's are not to do initial assessments and that they should be completed by an RN. 7/2/24 10:30 AM - An interview with E3 (RN Director UM) confirmed the following admission assessments are expected to be completed at the time of admission by an RN: admission assessment, bed rail, Braden, incontinence, lift evaluation, AIMS (if needed), elopement, fall risk, and pain. 7/2/24 1:50 PM - Findings were reviewed with E1 (NHA) and E2 (DON) at the exit conference. Based on record review and interview, it was determined that for four (R2, R11, R76 and R100) out of thirty-two residents reviewed for care plans, the facility failed to meet professional standards of the Delaware Board of Nursing Scope of Practice by having LPN's and a SW complete the admission assessments. Findings include: Delaware State…

    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 · E2024-07-02 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, it was determined that the facility failed to provide a safe and sanitary environment for the staff. Findings include: 6/24/24 11:24 AM - A large section of the floor in the service area between the entry doors to the kitchen and the entry door to the ware washing room was covered with standing water. Water was dripping from the ceiling area adjacent to the interior hallway doors onto the floor. An additional area of water was dripping from the ceiling near the entrance to the ware washing room onto the floor and into a mop bucket that had been placed under a portion of the dripping area. 6/24/24 1:46 PM - During an interview, E1 (NHA) confirmed the dripping and standing water and stated that the water had come from the second-floor shower room, passed through a managers' office located on the first floor, and dripped into the service area on the ground floor. 7/2/24 1:50 PM - Findings were reviewed with E1 (NHA) and E2 (DON) at the exit conference.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-02 · 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 observation, interviews, and record review it was determined that for one (R37) out of 32 residents reviewed for care plans the facility failed to update and revise a care plan. Findings Include: Review of R37's clinical record revealed: 12/11/23 - R37 was readmitted to the facility from the hospital. 12/16/23 - A quarterly MDS assessment documented . 1. Yes, a hearing aid or other hearing appliance was used to complete the assessment for hearing. 1/18/24 9:00 PM - An order for R37 documented to insert hearing aids in the AM and remove at bedtime. Wipe clean daily. 3/20/24 8:16 PM - A care plan evaluation note by E2 (DON) documented, Resident seen by audiology for hearing impairment. Resident has hearing aides (sic) to assist [with] his impairment. Care plan reviewed and remains appropriate - continue current [plan of care]. 6/6/24 1:41 PM - R37's care plan documented impaired communication as evidenced by impaired hearing. 6/15/24 - A significant change MDS assessment documented . 1. Yes a hearing aid or other hearing appliance was used to complete the assessment 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 · Dcited before2024-07-02 · 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 — the official record, unedited, may be distressing

    Based on record review and interview, it was determined that for one (R11) out of five residents reviewed for medication review, the facility failed to ensure that an order for a PRN medication for anxiety was re-evaluated after 14 days. Findings include: 3/4/24 - Resident admitted to the facility. 3/18/24 - A Physician's order was entered into the MAR: clonazepam Oral Tablet 1 MG (Clonazepam) *Controlled Drug* Give 1 tablet by mouth as needed for anxiety May take 3x/day as needed. The facility lacked evidence that a PRN order for anxiety was re-evaluated by a provider after 14 days of being ordered. 7/1/24 1:33 PM - In an interview, E4 (MD) stated that usually a new PRN order for an anti-anxiety medication is evaluated 14 days after the patient first starts, but not thereafter. E4 stated that this will be fixed. 7/2/24 1:50 PM - Findings were reviewed with E1 (NHA) and E2 (DON) at the exit conference.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-07-02 · 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 interview and record review, it was determined that for one (R100) out of two residents reviewed for change in condition, the facility failed to consult the Physician when R100 experienced a change in condition. Findings include: Review of R100's clinical record revealed: 7/26/23 - R100 was admitted to the facility. 8/1/23 - An admission MDS revealed that R100 had diagnoses including but not limited to hypertension and atrial fibrillation. 8/3/23 - A careplan for R100 revealed resident is exhibiting or at risk for cardiovascular symptoms or complications related to hypertension, atrial fibrillation, hypotension, stroke, and electrolyte imbalance. Interventions included but not limited to administer medications as ordered and monitor for side effects and effectiveness, report any abnormalities to the physician. Also observe for mental status and report any changes to the physician. 9/12/23 - A physician's order was written for metoprolol 50 mg give one tablet twice daily for hypertension and hold for systolic blood pressure less than 110 mg/dL. A review of R100's MAR 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-02 · 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

    Based on interviews and record review it was determined that for one (R99) out of nine residents reviewed for skin conditions, the facility failed to assess a surgical site. Findings include: Review of R99's clinical revealed: 8/25/23 - R99 was admitted to the facility with diagnoses including but not limited to third degree burn to left hand and donor graft site to left thigh. 8/25/23 - A physician's order documented to cleanse left hand with soap and water, apply xeroform gauze, then wrap with kling dressing and ACE (elastic wrap), every evening shift. The order for the left thigh wound as follows: do not remove xeroform from thigh wound. Allow to fall off/lift off on its own. May trim away edges as it lifts. as needed for graft extraction site. 8/30/23 - An admission MDS revealed R99 had a surgical wound and burn of second or third degree with treatments of surgical wound care and applications of non-surgical dressings. 8/30/23 - A care plan revealed that R99 was at risk for skin breakdown related to recent surgery, actual skin break down related to left hand burn, and left thigh…

    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 · F2023-05-10 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview it was determined that the facility failed to ensure that a qualified person in charge of the kitchen was present during all hours of operation. Findings include: 5/4/23 10:37 AM - During an interview, E17 (Kitchen Supervisor) and E18 (Cook) disclosed that no members in the facility's food service department possessed valid Food Protection Manager certificates from an Accredited Food Safety Program.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-05-10 · 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 and interview it was determined that the facility failed to monitor food temperatures in accordance with professional standards for food safety for cooking/reheating food items. Findings include: 5/4/23 1:27 PM - During a review of the food temperature logs, the Surveyor observed one hundred-nine (109) meals out of two hundred sixty-seven (267) reviewed for temperatures had no pre-service food temperatures recorded. Temperatures of cooked foods and cold ready to eat foods were not being consistently recorded prior to being served. Fish, meat, and poultry must be heated to an appropriate specific temperature depending on the type of food and the method used to prepare it. Vegetables must be heated to one hundred thirty-five (135) degrees Fahrenheit (F) and cold ready to eat foods must be held below forty-one (41) degrees (F) to maintain food safety. 5/10/23 12:00 PM - Findings were reviewed with E1 (NHA) and E2 (DON) at the Exit Conference .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-10 · 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 record review, interview and review of other facility documentation, it was determined that for one (R58) out of one resident reviewed for resident rights, the facility failed to promote dignity when a staff member used foul language (cursed) in R58's resident room with R58 present. Findings include: Cross refer F677. Review of R58's clinical record revealed: 7/5/19 - R58's care plans included that R58 was incontinent of bowel and bladder and will have incontinence care needs met by staff. 5/31/21 - A quarterly MDS assessment documented that R58 required extensive assistance of two staff members for toileting, was always incontinent of bowel and was frequently incontinent of urine. 7/3/21 - A typed statement conducted by E8 (RN) with E6 (CNA), regarding the lack of care for R58 included: R58 had BM on hands and was 'playing' in her feces. E6 clarifies that patient was very wet and did not appear to have received any care that shift. E6 states that she lost her cool and let her emotions control her mouth and she knows she shouldn't have reacted that way. She states that E7…

    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 · D2023-05-10 · 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 and interview, it was determined that for three (R28, R32 and R58) out of eight residents reviewed for ADL's, the facility failed to provide incontinence care for dependent residents. Findings include: The facility policy for ADL care was last updated 6/1/21 and indicated that The Center must provide necessary care and services to ensure that ADL's are maintained. ADL's include: elimination - toileting. ADL care is documented every shift by the nursing assistant. 1. Review of R28's record revealed: 5/17/21 - R28's care plan for required assistance for ADL care included toileting due to cognitive loss/dementia and had a goal for R28's care needs to be anticipated and met. Interventions included assist as needed with ADLs. 5/26/21 - A quarterly MDS assessment documented the resident was severely cognitively impaired, frequently incontinent of bladder and required extensive assistance with toileting. 8/17/21 - A summary report documented, CNA [oncoming] 11:00 PM through 7:00 AM shift reported finding R28 . in daytime clothing versus night clothing. Resident had…

    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 before2023-05-10 · 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

    Based on observation, interview, and record review, it was determined that the facility failed to follow the plan of care for one out of one resident reviewed for quality of care. R4 had frail skin and was at risk for bruising and skin tears. Findings include: Review of R4's clinical record revealed: 5/14/07 - R4 was admitted to the facility with a diagnosis of right sided weakness. 1/11/23 - A Quarterly MDS Assessment documented that R4 was totally dependent for all ADL's (Activities for Daily Living). 8/9/16 - Review of R4's care plan for being at risk for bruising and skin tears as evidenced by frail skin was revised on 3/27/23. The care plan goal stated the resident will remain free of skin tears and bruising for 90 days. Interventions included: 1. Apply Geri sleeves at all times. 2. May remove for hygiene as needed. 3. Geri sleeves to both hands to protect from injury. 5/20/19 - A Physician's order included: 1. Apply Geri sleeves at all times 2. May remove for hygiene as needed every shift for skin integrity. 5/5/23 8:53 AM - A random observation revealed R4 was not wearing…

    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 · D2023-05-10 · 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 (R4 and R21) out of two residents reviewed for ROM/mobility, the facility failed to provide restorative nursing services to maintain or prevent further decline in function/mobility. R21 did not receive restorative services for walking. For R4, the facility failed to place rolled washcloths in R4's hands for bilateral contractures. Findings include: 6/1/21 - The facility policy on restorative nursing directed staff to implement the restorative nursing program according to specifics on the care plan. 1. Review of R21's clinical record revealed; 5/12/21- R21 was admitted to the facility with multiple diagnoses, including history of a mild stroke with right-sided weakness. 1/26/22 - An order was written for R21 to be discharged from physical therapy and to remain in the facility on the restorative nursing program (RNP) to receive walking 50 feet three times a day. 2/21/23 - A quarterly MDS assessment documented that R21 was cognitively intact and was receiving RNP services, walking, several days during 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-10 · 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 that for one (R4) out of two sampled residents for respiratory care, the facility failed to follow a Physician's order for oxygen. In addition, the facility failed to follow the manufacturer's instructions for cleaning the oxygen concentrator's filter. Findings include: Review of R4's clinical record revealed: 3/8/22 - R4's care plan included oxygen as ordered by nasal cannula. 11/17/22 - A Physician's order included: Oxygen at one liter a minute by nasal cannula to maintain pulse oximetry greater than or equal to ninety two percent every shift and maintain pulse oximetry greater than ninety two percent continuously. 1/11/23 - A Quarterly MDS Assessment documented that R4 was totally dependent for all ADL's. 5/4/23 9:50 AM - An observation of the filter in R4's concentrator revealed the filter had clumps of gray lint and dust particles. 5/4/23 11:30 AM - The Surveyor observed the oxygen concentrator setting at 4.5 liters by nasal cannula. E14 (LPN) stated, I am a traveling Nurse, I will need to look at the order.…

    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 · D2023-05-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, it was determined that for two (R58 and R63) out of five residents reviewed for unnecessary medications, the facility lacked evidence of consistent side effect monitoring for psychotropic medications. Findings include: A facility policy entitled Psychotropic Medication Use (last revised 10/24/22) included: All medications used to treat behavior should be monitored for harm or adverse consequences. 1. Review of R58's clinical record revealed: 6/27/19 - R58 was admitted to the facility with Parkinson's Disease, and was additionally diagnosed with Anxiety, Depression, Bipolar Disorder, Psychosis, Schizophrenia, and Post-traumatic stress disorder (PTSD). R58 had Physician's orders for two antipsychotic medications (Seroquel and Nuplazid), an antianxiety medication (Ativan) and an antidepressant medication (Fluoxetine), which required side effect monitoring. Review of February medication side effect monitoring flowsheets revealed: -for 16 out of 84 opportunities, the facility failed to monitor for antipsychotic medication (med) side effects (s/e'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.

    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

No federal fines in the current CMS record.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 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 4 of 52.4+1.6 vs chain
Health inspection 4 of 52.3+1.7 vs chain
Staffing 4 of 52.5+1.5 vs chain
Quality measures 4 of 53.5+0.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; 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
GENESIS DE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 07/01/2012
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2012
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2012
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2012
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2012
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 01/29/2025
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 07/01/2012
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2019
BERG, MICHAELIndividualCORPORATE OFFICERsince 12/01/2012
BRIDGEFORD, LAURAIndividualCORPORATE OFFICERsince 05/01/2024
MENDELSON, AVIIndividualCORPORATE OFFICERsince 05/01/2024
DENNIS, TAWNYAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/29/2025

CMS files one row per role, so the 17 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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.

$13.9M
Net patient revenuemost recent cost report
-2.9%
Operating marginrevenue minus expenses
$3.0M
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 74%Medicare 14%Other / private 12%

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 $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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

$385per resident / day
operating cost
$11,696per month
≈ monthly operating cost
$374per 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 085040. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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