Gilpin Hall

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.

Met the expected recovery: 50.0% 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 22 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 0.22 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 96 beds and averages 92.2 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.13 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.51 hrs/resident/day on weekends vs 5.12 on weekdays — 12% thinner on weekends. RN hours go from 0.72 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% 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 unchanged from the previous inspection. 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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · D2025-12-03 · tag F0551 — isolated
  Give the resident's representative the ability to exercise the resident's rights.
  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 (R1) out of five residents reviewed for resident rights, the facility failed to ensure that rights exercised by R1's resident representative were followed by staff. Findings include:Review of R1's clinical record revealed: 6/20/23 - R1 was admitted to the facility with a diagnosis of dementia. R1's resident representative was listed as R1's power of attorney for care. 6/16/25 - The annual MDS assessment documented R1's BIMS score as a 3 (severely cognitively impaired). R1 had a motion activated camera located in R1's room, which was permitted by the facility, supplied and viewed by R1's resident representative, and known to all nursing staff. The camera, located on top of the dresser, captured the following: 9/9/25 11:21 AM - Video observation of E7 (CNA) in R1's room standing in front of the dresser. E7 turned the camera to face the wall and R1's personal items. (Video 0:00:26 hour:minute:second) 9/24/25 11:47 AM - Video observation of E7 (CNA) exited the bathroom in R1's room and was putting on…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on video observation, interview and review of facility documentation, it was determined that for one (R1) out of five residents reviewed for abuse, the facility failed to protect a resident's right to be free from physical and mental abuse by staff. While there was no apparent decline in mental or physical functioning of R1 at the time of the survey, it can be determined that a reasonable person in the same position would have experienced psychosocial harm, specifically dehumanization, as a result of the physical and mental abuse by staff. Review and verification of the facility's immediate actions for the staff to resident incidents on 8/2/25 and 8/20/25 were determined to have been corrected prior to the survey. An additional finding of a resident to staff incident, dated 8/31/25, was also captured on video, but was unknown to the facility until 10/3/25. Findings include: 1. Review of R1's clinical record revealed: 6/20/23 - R1 was admitted to the facility with diagnoses that included, but were not limited to, dementia, depression and anxiety disorder. 6/30/23 - R1 was care…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-29 · tag F0570 — pattern
  Assure the security of all personal funds of residents deposited with the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that the facility failed to have a surety bond that covered the current balance in the residents' trust accounts ($28,733.79). Findings include:8/27/25 10:15 AM - The facility provided the surveyor with a copy of the facility's surety bond from [insurance company] in the amount of $20,000 with a term of 12/08/24 to 12/08/25. 8/27/25 10:18 AM - The facility provided the surveyor a list labelled Trust- Current Account Balance as of 8/27/25. The list named forty-five facility residents with personal funds accounts managed by the facility. The Client Account Summary stated that there was $28,733.79 currently in the account. 8/27/25 11:31 AM - During an interview with E3 (Executive Director) and E4 (Admissions), E3 confirmed, The surety bond is for $20,000.The facility failed to have a surety bond in sufficient amount to assure the security of all personal funds of residents that were deposited with the facility. 8/27/25 3:10 PM - The facility presented the surveyor with a bond rider document that stated that the Amount of bond…

  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 · D2025-08-29 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 (R81) out of one resident reviewed for misappropriation, the facility failed to protect R81's property. This is being cited as past non-compliance with a compliance date of 6/19/25. Findings include: Facility's Resident Abuse Policy/Procedure.Steps in Procedure: . 4. Identification - a) For the purposes of this procedure, abuse, neglect or mistreatment may be suspected in, but not limited to, the following situations: . v. Misappropriation of resident property: Intentional theft of a resident's money or property, . intentional mishandling of resident money or property by personnel authorized to handle resident money or property. Reviewed 8/7/25.Review of R81's clinical record revealed:9/16/20 - R81 was admitted to the facility with diagnoses including, but not limited to, diabetes. 9/8/23 - R81 ordered Ozempic (a weekly diabetes injectable medication) 4 mg (milligram)/ 3 ml (milliliter) sq (subcutaneously) q (every) Friday for DM2 (diabetes). 4/19/25 - R81's quarterly MDS (Minimum Data Set) recorded R81's BIMS…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2025-08-29 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review and review of the facility's policy and procedures, it was determined that for two (R49 and R90) out of six residents reviewed for abuse, the facility failed to report the allegations of abuse and injury of unknown origin within the two-hour requirement. Findings include:1. Review of R49's clinical record revealed: 7/18/25 3:27 PM - An x-ray report was received by the facility which stated that R49 had an acute hand fracture. 7/21/25 12:53 PM - Review of the State Agency's Incident Summary Report documented that the facility reported R49's injury of unknown origin, a hand fracture, approximately three days later. 8/28/25 2:40 PM - During an interview, surveyor reviewed finding with E2 (DON). E2 stated she wasn't aware of this and would look at it. 2. Review of R90's clinical record revealed: 6/4/25 10:00 AM - The facility's incident report documented an allegation of resident-to-resident abuse between R90 and R62. 6/4/25 1:59 PM - Review of the State Agency's Incident Summary Report documented that that the facility reported the incident…

  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 · D2025-08-29 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, it was determined that for one (R96) out of one resident sampled for closed record review, the facility failed to notify the Ombudsman of R96's discharge to the community. Findings include:Review of R9's records revealed:7/3/25 2:30 PM - A nurse progress note documented that R96's daughter arrived in the facility to pick up her mom [R96] as R96 was discharging home to live with her daughter. 8/28/25 1:15 PM - Review of the facility's April 2025 Transfer Log lacked evidence that the Ombudsman was notified of R96's discharge to the community on 7/3/25.8/28/25 4:09 AM - In an email correspondence, E1 (NHA) documented, Ombudsman was notified today (8/28/25) of [R96]'s discharge home. 8/29/25 8:39 AM - In a follow up interview, E1 confirmed that the Ombudsman was not notified of R96's discharge home when the July 2025 list was submitted to the Ombudsman on 8/15/25. 8/29/25 1:33 PM - Findings were reviewed with E1 (NHA) and E2 (DON). 8/29/25 2:30 PM - Findings were reviewed during the exit conference with E1 (NHA), E2 (DON) and E5 (ADON).

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-29 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that for two (R7 and R6) out of three residents reviewed for PASRR, the facility failed to coordinate with the PASRR program under Medicaid and refer the residents for assessments. Findings include:1. R7's clinical records revealed: 11/25/20 – A PASRR Level 1 Screen was completed by the facility and documented that a neurocognitive disorder/dementia as primary and progressed. R7's medications included Lexapro and Zyprexa for anxiety. 11/27/20 – R7 was care planned for the use of antipsychotic medication, Risperdal related to frontotemporal dementia, delusions and related history of psychosis. 10/24/22 2:40 PM – A psych progress notes documented, . Psych meds Risperdal 0.5 mg BID (twice a day) Lexapro 5 mg q (every) am (morning) . new diagnostic code F22 delusional disorder with psychosis. F03.93 unspecified dementia with psychosis . Review of R7's diagnoses list revealed the following new diagnoses:10/17/22 – Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence.10/17/22 –…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-29 · 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 record review and interview, it was determined that for one (R1) out of three residents reviewed for hospitalization, the facility failed to have evidence that the physician's order for a daily weight was completed. Findings include:Review of R1's clinical record revealed:12/12/22 - R1 was admitted to the facility with a diagnosis of heart failure.10/24/24 - A physician's order stated, Weight 1 time a day at 8AM. Notify MD [Medical Doctor] for Weight Gain of 2-3LBS or more over a 2-day period or gain of 5LBS a week. Dx: [Diagnosis] Heart Failure.Review of R1's June 1-24, 2025, eMAR (electronic Medication Administration Record) revealed that the facility failed to obtain a daily weight or have a documented reason for not obtaining a weight on seven (7) out of 24 opportunities.8/29/25 9:25 AM - During an interview, E6 (RN) stated that it was the nurse's responsibility to weigh R1. Surveyor and E6 reviewed R1's weights and discussed that R1 refused at times. E6 acknowledged the finding.R1's clinical records lacked evidence that he refused to have his weights obtained.8/29/25…

  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 · D2025-08-29 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, it was determined for two out of two medication rooms reviewed for storage of controlled substances, the facility failed to ensure that the locked boxes were permanently affixed to medication room refrigerators.8/27/25 10:12 AM - During a tour of the second-floor medication room, the storage box for the controlled substances was observed on top of the refrigerator. The third-floor controlled substances box was observed in refrigerator, but it was not permanently affixed. 8/28/25 9:30 AM - The second-floor medication room, the storage box for the controlled substances continued to be on top of the refrigerator. The third-floor controlled substances box continued to be in the refrigerator, but it not permanently affixed. 8/28/25 10:00 AM - During an interview E14 (RN) stated, The controlled substances that have to be refrigerated are kept in the refrigerators and counted every shift. 8/29/25 2:30 PM - The findings were reviewed during the exit conference with E1 (NHA), E2 (DON) and E5 (ADON).

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-17 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and facility policy review, the facility failed to ensure: seven of 10 residents (Residents (R)69, R83, R89, R87, R20, and R67) reviewed for abuse were free from resident-to-resident abuse. These failures increased the risk of continued abuse towards the residents. Findings include: 1. Review of the Abuse Policy/Procedure, review date 06/27/23, under Identification indicated . abuse, neglect or mistreatment may be suspected in, but not limited to the following situations: ii. Physical Abuse: Intentionally and unnecessarily inflicting pain, injury, or degradation to a resident' This includes, but is not limited to hit, push, kick, slap, pinch, or sexually molest any resident'. iii. Verbal Abuse: ridiculing or demeaning a resident, cursing directed to a resident, threatening to inflict harm or verbal abuse to a resident . Under Protection . c. Residents will be protected from other residents in various ways depending on the level and type of abuse. Alternatives may include…

  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

“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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 11 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.

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.

About 89% 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.

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

Cost & finances

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

What families pay in DE