Blue Lake Post Acute

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: 65.7% 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 35 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

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

Inspection deficiencies

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

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

28 citations, most serious first. The 14 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · J2025-04-08 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, a review of resident and facility records, interviews with staff, and a review of job descriptions and facility policies and procedures, the facility failed to protect the resident's right to be free from sexual abuse from a resident. This resulted in sexual contact for one resident who was unable to consent to sexual activity (Resident #1) of three residents reviewed for abuse. The facility failed to develop and implement interventions necessary to protect Resident #1 from sexual contact by Resident #2, who had a Brief Interview for Mental Status (BIMS) score of 12 out of 15 possible points, indicating moderate cognitive impairment, and who was independently ambulatory with the use of a cane. This created a likelihood that Resident #1 could be abused again, or any other vulnerable resident could be sexually assaulted and suffer serious psychosocial and/or physical harm from Resident #2. Resident #1 was unable to consent to sexual activity due to severely impaired cognition. She had a…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-04-08 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 staff interviews, resident and facility record reviews, and a review of facility policies and procedures, the facility failed to thoroughly investigate sexual abuse for one (Resident #1) of three residents reviewed for abuse. Failure to investigate sexual abuse thoroughly, put the facility's female residents at a likelihood for suffering sexual abuse, which could result in serious psychosocial harm, which would diminish their self-worth and self respect. Immediate Jeopardy (IJ) at a scope and severity of J (isolated) was identified on April 7, 2025 at 3:50 p.m. On April 1, 2025, at 6:55 p.m., Immediate Jeopardy began. On April 8, 2025, at 6:15 p.m., the Administrator was notified of the IJ determination and was provided with Immediate Jeopardy Templates. Immediate Jeopardy was ongoing as of the survey exit on April 8, 2025. The findings include: Cross reference F600, F835, and F867. 1. A review of Resident #1's medical record revealed an admission date of 3/2/2025. Her diagnoses included, but were not…

  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
• Immediate jeopardy · J2025-04-08 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, resident and facility record reviews, and a review of job descriptions, the facility's administration failed to ensure that staff provided appropriate supervision to protect vulnerable residents from sexual abuse for one (Resident #1) of three residents reviewed for abuse. The facility administration failed to ensure that staff developed and implemented interventions necessary to protect Resident #1, who was unable to consent, from sexual contact by Resident #2. Resident #2 had a Brief Interview for Mental Status (BIMS) score of 12 out of 15 possible points, indicating moderate cognitive impairment, and was independently ambulatory with the use of a cane. This created a likelihood that Resident #1 or any other vulnerable resident could be sexually assaulted and suffer serious psychosocial and/or physical harm from Resident #2. Immediate Jeopardy (IJ) at a scope and severity of J (isolated) was identified on April 7, 2025 at 3:50 p.m. On April 1, 2025, at 6:55 p.m., Immediate Jeopardy began. On April 8, 2025, at 6:15 p.m., the Administrator was notified of…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-04-08 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, resident and facility record reviews, and a review of facility policies and procedures, the facility's Quality Assessment and Quality Assurance Committee (QAA) failed to develop and implement appropriate plans of action to correct identified quality deficiencies, particularly those that caused adverse outcomes. This resulted in a lack of improvement of their systems and processes. This failure contributed to the sexual abuse of one (Resident #1) out of three residents reviewed for abuse. It also placed all other vulnerable female residents at a likelihood for serious adverse outcomes related to potential sexual abuse from Resident #2. Immediate Jeopardy (IJ) at a scope and severity of J (isolated) was identified on April 7, 2025 at 3:50 p.m. On April 1, 2025, at 6:55 p.m., Immediate Jeopardy began. On April 8, 2025, at 6:15 p.m., the Administrator was notified of the IJ determination and was provided with Immediate Jeopardy Templates. Immediate Jeopardy was ongoing as of the survey exit on April 8, 2025. The findings include: Cross reference F600, F610,…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-10 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to designate a full time Director of Nursing (DON) as required, leaving the position vacant from 1/19/26 through 4/5/26. The findings include:During the entrance conference on 4/6/26 at 9:40 a.m., the Administrator was asked to identify the facility's DON. He named the current DON and stated that today, 4/6/26, was her first day back. He confirmed she had resigned in January 2026 and returned to the position on 4/6/26.On 4/7/26 at 8:00 a.m., the DON was interviewed and was asked who had been designated as the facility's DON from the time she resigned in January 2026 until her return on 4/6/26. She stated she did not know who was designated during that period.On 4/7/26 at 11:10 a.m., the Administrator was interviewed again and was asked whether anyone had been designated as the DON from the current DON's resignation in January 2026 through 4/5/26. He stated he was not sure and believed the DON at a sister facility was overseeing things but confirmed he had only been in his role for two weeks.On 4/7/26 at 2:00 p.m.,…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-10 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and record review, the facility failed to ensure that nurse staffing information posted for public viewing was current.The findings include:On 4/9/2026 at 9:31 AM, an observation at the reception desk revealed the posted nurse staffing information reflected a date of 4/1/2026, which was not current. There was no evidence that updated staffing information for the day of observation was available for residents, visitors or the public to review.During an interview with the facility's Scheduler on 4/09/2026 at 10:56 AM, she stated she was the only individual responsible for posting daily staffing hours and reported that she attempted to complete staffing sheets in advance for days she was not present, typically on weekends.In a separate interview on 4/10/2026 at 2:02 PM, the Administrator stated he was in the process of training the Scheduler to perform the staffing posting duties.A review of the Scheduler's job description, dated 12/18/2025, revealed that the Scheduler was responsible for creating and maintaining accurate staffing schedules for nursing…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-10 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to 1) Provide evidence of an ongoing water management program for the entire facility, 2) Ensure alcohol-based hand sanitizer dispensers were not expired on all wings of the facility, 3) Ensure enteral nutrition tubing was not exposed to potential pathogens in the environment for one (Resident #9) of one resident receiving continuous tube feeding, and 4) Ensure one (Resident #5) of one resident reviewed out of four residents with urinary catheters, received appropriate care for handling the tubing and collection bag to prevent the potential for infection in a sample of 34 active residents. The findings include: 1.In an interview on 4/08/26 at 3:15 PM with the Infection Preventionist and the Unit Manager-in-training for the Infection Preventionist role, they were asked who was responsible for the facility water management program to demonstrate measures to minimize the risk of Legionella and other opportunistic pathogens. They indicated 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-10 · tag F0638 — pattern
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure six (Residents #7, #8, #38, #45, #52, and #59) of twenty four resident records reviewed, contained evidence of a quarterly assessment completed using the State specified instrument approved by CMS (Centers for Medicare and Medicaid Services) at least every three months. The findings include: A review of Resident #8's medical record revealed that the minimum data set (MDS) quarterly assessment was due on 2/18/26. As of the recertification survey conducted from 4/6/26 – 4/10/26, there was no evidence the assessment had been completed. A review of Resident #38's medical record revealed that the quarterly MDS assessment was due on 2/14/26. As of the recertification survey conducted from 4/6/26 – 4/10/26, there was no evidence the assessment had been completed. A review of Resident #52's medical record revealed that the quarterly MDS assessment was due on 2/21/26. As of the recertification survey conducted from 4/6/26 – 4/10/26, there was no evidence the assessment had been completed. On 4/9/26 at 1:00 p.m., Licensed…

  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 · E2026-04-10 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility failed to ensure that drug regimen irregularities identified by the Consultant Pharmacist were reviewed and acted upon by the attending physician, Medical Director, and Director of Nursing (DON). This failure resulted in unaddressed medication irregularities for four (Residents #5, #38, #6 and #2) of seven residents reviewed for their medication regimens. This created the potential for adverse drug outcomes. The findings include: 1.The monthly pharmacy medication reviews for the past six months were requested. On 4/8/26 at 12:45 p.m., the DON provided a binder containing the monthly pharmacy medication reviews for October, November and December of 2025. She stated she needed to request the January, February and March 2026 reviews from the pharmacy because she wasn't here those months and did not know where they were located. She later returned with three separate stacks of paper and stated these were the monthly pharmacy medication reviews for January, February and March of 2026. When asked whether these reviews had been reviewed and acted upon by the attending…

  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 · D2026-04-10 · 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 observations, interviews, and record review, the facility failed to ensure care was provided in a manner that maintained resident dignity for one (Resident #1) of four residents reviewed for dignity, when the resident's indwelling urinary catheter drainage bag was left uncovered. This failure had the potential to affect four residents in the facility with urinary catheter bags.The findings include:On 04/06/2026 at 11:25 a.m., Resident #1 was observed lying in bed with her eyes closed. A visitor was present at the bedside and identified herself as a lifelong friend, stating she visited Resident #1 daily. Resident #1's indwelling urinary catheter (Foley) drainage bag was observed on the right side of the bed (facing the door) and was uncovered, with clear yellow urine visible in the collection bag. Resident #1 was unable to be interviewed.During an interview at that time, the visitor was asked if she believed Resident #1 would be upset if aware that the urinary catheter bag was exposed. The visitor stated, I don't think she'd like that, with all the staff and visitors that…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-10 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure residents were assessed for safe self-administration of medication as clinically appropriate for medications left at bedside for two (Residents #59 and #55) of two residents reviewed for self-administration of medications out of 34 active sampled residents. The findings include: 1.On 4/06/26 at 1:30 PM, a white, round tablet was observed in a clear medication cup on the bedside table for Resident #59. The resident stated the nurse must have left it for him to take last night. Resident #59 was admitted to the facility on [DATE]. His cognitive status was most recently assessed utilizing the Brief Interview for Mental Status on 12/03/25 to show a score of 15 out of 15, indicating the resident was cognitively intact. A review of the resident's assessments and care plans revealed no indication that the resident had been reviewed for the ability to self-administer medications left at the bedside. On 4/06/26 at 1:59 PM, Licensed…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-10 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to maintain a safe, clean, and comfortable environment when resident room equipment was observed with significant dust accumulation, affecting four residents (#38, #18, #5, and #54) with the potential to affect the facility's remaining 47 residents.The findings include:On 04/07/2026 at 9:40 a.m., Resident #38 was observed lying in bed with an oscillating floor fan positioned past the foot of his bed between his bed and Resident #5's bed. While the fan was turned on and in motion, a thick layer of grey dust was observed on the back grate. During an interview, Resident #38 asked whether the fan was caked in dust and stated, Am I breathing that in? (Photographic evidence obtained) Residents #18, #5, and #54 were also observed in their beds in this room at this time.On 04/08/2026 at 9:50 a.m., Resident #38 was not in the room. The oscillating floor fan at the foot of his bed was again observed turned on and in motion, with a thick layer of grey dust on the back grate. Residents #18, #5, and #54 were present 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-10 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that one (Resident #54) of one resident reviewed for rehabilitation/restorative services received necessary care and services, when a physician-ordered left-hand brace was not available and had not been applied as ordered. The findings include: On 04/06/2026 at 11:30 a.m., Resident #54 was observed lying in bed with his eyes open. During an interview, he stated he wanted to start some rehab like physical therapy. He stated, it has been a while, and he felt that if he received therapy, he could improve his overall status. He was observed with left-sided upper and lower extremity deficits. No brace or splint devices were observed in place. He stated he used to have a brace for his left hand, but it had been missing for a long time. When asked how long it had been since he last wore the brace, he stated, I'm not sure, but it's been months - since last year. He was asked if staff had assisted him with applying the brace when it was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-10 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure its medication error rate was not 5% or greater. The facility's medication error rate was calculated at 36%, based on 11 medication errors observed out of 30 opportunities for error.The findings include:On 04/07/2026 at 6:15 a.m., Licensed Practical Nurse (LPN) F was observed during medication administration preparing the following medications for Resident #16: Allopurinol 100 milligrams (mg), Aspirin 81 mg, Citalopram 20 mg, Cranberry Tablet 450 mg, Folic Acid 1 mg, Furosemide 20 mg, Gemtesa 75 mg, Losartan Potassium 50 mg, Metformin 500 mg, Metoprolol Succinate ER 25 mg, and Nitrofurantoin Macrocrystal 50 mg.At 6:18 a.m., LPN F entered Resident #16's room. The lights were off, and the resident was lying in bed with his eyes closed and bedcovers pulled up. LPN F called the resident's name twice; he opened his eyes on the second attempt. She stated it was time for his medications. The resident sat up on the edge of the bed, and LPN F administered the medications. The resident then laid back down,…

  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.

Fines & penalties

$144,174 in federal fines across 15 penalties.

• $56,320 — penalty dated 2025-04-08
• $14,814 — penalty dated 2024-01-22
• $4,938 — penalty dated 2024-01-08
• $13,762 — penalty dated 2023-12-11
• $4,587 — penalty dated 2023-11-20
• $4,587 — penalty dated 2023-11-13
• $4,587 — penalty dated 2023-11-06
• $4,587 — penalty dated 2023-10-30
• $4,587 — penalty dated 2023-10-23
• $4,587 — penalty dated 2023-10-17
• $4,587 — penalty dated 2023-10-10
• $4,587 — penalty dated 2023-10-02
• $11,645 — penalty dated 2023-09-11
• $3,176 — penalty dated 2023-08-28
• $2,823 — penalty dated 2023-08-21

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

Part of a chain

This home belongs to ELEVATION HEALTHCARE — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 40 rows in the source record cover these 18 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.

3 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.

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 $490K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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 FL