Eagleridge Health And Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

58.4% 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 175 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 81 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 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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 120 beds and averages 116.2 residents a day — about 97% 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 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.22 hrs/resident/day on weekends vs 3.59 on weekdays — 10% thinner on weekends. RN hours go from 0.77 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 fewer than at the previous inspection — improving. 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.

30 citations, most serious first. The 15 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · J2026-04-23 · 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 record review, review of facility's policies and procedures, resident and staff interviews, the facility failed to protect the resident's right to be free from neglect for 1(Resident #1) of 3 residents reviewed.The facility failure to prevent the neglect of Resident #1 created a likelihood of serious harm or death of the resident from exposure to excessive heat which can cause heat related illness, including heat exhaustion and heat stroke and resulted in the determination of Immediate Jeopardy (IJ).On 4/23/26, after verification of an acceptable Immediate Jeopardy removal plan, the Immediate Jeopardy was removed, effective 4/16/26.The findings of Immediate Jeopardy were determined to be corrected on 4/21/26.The findings included:Review of the facility's policy and procedure titled, Abuse, Neglect, Exploitation, Misappropriation, Mistreatment, and Injury of Uknown Origin (ANEMMI) with a revision date of 03/2025 revealed, The resident has the right to be free from . neglect . Neglect. means the failure…

  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
• Actual harm · G2026-04-02 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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, and interviews, the facility failed to provide a safe and appropriate discharge for 2 (Residents #1and #2) of 3 residents reviewed for transfer and/or discharges. The facility failed to confirm Resident #1's transportation, causing the resident to leave the facility in her wheelchair after waiting over two hours and attempt to wheel herself to her discharge location which is located 10 miles from the facility.The findings included:Review of the facility Transfer and Discharges policy (last revised 2/2024) revealed, The facility will develop and implement an effective discharge process that focuses on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them to post-discharge care . A resident, and/or his or her representative (sponsor), will be given thirty (30)- day advanced notice of an impending transfer or discharge from our facility when feasible. The policy specified the notice will be given as soon as it is practicable but…

  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
• Actual harm · Gcited before2025-01-30 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure adequate supervision to prevent one resident (resident #1) of three residents sampled for falls to prevent multiple falls and major injuries to the resident, multiple falls, a fracture of to the right hip on 11/1/24 for which the resident was hospitalized for surgical intervention, and a fracture to the to the right humorous on 11/17/24. The findings included: Review of facility titled, Falls- Managing, Preventing and Documentation, revised 1/2024, which stated, Based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling . The staff will implement a resident-centered fall prevention plan to reduce the specific risk factor(s) or with a history of falls .If the resident continues to fall, staff will re-evaluate the situation and whether it is appropriate to continue or change…

  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
• Actual harm · Gcited before2024-02-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility policy and procedures, and staff interviews, the facility failed provide the necessary supervision and assistance to prevent multiple falls for 1 (Resident #999) of 3 residents reviewed for falls. On 1/9/24, and 2/1/24, Resident #999 was not adequately supervised and fell. Each time the resident sustained a laceration to her face resulting in a transfer to an acute care hospital. The findings included: The facility policy Falls, Managing, Preventing and Documentation (revised 1/24) documented Based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try and prevent the resident from falling and try to minimize complications from falling. Review of the clinical record for Resident #999 revealed an admission to the facility of 12/19/23 with a most recent re-admission date of 1/10/24. Diagnoses included dementia, depression, anxiety, and history of falling. The admission Minimum Data Set…

  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
• Actual harm · G2022-03-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, record review, review of facility's policy and procedure, and staff interviews, the facility failed to ensure 1 (Resident #410) of 2 sampled residents at risk for development of pressure ulcers received necessary services to prevent the worsening and development of pressure ulcers. Resident #410's pressure ulcer significantly deteriorated, and the resident developed additional pressure ulcers. The findings included: Review of the Facility's Skin Management Guidelines with an original date of 2/2022 revealed, Purpose: To describe the process steps required for identification of patients at risk for the development of skin alterations, identify, prevention techniques and interventions to assist with the management of pressure injuries and skin alterations . Body audits are completed: By the licensed nurse daily for patients with pressure injuries and documented on the eTAR (Electronic Treatment Administration Record); new findings are documented in a progress note . Skin preventions…

  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 · D2026-04-02 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure that the full amount of funds owed to a resident upon discharge were refunded within 30 days of discharge for 1, Resident #3 of 3 residents reviewed for refund of funds due.The findings included:Review of facility policy dated March 10, 2023, revised January 29, 2024, revealed, In the event a credit balance has resulted on a resident private account. This balance will be refunded based on the following:Resident account is clear except for the said credit. (Insurance, Medicaid, and/or Third Party Payers are paid and show no deducible or copays) as prescribed by the appropriate State regulations for Killed Nursing Facilities as directed by state Medicaid and Federal programs. Refund will be issued by check within 30 days of confirmation of the above items.Review of facility records revealed that Resident #3 was discharged on 6/9/2025. At the time of discharge the resident had a balance due to Resident #3 in the amount of $7,582.31 from prepaid charges.On 3/31/26 at 1:00 p.m., in an interview, the Business Office…

  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 · E2025-08-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interviews, the facility failed to provide housekeeping and maintenance services to ensure a clean environment for 7 (rooms 135, 139, 138, 126, 205, 203 and 207) of 20 rooms observed on the Memory care and the North unit. The findings included:Review of the facility's Environmental General Cleaning policy (last updated 01/2024) revealed, it is the policy of this facility to provide a clean, safe, orderly, comfortable and attractive homelike environment . Accepted practices and procedures are used to keep the facility free from odors, accumulations of dirt, dust and safety hazards. On 8/17/2025 at 10:14 a.m., observation of room [ROOM NUMBER] revealed the front air conditioning vents were coated with multiple spots of a black substance. Photographic evidence obtained. On 8/17/2025 at 11:55 a.m., the front air conditioning vents of room [ROOM NUMBER] were observed coated with multiple spots of a black substance. On 8/18/2025 at 10:45 a.m., the air conditioning vents in room [ROOM…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-21 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 staff interviews, the facility failed to provide care and services in accordance with professional standards of practice by failing to communicate a significant weight loss to the physician for 1 (Resident #10) of 2 residents reviewed for nutrition.The findings included:On 8/18/25, review of the clinical record for Resident #10 experienced a significant weight loss. The documented weights were:2/10/25: 185.0 pounds (lbs.)3/05/25: 187.8 lbs.4/04/25: 186.0 lbs.4/24/25: 182.5 lbs.4/29/25: 183.0 lbs.5/06/25: 185.6 lbs.6/03/25: 181.0 lbs.7/03/25: 171.4 lbs.8/05/25: 168.0 lbs.8/13/25: 161.4 lbs.Review of the physician's orders revealed a dietary order dated 5/6/25 for Regular diet, large portions for weight loss.On 7/31/25, a Registered Dietitian progress note documented the resident's weight was 171.4 lbs. negative 5% change over 30 days.On 8/17/25 a Dietary progress note indicated Resident #10 was having an evaluation for significant weight change. Resident #10's usual body weight was in the 180s with a 13% weight loss (24 lbs.) over 180 days. Resident #10 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 · D2025-08-21 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to complete a Comprehensive Minimum Data Set (MDS) Assessment within 14 calendar days of admission for 1 (Resident #70) of 45 reviewed.The findings included:Review of medical records revealed Resident #70 was admitted to the facility on [DATE]. Diagnoses muscle wasting and atrophy, Type II Diabetes Mellitus and pulmonary disease.Review of the admission Minimum Data Set (MDS) assessment revealed a completion date of 3/27/25, 21 days after admission.On 8/20/2025 at 4:33 p.m., in an interview MDS coordinators, Registered Nurse (RN) Staff C and Licensed Practical Nurse (LPN) Staff D verified Resident #70 was admitted to the facility on [DATE] and the MDS admission Assessment was not completed until 3/27/25, 21 days after admission. LPN Staff D said the MDS admission Assessment should have been completed by 3/20/25 and was not sure why the admission MDS assessment was not completed within 14 days of admission as required. LPN Staff D said they follow the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-25 · tag F0550 — failed to protect resident dignity and rights — pattern
  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 observation, review of facility policy and procedures and staff interviews the facility failed to treat 1 (Resident #45), and seven of 26 random residents with a diagnosis of dementia observed on the secured unit with dignity, and respect. The findings included: The facility policy Quality of Life - Dignity (revised 8/2009) documented Each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect and individuality. Treated with dignity means the resident will be assisted in maintaining and enhancing his or her self-esteem and self-worth. Staff shall speak respectfully to residents at all times. On 1/22/24 at 8:34 a.m., Resident #45, and four other residents were observed in a wheelchair at the nurse's station of the secured unit. Registered Nurse (RN) Staff I was next to Resident #45 yelling, I need someone to babysit these people, I have to give medications. RN Staff I walked down the hall as she kept yelling out loud, I need someone to babysit these people, I have to give medications. Three residents were observed in the hallway.…

  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 · E2024-01-25 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, review of facility policy and procedure, resident and staff interviews, the facility failed to provide the necessary care and services to maintain hygiene, for 8 (Residents #26, #37, #8, #45, #83, #85, 103 and #366) of 8 dependent residents reviewed for activities of daily living. The findings included: The facility policy Activities of Daily Living (ADLs), Supporting (revised 2018) documented Residents will provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living . Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene . If residents with cognitive impairment or dementia resist care, staff will attempt to identify the underlying cause of the problem and not just assume the resident is refusing care. Approaching the resident in a different way or at a different time or…

  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 · E2024-01-25 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, residents, resident representative and staff interviews, the facility failed to ensure sufficient nursing staffing to meet the needs of 8 (Residents #26, #37, #8, #45, #83, #85, 103 and #366) of 8 dependent residents. The failure to meet the residents' needs could lead to the residents not receiving services timely and not attaining or maintaining their highest practicable physical, mental and psychosocial well-being. The findings included: 1. On 1/22/24 at 2:42 p.m., Resident #45 was observed in a wheelchair in the hallway of the memory care unit. The resident's hair was uncombed, looked greasy and extended past his jaw line. Resident 345 had approximately seven days of facial hair growth. Resident #45 said he wanted a shave, shower, and a hair cut. On 1/23/24 at 8:48 a.m., Resident #45 was observed in the dining room. He remained unshaven and appeared unkept. Review of the Certified Nursing Assistants (CNAs) documentation for 1/1/24 to 1/23/24 showed Resident #45 received four of the 10 scheduled showers with no explanation for the missed…

  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 · E2024-01-25 · tag F0849 — pattern
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interviews, the facility failed to provide an active Hospice contract for 6 (Residents #1, #11, #21, #24 #38, and #71) of 6 residents receiving Hospice services. The findings included: Review of the facility's matrix on 1/22/24 revealed Residents #1, #11, #21, #24 #38, and #71 were currently receiving hospice services. The hospice contract provided by the facility was dated 4/25/17, and was from the facility's previous owner. On 1/24/24 at 4:00 p.m., in an interview the Administrator verified the contract provided was from the previous ownership.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical records review, resident and staff interviews the facility failed to develop and implement an individualized care plan to meet the needs of 2 (Residents #25, and #83) of 32 sampled residents. The findings included: 1. Review of Resident #25's clinical records revealed an admission date of 7/8/15. Diagnoses included Cerebral Palsy (congenital disorder of movement, muscle tone and posture), and a history of intestinal obstruction. Review of the Significant Change Minimum Data Set (MDS) assessment with a target date of 10/26/23 noted Resident #25 received 500 milliliters or more of fluids daily through a feeding tube (tube inserted into the stomach for nutrition and/or hydration). The clinical record lacked documentation of an individualized care plan, with goals and interventions related to the use of a feeding tube. On 1/25/24, at 2:30 p.m., in an interview the Director of Nursing verified the lack of a care plan addressing the use of the feeding tube for Resident #25. On 1/25/24, at 2:45 p.m., in an interview the MDS Coordinator verified no care plan related to the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, record review and staff interview, the facility failed to post the federal staffing hours daily at the beginning of each shift. The findings included: On 1/22/24 at 7:30 a.m., upon entrance, the daily staffing information displayed in the main lobby was dated 1/19/24. No staffing information was observed for 1/20/24, 1/21/24, or 1/22/24. On 1/25/24 at 2:53 p.m., the Director of Nursing verified the staffing information was not displayed on 1/20/24, 1/21/24, or 1/22/24 for the morning shift. She said the staffing information should be displayed daily, including weekends.

  Nursing and Physician Services 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

$63,886 in federal fines across 2 penalties.

• $34,356 — penalty dated 2025-01-30
• $29,530 — penalty dated 2023-12-07

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 ASTON HEALTH — 38 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 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

This home reported $376K 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