Bear Creek Nursing 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.

40.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 142 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 30.0% 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 110 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 0.39 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 103.9 residents a day — about 87% occupied, or roughly 16 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 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 3.31 hrs/resident/day on weekends vs 3.67 on weekdays — 10% thinner on weekends. RN hours go from 0.73 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%.

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

Inspection trend

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

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · J2023-10-27 · 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, interviews and record reviews, the facility failed to protect the resident's right to be free from neglect by not ensuring one (#1) out of seven residents with a known history of exit seeking behaviors, and an expressed desire to leave the facility, was provided supervision and services to prevent elopement. The facility failed to properly secure an exit gate, or implement proper methods to prevent elopement, on 10/9/2023 and 10/15/2023. The facility nursing staff neglected to ensure the safety of Resident # 1. Resident # 1 was able to exit the facility unsupervised on 10/9/2023 and 10/15/2023. On 10/9/2023, Resident # 1 self-propelled out a fire exit door leading to a smoking patio and exited the facility unwitnessed through a gate leading into a parking lot next to a busy highway. On 10/15/2023 Resident # 1 exited the facility unwitnessed through the same fire door leading on to a smoking patio, where he gained access to an unattended key attached to the fence, unlocked the gate, and…

  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 · Jcited before2023-10-27 · 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 observations, record review, and interviews, the facility failed to provide supervision and services to prevent unwitnessed exits from the facility, on two occasions, for one (Resident # 1) of seven residents at high-risk of elopement. This failure created a situation which resulted in the likelihood for serious injury, harm and/or death to Resident # 1, and resulted in the determination of Immediate Jeopardy on 10/09/2023. The findings of Immediate Jeopardy were determined to be removed on 10/27/2023, and the scope and severity was reduced to a D after verification of removal of Immediate Jeopardy. Resident # 1 is a [AGE] year-old male who was moderately cognitively impaired, at risk for falls related to unsteadiness on his feet, was known to staff to have a history of wandering and expressed a desire to leave the facility. On 10/09/2023 Resident # 1 self-propelled out a fire exit door leading to a smoking patio and exited the facility unwitnessed through a gate leading into a parking lot next to 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-14 · tag F0644 — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to complete the Preadmission Screening and Resident Review (PASRR) Level II assessment upon a new qualifying mental health diagnosis and/or ensure the accuracy of the PASRR Level I assessment for 9 residents (#11, #17, #24, #34, #49, #56, #67, #81, #245) of 32 sampled residents Findings included: 1. Review of the admission Face Sheet revealed Resident #17 was admitted on [DATE] and readmitted on [DATE], a diagnoses including diabetes and major depressive disorder as of 11/07/2022, single episode without psychotic features as of 09/27/2023, generalized anxiety disorder as of 11/07/2022, hypertension, and legally blind. Review of the quarterly Minimum Data Set (MDS), dated [DATE] showed in Section C: Cognitive Patterns a Brief Interview for Mental Status (BIMS) score of 15 (cognitively intact). Section I, Active Diagnoses showed anxiety and depression. Section N, Medications showed antianxiety. Review of the physician order summary report showed Ativan 0.5…

  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 · Ecited before2024-03-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 Review of the admission Record, dated 02/08/2024, showed Resident #88 was admitted on [DATE] with diagnoses to included but not limited to Traumatic Subdural Hemorrhage without loss of consciousness, subsequent encounter, chronic obstructive pulmonary disease, unspecified, unspecified lack of coordination, nicotine dependence, cigarettes, uncomplicated. Review of the Minimum Data Set (MDS), dated [DATE], showed a Brief Interview for Mental Status (BIMS) score of 9, which indicated moderately impaired cognition. Section I Health Conditions, showed Yes were answered to question number 1 to indicate Resident #88 is a current tobacco user. Review of the care plan created and initiated on 02/09/2024 and revised on 03/07/2024 showed Resident #88 is a smoker and is at risk for smoking related injury/incident. Interventions initiated on 2/9/2024 showed to review, update the resident smoking assessment upon admission and as needed. Review of the Medical Record showed a smoking assessment was not conducted until 3/5/2024,…

  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 · E2024-03-14 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to follow-up on pharmacy recommendations for five residents (#3, #10, #30, #49 and #56) of five residents sampled for unnecessary medications. 1) Review of the admission record for Resident #49 revealed an admission date of 6/13/2023 and a current admission date of 3/8/2024. Review of the Consultant Pharmacist's medication regime review, dated 1/1/2024 and 1/15/2024 for Resident #49 revealed the following: 1. Clonazepam tablet dispersible 0.125 Milligram (MG) give 1 tablet by mouth two times a day for anxiety. Request attempt for dose reduction to verify that resident is on lowest possible dose. 2. Mirtazapine tablet 7.5 mg give one tablet by mouth at bedtime for depression, evaluate for trial dose reduction? 3. Depakote Sprinkles Oral Capsule Delayed Release Sprinkle 125 MG related to dementia attempt dose reduction 4. Ambien Oral Tablet 10 MG attempt dose reduction Review of Consultant Pharmacist's medication regime review, dated…

  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 · Dcited before2024-03-14 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 ensure the comprehensive Minimum Data Set (MDS) assessment was accurately coded for three residents (#11, #34, and #245) out of twenty-one sampled residents. Finding Include: 1) A review of the admission Record, dated 03/13/2024, showed Resident # 11 was admitted on [DATE] with diagnoses to include chronic kidney disease, stage 3 unspecified, unspecified dementia, unspecified severity, with other behavioral disturbance, generalized anxiety disorder, and major depressive disorder, recurrent, mild. A review of Resident #11's Minimum Data Set (MDS), dated [DATE], revealed the following: -Section C-Cognitive Function: 0 was coded to indicate Resident #11 was not able to complete a Brief Interview for Mental Status (BIMS) -Section I-Active Diagnoses: no documentation to show Resident # 11 had depression. A review of Resident #11's Order Summary, dated 03/13/2024, showed the following: -Buspirone HCI oral tablet 5 milligrams (MG) by mouth two times a day…

  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 · D2024-03-14 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to timely revise and effectively implement individualized care plans for three residents (#81, # 49 and #3) of thirty-three sampled residents. Findings included: On 3/11/24 at 09:30 a.m. an observation was made of Resident #81 in her bed next to a window with eyes closed, lights out and food tray at bedside. An observation was made on the 3/11/24 at 10:30 a.m., of Resident #81 remaining in hospital gown, eyes closed and breakfast tray removed. On 3/12/24 at 08:10 a.m. an observation was made of Resident #81 in her room sitting on the edge of the bed, leaning, rocking to her right side and then to her left. Record review revealed Resident #81 was admitted to the facility on [DATE] with a diagnosis of Parkinson's disease without dyskinesia, unspecified dementia unspecified severity with anxiety, Sarcopenia, muscle weakness, unsteadiness on feet, essential hypertension, repeated falls, other specified disorders of bone density ad structure,…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-14 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review the facility failed to ensure skin assessment were accurate for two residents (#63 and #72) out of 21 residents sampled. Findings included: 1) Resident #63 was observed on 03/11/2024 at 1:23 p.m. sitting in her wheelchair in the common area with a discolored area on her right forefinger and hand. She was dressed and groomed for the day. Resident #63 was admitted on [DATE] and readmitted on [DATE], with a diagnosis including but not limited to, Hemiplegia post Cerebral Vascular Accident on the left non-dominant side, gastrostomy, nontraumatic intracerebral hemorrhage, dysphasia, Sarcopenia, dysphagia, lack of coordination, diabetes, pressure ulcer, hypertension, carotid occlusion and stenosis, nutritional deficiency, adjustment disorder with depressed mood, acute kidney failure, weakness, history of falling, long term insulin. Review of the Physician Order Summary Report showed weekly skin assessments were to be done for Resident #63 Review of the care plan for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-12-18 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 interview, the facility failed to ensure there were no discrepancies between the narcotic records and the residents' medical records for three (Residents #3, #4, #5) of three residents who had physician's orders for and received narcotics to relieve their pain. Findings included: 1. Resident #3 was re-admitted to the facility on [DATE] with diagnoses that included Hemiplegia and Hemiparesis following Cerebral Infarction and Pressure Ulcers to her sacral region. A review of Physician Orders revealed an order for tramadol HCl 50 mg, one tablet by mouth every 6 hours as needed for pain, with a start date of 11/30/2023. On 12/18/2023 a short interview was conducted with the resident beginning at 10:15 a.m. The resident was observed sitting in her wheelchair with both legs bent at the knees and drawn up to her chest. She was leaning toward her left side. She was agreeable to an interview and while answering questions, it was noted that she was moaning and fidgeting in her chair. When asked…

  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 · D2023-10-27 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to submit an immediate and a 5-day report for one (#1) out of seven residents sampled who eloped on two occasions (10/09/2023 and 10/15/2023). Findings Included: Review of Resident Information Record dated 10/26/2023 showed Resident # 1 was originally admitted to the facility on [DATE], with diagnosis that include Muscle Weakness (Generalized), Unsteadiness on Feet, Adjustment Disorder with Mixed Disturbance of Emotions and Conduct, Atherosclerotic Heart Disease of Native Coronary Artery Without Angina Pectoris. Review of the admission Minimum Data Set (MDS) dated [DATE], showed a Brief Interview for Mental Status (BIMS) score of 10 which indicated moderate impairment. Review of the current physician orders dated 10/07/2023, showed Resident #1 had an active order dated 10/09/2023 for an Electronic Monitoring Device on his right ankle to be monitored every shift (Q Shift); Check the functionality on the Electronic Monitoring Device per…

  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 · D2023-10-27 · 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 observations, interviews, and record reviews, the facility failed to complete a thorough investigation and take corrective actions to prevent one (#1) out of seven residents reviewed from eloping on two occasions (10/09/2023 and 10/15/2023). Findings Included: Review of Resident Information Record dated 10/26/2023 showed Resident # 1 was originally admitted to the facility on [DATE], with diagnosis that include Muscle Weakness (Generalized), Unsteadiness on Feet, Adjustment Disorder with Mixed Disturbance of Emotions and Conduct, Atherosclerotic Heart Disease of Native Coronary Artery Without Angina Pectoris. Review of the admission Minimum Data Set (MDS) dated [DATE], showed a Brief Interview for Mental Status (BIMS) score of 10 which indicated moderate impairment. Review of the current physician orders dated 10/07/2023, showed Resident #1 had an active order dated 10/09/2023 for an Electronic Monitoring Device on his right ankle to be monitored every shift (Q Shift); Check the functionality on 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-12-16 · tag F0640 — pattern
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  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 reviews and interviews the facility failed to electronically transmit the periodic Minimum Data Set (MDS) assessments within 14 days after the facility completed the MDS assessment for three residents (#2, #4, and #5) out of four sampled residents. Findings included: The admission Record indicated Resident #2 was originally admitted on [DATE] and most recently readmitted on [DATE]. A review of the MDS summary for the resident indicated an assessment with a target date of 10/28/21 was accepted on 12/14/21. The admission Record indicated Resident #4 was admitted on [DATE] and most recently readmitted on [DATE]. The clinical record indicated the resident passed away in the facility on 12/3/21. A review of the Quarterly MDS summary for the resident indicated a target date of 10/30/21 and was completed and accepted on 12/14/21. The admission Record indicated Resident #5 was admitted on [DATE] and readmitted on [DATE]. The review of the resident's MDS record indicated a Quarterly MDS with a target date…

  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

“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

$34,053 in federal fines across 1 penalty.

• $34,053 — penalty dated 2023-10-27

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 HEALTH SERVICES MANAGEMENT — 16 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 20 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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 71% 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 $554K 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