Bridgewalk On Harden Health And Rehabilitation, Ll

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.

44.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 88 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 23.8% 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 42 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 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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

How full it usually is: this home is certified for 120 beds and averages 88.5 residents a day — about 74% occupied, or roughly 32 beds typically open. It usually has some room. 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 3.483 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 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 3.21 hrs/resident/day on weekends vs 3.59 on weekdays — 11% thinner on weekends. RN hours go from 0.39 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%. 2 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.

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.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · J2023-10-11 · 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, record review, physician interview, and facility policy review, the facility failed to protect residents right to be free from neglect, to ensure one Resident (#1) out of 17 residents who required one-person assistance with self-feeding, was provided care and assistance to prevent a burn injury during meal service time. The facility neglected to provide care and service during a meal to a vulnerable resident who had known physical limitations, tremors, and visual impairments. Resident #1 suffered second-degree burns resulting in pain and injury to her subcutaneous chest tissue, and permanent body disfigurement related to scarring as a result of the facility's neglect to ensure safety during meal service. These actions resulted in findings of Immediate Jeopardy on 09/18/23. The findings of Immediate Jeopardy were determined to be removed on 10/11/23 and the Scope and Severity was reduced to a D after verification of removal of Immediate Jeopardy. Findings included: On 10/10/23…

  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 · J2023-10-11 · 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, interviews, record review, physician interview, and facility policy review, the facility failed to ensure one Resident (#1), out of 17 residents who required one-person assistance with self-feeding, were free from hazards during meal service. The facility's failure to ensure this resident's safety during meal service, and failure to monitor hot beverages to prevent burns, and failure to educate staff on safe food re-heating practices, and failure to ensure vulnerable residents were assessed and supervised during meals, resulted in injury to Resident #1. On 09/18/23 Resident #1, who required one-person physical assistance and supervision for eating, was served hot coffee that had been reheated in a microwave and not tested for safe serving temperature. The facility failed to ensure the resident who had a known visual impairment and was known to have tremors and would shake while drinking, received supervision to prevent the hot coffee from spilling. Resident #1 suffered painful blisters 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-11 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 provide adequate and timely pain management for two of three sampled residents (#3 and #6). Findings included: 1. Resident #3 was admitted on [DATE] and readmitted on [DATE]. Review of the admission record showed diagnoses included but not limited to stage IV sacral pressure ulcer, lumbar spinal stenosis, lumbar wedge compression fracture, diabetes, pain, rheumatoid arthritis with contractures, inflammatory Polyneuropathy, muscle spasms and multiple wounds. Review of the Significant Change, Minimum Data Set (MDS), dated [DATE], showed a Brief Interview for Mental Status (BIMS) score of 13, or cognitively intact. Section GG: Functional Abilities and Goals showed the resident was dependent for toileting and bathing. Section J: Health Conditions showed the resident had occasional pain that occasionally limited his day-to-day activities. He rated his pain 5 on a scale of 1 to 10. Section N: Medications showed he was taking antianxiety,…

  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 · F2024-01-25 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to submit staffing data through the Center for Medicare/Medicaid (CMS) Payroll-Based Journal (PBJ) system for the Fiscal Year Quarter 4 of 2023. Findings: Review of the Certification and Survey Provider Enhanced Reports for Quarter 4 of 2023 revealed the facility failed to submit data for the quarter. On 1/24/24 at 4:22 PM, the Scheduling Coordinator stated she and the Human Resources Director were responsible for completing and submitting the PBJ report. She explained she attempted to submit the Quarter 4 report but received many error messages which she attempted to correct but did not complete on time. She indicated the report was due on 11/14/23 and stated the Administrator was aware of the issue. On 1/25/24 at 10:46 AM, the Administrator stated she was ultimately responsible for ensuring PBJ reports were submitted timely. She explained they completed the PBJ report but received multiple errors when submitted. She indicated they attempted to correct the errors and made calls to CMS. She said they tried before 11/14 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to safeguard a resident's personal property which included lower dentures for 1 of 2 residents reviewed for personal property of a total sample of 44 residents, (#55). Findings: Review of resident #55's medical record revealed she was initially admitted to the facility on [DATE] with diagnoses that included dementia, anxiety, and bipolar disorders. Review of resident #55's quarterly Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status score of 0 out of 15 which indicated severely impaired cognition. On 1/23/24 at 2:18 PM, resident #55's daughter and Power of Attorney stated her mother was admitted to the facility with upper and lower dentures. She explained her mother wore the dentures all the time, and they were only removed for cleaning and mouth care. She recalled the lower dentures went missing sometime last fall and she reported it to several staff members more than once. She indicated she was told they…

  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 · D2024-01-25 · 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 observation, record review, and interview, the facility failed to revise the care plan to reflect the resident's eating ability for 1 of 5 residents sampled for Activies of Daily Living (ADL) in a total sample of 44 residents, (#82). Findings: Resident #82 was admitted to the facility on [DATE] with diagnoses of Metabolic Encephalopathy, Altered Mental Status, Hemiplegia and Neoplasm of Brain. On 1/2324 at 11:48 AM, resident #82 stated she received tub feedings but also received foods to eat by mouth. She explained the facility staff did not always assist her meals and added the Certified Nursing Assistant did not assist her with eating dinner last night. Review of the resident's medical record revealed physician orders that read, Jevity 1.5 through tube feed and regular mechanical soft diet. the The annual Minimum Data Set (MDS) assessment dated [DATE] noted a Brief Interview of Mental Status score of 15 out of 15 that indicated the resident's cognition was intact. The assessment showed the resident…

  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 before2024-01-25 · 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, interview, and record review, the facility failed to follow physician's orders to ensure wound care was provided per standards of nursing practice for 1 of 3 residents reviewed with pressure ulcers out of a total sample of 44 residents, (#46). Findings: Resident #46 was admitted to the facility on [DATE] and re-admitted from home/community on 12/21/23. Her diagnoses included unstageable pressure ulcer to the left heel, Type II diabetes, fractured left fibula post fall, non-pressure chronic ulcer right foot, and coronary artery disease. Unstageable pressure injuries are widely understood to be full-thickness pressure injuries in which the base is obscured by slough and/or eschar. (Retrieved on 1/26/24 from https://pubmed.ncbi.nlm.nih.gov) The quarterly Minimum Data Set (MDS) assessment with assessment reference date of 11/12/23 revealed resident #46 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated she was cognitively intact. She required moderate…

  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 · D2023-08-08 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 reviews the facility failed to provide ordered laboratory services to meet the needs of 1 of 3 sampled residents (#3) related to ensuring physician ordered labs were scheduled and performed. Findings included: Resident #3 was admitted on [DATE], readmitted on [DATE] and transferred to the hospital on [DATE]. Record review showed her diagnoses included but were not limited to atrial fibrillation (a-fib) and long-term use of anticoagulants. Record review of Resident #3's 06/14/2023 Minimum Data Set (MDS), change in condition, showed a Brief Interview for Mental Status (BIMS) score of 14 (cognitively intact). Section G, functional Status showed she required extensive assistance of two for bed mobility and was totally dependent on two persons for transfers and toileting. Section O, Special Treatments, Procedures and Programs showed she was on Hospice. PT stands for prothrombin time or how long it takes for a clot to form in a blood sample INR stands for international normalized ratio…

  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 · E2021-12-03 · tag F0641 — pattern
  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 observations, record reviews, and interviews the facility failed to assess the skin appropriately and timely for two (#3 and #5) of two residents reviewed for pressure ulcer care. Findings included: The admission Record of Resident #3 identified the resident was admitted on [DATE] with diagnoses not limited to dementia and acute renal failure. Resident #3 was observed on 1/19/22 at 10:46 a.m., lying in bed atop an air mattress set for normal pressure. An area of the residents left leg, below the knee, was noted wrapped with rolled gauze, and an island dressing attached to the posterior of the resident's right leg. Resident #3's skin appeared to be thin and fragile, the skin on the resident's bilateral lower extremities appeared to have large areas of reddish-purple coloring. An observation with Staff Member C, Staff Member F (CNA - Certified Nursing Assistant), and Staff E Regional Minimum Data Set nurse (RMDS) on 1/19/22 at 10:46 a.m., revealed an area to the mid coccyx which Staff C claimed as almost…

  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 · E2021-12-03 · tag F0759 — failed to keep medication error rate low — pattern
  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, record review, interviews, and policy review, the facility failed to ensure the medication error rate was below 5% for three residents (#4, #11, and #18). Seven errors were identified during thirty-three opportunities, resulting in an error rate of 21.21%. Findings included: Resident #11 was admitted to the facility with a diagnosis of adult failure to the thrive, according to review of the face sheet in the admission record. An observation was conducted on 12/01/21 at 9:50 AM with Staff A, Licensed Practical Nurse (LPN) during medication administration for Resident #11. Staff A, LPN poured medications including Aspirin 81 mg [milligram], Citalopram 20 mg, Folic Acid 1 mg, Gabapentin 100 mg, Memantine 10 mg, and Tolteridine 2 mg into a medication cup; there were six pills in the medication cup. Next, Staff A, LPN performed hand hygiene, and administered the medications to Resident #11. Review of the physician's orders for Resident #11 reflected there were seven scheduled medications, as follows: -aspirin chew 81 mg chew and swallow one tablet by mouth daily,…

  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 · E2021-12-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain the kitchen in a safe and sanitary manner related to failing to ensure that the ice machine and the Proof Box was free of dirt and debris. Findings included: During an initial tour of the kitchen on 11/30/21 at 10:30 AM a large free standing Ice Machine was observed. Inspection of the interior of the ice machine revealed there were black and grey specs of debris on the white plastic dispensing rim, as well as a gray substance noted on the backside of the plastic dispensing rim (photographic evidence was obtained). Continued observation of the kitchen during the initial tour revealed the kitchen housed a free standing Proof Box, which was located next to the stove. Closer observation of the Proof Box revealed a half tray seated in the bottom of the unit, which was observed filled to the rim with soiled water. The Proof Box was also noted to have a white substance on the rim, which was easily dislodged. Continued observation of the Proof Box revealed the glass door was dirty and the rubber seal around…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-12-03 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 interview the facility failed to accurately identify the code status for one (#178) of the twenty-seven residents admitted to the facility. Findings included: A review of Resident #178's clinical chart revealed an admission date of [DATE], with diagnoses not limited to hip fracture, Congested Heart Failure (CHF), Diabetes, and Lung cancer. An undated physician order was identified inside the front cover that read Full Code. Located under the Advance Directive tab of the chart was a Do Not Resuscitate Order, dated [DATE], and signed by both the resident and the Attending Physician. The Agency for Healthcare Administration (AHCA), form 3008, dated [DATE], did not identify Resident #178 had any Advance Care Planning, including a Do Not Resuscitate (DNR). A Social Service note, dated [DATE], did not indicate Advance Directives had been discussed with the resident. On [DATE] at 1:47 p.m. during an interview with Staff Member A, Licensed Practical Nurse (LPN), she stated 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 Rights 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

$181,400 in federal fines across 3 penalties.

• $4,545 — penalty dated 2023-10-23
• $163,093 — penalty dated 2023-10-11
• $13,762 — penalty dated 2023-10-02

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.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

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