Timberridge Nursing & 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.

45.9% 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 457 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.3% 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 175 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 180 beds and averages 166.8 residents a day — about 93% occupied, or roughly 13 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 3.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.28 hrs/resident/day on weekends vs 3.81 on weekdays — 14% thinner on weekends. RN hours go from 0.62 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

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.

24 citations, most serious first. The 13 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · J2024-01-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record reviews, and policy and procedure reviews, the facility failed to ensure residents were free from medical neglect by failing to implement policies and procedures for neglect, resident change in condition or status, and resident transportation safety for facility operated vehicles when the facility transportation driver failed to notify the facility licensed medical staff of a resident change in condition. Resident #1, while being transported to the facility in the facility transport van after attending a physician appointment, stated she was out of oxygen, that she needed oxygen, was short of breath, and experiencing chest pain. The facility transportation driver pulled off the interstate, did not notify the facility licensed medical staff, asked Resident #1 if she wanted to return to the hospital/health facility, the resident declined, stating she was okay. The transportation driver did not notify the facility licensed medical staff of the resident declining medical care and services and continued to transport Resident #1 back to the facility. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-01-19 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, resident record reviews, and review of the policies and procedures, the facility administration failed to administer the facility in a manner that enables it to use its resources effectively and efficiently to attain and maintain the highest practicable physical well-being of each resident and to prevent medical neglect when the facility failed to implement policies and procedures for neglect, resident change in condition or status, and resident transportation safety for facility operated vehicles; the facility transportation driver failed to notify the facility licensed medical staff of a resident change in condition. Resident #1, while being transported to the facility in the facility transport van after attending a physician appointment, stated she was out of oxygen, that she needed oxygen, was short of breath, and experiencing chest pain. The facility transportation driver pulled off the interstate, did not notify the facility licensed medical staff, asked Resident #1 if she wanted to return to the hospital/health facility, the resident declined, stating she…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-01-19 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, resident record reviews, and review of policies and procedures, the facility failed to utilize the Quality Assessment and Performance Improvement (QAPI) process to investigate, develop and implement an effective performance improvement plan (PIP) when the facility transportation driver failed to notify the facility licensed medical staff of a resident change in condition. Resident #1, while being transported to the facility in the facility transport van after attending a physician appointment, stated she was out of oxygen, that she needed oxygen, was short of breath, and experiencing chest pain. The facility transportation driver pulled off the interstate, did not notify the facility licensed medical staff, asked Resident #1 if she wanted to return to the hospital/health facility, the resident declined, stating she was okay. The transportation driver did not notify the facility licensed medical staff of the resident declining medical care and services and continued to transport Resident #1 back to the facility. Resident #1 suffered cardiac arrest and did not…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-04 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 physician ordered parameters were followed for 6 of 8 residents, Residents #15, #88, #23, #6, #94 and #179, reviewed for unnecessary medications. Findings include: 1. Review of Resident #15's admission record documented diagnosis that include unspecified sequala of cerebral infarction (a stroke), major depressive disorder, recurrent moderate, depression unspecified, and essential (primary) hypertension. Review of Resident #15's physician orders dated 7/22/2025 read, Losartan Potassium Oral Tablet 25 MG [milligrams] (Losartan Potassium) Give 1 tablet by mouth two times a day for HTN [hypertension] HOLD FOR SBP [systolic blood pressure] BELOW 130. Review of Resident #15's medication administration record (MAR) for January 2026 documented Losartan was administered outside of physician ordered parameters at 0900 (9:00 AM) on 1/9/2026 for a blood pressure (B/P) of 116/53, on 1/10/2026 with a B/P of 123/49, on 1/11/2026 with a B/P of 116/64, on…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-04 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to coordinate assessments for the residents with newly evident or possible serious mental disorder for Level II PASRR (Pre-admission Screening and Resident Review) for 1 of 3 residents reviewed for PASRR, Resident #2.Findings include:Review of Resident #2's admission record documented the resident was admitted on [DATE] and readmitted on [DATE] with diagnoses that included major depressive disorder (onset date of 1/12/2026), other specified anxiety disorders (onset date of 1/12/2026), and schizophrenia (onset date of 8/21/2024).Review of Resident #2's PASRR dated 7/22/2025 documented schizophrenia as the only mental illness or suspected mental illness under Section I. PASRR Screen Decision-Making.Review of Resident #2's psychiatry subsequent note dated 1/12/2026 read, Chief complaint: Depression, anxiety and insomnia. Diagnostic assessment and plan: Major depressive disorder recurrent moderate, other specified anxiety disorders, primary insomnia.During an…

  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 before2026-02-04 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop a comprehensive care plan for residents who had language preferences for 1 of 3 residents reviewed for communication services, Resident #122.Findings include:During an interview (conducted in Spanish) on 2/2/2026 at 9:53 AM, Resident #122 stated she preferred to talk in Spanish and she had difficulty at times communicating with the staff and would prefer to speak in Spanish with the staff.During an observation on 2/3/2026 at 11:40 AM, Staff H, Certified Nursing Assistant (CNA), was assisting Resident #122, who was speaking in Spanish. Staff H was answering with a couple of words in Spanish.During an observation on 2/3/2026 at 1:12 PM, Staff E, CNA, was accommodating Resident #122 in her bed and speaking to resident in Spanish.Review of Resident #122's care plan did not document a focus for communication for Resident #122's Spanish speaking preference.During an interview on 2/3/2026 at 11:33 AM, Staff F, Registered Nurse (RN),…

  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 before2026-02-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure residents received oxygen therapy as ordered by the physician for 3 of 5 residents reviewed for respiratory care, Residents #22, #151, and #11.Findings include: 1) During an observation on 2/2/2026 at 2:22 PM, Resident #22 was being administered oxygen at 4 liters per minute via nasal cannula. Review of Resident #22's physician order dated 6/7/2025 read, Oxygen @ [at] 3L [liters]/Min [minute] every shift related to chronic obstructive pulmonary disease. During an interview on 2/3/2026 at 11:55 AM, Staff N, Registered Nurse (RN), stated, We check on the amount of oxygen every time we have to take a resident on or off. I'm not sure why the oxygen was not at the right amount. We should follow the orders for what oxygen is running at. 2) During an observation on 2/2/2026 at 10:56 AM, Resident #151 was in bed with the head of bed elevated, with oxygen being administered at 3 liters per minute via nasal cannula. Review of Resident #151's physician order dated 2/2/2026 read, Oxygen @ 2 liters/min via N/C…

  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 · Dcited before2026-02-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to maintain complete and accurate medical records for 1 of 8 residents, Resident #11, reviewed for documentation. Findings Include: Review of Resident #11's Medication Administration Record (MAR) for January 2026, on 01/27/2026 for the scheduled 9:00 AM medication pass, the MAR was blank, no entries, for the physician ordered medications: Citalopram 0.5 tablet (10 mg) by mouth daily for depression, Fluticasone-Salmeterol one inhalation daily for COPD (chronic obstructive pulmonary disease), Tamsulosin HCl 0.4 mg one capsule by mouth daily, Thiamine HCl 100 mg one tablet by mouth daily, Doxycycline Hyclate 100 mg one tablet by mouth twice daily, Gabapentin 100 mg one tablet by mouth twice daily, Metoprolol Succinate ER (extended release) 25 mg one tablet by mouth twice daily with parameters to hold if heart rate less than 60, and Sennosides 8.6 mg one capsule by mouth twice daily. The MAR did not include staff initials, documentation codes, or narrative notes to indicate whether these medications were administered,…

  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 before2026-02-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  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 prevent the possible spread of infection when failing to perform hand hygiene during medication administration and dining observations and failing to follow transmission-based precautions. Findings include: 1. During an observation of medication administration on 2/3/2026 beginning at 8:43 AM with Staff F, Registered Nurse (RN) for Resident #120, Staff F did not perform hand hygiene, unlocked the medication cart, activated the computer and prepared the medications for the resident. Staff F, RN, entered the resident's room, did not perform hand hygiene, administered the medications, did not perform hand hygiene, and exited the resident's room. Staff F returned to the medication cart, did not perform hand hygiene, unlocked the medication cart, activated the computer and began preparing medications for Resident #141. Staff F entered the resident's room, did not perform hand hygiene, administered the medications, did not perform hand hygiene, and exited the resident's room. Staff F returned to the medication cart,…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-08-29 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 1 resident, Resident #512, of 3 residents reviewed for insurance and payor source change was informed of co-pay obligations following a payor source change. Findings include: Review of Resident #512's admission record showed Resident #512 was initially admitted to the facility on [DATE] with diagnoses that included unspecified fracture of sacrum, subsequent encounter for fracture with routine healing. Review of Resident #512's pre-admission insurance/managed care verification form, dated 4/5/2024, [name of the managed care insurance company] was documented as Resident #512's primary payor source. A co-pay of $125.00 a day for days 21-100 was indicated on the form. During an interview on 8/27/2024 and 10:15 AM, Resident #512 stated she was told by the Business Manager that her insurance wouldn't cover services after 20 days and the facility was going to switch her over to Medicare for coverage. Resident #512 reported she asked the Business Manager…

  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 · E2024-08-29 · 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 interview the facility failed to ensure pain medication was administered within parameters for 1 of 10 residents, Resident #24, failed to ensure blood pressure medication was administered within parameters for 3 of 10 residents, Residents #42, #110, and #127, reviewed for medication administration, failed to administer medications in accordance with professional standards of practice when administering crushed medications via gastrostomy tube for 1 of 1 resident, Resident #27, and failed to ensure dressing changes were completed for peripherally inserted central catheters for 1 of 4 residents, Resident #264. Findings include: 1) Review of Resident #24's physician order dated 7/25/2024 read, Oxycodone HCI Tablet 10 mg [milligrams]. Give 1 tablet by mouth every 8 hours as needed for Pain Management > [greater than] 5. Review of Resident #24's Medication Administration Record for the month of August 2024 for Oxycodone HCI 10 mg documented the medication was given on 8/05/2024 at 5:51 PM for a pain level of 4, 8/08/2024 at 3:54 PM for pain level of 4,…

  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 · Dcited before2024-08-29 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 each resident was provided an assessment which accurately reflects the resident's status for 1 of 3 residents, Resident #159, reviewed for discharge status. Findings include: Review of the Social Service's progress note for Resident #159 dated 6/7/24 read, Pt [patient] was DC [discharged ] home today. Review of the MDS (Minimum Data Set) signed and dated 6/10/24 at 12:55 PM read, Section A 12105, Discharge Status 04. Short - Term General Hospital (acute hospital). During an interview on August 27, 2024, at 1:50 PM the Lead MDS Coordinator stated, It [the MDS] should be coded for the resident going home, that was incorrect. During an interview on August 27, 2024, at 1:55 PM the Director of Nursing stated, My expectation is they [the MDS] should have been coded correctly. Review of the policy and procedure titled Resident Assessment Instrument (RAI) read, Intent: It is the policy of the facility to adhere to the following procedures related to the proper documentation and utilization of a residents 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 ensure 1 of 6 residents, Resident #136, reviewed for nutrition was offered a therapeutic diet as ordered by the physician and recommended by the Registered Dietician. Findings include: Review of Resident #136's admission record showed Resident #136 was admitted to the facility with diagnoses that included unspecified cirrhosis of liver, end stage renal disease, and mild protein-calorie malnutrition. Review of Resident #136's physician's orders read Liberal Renal diet Regular texture. Thin consistency. Add double protein portions. Add eggs w/ [with] breakfast when available. Review of Resident #136's care plan, revised on 4/1/2024, read [Resident #136's Name] has a nutritional problem r/t [related to] non-compliance with dialysis, CHF [congestive heart failure], ESRD [end stage renal disease], anemia in chronic disease, chronic viral Hepatitis C, therapeutic diet, abnormal nutrition related labs, fluid restriction, drug-nutrient interactions. Resident #136's care plan documented nutritional interventions that…

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

  Quality of Life and Care 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

$119,636 in federal fines across 1 penalty.

• $119,636 — penalty dated 2024-01-19

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 SUMMIT CARE — 22 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

7 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 $2.9M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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