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Garden View Health And Rehabilitation Center

2180 10th Avenue, Vero Beach, FL 32960 · For profit - Corporation · 72 certified beds · (772) 567-5166 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Jul 2025Resident-funds citation (F0565)Behavioral-health or dementia-care citation — no harm found (F0758)2 immediate-jeopardy citations$60,225 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0565)
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $60,225 in federal fines (most recent 2025-07-09)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)
  • about 30% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1150 19th St · (772) 770-4077 · Call to confirm hours
Pharmacy
1995 US Highway 1 · (772) 999-2843 · Call to confirm hours
Grocery
1127 21st St · (772) 559-9479 · Call to confirm hours
Park
2140 14th Ave · (772) 567-2144 · Typically dawn to dusk
Place of worship

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.4%8.7%15.4%better
Long-stay residents who lose too much weight12.7%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.3%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.7%0.7%2.0%typical for the state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms7.6%4.6%6.5%worse
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.3%2.5%3.3%better
Long-stay residents whose ability to walk worsened20.8%9.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication7.0%14.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%99.2%95.3%typical
Long-stay residents with pressure ulcers10.3%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control8.3%10.5%21.2%better than state — see note marked double-dagger below the table
Long-stay residents who got an antipsychotic medication — see the note below the table9.0%8.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.5%1.4%better
Short-stay residents given the seasonal flu vaccine97.1%94.7%79.4%better
Short-stay residents rehospitalized after admission31.2%26.1%22.6%worse
Short-stay residents with an outpatient ER visit11.7%9.1%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.002.131.67better
Long-stay outpatient ER visits per 1,000 resident days0.791.151.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

51.6% 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 134 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.6%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
45.5%U.S. median 56.6%
Met the expected recovery
0.45U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 45.5% 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 99 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 0.45 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF51.6%CMS range 42.6–59.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 8.0–15.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge45.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge51.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge38.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified97.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting94.1%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge80.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened6.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.9%CMS range 5.4–13.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.191.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.36
RN hours/ resident / day
1.14
LPN hours/ resident / day
2.53
Aide hours/ resident / day
4.03
Total nurse hours/ resident / day
0.29
RN hoursweekends
51.9%
Total nursing turnover
62.5%
RN turnover

How full it usually is: this home is certified for 72 beds and averages 67.4 residents a day — about 94% occupied, or roughly 5 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.53 is at or above 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 3.41 hrs/resident/day on weekends vs 4.28 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.38 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 52% 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

13
deficiencies at the latest standard inspection (2025-07-09)
5
at the previous standard inspection (2024-03-21)

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.

ABCDEFGHIJKL

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

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-07-09 · 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 reviews, and a policy review, the facility failed to ensure care and services to prevent accidents for 3 of 9 sampled residents reviewed for nutrition and falls, as evidenced by the failure to provide supervision while eating for Resident #37; failure to implement preventative measures to prevent a fall related injury for Resident #14; and failure to complete a post fall investigation to determine the cause of the fall for Resident #20.On 06/24/25 it was determined the facility failed to ensure adequate supervision for Resident #37, a resident with diagnoses of Cerebral Infarction (Stroke) and Dysphagia (difficulty swallowing), to prevent the likelihood of choking, aspiration (the accidental ingestion of food particles or fluids into the lungs), and/or death. Resident #37, who was ordered to have a mechanically altered diet, was not supervised during meals as per her current care plan and was subsequently provided with a whole hot dog that she consumed. The resident had…

    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
  • Immediate jeopardy · J2025-07-09 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    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 reviews, policy review, and review of professional standards of practice, the facility failed to prepare foods in a form to meet the individual needs for 4 of 5 sampled residents, Resident #37, Resident #10, Resident #15, and Resident #21, reviewed for nutritional concerns. This had the potential to affect 18 current residents who were on mechanically altered diets at the time of the survey.On 06/24/25 it was determined the facility failed to follow a physician ordered diet, that was mechanically altered, for Resident #37, a resident with diagnoses of dysphagia (difficulty swallowing), to prevent the likelihood of choking, aspiration (the accidental sucking in of food particles or fluids into the lungs), and or death. Resident #37, who was ordered to have a mechanically altered diet, was provided with a whole hot dog that she consumed.The likelihood of Resident #37 choking on the hot dog with the potential of aspiration or death was determined. The Administrator was…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-07-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, sanitary conditions, and the prevention of foodborne illnesses. This had the potential to affect 63 out of 66 residents who consume foods PO (by mouth).The findings included:During the initial tour of the Main Kitchen on 06/23/25 at 9:15 AM, accompanied by the CDM (Certified Dietary Manager) and the RD (Registered Dietician), the following was observed:1. The gaskets on the door of the reach in cooler had dark brown/black streaks and spots on the rubber pleats. The bottom of the gasket attached to the door was torn. Pieces of the rubberized material that were still attached to the door hung downward. The CDM agreed with this finding. Photographic Evidence Obtained.2. A bag of pasta was observed on the floor behind the lowest shelf in the dry food storage area. A large dark brown/black colored insect was dead and lying on floor in the same area. Another large dark brown/black colored insect was dead and lying 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-07-09 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interview, the facility failed to ensure the proper storage of linens in 3 of 3 linen carts.The findings included:On 06/25/2025, it was revealed the facility had four residents under transmission-based precautions due to various health concerns, including positive COVID-19 status, Methicillin-resistant Staphylococcus aureus (MRSA), which is a type of staph bacteria resistant to many commonly used antibiotics, Extended-spectrum beta-lactamase (ESBL) production, which refers to enzymes that make certain bacteria resistant to many beta-lactam antibiotics, and Shingles.On 06/25/2025 at 11:09 AM, an observation revealed that the linen cart in the [NAME] Wing was torn and opened, exposing the linens inside. Additionally, a glove was found on the floor next to the linen cart. At 11:28 AM, the surveyor noted that the linen cart in the East Wing was not fully uncovered, exposing the linens to potential contamination. Similarly, at 11:33 AM, it was observed that the linen cart in the North Unit was also not fully covered, making the linens vulnerable to contaminants.…

    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 · D2025-07-09 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide care and services in a manner to maintain residents' dignity for 2 of 20 sampled residents, reviewed for dignity (Resident #118 and #218).The findings included:1. Record review revealed Resident #118 was admitted to the facility on [DATE]. An assessment completed on 06/19/25 documented a Brief Interview for Mental Status (BIMS) score of 15, on a 0 to 15 scale, indicating the resident was cognitively intact.During an interview on 06/23/25 at 1:58 PM, when asked if staff treat her with respect and dignity, Resident #118 stated, When I use the call light to be changed or if I need something, at times it takes over 30 minutes to have it answered, and then sometimes they say I'll have to wait, as they are busy. They are on their own pace, and they'll get to you when they get to you. Some of the staff have a chip on their shoulders. When asked how it makes her feel, Resident #118 stated, Not good. Some of them complain a lot. Most seem stressed…

    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 · D2025-07-09 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 maintain the call bell within the reach of 2 of 20 sampled residents, reviewed for accommodation of needs (Resident #2 and Resident #40).The findings included:1.Record review revealed Resident #2 was admitted to the facility on [DATE]. Her diagnoses included Non-Alzheimer's Dementia, Anxiety disorder, Depression, Muscle weakness, and Overactive Bladder. This resident's Brief Interview for Mental Status (BIMS) score, per the Minimum Data Set (MDS) assessment dated [DATE] was 08, indicating she was cognitively impaired. The assessment indicated Resident #2 was dependent on assistance for most activities of daily living (ADL), which included toileting, hygiene, bed mobility, and transfers. Review of Resident #2's care plan for ADL self-care performance deficit, dated 08/13/20, was related to impaired balance and mobility, weakness, limited range of movement, cognitive loss, and history of Polio Disease. The care plan listed 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0565 — failed to support the resident council — isolated
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    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 promptly address grievances voiced for 2 of 20 sampled residents (Resident #10 and Resident #7). The findings included: An interview was conducted on 06/23/25 at 12:47 PM, with Resident #7, who was admitted to the facility on [DATE], and with a Brief Interview for Mental Status (BIMS) of 15, according to a Quarterly Minimum Data Set (MDS) with a reference date of 05/17/25, indicating that the resident was cognitively intact. When asked of any concerns voiced by the Resident Council, Resident #7 replied, I made recommendations during the meetings when I wasn't president, I suggested that they do something with the patio and the grass, and they still haven't done anything about that. Resident #7 stated that the concern was voiced about 5 months ago, they wrote it down and that was it. I go out on the patio once in a blue moon. They just need a few more plants and some more mulch, like they do the rest of the grounds. During 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0573 — isolated
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    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 respond to requests for resident's records in a timely manner for 1 of 2 sampled residents reviewed for records requests (Resident #69). The findings included: Resident #69 was admitted to the facility on [DATE] and discharged [DATE]. According to the resident's most recent full assessment, an Admission/Medicare 5-Day Minimum Data Set, with a reference date of 01/30/25, Resident #69 had a Brief Interview for Mental Status (BIMS) score of 03, indicating a severe cognitive impairment. Resident #69's diagnoses at the time of the assessment included: Non-Alzheimer's Dementia, Anxiety Disorder and Depression. During an interview, on 06/24/25 at 12:31 PM, with Resident 69's family member, it was reported that there had been no response from the facility to the family's request for Resident #69's medical records. The family member stated, My [.] tried to contact them several times to talk to the Business Office Manager (BOM), to get a copy of the contract.…

    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 · D2025-07-09 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 behavior monitoring for 1 of 4 sampled residents, Resident #119, reviewed for unnecessary psychotropic medications. The findings included: Review of the record revealed Resident #119 was admitted to the facility on [DATE]. Review of the current physician orders included the administration of Seroquel and Oxcarbazepine, both twice daily for mood. The medication Seroquel had a classification of an antipsychotic drug. Psychiatric progress notes dated 06/16/25 and 06/23/25 documented, in part, monitoring for agitation, aggression, combativeness, refusal of care, refusal of medications, along with numerous symptoms of Depression. Review of the record lacked any type of behavior monitoring by staff for Resident #119. During an interview on 06/25/25 at 7:43 PM, when asked the process for staff to monitor and document resident behaviors, the Director of Nursing (DON) stated the nurses should document any behaviors on the behavior monitoring forms in 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 · Dcited before2025-07-09 · 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 reviews, interviews, and a review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI), the facility failed to accurately complete Minimum Data Set (MDS) assessments for 3 of 5 sampled residents, reviewed for nutrition (Resident #15, Resident #23 and Resident #37).The findings included:The CMS RAI was reviewed, which provides guidelines for assessing the needs of residents in long-term care facilities. It helps staff gather information about residents' needs in order to create individualized care plans. The RAI manual specifies that weight entries should be based on the most recent weight within the past 30 days of the Assessment Reference Date (ARD) date of the assessment. If the resident's last recorded weight was taken more than 30 days prior to the ARD date of the assessment, then the facility should weigh the resident again. If a resident cannot be weighed, the directions specify to use the standard no information code (-), and to document the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-09 · 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 policy review, observation, interview, and record review, the nursing staff failed to follow physician orders for wound care for 1 of 2 sampled residents, observed with pressure ulcers (Resident #119). The findings included: Review of the policy titled, Wound Treatment Management revised on 11/23/22 documented, in part, Policy Explanation and Compliance Guidelines: 1. Wound treatments will be provided in accordance with physician orders, including the cleansing method, type of dressing, and frequency of dressing change. Review of the record revealed Resident #119 was admitted to the facility on [DATE] with diagnoses to include osteomyelitis (infection of the bone) and stage 4 pressure ulcer (a deep wound with full-thickness tissue loss with exposed bone, tendon, or muscle). The wound care physician progress note dated 06/19/25 documented Resident #119 had two stage 4 pressure ulcers, one to the right buttock and one to the left hip. Review of the wound care progress note dated 06/19/25 documented, in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-09 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to provide a resident with restorative therapy per physician's orders for 1 of 2 sampled residents reviewed for Range of Motion (ROM), (Resident #24).The findings included:Record review revealed Resident #24 was admitted to the facility on [DATE]. His medical history included Polyosteoarthritis, Contracture of Muscle Left Lower Leg, Contracture of Muscle Right Lower Leg, Foot Drop Right Foot, Presence of Right Artificial Hip Joint, Short Achilles Tendon (Acquired) Left Ankle, Obesity, Chronic Pain Syndrome, Peripheral Vascular Disease, and Muscle Weakness. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed that Resident #24 had a Brief Interview for Mental Status of 15, which indicated that he was cognitively intact. A review of the treatments provided in the MDS assessment dated [DATE] revealed that Resident #24 did not receive any restorative therapy during the 7-day lookback period prior to 04/24/25.Record review of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · Dcited before2025-07-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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, record review, and professional standards, the facility failed to ensure appropriate care and services to prevent an Urinary Tract Infection (UTI) for 2 of 2 sampled residents reviewed with indwelling urinary catheters, as evidenced by the failure to change the urinary drainage device collection bags using appropriate infection control techniques for Resident #36, and failure to ensure proper anchoring for the tubing of the indwelling urinary catheters for Residents #36 and #120.The findings included:Review of the Agency for Healthcare Research and Quality (AHRQ) document titled Catheter Care and Maintenance AHRQ Safety Program for Long-Term Care dated March 2017 documented, in part, Gloves play a key role in preventing hand contamination - but do NOT replace hand hygiene. Perform hand hygiene and wear gloves immediately before accessing the drainage system, emptying the drainage bag . Drainage Bag Care: . stabilize the catheter tubing and drainage bag. Leg Bags: Leg bag care 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 · Dcited before2025-02-21 · 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 policy review, interview, and record review, the facility failed to ensure timely provision of medications for 2 of 3 sampled residents, as evidenced by the failure to provide insulin and an antibiotic timely upon Resident #1's admission to the facility, and failure to provide insulin timely upon Resident #2's admission to the facility. The findings included: 1) Review of the record revealed Resident #1 was admitted to the facility from the hospital on [DATE] at 6:00 PM, with diagnoses to include Type 1 Diabetes. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 15, on a 0 to 15 scale, indicating he was cognitively intact. This MDS also documented the resident received both insulin and an antibiotic during the look-back period of 01/28/25 through 02/01/25. Review of the hospital discharge paperwork documented Resident #1 was to receive insulin, one short-acting and one long-acting, but the paperwork lacked…

    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 before2024-12-10 · 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 interview, policy review and record review, the facility failed to assess a resident's skin under a knee immobilizer to prevent a pressure injury for 1 of 5 sampled residents (Resident #1). The findings included: The facility policy Titled Skin Assessment and revised on 10/01/22 documented in part: 1. A full body or head to toe skin assessment will be conducted by a Registered Nurse upon admission/readmission and weekly thereafter. The assessment may also be performed after a change in condition or after a newly identified pressure injury. The facility policy titled, Pressure Injury Prevention and Management, revised on 10/03/24, documented in part: The facility is committed to the prevention of avoidable pressure injuries. Avoidable means the resident developed a pressure ulcer/injury and that the facility did not do one or more of the following: evaluate the resident clinical condition and risk factors, define and implement interventions that are consistent with resident needs, resident goals 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 · E2024-03-21 · tag F0755 — failed to provide safe pharmacy services — pattern
    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

    Based on record review, interview, and policy review, the facility failed to ensure reconciliation of controlled medications for 4 of 4 sampled residents reviewed (Resident #22, #68, #37 and #6). The findings included: Review of the policy Controlled Substance Administration & Accountability revised 10/2023 documented, 1. General Protocols: . i. The Controlled Drug Record is a permanent medical record document and in conjunction with the MAR is the source for documenting any patient-specific narcotic dispensed form the pharmacy. Review of the current Medication Monitoring/Control Records and the corresponding March 2024 Medication Administration Records (MARs) revealed the following discrepancies: 1). Resident #22, a 5 milligram (mg) tablet of oxycodone was signed out of the medication cart, as per the control record, on 03/12/24 at 12:30 PM, but not signed out on the corresponding MAR. 2). Resident #68, a 5 mg tablet of oxycodone was signed out as per the control record on 03/18/24 at 10:33 PM, but not signed out on the corresponding MAR. During this review on 03/21/24 at 12:22 PM,…

    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 before2024-03-21 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 showers were provided per resident preference and as scheduled for 1 of 3 sampled residents reviewed for choices (Resident #13). The findings included: During an interview on 03/18/24 at 10:07 AM, Resident #13 explained that staff keep her clean and dry as far as her incontinence, but they don't give her a full bed bath daily as she would like. The resident also stated she would like a shower. When asked how many showers she would like each week, the resident stated two. Resident #13 confirmed she does not get two showers weekly. Review of the record revealed Resident #13 was admitted to the facility on [DATE]. Review of the current Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact with a Brief Interview for Mental Status (BIMS) score of 14, on a 0 to 15 scale, indicating intact cognition. This MDS also documented the resident needed substantial assistance from staff for bathing. Review of 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
  • Potential for harm · Dcited before2024-03-21 · 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 interview, the facility failed to ensure of an accurate Minimum Data Set (MDS) assessment related to medications for 1 of 5 sampled residents reviewed for unnecessary medications, (Resident #62). The findings included: Review of Resident #62's electronic records revealed the resident was admitted to the facility on [DATE] with diagnoses to include Sequelae of Cerebral Infarction, Depression, Left Femur Fracture, Anxiety Disorder, Atrial Fibrillation, Muscle Weakness, and Acute Respiratory Failure. Review of the Minimum Data Set (MDS) Medicare 5-day assessment dated [DATE] documented the resident has a BIMS (Brief Interview for Mental Status) score of 12, indicating the resident's cognition is moderately intact. Review of the MDS section N, (Medications) documented the resident had 4 days of insulin injection and high-risk drugs antidepressant and anticoagulant. Review of Resident #62's diagnoses and physician orders revealed the resident did not have a diagnosis of Diabetes 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-21 · 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 interview and record review, the facility failed to assess for a voiced change in condition for 1 of 23 sampled residents (Resident #118), and the nursing staff held blood pressure medications without ordered parameters and failed to notify the physician of the low blood pressure readings for 1 of 5 sampled residents (Resident #21). The findings included: During an interview on 03/20/24 at 1:11 PM, Resident #118 was asked if she still had her indwelling urinary catheter. Resident #118 stated she did not as it was taken out a few days ago, but volunteered she had a difficult time with a night nurse before the catheter was placed. Resident #118 explained she had a history of urinary tract infections, had had issues with voiding (urinating), and could tell when she was having difficulties. The resident stated the night before the catheter was placed, at about 3 AM, she was having horrible abdominal pain and she thought she needed a catheter because of the pressure she was feeling. Resident #118 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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, record review, and policy review, the facility failed to ensure proper catheter care and services for 2 of 5 sampled residents with indwelling urinary catheters (Residents #32 and #4), and failed to ensure proper peri-care (personal care provided after an incontinent episode of urination) for 1 of 1 sampled resident observed (Resident #16). The findings included: 1) Review of the policy Catheter Care revised 01/06/23 documented after having cleaned the peri-area, 12. With a new moistened cloth, starting at the urinary meatus moving out, wipe the catheter making sure to hold the catheter in place so as to not pull on the catheter. Review of the record revealed Resident #32 was admitted to the facility on [DATE]. Review of the orders revealed an indwelling urinary catheter was placed on 02/20/24. Review of the current care plan initiated on 02/21/24, and revised on 03/11/24 documented, Resident #32 had an indwelling urinary catheter. Care plan interventions included catheter care…

    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 · E2022-12-22 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interview, the facility failed to maintain a safe, clean and homelike environment for 3 of 3 hallways observed. The findings included: During initial observations of the facility that included resident rooms on 12/19/22-12/20/22, the surveyors observed the following: room [ROOM NUMBER]-W: the back wall to the left of the bed had a stain running down the wall. room [ROOM NUMBER] walls/bathroom doors: has rust stains on them, bathroom floor missing tile, shower drain has green residue caked on drain. room [ROOM NUMBER]-D: the resident's over-the-bed table was missing laminate on the corner of the table, the drain in bathroom was not secure, and air conditioner was caked with dirt in the vent. room [ROOM NUMBER]-W: the bathroom had multiple rust spots on the walls and door, the metal wall frame in bathroom was rusted. The walls and ceilings had a darker paint color with dark spots coming through the paint (ark mold-like), the bathroom door had scuffed marks, and doorknob did not function…

    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 · Ecited before2022-12-22 · tag F0880 — failed to prevent and control infections — pattern
    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 policy review, the facility failed to maintain an infection control program to ensure a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections for 5 of 8 sampled residents. Staff nurses C, D, and F, failed to properly clean and or disinfect the glucometer (device used to obtain a resident's blood sugar level) for Residents #15, #7, and #215. Staff G and E failed to clean nebulizer equipment as per facility policy, after use by Resident #25. Staff E touched pills with her bare hands while preparing the medications for Resident #25. Staff D utilized a syringe and water container that had fallen to the floor during tube feeding administration for Resident #43. Additionally, Staff C greeted all residents on the North Unit at the beginning of two different shifts, touching or assisting several of them, without any hand hygiene between the resident contact. The findings included: Review of the policy, titled, Blood glucose Monitoring revised 01/2022, documented, Policy Explanation: 3. The…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-22 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 showers were provided as per facility schedule and family request for 1 of 1 sampled resident (Resident #3). The findings included: Review of the record revealed Resident #3 was admitted to the facility on [DATE]. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #3 needed the total assistance of two persons for bathing. During an interview on 12/19/22 at 1:25 PM, an adult family member of Resident #3 explained the facility had a shower schedule, and Resident #3 was to get showers twice weekly on Tuesdays and Fridays, during the 3 PM to 11 PM shift. The family member further volunteered the resident had missed some showers possibly due to a lack of staff, especially on Fridays. When asked if she requested a different schedule or day, the adult family member stated, Oh, I can do that? Review of the current care plan initiated on 09/03/20 and revised on 05/20/21 documented Resident #3 had limited physical…

    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 · D2022-12-22 · tag F0687 — failed to care for feet properly — isolated
    Provide appropriate foot care.
    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 ensure continued podiatry services for 1 of 1 sampled resident (Resident #34). The findings included: During an interview and observation on 12/19/22 at 10:40 AM, the toenails of Resident #34 were noted to be elongated, extending approximately half a centimeter past the end of his toes, and thickened. When asked if he was a diabetic, Resident #34 stated he was not. When asked if the staff cut his toenails, Resident #34 stated they did not and that a podiatrist cut them in the past. Review of the record revealed Resident #34 was admitted to the facility on [DATE]. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #34 had a Brief Interview for Mental Status (BIMS) score of 15, on a 0 to 15 scale, indicating the resident was cognitively intact. This MDS lacked any documented instances of the rejection of care, and revealed the resident needed the limited assistance of one person for personal hygiene.…

    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 before2022-12-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure continued range of motion (ROM) services for 1 of 1 sample resident (Resident #3). The findings included: During an interview on 12/19/22 at 1:49 PM, the adult family member of Resident #3 voiced concern that the facility was no longer providing range of motion services to the resident. When asked if she knows why the services were not being provided, the family member stated she was unsure. Review of the record revealed Resident #3 was admitted to the facility on [DATE]. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #3 had functional limited range of motion to all four extremities. This MDS also documented the resident was not receiving therapy, restorative, or range of motion services. Review of the current orders lacked any orders for range of motion or restorative services. Review of the discontinued order dated 07/08/21 documented, Resident graduated from program will reevaluate in 1 month under…

    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 before2022-12-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a safe transfer for 1 of 1 sampled resident, Resident #215, reviewed for falls, as evidenced by the facility's process/policy requiring 2-person assistance for all Hoyer transfers not being followed by Certified Nursing Assistants (CNA). The findings included: Review of Policy, titled, Safe Resident Handling/Transfers, dated 11/20 with a revised review date of 01/22, documented all residents require safe handling when transferred to prevent or minimize the risk for injury to themselves and the employees that assist them. Under compliance guidelines #10, it documented two staff members must be utilized when transferring residents with a mechanical lift. Review of Resident #215's medical records documented the resident was admitted to the facility on [DATE] with diagnoses to include Pathological Fracture Left Femur, Displaced Fracture of Base of Neck of Left Femur, History of Falling, Type II Diabetes with Diabetic Neuropathy, Heart Failure,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-22 · tag F0757 — failed to avoid unnecessary drugs — isolated
    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 record review, policy review and interview, the facility failed to ensure monitoring of medications related to following physician ordered parameters and medication administration for 3 of 5 sampled residents (Residents #47, #215 and #25). The findings included: The facility policy, titled, Medication Administration and revised 02/09/22, documented in part: Administer medication as ordered in accordance with manufacturers specifications Observe residents' consumption of medication Sign medication administration record after administration For medications requiring vital signs, record vital signs onto the MAR (Medication Administration Record). 1. Resident #25's orders were reviewed. The resident's medication, Eszopiclone 2mg, was ordered on 11/16/22 and was to be given as 1 tablet at bedtime for insomnia. Review of the resident's MAR revealed no documentation for administration of the medication on 12/01/22, 12/03/22, 12/06/22, 12/07/22 and 12/08/22. No documentation was found to indicate why medication…

    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 · D2022-12-22 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 documentation of behavior monitoring and monitoring of side effects for psychotropic medications 3 of 5 sampled residents (Residents #47, #215, and #36). The findings included: 1. Resident #36 was admitted to the facility with diagnoses which include Anxiety, Depressive Disorder, and Bipolar Disorder. The following psychotropic medications were prescribed by Primary Care Physician: a) Venlafaxine HCl ER Tablet Extended Release 24 Hour 150 MG Give 2 tablet by mouth one time a day related to Major Depressive Disorder. b) Trazodone HCl Tablet 100 MG Give 2.5 tablet by mouth at bedtime related to Major Depressive Disorder c) Lamictal Tablet 200 MG Give 1 tablet by mouth in the morning for mood disorder The Annual MDS, dated [DATE], documented Resident #36 had a BIMS of 15, indicating intact cognition. A Care Plan was initiated on 12/18/20, and last revised on 12/02/22, for psychotropic drug use related to diagnosis of Depression and Bipolar…

    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 · D2022-12-22 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and policy review, the facility failed to properly secure medications for 1 of 3 medication carts (West Unit), and for 1 of 3 treatment carts (East Unit). The census at the time of the survey was 59, and the number of independently ambulatory residents was 4. The findings included: Review of the policy, titled, Medication Storage revised 05/04/22, documented, 1. General Guidelines: a. All drugs and biologicals will be stored in locked compartments (i.e., medications carts, .) . c. During a medication pass, medications must be under the direct observation of the person administering medications or locked in the medication storage area/cart. 1. A medication pass observation was made on 12/19/22 beginning at 4:04 PM, with Staff G, Licensed Practical Nurse (LPN), on the [NAME] Unit. While the LPN was gathering the medications for Resident #25, she realized one was missing. The LPN left the medication cart at the far end of the [NAME] Unit, leaving it unlocked, and went into the medication room near the nurses' station with the evening supervisor, to get…

    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
  • No harm found · C2022-12-22 · tag F0730 — widespread
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on personnel file review, interview, and policy review, the facility failed to complete a performance review of nurse aides at least once every 12 months for 3 of 3 sampled nurse aides (Staff H, I, and J). The findings included: Review of the policy, titled, Required Training, Certification and continuing Education for Nurse Aides, revised 07/25/22, documented, 6. In-service training will be provided by qualified personnel and will be based on the needs of the residents in the facility and any areas of weakness as determined in the nurse aide's performance reviews and facility assessment. During a side-by-side review of personnel files on 12/22/22 at 3:23 PM, the Business of Manager / Human Resources Director was asked the facility's practice regarding performance evaluations. The Human Resources Director explained that each department head should be doing annual evaluations around their anniversary date of hire. The Human Resources Director was asked to locate and provide the most current performance evaluation for Staff H, Restorative Certified Nursing Assistant (CNA) who…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$60,225 in federal fines across 1 penalty.

  • $60,225 — penalty dated 2025-07-09

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 SIMCHA HYMAN & NAFTALI ZANZIPER — 79 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 →

RatingThis homeChain avg
Overall 1 of 52.6-1.6 vs chain
Health inspection 1 of 52.7-1.7 vs chain
Staffing 2 of 52.2-0.2 vs chain
Quality measures 4 of 53.4+0.6 vs chain
The other 78 homes this chain runs (chain average 2.6★, per CMS)
1 of 5Beavercreek Health And RehabBeavercreek, OH 1 of 5Bradford Heights Nursing & RehabilitationHopkinsville, KY 1 of 5Centerville Health And RehabDayton, OH 1 of 5Clayton Rehabilitation and Healthcare CenterClayton, NC 1 of 5Dade City Health And Rehabilitation CenterDade City, FL 1 of 5Englewood Health And RehabEnglewood, OH 1 of 5Fulton Nursing and Rehabilitation, LLCFulton, KY 1 of 5Gainesville Health and RehabilitationGainesville, FL 1 of 5Hertford Rehabilitation and Healthcare CenterHertford, NC 1 of 5Longwood Health And Rehabilitation CenterLongwood, FL 1 of 5Lotus Village Center for Nursing and RehabilitatioSparta, NC 1 of 5Magnolia Creek Nursing And RehabilitationCovington, TN 1 of 5Mills Nursing & RehabilitationMayfield, KY 1 of 5Mountain Ridge Health and RehabilitationMonticello, KY 1 of 5Naples Health And Rehabilitation CenterNaples, FL 1 of 5Southpoint Rehabilitation and Healthcare CenterDurham, NC 1 of 5Spring View Nursing & RehabilitationLeitchfield, KY 1 of 5Sunrise Point Health And Rehabilitation CenterRockledge, FL 1 of 5Windsor Rehabilitation and Healthcare CenterWindsor, NC 1 of 5Winter Park Care And RehabilitationWinter Park, FL 1 of 5Xenia Health And RehabXenia, OH 2 of 5Accordius Health at Rose Manor LLCDurham, NC 2 of 5Barren County Nursing and RehabilitationGlasgow, KY 2 of 5Bellbrook Health And RehabBellbrook, OH 2 of 5Cherokee Park RehabilitationLouisville, KY 2 of 5Clinton PlaceClinton, KY 2 of 5Collierville Nursing And Rehabilitation, LlcCollierville, TN 2 of 5Eden Rehabilitation and Healthcare CenterEden, NC 2 of 5Fairpark Health And RehabilitationMaryville, TN 2 of 5Glenview Health and RehabilitationGlasgow, KY 2 of 5Green Acres HealthcareMayfield, KY 2 of 5Jamestown Place Health And RehabJamestown, OH 2 of 5Lilac At Bayview, TheSaint Augustine, FL 2 of 5Madisonville Health and Rehabilitation, LLCMadisonville, KY 2 of 5Midtown Center For Health And RehabilitationMemphis, TN 2 of 5Pelican Health at CharlotteCharlotte, NC 2 of 5River Grove Health And RehabilitationLoudon, TN 2 of 5Stonecreek Health and RehabilitationPaducah, KY 2 of 5Sycamore Heights Health and RehabilitationLouisville, KY 2 of 5Venice Health And Rehabilitation CenterVenice, FL

Showing 40 of 78; lowest-rated first.

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

Owner / managerTypeRoleSince
ROJAS, EDWINIndividualW-2 MANAGING EMPLOYEEsince 12/16/2020
GORELICK, BATYAIndividualCORPORATE OFFICERsince 05/01/2021

The source lists no ownership percentage for any party here — 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.

$8.7M
Net patient revenuemost recent cost report
+8.6%
Operating marginrevenue minus expenses
$2.4M
Related-party expense30% of expenses
Who pays — share of resident-days
Medicaid 56%Medicare 20%Other / private 24%

This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 30% 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

$325per resident / day
operating cost
$9,885per month
≈ monthly operating cost
$356per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Florida Medicaid page.

Typical monthly cost in Florida
$10,342/mo
Nursing home (semi-private)
$12,167/mo
Nursing home (private)
$5,610/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 106075. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-09, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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