Health Central Park

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.

54.0% 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 167 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 135 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 218 beds and averages 211.0 residents a day — about 97% occupied, or roughly 7 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.93 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 4.28 hrs/resident/day on weekends vs 4.69 on weekdays — 9% thinner on weekends. RN hours go from 0.90 to 0.72 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

20 citations, most serious first. The 14 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · K2023-09-23 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to protect the resident's right to be free from neglect by their failure to provide care and maintenance for a central line intravenous catheter (CVC) per standards of care for 1 of 1 resident reviewed for CVCs, of a total sample of 42 residents, (#65). Resident #65, was readmitted to the facility from the hospital on [DATE] with a central venous line intravenous catheter to the right side of his chest. The admitting nurse noted a treatment was ordered or required in the admission documentation, but only a weekly dressing change was ordered on 11/23/22 for 3 weeks. On 12/09/22, resident #65 was again hospitalized and re-admitted back to the facility on [DATE]. Resident #65 remained at the facility for the next 38 weeks and 5 days including 7 hospitalizations and re-admittances without receiving care and services to maintain and prevent infection of the CVC. On 9/18/23 the CVC was brought to the attention of the facility staff by the surveyor,…

  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 · Kcited before2023-09-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide care and assessment of a central line intravenous catheter (CVC) for 1 of 1 resident reviewed for CVCs of a total sample of 42 residents, (#65). Resident #65, was readmitted to the facility from the hospital on [DATE] with a central venous line intravenous catheter to the right side of his chest. The admitting nurse noted a treatment was ordered or required in the admission documentation, but only a weekly dressing change was ordered on 11/23/22 for 3 weeks. On 12/09/22, resident #65 was again hospitalized and re-admitted back to the facility on [DATE]. Resident #65 remained at the facility for the next 38 weeks and 5 days including 7 hospitalizations and re-admittances without receiving care and services to maintain and prevent infection of the CVC. On 9/18/23 the CVC was brought to the attention of the facility staff by the surveyor, and he was transferred to the hospital for evaluation and possible removal of the CVC. As 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
• Immediate jeopardy · K2023-09-23 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 licensed nurses were knowledgeable and demonstrated competency to provide care and services for a central line intravenous catheter (CVC) for 1 of 1 residents reviewed for CVCs of a total sample of 42 residents, (#65). Resident #65, was readmitted to the facility from the hospital on [DATE] with a CVC to the right side of his chest. The admitting nurse noted a treatment was ordered or required in the admission documentation, but only a weekly dressing change was ordered on 11/23/22 for 3 weeks. On 12/09/22, resident #65 was again hospitalized and re-admitted back to the facility on [DATE]. Resident #65 remained at the facility for the next 38 weeks and 5 days including 7 hospitalizations and re-admittances without receiving care and services to maintain and prevent infection of the CVC. On 9/18/23 the CVC was brought to the attention of the facility staff by the survey team, and he was transferred to the hospital for evaluation 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-09-23 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to timely follow procedures to ensure a resident's wishes related to health care treatments and procedures at the end of life were accurately recorded and available to nursing staff, and failed to honor an advance directive that reflected the decision to withhold Cardiopulmonary Resuscitation (CPR) for 1 of 1 resident reviewed for Death, of a total sample of 42 residents, (#108). These failures contributed to resident #108 receiving CPR against her explicit wish for a natural, dignified death. There was likelihood resident #108 experienced severe pain, and could have suffered broken bones, organ damage and a prolonged dying process. On Friday, [DATE], at approximately 2:00 PM, resident #108 and her physician signed a Do Not Resuscitate Order (DNRO) form. The Social Services Assistant scanned the completed form to the Electronic Medical Record (EMR) and placed the document in her office. The Social Services Assistant continued her workday until 5:00 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-22 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to provide activities in resident rooms on the weekends for 3 of 4 residents reviewed for activities, of a total sample of 53 residents, (#142, #65, #66). Findings: The care plan for resident #142 revised on 3/12/25 revealed the resident was unable to communicate and all needs were anticipated by staff. The goal indicated the resident would be encouraged to participate in activities that were meaningful to her. Review of the Recreation Therapy Services Attendance and Participation record for April and May 2025 showed the days that social visits were conducted in the resident's room. Social visits were not conducted on Saturday or Sunday. The care plan for resident #65 revised on 3/05/25 revealed the resident wanted staff to invite and encourage him to participate in programs and events. The goal indicated the resident wanted to be invited and assisted to programs. Review of the Recreation Therapy Services Attendance and Participation record for March 2025, April 2025, and May 2025 showed the days that social visits were…

  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 · E2025-05-22 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to offer hand hygiene prior to meals for 35 residents, at 3 different dining locations and failed to follow evidence based practice for implementation of enhanced barrier precautions for 1 of 1 residents reviewed for enhanced barrier precautions, (#65); of a total sample of 53 residents. Findings: 1. On 5/19/25 at 11:30 AM, 25 residents were observed as they prepared to eat lunch in the main dining room. Hand hygiene for residents was not offered by staff or observed as performed. On 5/20/25 at 11:55 AM, 28 residents were observed as they prepared and ate their lunch in the main dining room. Hand hygiene for residents was not offered by staff or observed as performed. On 5/22/25 at 12:00 PM, 29 residents were observed as they prepared and ate their lunch in the main dining room. Hand hygiene for residents was not offered by staff or observed as performed. On 5/19/25 at 11:30 AM, resident #597 was wheeled into the dining room at 11:34 AM, by…

  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 · D2025-05-22 · 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 interview, and record review, the facility failed to timely accommodate a resident's preference to obtain individualized diabetic shoes for 1 of 1 residents sampled for specialized durable medical equipment, of a total sample of 53 residents, (#46). Findings: Resident #46 was admitted to the facility on [DATE], with diagnoses that included type 2 diabetes mellitus with diabetic neuropathy (nerve pain), unspecified. His Quarterly Minimum Data Set assessment dated [DATE], indicated he had intact cognitive function. On 5/19/25 at 10:32 AM, resident #46 explained he would like new specialized diabetic footwear. He said he was told by his insurance company that he was allowed a new pair of diabetic specialty shoes every year. He said he had previously spoken with a Podiatrist who provided him care in the facility about the new diabetic specialty shoes. Review of resident #46's medical record revealed a podiatry visit note dated 3/19/25 which indicated resident #46 inquired about receiving his yearly diabetic…

  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 before2025-05-22 · 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 monitor implementation of a fall prevention intervention for 1 of 1 residents sampled regarding fall care plan interventions, of a total sample of 53 residents, (#95). Findings: Resident #95 was admitted to the facility on [DATE] with diagnoses that included unspecified dementia- unspecified severity with other behavioral disturbance, primary open-angle glaucoma (eye condition), bilateral, stage unspecific. His Quarterly Minimum Data Set assessment dated [DATE], indicated he had moderate cognitive impairment. Review of resident #95's medical record revealed a change in condition note dated 3/28/25 which indicated resident #95 was found on the floor. On 3/31/25 an interdisciplinary team (IDT) note indicated the team met to review resident #95's plan of care and fall risk after he was observed on the floor of his room next to his bed. The IDT note described resident #95 stated he had gone to sleep in his bed and woke up suddenly when he…

  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 · D2025-05-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure Activities of Daily Living (ADLs) were maintained for nail care of 1 of 1 residents reviewed for ADLs, of a total sample of 53 residents, (#141) . Findings: Resident #141 was admitted to the facility on [DATE] with hemiparesis (one sided muscle weakness) to the left side of his body. His minimum data set quarterly assessment dated [DATE] indicated the resident had impairment to his upper and lower extremities on one side. The assessment revealed resident #141 was dependent upon staff for shower and bathing, and had no behaviors, including rejection of ADLs exhibited. The assessment indicated he had mild cognitive impairment, was usually understood and usually understood others. On Tuesday, 5/20/25 at 1:27 PM, an observation of the resident #141's fingernails showed they were approximately 5 millimeters beyond the quick. A dark-colored substance was observed under the length of the fingernails with a small sliver of white nail,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · 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 observation, interview, and record review the facility failed to provide services to prevent reduction in range of motion by failing to apply bilateral palm guards per the plan of care for 1 of 1 residents reviewed for positioning, of a total sample of 53 residents, (#66). Findings: Resident #66's Minimum Data Set assessment dated [DATE] indicated the staff assessed her cognition as severely impaired. She had a diagnosis of cerebral palsy and impaired functional limitation in range of motion for both upper and lower extremities. The assessment indicated resident #66 was dependent upon staff for all activities of daily living. A care plan revised on 3/12/25 indicated she had bilateral contractions and required the use of bilateral hand splints/palm guards. On 5/19/25 at 12:15 PM, the resident was not wearing palm guards on either hand. An interview with the resident's representative at that time revealed the palm guards had not been on her hands for approximately a week. On 5/20/25 at 10:00 AM, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  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 provide the appropriate assistive device for fluids (two-handled cup) during the lunch meal for 1 of 2 residents reviewed for assistive devices while dining on the 500 unit, of a total sample of 53 residents, (#128). Findings: On 5/19/25 at 12:30 PM, during an observation during the lunch meal, resident # 128 was observed with a standard, clear cup with no handles on his lunch tray. The resident had a paper meal ticket that indicated he required adaptive equipment including a two-handle cup. An interview with Licensed Practical Nurse Q at that time, confirmed the resident required a two-handled cup to be able to drink independently. The Minimum Data Set assessment dated [DATE] revealed an impaired functional limitation in range of motion for resident #128's upper and lower extremities on both sides. Review of a care plan revised 4/30/25 for self-care performance deficit listed the goal as the resident would continue to have activities 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · 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 interview, and record review, the facility failed to maintain an accurate medical record for 1 of 2 residents reviewed for respiratory care, of a total sample of 53 residents, (#107). Findings: Resident #107 had physician orders dated 3/06/25 for BiPap (Bilevel positive airway pressure) for sleep apnea. The orders included directions for staff to change the BiPap mask and tubing every month. Review of the treatment administration record for April 2025 and May 2025 revealed staff documented with their initials that the BiPap mask and tubing were changed every day. The treatment records also showed similar orders for a CPAP (continuous positive airway pressure) care and tubing changes initialed by nurses as completed. On 5/22/25 at 1:50 PM, assigned Licensed Practical Nurse (LPN) P verified her initials were listed as having changed the BiPap mask and tubing 12 times in May, although the order indicated them to be changed monthly. She was unsure why the treatment record contained orders for BiPAP care and for CPAP care. The LPN stated maybe the orders were entered incorrectly…

  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 · F2022-02-24 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain sufficient nurse staffing on the night shift to promote the highest practicable level of well-being for residents on 2 of 2 units; and failed to provide necessary care and services and ensure safety according to the plans of care for 7 of 16 residents reviewed for staffing concerns, (#2, #3, #10, #12, #45, #62, and #79). Findings: On 2/21/22 at 10:18 AM and 2/22/22 at 1:31 PM, resident #45, the Resident Council President, voiced a concern about the skeleton crew on the night shift. She explained there were nights when only 2 nurses and 2 Certified Nursing Assistants (CNAs) were assigned to take care of over 80 residents in the building. She explained that number of staff was not able to adequately care for everyone. She recalled residents' complaints regarding being left on the toilet too long. She expressed fear of fire or other emergency situations that would require staff to assist residents to evacuate their rooms or the building. 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-02-24 · tag F0835 — failed to run the facility competently — widespread
  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 interview and record review, the facility failed to utilize its resources effectively to develop and implement a plan that ensured sufficient staffing on the night shift to meet residents' care needs. Findings: On 2/21/22 at 11:19 AM during a review of State staffing calculation forms with the Staffing Coordinator (SC), she stated she was aware the facility did not meet minimum State staffing requirements on a few days. She was informed minimum staffing requirements were not met on a significant number of days, 13 of the 14 nights shifts on the days reviewed. She stated the supervisor or manager on duty should have handled call-offs or openings in the schedule by attempting to call staff or a staffing agency to fill those slots. The SC stated she notified the Administrator whenever staffing was not sufficient. She was unable to confirm whether the supervisor or manager on duty attempted to utilize other licensed or certified staff from other departments on the dates when staffing was insufficient. On 2/22/22 at 11:38 AM, the Director of Nursing (DON) from a sister facility,…

  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

“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

$57,145 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $57,145 — penalty dated 2023-09-14
• Medicare payment denial — starting 2023-11-11 for 5 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL