Appling Nursing And Rehabilitation Pavilion

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.

58.0% 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 47 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 37 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.

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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

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

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 · Jcited before2025-03-13 · 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 interviews, record review and review of the facility policy, the facility staff failed to implement care plan interventions for two residents ((R) #33 and R#34) of 30 residents reviewed. Specifically, the care plan was not followed for R#34 resulting in elopement from the facility on two occasions. Additionally, on 12/30/24 R#33 sustained fractures of the distal left femur with mild comminution when staff transferred her without using appropriate number of staff and equipment. On March 11, 2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment or death to residents. The facility's Administrator and Director of Nursing were informed of the Immediate Jeopardy on March 11, 2025, at 9:55 am. The noncompliance related to the Immediate Jeopardy was identified to have existed on February 2, 2025. At the time of exit on March 13, 2025, the Immediate Jeopardy…

  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
• Immediate jeopardy · Jcited before2025-03-13 · 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 2. Review of the facility policy titled, Safe Transfers - Hoyer Lift, last revised on 8/29/22, revealed All residents require handling when transferred to prevent or minimize the risk for injury to themselves and the employees that assist them. While manual lifting techniques may be utilized dependent upon the resident's condition and mobility, the use of mechanical lifts are a safer alternative and should be used. Review of R#33's face sheet revealed the resident was admitted to the facility on [DATE] with diagnoses including but not limited to, Alzheimer's Disease (admitting diagnosis), encounter for other orthopedic aftercare, fracture of lower end of left femur (12/31/24). Review of R#33's significant change in status the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/11/24 revealed the resident had a Brief Interview for Mental Status (BIMS) score of 99, which indicated the resident was severely cognitively impaired and rarely/never understood. Further review of the MDS revealed 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 plan of correction
• Immediate jeopardy · J2025-03-13 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility's Administration failed to ensure it administered in a manner that enabled it to use its resources effectively and efficiently to prevent residents from elopement. This resulted in a lack of supervision and processes, which placed residents at risk for multiple elopements and at risk for serious adverse outcomes. This failure resulted in resident (R)#34 eloping from the facility twice. The census was 81. On March 11, 2025, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment or death to residents. The facility's Administrator and Director of Nursing were informed of the Immediate Jeopardy on March 11, 2025, at 9:55 am. The noncompliance related to the Immediate Jeopardy was identified to have existed on February 2, 2025. At the time of exit on March 13, 2025, the Immediate Jeopardy remained ongoing. Findings include: Review of a nursing progress note, dated 5/20/24 at 2:34 a.m.,…

  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
• Actual harm · Gcited before2025-05-23 · 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 observation, interviews, and record review, the facility failed to provide adequate supervision when offering hot beverages for one resident (R) (1) of three sampled residents. Actual harm was identified on 4/11/2025 when R1 sustained 2nd degree burns when hot tea spilled on him when the beverage temperature was not checked prior to serving. Findings include: A policy was requested but the facility did not have one according to the Administrator. R1 was admitted to the facility on [DATE] with diagnoses including but not limited to cerebral infarction and later on 4/16/2025, unspecified dementia, unspecified severity. Review of the Quarterly Minimum Data Set (MDS) Assessment for R1 dated 4/22/2025 revealed a Brief Interview for Mental Status (BIMS) score of 13 indicating intact cognition. Section GG - Functional Status documented the resident requires set up or clean up assistance with eating or drinking. The facility reported an incident to the State Agency on 4/11/2025 indicating a Certified Nurse…

  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 · D2026-05-21 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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, staff interviews, record review, and review of the facility policy titled, Medication Administration, the facility failed to ensure accurate administration of medications for two of 25 medication opportunities observed resulting in a medication error rate of eight percent (8%.) This deficient practice resulted in residents receiving incorrect medication dosages, which has the potential to cause adverse drug reactions, ineffective treatment, and adverse clinical outcomes.Findings include:Review of facility policy titled, Medication Administration documented: Purpose: The purpose of this policy is to assure proper transcription and administration of medication.Plan: It shall be the policy of [NAME] HealthCare System to provide guidelines for proper administration of medication.Scope: This policy includes all clinical departments system wide.Procedure: D. Medication Administration: Medications are administered only after checking the following: allergies, hold or NPO {nothing by mouth}…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · 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 observations, interviews, record review, and review of facility policies titled, Medication Storage and Medication Expiration (Pavilion), the facility failed to ensure all medications and biologicals were stored and labeled properly. Specifically, expired medications were found in one of two medication storage rooms. This deficient practice has the potential to affect resident health and safety because expired medications may undergo chemical changes, lose potency, or become ineffective.Findings include:Review of facility policy titled, Medication Storage, documented Purpose: To ensure medications and biologics at (Facility) are stored safely, securely, and orderly; maintained at appropriate temperatures; protected from contamination; and accessible only to authorized personnel to promote resident safety and regulatory compliance Procedure 14 of the policy stated outdated, contaminated or deteriorated medication or those in containers which are cracked, soiled, or without secure closures must be removed from stock and destroyed according to procedures for drug…

  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 · Fcited before2025-03-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility policy titled, Infection Prevention and Control Program, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections, which affected all 81 residents in the facility. Findings include: Record review of the facility's policy titled, Infection Prevention and Control Program, last revised 4/30/2020, directed that the Infection Preventionist would consult on infectious diseases, resident room placement, implementation of isolation precautions, and other related tasks. The policy further indicated that a system of surveillance was created for preventing, identifying, reporting, and investigating communicable diseases for all residents, staff, volunteers, visitors, and other individuals. In an interview on 3/4/25 at 9:37 a.m., during the entrance conference,…

  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 · D2025-03-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and review of the facility policy, titled Abuse, Neglect, and Exploitation Prevention and Reporting, the facility staff failed to timely report an allegation of staff to resident abuse for one of two residents reviewed (Resident (R) #50). Findings include: Review of the facility titled Abuse, Neglect and Exploitation Prevention and Reporting, last reviewed 1/9/2020, revealed VII. Reporting/Response A. The facility will have written procedures that include: 1. Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes: a. Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury or b. Not later than 24 hours if the events the allegation do not involve abuse and do not result in serious bodily . During an interview on 3/5/25 at 9:39 a.m.,…

  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 before2025-03-13 · 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 follow physician's orders to ensure that residents receive treatment and care in accordance with professional standards of practice for one resident (R) #290 of one resident reviewed for quality of care. Findings include: A review of the facility's policy titled, Physician Orders, with a reviewed date of 2/20/23, stated the facility policy was established to ensure physician orders were implemented. R#290 was a [AGE] year-old resident who was admitted to the facility on [DATE], with diagnoses including diabetes, history of heart attack, and high blood pressure. The resident had a Brief Interview for Mental Status (BIMS) score of 13 on the quarterly Minimum Data Set (MDS) with an Assessment Review Date (ARD) of 10/16/24, which indicated the resident was cognitively intact. Record review of the physician orders revealed that the resident had an order for administration of sliding scale insulin of Humalog that specified if the blood sugar (BS) was over…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-27 · tag F0568 — widespread
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  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, resident and staff interview, and review of the facility policy titled, Management and Protection of the Resident Personal Fund Account, the facility failed to provide a quarterly financial statement to the resident and/or responsible party (RP) for 66 of 66 residents with trust fund accounts managed by the facility. Findings include: Review of the facility policy titled, Management and Protection of the Resident Personal Fund Account with revision date of June 2, 2021, revealed under Policy Procedure 5. The individual financial record must be available made available through quarterly statements and on request or his/her legal representative. Interview on 6/26/2024 at 7:45 am, with resident (R) R2, he stated that he had never received a quarterly statement for his trust fund account that the facility manages. He stated that if he asks for his balance staff will verbally tell him how much he has in his account, and he can get money whenever he asks. Review of R2 Quarterly Minimum Data Set…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-06-27 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and review of the facility policy titled, Infection Prevention and Control Program, the facility failed to maintain sanitary and clean conditions related to cross contamination on three of three hallways (A Hall, B Hall, and C Hall). Specifically, the facility failed to ensure the Treatment Cart was cleaned and sanitized after being utilized in residents rooms during wound care treatment, failed to ensure residents foley catheter drainage bags were positioned below the bladder and not resting on the residents bed and linens, and the facility failed to ensure residents positioning equipment was not stored on the floor before use. Findings include: Review of the facility policy titled, Infection Prevention and Control Program, with a revision date of 4/30/2020, under Policy statement: it shall be the policy of Applying Nursing and Rehabilitation Pavilion and entity of Applying Healthcare System to establish and maintain an infection prevention and control program designed to…

  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 before2024-06-27 · 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, staff interview, record review, and review of the facility policy titled, IDT/Care Plan Activities, the facility failed to develop and implement a care plan for pressure ulcers for one of four residents (R) (R5). The deficient practice had the potential to prevent R5 from receiving care and services to maintain the highest quality of life possible. Findings include: Review of the facility policy titled, IDT/Care Plan Activities, with revision date of 5/1/2019, under Purpose: To evaluate, implement and maintain a thorough plan of care for each resident ensuring that he/she maintains the highest quality of life possible. Under Responsibilities: number 3. Nursing Services d. Update care plans as changes occur and communicate updates with MDS Coordinator and appropriate staff, f. Follows care plans specific to each resident. Review of R5's diagnoses included but not limited to pressure ulcer of left hip, stage 4, pressure ulcer of left heel, stage 2, pressure ulcer of right buttock, stage 4,…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-10-09 · tag F0550 — failed to protect resident dignity and rights — pattern
  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 observations, record review, staff interviews and review of the policy titled Appropriate Use of Indwelling Catheters, the facility failed to promote, maintain, and protect resident's dignity for three of six residents (R) (R#17, R#72, and R#46) with an indwelling urinary catheter. Findings include: Review of the policy titled Appropriate Use of Indwelling Catheters reviewed 6/15/19 revealed number 9. Indwelling catheters with bed side drainage (BSD) will be maintained as a closed system to maintain sterility. Efforts will be made to discretely conceal the bed side drainage (BSD) bag or leg bag to maintain resident's dignity. 1. Review of the clinical record revealed R#17 was admitted to the facility on [DATE] with diagnoses including but not limited to diabetes, benign prostatic hyperplasia (BPH), hydronephrosis, and urinary retention. Review of R#17's quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 10 indicating moderate cognitive deficit;…

  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 before2022-10-09 · tag F0656 — failed to write and follow a full care plan — pattern
  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 observations, record review, staff interviews, and review of the policy titled, IDT/Care Plan Activities, the facility failed to implement the care plans for four residents (R) (R#17, R#72, and R#46) related to privacy bags with an indwelling urinary catheter; and R#26 for use of Geri-sleeves to prevent skin tears. Findings include: Review of the facility policy titled, IDT/Care Plan Activities revised 5/1/19, revealed the purpose is to evaluate, implement, and maintain a thorough plan of care for each resident ensuring that he/she maintains the highest quality of life possible. 1. Review of the clinical record revealed R#17 was admitted to the facility on [DATE] with diagnoses including but not limited to diabetes, benign prostatic hyperplasia (BPH), hydronephrosis, and urinary retention. Review of R#17's quarterly Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 10 indicating moderate cognitive deficit; Section G-Function Status: total dependent for…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$18,966 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $5,272 — penalty dated 2025-03-13
• $5,272 — penalty dated 2025-03-13
• $8,422 — penalty dated 2025-03-13
• Medicare payment denial — starting 2025-03-30 for 58 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 9 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.

What families pay in GA