Early Memorial Nursing Facility

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.

Met the expected recovery: 29.6% 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 27 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 0.06 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 127 beds and averages 85.3 residents a day — about 67% occupied, or roughly 42 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.23 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.54 hrs/resident/day on weekends vs 4.51 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.70 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% 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.

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

• Immediate jeopardy · J2023-08-22 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 interviews, record reviews and facility policy Notification of Changes, the facility failed to ensure that one resident (R#21), who was receiving oxygen, received adequate supervision and monitoring after a significant change in condition; facility failed to notify the physician and family of a significant change; and failed to ensure staff were following appropriate procedures for one of 21 sampled residents (R#21). On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The hospital Chief Executive Officer (CEO) and the Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on [DATE] at 4:30 p.m. The noncompliance related to the IJ was identified to have existed on [DATE]. The facility Administrator resigned prior to the IJ being called. An Acceptable IJ Removal Plan was received and approved on [DATE]. Based on…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-08-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews and the facility policy titled Abuse, Neglect and Exploitation, the facility neglected Resident (R)#21, by failing to provide adequate monitoring and care once a change in condition was identified. This failure affected one of 22 residents sampled. This failure resulted in R#21 expiring. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The hospital Chief Executive Officer (CEO) and the Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on [DATE] at 4:30 p.m. The noncompliance related to the IJ was identified to have existed on [DATE]. The facility Administrator resigned prior to the IJ being called. An Acceptable IJ Removal Plan was received and approved on [DATE]. Based on observation, record reviews, review of facility policies as outlined in the Removal Plan, and staff interviews, it…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-08-22 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews, and review of the job summaries for the Nursing Home Administrator and Director of Nursing (DON), the facility Administration failed to effectively oversee clinical and nursing functions to prevent neglect of one resident (R#21). The facility census was 90 residents. On [DATE] a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. The hospital Chief Executive Officer (CEO) and the Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on [DATE] at 4:30 p.m. The noncompliance related to the IJ was identified to have existed on [DATE]. The facility Administrator resigned prior to the IJ being called. An Acceptable IJ Removal Plan was received and approved on [DATE]. Based on observation, record reviews, review of facility policies as outlined in the Removal Plan, and staff interviews, it was validated that…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-12-11 · 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 observation, interviews, and review of the facility policy titled Food Storage: Dry Goods and Food Storage: Cold Foods, the facility failed to ensure that food was properly labeled and dated and in sanitary conditions to prevent foodborne illness. This failure had the potential to increase the prevalence and spread of foodborne illness and infection for 79 of 86 residents' receiving meals from the kitchen.Findings include: Review of the Food Policy titled Food Storage: Dry Goods revised 9/2017 and documented under procedures: 6. Storage areas will be neat, arranged for easy identification, and date marked as appropriate. In addition, Food Storage: Cold Foods dated 4/2018 and documented under procedures: 5. All foods will be stored wrapped or in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination.Observation tour with the Dietary Manager on 12/9/2025 at 10:30 am revealed the following concerns:-The cooler was observed with raw bacon and raw sausage that was not labeled or dated.-The pantry was observed with open pasta noodles, open…

  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 · F2025-12-11 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and policy titled Equipment the facility failed to ensure that foodservice equipment will be clean, sanitary, and in proper working order. The practice has the potential to affect 79 residents of 86.Findings include:Food Policy titled Equipment under procedures number 1. All equipment will be routinely cleaned and maintained in accordance with manufacturer's directions and training materials.A tour with dietary manager on 12/9/2025 at 10:30am revealed the following concerns:1.Observation on 12/9/2025 of the oven revealed that the oven doors would not stay closed without putting a piece of cardboard, or another item at the top of the door.Interview during the tour with Dietary Manager of the kitchen on 12/9/2025 confirmed all surveyor 's identified concerns. She stated that the oven has not been working for a while, it was revealed that it has been repaired before, but the same thing happened again with the oven doors not being able to stay closed without putting something at the top of the door to keep them closed. It was revealed that she will put…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-11 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, and review of the facility's policy titled, Physical Environmental: Electric Equipment, the facility failed to ensure that residents' living areas were safe, clean, comfortable, and homelike in six rooms (Rooms 114, 211, 226, 227, 229, and 303) on one of four halls observed. Specifically, residents' rooms displayed dirty air filters in self-contained heating and air system wall units (PTAC). This failure had the potential to affect patient comfort and safety. Findings include: Review of the facility's policy titled, Physical Environment: Electric Equipment, Copy right 2025 and documented under Policy: The facility will maintain all mechanical, electrical, and patient care equipment in safe operating condition. Procedure: 4. Essential equipment shall be repaired or replaced as soon as practicable. 4. (b) HVAC equipment. Observations of resident rooms on 12/2/2025 from 10:08 am through 11:50 am revealed the following concerns:-Rooms 114, 211, 226, 227, 229, 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · 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 observations, staff interviews, record review, and the facility policy titled Comprehensive Care Plans, the facility failed to develop a care plan regarding razor safety for one of 20 residents (R) (R89) reviewed for care plans. This failure had the potential to place R89 and others at risk of injury. Findings include: Review of the facility's undated policy titled Comprehensive Care Plans and documented under the Policy Statement: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident. Documented under the Policy Explanation: 3. (a) The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Review of the Face Sheet for R86 revealed he was initially admitted to the facility on [DATE] and readmitted on [DATE]. A review of the admission Minimal Data Set (MDS) for R86 dated 11/3/2025 revealed that Section C (Cognitive Patters) documented a Brief Interview 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
• Potential for harm · D2025-12-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review and policy titled Accidents and Supervision the facility failed to ensure that the resident's environment will remain as free of accident hazards for one of five residents (R) (R86) reviewed for accidents. This failure had the potential to place R89 and others at risk of injury. Findings include:Review of the policy titled Accidents and Supervision, Copy right 2025 and documented under policy explanation and compliance guidelines: The facility shall establish and utilize a systematic approach to address risk and environmental hazards to minimize the likelihood of accidents.Review of the Face Sheet for R86 revealed he was initially admitted to the facility on [DATE] and readmitted on [DATE].A review of the admission Minimal Data Set (MDS) for R86 dated 11/3/2025 revealed that Section C (Cognitive Patters) documented a Brief Interview for Mental Status (BIMS) score of 00 indicating severe cognitive impairment. Section I (Active Diagnosis) revealed diagnoses but 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff and resident interviews, record review, and review of the facility's policy titled, Abuse, Neglect and Exploitation, the facility failed to ensure residents were free from resident-to-resident abuse for two of 22 sampled Residents (R) (R6 and R7). Specifically, R7 was observed to hit R6 on the buttocks. Findings include:Review of the facility's policy titled, Abuse, Neglect and Exploitation, implemented on 10/25/2024 revealed, Policy: Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation. Residents must not be subject to abuse by anyone including, but limited to facility staff, other residents. 1. Review of R7's undated admission Record located in the resident's electronic medical record (EMR) under the Profile tab revealed R7 was admitted with diagnoses of peripheral vascular disease, mental disorder due to physiological condition, and irritability and anger.Review of R7's annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 8/1/2024 revealed a Brief Interview for Mental Status (BIMS)…

  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 · D2025-07-16 · 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

  Based on staff interviews, record review, and review of the facility's policy titled, Abuse, Neglect, and Exploitation, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime and reporting of all alleged sexual abuse violations to the State Agency (SA) for one of three Residents (R) (R3) reviewed for abuse out of a total sample of 22 residents. The deficient practice had the potential for continued episodes of unreported abuse, which posed potential for physical harm and/or mental anguish for the victimized resident.Findings include:Review of the facility's policy titled, Abuse, Neglect, and Exploitation revised 10/25/2024, revealed Alleged violation is a situation or occurrence that is . reported by staff, resident, relative, visitor, or others but has not yet been investigated and, if verified, could be indication of noncompliance with the Federal requirements related to. abuse. All allegations of abuse must be reported immediately to the designated Abuse Coordinator. Anyone in the facility can report suspected…

  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 · D2025-07-16 · 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

  Based on interviews, record review, and review of the facility's policy titled, Verbal Orders, the facility failed to ensure medications were received from the pharmacy and available for administration for one of six Residents (R) (R1) reviewed for medications out of a total sample of 22 residents. The deficient practice resulted in a resident not receiving prescribed anti-psychotic medication for 32 days.Findings include:Review of the facility's undated policy titled, Verbal Orders, indicated Follow through with orders by making appropriate contact or notification (e.g., lab or pharmacy). Review of R1's Profile Screen located under the Profile tab of the electronic medical record (EMR) revealed the resident was admitted with diagnoses of bipolar disorder, psychotic disorder with delusions, anxiety disorder, and major depressive disorder. Review of R1's quarterly Minimum Data Set (MDS) with an Assessment Reference Date(ARD) of 5/14/2025 located under the MDS tab of the EMR, revealed the resident had a Brief Interview of Mental Status (BIMS) score of 12 out of 15, which indicated 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 before2025-07-16 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and review of the facility's policy titled, Medication Storage Policy, the facility failed to ensure medications were stored securely for one of five medication carts (Wing 2-North). This had the potential for residents, visitors, or unlicensed staff to have access to the medications.Findings include:Review of the facility's policy titled, Medication Storage Policy, dated 6/20/2018 revealed, It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation, and security.During an observation on 7/15/2025 at 9:02 am of the medication cart located in the hallway near room [ROOM NUMBER], an intravenous (IV) bag of vancomycin (an antibiotic) and a bottle of vitamin D3 were found sitting on top of the medication cart. A housekeeper was in the area near 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 Centers for Medicare and Medicaid Services (CMS) reference instructions, the facility failed to ensure notifications of discontinuation of Medicare part A benefits was issued in a timely manner for two of four residents (R) (R2 and R1) reviewed for beneficiary notification out of a total sample of 26 residents. This failure had the potential to result in a lack of understanding of appeal rights and/or the termination of the current level of care against the resident's/representative's wishes. Findings include: Review of the Centers for Medicare and Medicaid Services (CMS), Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) CMS-10123 accessed at https://www.cms.gov/medicare/medicare-general-information/bni/downloads/instructions-for-notice-of-medicare-non-coverage-nomnc.pdf on 06/04/24 revealed, The NOMNC must be delivered at least two calendar days before Medicare covered services end or the second to last day of service if care is not being…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$177,463 in federal fines across 1 penalty.

• $177,463 — penalty dated 2023-08-22

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

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