Senior Care Center - Brunswick

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.

49.5% 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 143 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.0% 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 66 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 200 beds and averages 136.2 residents a day — about 68% occupied, or roughly 64 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 3.04 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 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 2.77 hrs/resident/day on weekends vs 3.15 on weekdays — 12% thinner on weekends. RN hours go from 0.32 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 66% is well above 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 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.

38 citations, most serious first. The 16 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · J2024-05-31 · 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 observations, staff interviews, record review, and a review of the facility policy titled Abuse Prohibition, the facility failed to protect the resident's right to be free from sexual abuse by a resident and physical and verbal abuse by staff. Specifically, R84 was sexually abused by R41, and R14 was physically and verbally abused by a Certified Nursing Assistant (CNA) AA. There were five residents reviewed for abuse. On 5/28/2024, 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. Facility Administrator DDD and Director of Nursing (DON) FFF, were informed of the Immediate Jeopardy (IJ) on 5/28/2024 at 1:45 pm. The noncompliance related to the Immediate Jeopardy was identified to have existed on 3/21/2023. At the time of exit on 5/31/2024, an acceptable Immediate Jeopardy Removal Plan had not been received therefore 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-05-31 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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, Abuse Prohibition, the facility failed to complete a thorough investigation for two of five sampled Residents (R) (R84 and R41) reviewed for abuse. Specifically, there was no evidence the facility interviewed R84 the victim, other staff, or residents regarding the allegations of potential sexual abuse as a part of the facility's investigations. On 5/28/2024, 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. Facility Administrator DDD and Director of Nursing (DON) FFF, were informed of the Immediate Jeopardy (IJ) on 5/28/2024 at 1:45 pm. The noncompliance related to the Immediate Jeopardy was identified to have existed on 3/21/2023. At the time of exit on 5/31/2024, an acceptable Immediate Jeopardy Removal Plan had not been received therefore the Immediate Jeopardy remained ongoing. Findings include: Record review of facility policy titled Abuse…

  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 · Jcited before2024-05-31 · 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 staff interviews, record review, and the facility policy titled Nursing Care Plan, the facility failed to develop a care plan for two residents, R84 for sexual abuse from another resident and R14 for verbal and physical abuse by staff. In addition, the facility failed to ensure a care plan was created for elopement and safety concerns for R115. There were 52 residents sampled. This deficient practice had the potential to have an adverse effect for the residents. On 5/28/2024, 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. Facility Administrator DDD and Director of Nursing (DON) FFF, were informed of the Immediate Jeopardy (IJ) on 5/28/2024 at 1:45 pm. The noncompliance related to the Immediate Jeopardy was identified to have existed on 3/21/2023. At the time of exit on 5/31/2024, an acceptable Immediate Jeopardy Removal Plan had not been…

  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 before2024-05-31 · 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, record reviews, and review of the job summaries for the Administrator and Director of Nursing (DON), the facility Administration failed to effectively oversee an abuse prevention program to promote, foster, and maintain an abuse-free environment. The facility census was 149. On 5/28/2024, 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. Facility Administrator DDD and Director of Nursing (DON) FFF, were informed of the Immediate Jeopardy (IJ) on 5/28/2024 at 1:45 pm. The noncompliance related to the Immediate Jeopardy was identified to have existed on 3/21/2023. At the time of exit on 5/31/2024, an acceptable Immediate Jeopardy Removal Plan had not been received therefore the Immediate Jeopardy remained ongoing. Findings include: Review of job summary for the Administrator revealed, plans, develops, organizes, implements, evaluates, and directs the programs and activities of the Long-Term Care 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
• Actual harm · Gcited before2025-04-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to protect one of three residents (R) (R4) sampled for falls during transfer. Harm was identified to have occurred on 2/19/2025 when R4 fell while being transferred from a chair to the bed by staff, resulting in a mid-shaft radius fracture. Findings include: Review of the Electronic Medical Records (EMR) revealed an admission date of 2/26/2024 with a diagnosis of unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, Muscle weakness (generalized), Atherosclerotic heart disease of native coronary artery without angina pectoris, Alzheimer's disease, unspecified. Record review of the most recent quarterly Minimum Data Set (MDS) for R4 dated 12/20/2024 revealed there was no Brief Interview for Mental Status (BIMS) score listed. Section GG (Functional Abilities and Goals) documented that R1 was dependent on staff for self-care and mobility requires two persons assistance for ADL…

  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 · Past Non-Compliance
• Actual harm · G2024-05-31 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, record review, and review of the facility's policies titled Abuse Prohibition and General Medication Preparation and Administration, the facility failed to ensure that two residents (R) (R136 and R302) of 52 sampled residents were given medication without having a physician's order. Actual harm was identified on 1/23/2024 when LPN I2 administered her personal Melatonin to R136 and R302, which resulted in the residents becoming lethargic. Findings include: Review of the facility's policy titled Abuse Prohibition revised 3/1/2021 revealed residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation as defined in this policy. This includes, but not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat resident's medical condition. Review of the facility's policy titled General Medication Preparation and Administration, review dated January 2021, it is the policy of the facility to assure medication preparation and administration is…

  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 · Past Non-Compliance
• Potential for harm · F2025-07-29 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to ensure that the dumpster area was free of debris and maintained in sanitary conditions. In addition, the facility failed to ensure the dumpsters lids for three of the four dumpsters had a secure fit and closed properly. The deficient practice had the potential to promote the harboring of pests, insects, and other organisms and create the potential for disease transmission by pest and rodents. The census was 126 residents. Findings include:During the initial tour of the outside area on 7/21/2025 at 9:30 am revealed the dumpster area had garbage and litter on the ground. Further observation revealed that the dumpsters lids for three of the four dumpsters were not secured and opened. Observation and interview on 7/23/2025 at 3:25 pm of the facility's dumpster with Dietary Kitchen Manager (DKM) revealed the dumpsters lids for three of the four dumpsters were not secured and opened. One of the four dumpster's lid was damaged, allowing it not to close properly causing the lid to lift, not having a secure fit and preventing…

  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 · E2025-07-29 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 reviews and review of the facility's policy titled, Medication Administration: General Guidelines, the facility failed to follow professional standards of quality care for two of six residents (R) (R89 and R51). Specifically, the facility failed to ensure all medications ordered were administered and documented according to professional standards of clinical practice. Findings include: A review of the facility's policy titled, Medication Administration: General Guidelines, reviewed 7/22/2024 stated that, Medications are administered as prescribed, in accordance with good nursing principles and practices and only by persons legally authorized to do so. At the end of each medication pass, the person administering the medications reviews the paper Medication Administration Record (MAR) or the electronic version of e-MAR to ascertain that all necessary doses were administered and all administered doses were documented. In no case should the individual who administered…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-29 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, residents and staff interviews, record review, and review of the facility's policy titled, Medication Administration: General Guidelines, the facility failed to ensure the medication error rate was less than five percent. There were nine errors with 56 opportunities for three of six residents (R) (R51, R89 and R92) observed for a medication administration with an error rate of 16.07 percent. This deficient practice had the potential to place all residents at risk of avoidable medical complications due to not receiving medications or receiving an incorrect dose of medication other than that prescribed by the physician. Findings include: During a review of the facility's policy titled, Medication Administration: General Guidelines, dated 7/22/2024, revealed under heading Procedure: Medications are administered in accordance with written orders of the attending physician. If a dose seems excessive considering the patient/ resident's age and condition, or a medication order seems to be related to the patient/ resident's current diagnosis or condition, 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 · E2025-07-29 · tag F0761 — failed to label and store drugs safely — pattern
  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, staff interviews and review of the facility's policy titled, Medication Storage in the Healthcare Center, the facility failed to ensure that all drugs and biologicals were discarded prior to the expiration date on one of nine medication carts (Harbor Side) and two of six medication rooms (Central Supply and Ocean Breeze). This deficient practice had the potential to place residents at risk for medical complications and delayed treatment. The facility census was 126 residents.Findings include: Review of the facility's policy titled, Medication Storage in the Healthcare Center, revised 6/20/2025, under the section titled, Procedure revealed, number three, Nurses and medication aides are required to check all medications for deterioration and expiration before administration. And medication aides are also required to inspect medication storage facilities, including medication cards, routinely. Medication storage areas are to be kept clean, well lit, and free of clutter. Nursing staff and medication aides who administer medications are responsible for the cleaning…

  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 · D2025-07-29 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  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 staff and residents' representative interviews, record review, and review of the facility's policy titled, Resident Trust Funds, the facility failed to ensure two out of three residents (R) (R135 and R139) accounts reviewed, that the resident or residents' representative received a final refund within 30 days of expiration or discharge. Findings include:Review of the policy titled Resident Trust Fund revised date [DATE] revealed, when a patient whose funds are held and managed by the facility in the Patient Trust Fund expires or is permanently discharged , the Business Office will ensure that the balance of the account is refunded, and a full accounting is provided, within 30 days of expiration or discharge (or as required by state law) to the: patient or legal representative. 1. Review of the admission record revealed R135 admitted on [DATE] and expired on [DATE].Review of R135's resident statement landscape dated [DATE] revealed the resident had a credit balance of $25.01.Interview on [DATE] at 1:28…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-29 · 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 observations, resident and staff interviews, the facility failed to ensure a safe, clean, comfortable, home-like environment for one out of 29 rooms (room [ROOM NUMBER] B) located on the 200 hall. Specifically, clean bed linens were not provided for the resident in room [ROOM NUMBER] B.Findings include:An interview on 7/21/2025 at 12:48 pm with the resident in room [ROOM NUMBER] B revealed that his sheets had not been changed in a month. He showed the surveyor where he placed his initials on the underside of the sheet to track if his sheets were being changed. Observation of room [ROOM NUMBER] B's bed linens on 7/21/2025 at 12:48 pm, 7/22/2025 at 12:55 pm, and 7/23/2025 at 1:00 pm revealed the resident's initials on the underside of his sheets indicating they had not been changed.Interview on 7/22/2025 at 12:15 pm with Certified Nurse Assistant (CNA) HH working on the 200 Hall, confirmed the sheets on resident's beds did not get changed as often as they should. She revealed the resident's sheets should…

  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 before2025-07-29 · 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 review of the facility's policies Care Plans and Smoke Free Policy, the facility failed to develop and implement care plan interventions for four out of 49 sampled residents (R) (R120, R10, R16, and R26). Specifically, care plans addressing the following were not developed and implemented for R10 and R120 related to elopement, R16 related to smoking, and R26 related to diet orders. This failure had the potential to cause the residents not to receive treatment and/or care according to their needs. Findings include: Review of the facility's policy titled, Care Plan, dated 7/27/2023 under the “Policy Statement” revealed, “It is the policy of the health care center for each patient/resident to have a person-centered baseline care plan followed by a comprehensive care plan developed following completion of the Minimum Data Set (MDS) and Care Area Assessment (CAA) portions of the comprehensive assessment according to the Resident Assessment Instrument (RAI)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-29 · 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 Number of residents sampled: Number of residents cited: Based on observation, resident and staff interviews, record reviews, and reviews of the facility's policy titled, Medication Administration: General Guidelines the facility failed to follow the physician's orders as recommended for one resident (R) (R94) of 49 sampled residents. Findings include: Review of the facility's policy titled, Medication Administration: General Guidelines with a revision date of 4/10/2019 documented in the section Policy Statement: Medications are administered as prescribed, in accordance with food nursing principles and practice an only by persons legally authorized to do so. Personnel authorized to administer medication do so only after they have familiarized themselves with the medication. In section Procedure: (2) Medication is administered in accordance with written orders of the attending physician. If a dose seems excessive considering the patient/resident's age and condition, or a medication order seems to be unrelated 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility's policies titled Occurrences and Smoke Free Policy, the facility failed to ensure the environment was free of accident hazards for one of 15 sampled residents (R) (120) reviewed for elopement and one of two residents (R16) reviewed for smoking. Specifically, the facility failed to complete an elopement assessment for R120 after an occurrence and failed to complete a smoking assessment for R16 with known tobacco use. The deficient practice created a potential risk to the safety and well-being of R120 and R16.Findings include: Review of the facility’s policy titled Occurrences revised date 1/11/2024 The health center recognizes that due to the frailty of the patients/ residents served, there is an increased risk of occurrences that may result in injury to the patient/resident and/or others. To prevent occurrences, each patient/resident will be observed and assessed for risks. Appropriate, realistic interventions will be implemented…

  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 · D2025-07-29 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to ensure mechanical soft - chopped meats were prepared properly for one out of 36 residents resident (R) (R26) reviewed on a mechanical soft diet.Findings include:Review of the medical records revealed R26 had diagnoses that included but not limited to hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, need for assistance with personal care, dysphasia following cerebral infarction. Review of the Minimum Data Set (MDS) Annual assessment dated [DATE] revealed Section C (Cognitive Patterns), a Brief Interview of Mental Status (BIMS) score of nine, indicating moderate cognition impairment and Section K (Swallowing/Nutritional status) revealed, the holding of food in mouth/cheeks or residual food in mouth after meals, and received a mechanical altered diet/therapeutic dietReview of R26's physician order dated 1/10/2025 listed a dietary order for no added salt, mechanical soft.Review of R26 's care plan with a…

  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

“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

$16,801 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $8,400 — penalty dated 2024-05-31
• $8,401 — penalty dated 2024-05-31
• Medicare payment denial — starting 2024-06-05 for 44 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 22 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $5.2M paid to related parties — landlords or management companies under common ownership — equal to about 29% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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 2024. 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, FY2024). 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 GA