Seminole Manor Nursing Home
100 Florence Street, Donalsonville, GA 39845 · Non profit - Corporation · 75 certified beds · (229) 524-2733 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (22% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 1 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 16.0% | 15.3% | 15.4% | typical |
| Long-stay residents who lose too much weight | 3.1% | 5.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.7% | 0.9% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 2.6% | 2.5% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 11.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.8% | 0.1% | 0.1% | worse |
| Long-stay residents with falls causing major injury | 5.6% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 8.4% | 15.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 16.1% | 20.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.2% | 5.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 8.2% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 13.4% | 19.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 4.8% | 2.6% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 62.1% | 78.4% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 27.0% | 25.0% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 13.7% | 11.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 3.01 | 2.15 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.96 | 1.90 | 1.80 | typical |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Met the expected recovery: 39.3% 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 28 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 24% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.5%CMS range 6.2–17.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 39.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 35.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 39.3% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 90.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 3.1% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.68 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 75 beds and averages 66.5 residents a day — about 89% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.24 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.00 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 3.06 hrs/resident/day on weekends vs 3.31 on weekdays — 8% thinner on weekends. RN hours go from 0.54 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 22% 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 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.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · D2026-05-03 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
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, record review, and review of the facility's policy titled Resident Self Administration of Medication, the facility failed to ensure one of 30 sampled residents(R) (R8) did not have unauthorized and unsecured medications and medicated treatment products at the bedside. This deficient practice had the potential to cause adverse effects for R8 and allow unsecured medications and medicated treatment products to be accessible to other residents.Findings include:Review of the facility's policy titled Resident Self-Administration of Medication with review date of August 2025 revealed under the section titled Policy stated, It is the policy of this facility to support each resident's right to self-administer medication. A resident may only self-administer medications after the facility's interdisciplinary team has determined which medications may be self-administered safely. Under the Policy Explanation . and Compliance Guidelines section included 2. Upon…
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.
- Potential for harm · D2026-05-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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
Based on observations, staff interviews and review of the policy titled, Safe Homelike Environment, the facility failed to ensure that dust and grime buildup was addressed in three of 13 rooms (N115, N118, and N122) in the facility with portable units. The facility also failed to repair one room (N122) with a hole in the wall and failed to fix or replace one fixture on the wall border interior in the same room.Findings include:A review of a policy titled Safe and Homelike Environment with review date of January 2025 documented: Policy: In accordance with residents' rights, the facility will provide a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility, both inside and outside, maximizes resident independence and does not pose a safety risk. Definitions: Environment refers to any environment in the facility that is frequented by residents, including (but not limited to) 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.
- Potential for harm · Dcited before2026-05-03 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 reviews, and review of the facility's policy titled, Comprehensive Care Plans, the facility failed to develop a comprehensive care plan for three of 30 sampled residents (R) (R19, R10, and R11). The facility failed to address wound care for R19 and failed to address oxygen therapy use for R10 and R11 related to oxygen administration. This failure had the potential to affect residents by resulting in inconsistent care, unmet needs, and an increased risk of adverse outcomes.Findings include: Review of the facility's policy titled Comprehensive Care Plan (revised October 2025) documented: Policy: It is the policy of this center to develop and implement a comprehensive, person centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs as identified in the resident's comprehensive assessment. 1.Review of R10's Electronic Health Record…
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.
- Potential for harm · Dcited before2026-05-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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, Policies and Procedures, the facility failed to assure two of 15 residents (R) (R10 and R11) receiving oxygen therapy was administered oxygen in accordance with the physician's order. Specifically, the facility failed to ensure that residents received oxygen at the rate prescribed by the physician and failed to ensure oxygen signage was posted during the administration of oxygen therapy to prevent accident hazards. This deficient practice had the potential to result in residents not receiving adequate oxygenation as ordered and increased the risk of fire hazards due to the absence of appropriate safety signage. Findings include:Review of the facility policy titled Policies and Procedures (dated June 2018) documented that oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person centered care plan, and the resident's goals and preferences.1.Review of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-05-03 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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, staff interviews, and review of the facility policy titled, Medication Storage, the facility failed to ensure one of three medication carts was locked and secured.This deficient practice increased the risk of misuse, diversion, and potential harm to residents. Findings include:Review of the facility policy titled Medication Storage with a date of 01/05/2018 documented Policy: 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 the manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, lights, ventilation, moisture control, segregation, and security .Policy Explanation and Compliance Guidelines (1) General Guidelines (a) all drugs and biologicals will be stored in locked compartments (i.e, medication carts, cabinets, drawers, refrigerators, medication rooms) under proper temperature control.During an observation and interview on 05/01/2026 at 10:06 AM, 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.
- Potential for harm · D2026-05-03 · tag F0805 — failed to prepare food in a form residents can eat — isolatedEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility policy titled, Pureed Diets, the facility failed to ensure pureed, therapeutic diets were properly prepared for two out of nine sampled residents (R) (R20 and R60) receiving a therapeutic pureed diet. This deficient practice had the potential to cause medical complications and place the residents at risk for unmet nutritional needs.Findings includedReview of the facility policy titled Pureed Diets (last revised/reviewed 08/19/2022) documented: It is the policy of [Facility] for the Dietary Department to provide puree consistency diets to all who need them per Dr. (doctor) orders. PROCEDURE: All puree foods will be prepared following recipe. Portioned correctly per menu. These foods are pre cooked and then blended until correct consistency. Sometimes a thickening agent will be added per recipe. Patients/Residents with the following may benefit from a puree diet. Puree diets can only be served to a person with a Dr. order 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.
- Potential for harm · F2025-04-25 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, record review, and review of the facility's policy titled Food: Preparation, the facility failed to ensure sanitary practices were followed during food preparation. This deficient practice had the potential to place the 62 residents who received food from the kitchen at risk of foodborne illness. Findings included: Review of the facility's policy titled Food: Preparation, dated 9/2017, revealed the Procedures section included, .2. Dining Services staff will be responsible for food preparation procedures that avoid contamination by potentially harmful physical, biological, and chemical contamination. Observation on 4/22/2055 at 11:50 am revealed the Dietary Manager (DM) measuring food temperatures of 11 food items on the steam table. The DM used a paper napkin to wipe the residue from the probe thermometer between each food item tested without sanitizing the probe. He then used the probe thermometer to measure the temperature of a bowl of fruit and a bowl of applesauce. When asked about sanitizing the temperature probe, the DM placed the probe…
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.
- Potential for harm · F2025-04-25 · tag F0842 — failed to keep accurate, complete medical records — widespreadSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and review of the facility's policy titled Storage of Records, the facility failed to ensure confidential medical, financial, and legal records were stored in a manner to prevent unauthorized access to the records. This deficient practice had the potential to compromise the confidentiality of resident records. Findings include: Review of the facility's policy titled Storage of Records, reviewed 11/2024, revealed the Purpose section included, .Resident-purged paper records are placed in filing cabinets located in the locked [NAME] Hall storage room. Observation on 4/24/2025 at 4:25 pm, in the copy room across from the Nurse's Station, revealed a bin for storage of medical records to be destroyed that was unlocked, and the door to the copy room was unlocked. Observation on 4/24/2025 at 4:24 pm revealed a shred bin behind the Nurse's Station that was unlocked with the door slightly ajar. The Nurse's Station had an open floor plan with no doors or gates to restrict access 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.
- Potential for harm · E2025-04-25 · tag F0550 — failed to protect resident dignity and rights — patternHonor 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 observation, staff interviews, record review, and review of the facility policie titled Dignity and Routine Resident Checks, the facility failed to provide care in a manner to promote dignity and respect for five of seven residents (R) (R3, R9, R57, R60, and R54) who were noted to have food spills on their clothing or dirty, jagged fingernails. This failure had the potential to diminish R3, R9, R57, R60, and R54's quality of life in an environment that promotes the maintenance or enhancement of each resident's quality of life. Findings include: A review of the facility policy titled Dignity, last reviewed and revised on 6/19/2024, revealed the following: Policy Statement: Each resident shall be cared for in a manner that promotes and enhances hir or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem. A review of the facility policy titled Routine Resident Checks, last reviewed and revised on 4/2025, revealed the following: Staff shall make routine…
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.
- Potential for harm · E2025-04-25 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, record review, and review of the facility's policies titled Pharmacy Services For Medications and Multi-Dose Vials, the facility failed to ensure routine medications were available for two of four residents (R) (R8 and R62) observed during medication administration. The deficient practice had the potential to place R8 and R62 at risk for medical complications, unmet needs, and a diminished quality of life. Findings include: Review of the facility policy titled Pharmacy Services For Medications, review date 4/2025, revealed the Policy Statement included, The facility shall accurately and safely provide or obtain pharmaceutical services, including the provision of routine and emergency medications and biologicals, and the services of a licensed consultant pharmacist. The Policy Interpretation and Implementation section included . 3. Pharmacy services are available to residents 24 hours a day, seven days a week. 4. Residents have a sufficient supply of their prescribed medications and receive medications (routine, emergency, or as needed) in 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.
Show the remaining 11 citations
- Potential for harm · Ecited before2025-04-25 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 And Labeling, the facility failed to ensure one of three medication carts was locked and secured when unattended and out of the sight of authorized personnel, failed to ensure expired medications and medical supplies were discarded from the storage room and treatment cart, and failed to ensure a multi-dose vial of insulin was dated when opened. These deficient practices created the potential for residents, unauthorized staff, and visitors to have access to medications and biologicals stored on the medication cart and placed residents at risk of receiving medications with altered effectiveness. The facility's census was 64 residents. Findings include: A review of the facility policy titled Medication Storage And Labeling, review date 4/22/2025, revealed the Policy included, The facility stores all medications and biologicals in locked compartments under proper temperature, humidity, and light controls. Only authorized personnel have access to keys. The Policy Interpretation 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.
- Potential for harm · E2025-04-25 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, resident interviews, and staff interviews, the facility failed to serve food to residents that was palatable, attractive, and appetizing. This deficient practice had the potential to adversely affect 62 residents who received meals from the kitchen. Findings include: In a Resident Council meeting on 4/23/2025 at 9:30 am, residents expressed dietary concerns, including that meals were often cold and the food was bland and without flavor. On 4/25/2025 at 5:30 pm, the Administrator ordered a test tray to be brought to the Activity Room. The test tray was carried by a staff member from the Kitchen to the Activity Room and was delivered at 5:32 pm. The dinner plate was covered with a dome lid, and an insulated bowl, and all beverage cups were covered with disposable plastic lids. Two surveyors participated with the Administrator in sampling the test tray. The tray contained the following food items: - One prepackaged bag of barbeque potato chips (one and one-half ounces) - One bowl of broccoli and cheese soup - One chicken salad sandwich on white bread and one…
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.
- Potential for harm · D2025-04-25 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, record review, and review of the facility policy titled Call System, Resident, the facility failed to ensure one of 41 sampled residents (R) (R9) call devices was within reach. Findings include: Review of the facility policy titled Call System, Resident, last reviewed and revised on 4/22/25, revealed the following: Policy Heading: Residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized workstation. Policy Interpretation and Implementation: 1. Each resident is provided with a means to call staff directly for assistance from his/her bed by push button cord, from toileting/bathing facilities and from the floor . 3. The resident call system remains functional at all times . Cords are to be placed easily in reach of resident. 4. If a resident has a disability that prevents him/her from making use of the call system, an alternative means of communication that is usable for the resident 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.
- Potential for harm · D2025-04-25 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interview, the facility failed to ensure four of 42 sampled residents (R) diagnoses were kept private and confidential. This failure had the potential to affect all residents with a diagnosis of diabetes living in the facility. Observation on 4/22/2025 at 9:30 am revealed that an undated handwritten list titled Diabetics was seen posted on the wall in the activity room. There was a window between the lobby and the activity room that allowed clear visibility of the list to anyone visiting the facility. The activity room was used daily by residents and staff. During an interview with the Activities Director on 4/24/2025 at 2:35 pm, she stated that the list was used to ensure residents with diabetes received snacks appropriate for them and acknowledged that she was unaware that posting that sign was a privacy and confidentiality issue.
- Potential for harm · Dcited before2025-04-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 interviews, record review, and review of the facility policies titled Nebulizer Equipment and Oxygen Equipment, the facility failed to maintain respiratory equipment in a sanitary manner for four residents (R) (R9, R14, R28, and R37) of 41 sampled residents. Findings include: Review of the facility policy titled Nebulizer Equipment, with a review date of 11/2024, revealed the Purpose section stated, It is the policy of this facility for nebulizer treatments, once ordered, to be administered by nursing staff as directed using the proper technique and standard precautions. The Procedure section included Care of the Equipment 1. Clean after each use. 2. Wash hands before handling equipment. 3. Disassemble parts after every treatment. 4. Rinse the nebulizer cup and mouthpiece with water. 5. Shake off excess water. 6. Air-dry on an absorbent towel. 7. Once dry, store the nebulizer cup and mouthpiece in provided storage container. 8. Routinely change nebulizer tubing every 14 days, and as…
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.
- Potential for harm · D2025-04-25 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews, record review, and review of the facility policy titled Psychotropic Medications, the facility failed to ensure that as-needed (PRN) orders for psychotropic medications were limited to 14 days for one of six residents (R) (R29) reviewed for the use of unnecessary medications. Findings include: Review of the facility's policy titled Psychotropic Medications, reviewed 6/2024, directed that PRN orders for psychotropic medications should be limited to no more than 14 days. Review of R29's clinical record revealed diagnoses that included schizophrenia, anxiety disorder, and delusional disorders. Review of R29's Physician's Order revealed an order dated 3/20/2025 for lorazepam 0.5 milligrams (mg) twice daily as needed (PRN) for anxiety disorder, and the end date was listed as open-ended. Review of R29's Medication Administration Records (MARs) revealed the lorazepam was administered on 4/24/2025, 4/23/2025, 4/21/2025, 4/14/2025, 4/13/2025, 4/11/2025, 4/7/2025, 4/3/2025, 4/2/2025, 4/1/2025, 3/28/2025, 3/27/2025, 3/25/2025, 3/22/2025, and 3/20/2025. In an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-25 · tag F0759 — failed to keep medication error rate low — isolatedEnsure 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 observation, staff interviews, record review, and review of the facility's policy titled Pharmacy Services For Medications, the facility failed to ensure the medication error rate was less than 5 percent. A total of 30 opportunities were observed with two errors for two residents (R8 and R62), resulting in an error rate of 6.67 percent. This failure had the potential to place R8 and R62 at risk of medication not being given in accordance with the physician's orders and had the potential to adversely affect the residents' clinical conditions. Findings include: A review of the facility policy titled Pharmacy Services For Medications, reviewed 4/2025, revealed the Policy Statement included, The facility shall accurately and safely provide or obtain pharmaceutical services, including the provision of routine and emergency medications and biologicals, and the services of a licensed consultant pharmacist. The Policy Interpretation and Implementation section included, . 3. Pharmacy services are available to residents 24 hours a day, seven [7] days a week. 4. Residents have 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.
- Potential for harm · F2023-03-02 · tag F0882 — widespreadDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and review of policy titled Infection Preventionist, the facility failed to employ a qualified Infection Preventionist who had completed the required specialized training in infection prevention and control. This deficient practice had the potential for creating an ineffective infection prevention program that may contribute to the spread of COVID-19 for all residents in the facility. The census was 55 residents. Findings include: Review of the facility policies titled, Infection Preventionist (revised September 2022) revealed: Specialized Training - 1. The infection preventionist has obtained specialized IPC training beyond initial professional training . 2. Evidence of training is provided through a certificate(s) of completion or equivalent documentation. During an interview on 2/28/23 at 9:37 a.m. with the Director of Nursing (DON) revealed the facility recently hired Infection Preventionist (IP) CC after the previous IP FF resigned. The DON also revealed that she is fully aware the newly hired IP CC was not currently certified but reported that IP CC was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-03-02 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on observations, record reviews, staff observations, and review of policy titled, Care Plans, Comprehensive Person-Centered, the facility failed to follow the care plans related providing oxygen as ordered for one resident (R) (R#29) and failed to follow care plan related to cleaning or storage of nebulizer mask after each use for one resident (R#30) for 30 sampled residents. Findings Include: Review of the facility policy titled Care Plans, Comprehensive Person-Centered revised date March 2022 revealed the following: Policy Statement: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. 1. Review of the medical record for R#29 revealed a diagnosis not all inclusive of acute upper respiratory infection, Edema, Anemia, and Dementia. Further review of the medical record revealed a Physician Order for oxygen (O2) at 2 LPM (liters per minute) via nasal cannula every shift, day, evening, night. with a start date of 7/2/2022.…
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.
- Potential for harm · Dcited before2023-03-02 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, staff interviews, and review of the facility policy titled, Administering Medications, the facility failed to ensure a Physician's Order for oxygen therapy was followed for one of 12 residents (R) (#29) with orders for oxygen therapy. Findings include: Review of the policy titled Administering Medications (revised April 2019) revealed: Policy heading: Medications are administered in a safe and timely manner, and as prescribed. Review of the medical record for R#29 revealed a diagnosis not all inclusive of acute upper respiratory infection, Edema, Anemia, and Dementia. Further review of the medical record revealed a Physician Order for oxygen (O2) at 2 LPM (liters per minute) via nasal cannula every shift, day, evening, night. with a start date of 7/2/2022. Observations on 2/28/2023 at 11:23 a.m. and 3/1/2023 at 8:41 a.m. revealed R#29 receiving oxygen therapy via nasal cannula at 1.5 LPM. During an interview and observation on 3/1/2023 at 1:20 p.m. with the Director of Nursing (DON) confirmed O2 setting was infusing at 1.5 LPM via nasal cannula.…
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.
- Potential for harm · D2023-03-02 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews, record review and review of the facility policy titled, Cleaning and Disinfection of Resident-Care Items and Equipment, the facility failed to prevent the spread of infections by not cleaning and properly storing a nebulizer mask for one resident (R) (#30), of seven sampled residents receiving nebulizer treatments. Findings Include: Review of the facility policy titled Cleaning and Disinfection of Resident-Care Items and Equipment (revised date September 2022) revealed the following: Policy Statement - Resident-Care equipment, including reusable items and durable medical equipment will be cleaned and disinfected according to current CDC recommendations for disinfection and the OSHA Bloodborne Pathogens Standard. Review of the medical record for R#30 revealed diagnosis that included acute upper and lower respiratory infection, chronic sinusitis, and nasal congestion. Further review of the medical record revealed a Physician Order for Ipratropium-Albuterol solution for nebulization; 0.5 mg-3 mg (2.5 mg base)/3 mL; amt: 1; inhalation with special…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| BLANKS, MITCHELL | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| BROOKINS, HERMAN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER | since 01/01/2023 |
| BURKE, WILLIAM | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| ORRICK, CHARLES | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| SHAMBLIN, TERRY | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| WHITTAKER, VIRGINIA | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2023 |
| HUNTER, MARIAN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| LIVINGSTON, KAREN | Individual | CORPORATE OFFICER | since 12/01/2025 |
| MOODY, WILLIAM | Individual | CORPORATE OFFICER | since 01/01/2023 |
CMS files one row per role, so the 12 rows in the source record cover these 9 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.
What families pay in GA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115712. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.