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Fairburn Heights Of Journey LLC

178 West Campbellton Street, Fairburn, GA 30213 · For profit - Limited Liability company · 120 certified beds · (770) 964-1320 Medicare & Medicaid certified

Call the home — (770) 964-1320 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Dec 20221 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing 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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
277 NE Broad St · (770) 892-7802 · Call to confirm hours
Pharmacy
5 SW Broad St
Grocery
52 NW Broad St · (770) 964-8466 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
114 W Campbellton St · (770) 964-5926

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 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 held steady at 1 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased25.6%15.3%15.4%worse
Long-stay residents who lose too much weight1.8%5.6%5.4%better
Long-stay residents with a catheter left in their bladder0.2%0.9%0.9%better
Long-stay residents with a urinary tract infection0.0%2.5%2.0%better
Long-stay residents with depressive symptoms72.6%11.3%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.5%3.2%3.3%better
Long-stay residents whose ability to walk worsened30.5%15.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication7.6%20.5%18.9%better
Long-stay residents given the seasonal flu vaccine50.5%95.0%95.3%worse
Long-stay residents with pressure ulcers3.5%5.6%4.7%better
Long-stay residents with worsening bladder/bowel control23.3%15.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table9.0%19.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%2.6%1.4%better
Short-stay residents given the seasonal flu vaccine8.1%78.4%79.4%worse
Short-stay residents rehospitalized after admission23.1%25.0%22.6%typical
Short-stay residents with an outpatient ER visit7.8%11.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.632.151.67typical
Long-stay outpatient ER visits per 1,000 resident days0.841.901.80better

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. 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.

34.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

34.9%U.S. median 51.5%
Got home and stayed home
11.7%U.S. median 10.7%
Went back to hospital
58.3%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 58.3% 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 24 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 0.31 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF34.9%CMS range 21.1–49.451.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.7%CMS range 7.5–16.910.7%Oct 2022–Sep 2024no 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 discharge58.3%56.6%Oct 2024–Sep 2025CMS 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 discharge58.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge50.0%50.0%Oct 2024–Sep 2025CMS 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 identified98.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 dischargenot 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.1%CMS range 4.7–12.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.481.02Oct 2022–Sep 2024CMS 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

0.22
RN hours/ resident / day
0.95
LPN hours/ resident / day
1.78
Aide hours/ resident / day
2.94
Total nurse hours/ resident / day
0.15
RN hoursweekends
48.7%
Total nursing turnover
71.4%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 110.4 residents a day — about 92% occupied, or roughly 10 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 2.94 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.78 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 2.64 hrs/resident/day on weekends vs 3.07 on weekdays — 14% thinner on weekends. RN hours go from 0.25 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as 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

9
deficiencies at the latest standard inspection (2026-02-12)
13
at the previous standard inspection (2024-08-05)

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.

ABCDEFGHIJKL

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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · G2022-12-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interviews, and facility policy review, it was determined that the facility failed to provide care and treatment to promote healing of pressure ulcers and prevent new ulcers from developing for one of three sampled residents (R) (R#101) reviewed for pressure ulcers. Specifically, the facility failed to complete weekly skin assessments to allow for identification and treatment of new areas of skin breakdown; failed to complete weekly measurements and assessments of existing pressure ulcers to track healing progress or determine if deterioration had occurred; and failed to complete pressure ulcer treatments per the physician's orders to promote the healing and prevent potential infection for R#101. The failures resulted in R#101's pressure ulcer deteriorating from a stage 2 wound to an unstageable wound. The facility identified nine residents who had pressure ulcers. Findings included: A review of a facility policy titled, Skin Assessment, dated as implemented 2/1/22,…

    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 · Fcited before2026-02-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and review of the facility policy titled, Food Storage: Cold Foods, the facility failed to properly store opened, unopened and sealed food items in the walk-in freezer. The deficient practice had the potential to affect 87 residents receiving an oral diet from the kitchen. Findings include:Review of the facility policy titled Food Storage: Cold Foods, states under Policy Statement: All Time/Temperature Control for Safety in accordance with guidelines of the FDA food Code. All food items will be stored, wrapped or in covered containers, labeled and dated and arranged items should be covered, sealed, labeled, and dated appropriately.Observation on 02/10/2026 at 9:35 AM of the cold storage area in the walk-in freezer revealed an opened freezer burned bag of eggs that was not securely closed, without a labeled open date or an expiration date, observation also revealed an opened expired pimento cheese spread container with best by date 02/05/2026.During an interview on 02/10/2026 at 9:37 AM, the Certified Dietary Manager (CDM) confirmed 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-02-12 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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, staff interviews, and review of the facility policy titled, Routine Cleaning and Disinfection, the facility failed to ensure that Packaged Terminal Air Conditioning (PTAC) Units were free of dust and debris preventing proper filtration for heat and air in five of 15 resident (R ) (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]) rooms, and failed to ensure nails protruding from the wall were removed to prevent accident hazards.Findings include: The facility policy for Cleaning Packaged Terminal Air Conditioning Units was requested but not provided.Review of the facility policy titled Routine Cleaning and Disinfection revised date of February 2025 revealed under Policy: To ensure the provision of routine cleaning and disinfection in order to provide a safe, sanitary environment and to prevent the development and transmission of infections to the extent possible.During the initial facility tour on 02/10/2026 at 11:32 AM, a heavy…

    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 · D2026-02-12 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 policies titled, MDS 3.0 Completion, the facility failed to correctly assess and identify intravenous (IV) access ordered and inserted the day after admission for one of 46 sampled residents (R) (R127). This deficient practice had the potential to confound care and monitoring of IV access, as well as the timely change of IV access.Findings include:Review of the facility's policy titled MDS 3.0 Completion, revised 12/23/2023, section d. ii. Revealed: Based on the CAA (Care Area Assessment) review, key findings regarding a resident's status are documented, including the nature of the condition, complications and risk factors that affect the care planning decision, factors that must be considered in developing care plan interventions, and the need for referrals or evaluation by appropriate health professionals. The assessment must be accurate and correct. Section 3. A. iii. Revealed: The PPS (prospective payment…

    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 · D2026-02-12 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 record review, staff interviews, and review of the facility policy titled, Resident Assessment- Coordination with PASRR (Preadmission Screening and Resident Review) program, the facility failed to ensure that one of 46 sampled residents (R) (R7) was assessed for level two PASRR to the appropriate state-designated authority for evaluation and determination of specialized services (PASRR), if warranted. The deficient practice had the potential for R7's needs and services to go unmet.Findings include:Review of the facility's policy titled, Resident Assessment- Coordination with PASARR program date 02/10/2024 revealed under Policy: This facility coordinates assessments with the preadmission screening and resident review (PASRR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services in the most integrated setting appropriate to their needs. Under Policy Explanation and Compliance Guidelines revealed: The Social…

    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 · D2026-02-12 · 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

    Based on observations, staff and interviews, record review, and review of the facility's policies titled, Comprehensive Care Plans, the facility failed to follow the interventions of the comprehensive care plan for one of 46 residents sampled residents (R) (R12). This deficient practice could increase the risk of injury during a fall.Findings include:Review of the facility's policy titled Comprehensive Care Plans revised 01/01/2025, revealed under Policy Explanation and Compliance Guidelines: .3. a. The comprehensive care plan should describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.Review of R12's care plan dated 02/07/2026 indicated a problem of Risk for falls. Interventions included, but were not limited to, Fall [NAME] on the floor on the right side of the bed when the resident is in bed. The resident is with Hospice and is a Full Code. R12 has a condition or chronic disease that may result in a life expectancy of less than six months.Review of the Physician's Orders for R12…

    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 · D2026-02-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and record review, the facility failed to ensure physician orders were followed and documented for routine suprapubic catheter changes for one of four sampled residents (R) (R5). This deficient practice had the potential risk of infection and complications associated with prolonged indwelling catheter use when routine catheter changes were not completed and documented as ordered.Findings include:Review of the electronic medical record (EMR) for R5 revealed admission to the facility with diagnoses of but not limited to obstructive and reflux uropathy, benign prostate hyperplasia with lower urinary tract symptoms, personal history of malignant neoplasm of prostate.Review of physician orders dated 11/10/2025 directed that R5's suprapubic catheter (20 French, 10 mL (milliliter) balloon) be changed monthly and as needed.Review of the care plan for R5 identified catheter-related interventions on 10/14/2025 (catheter dislodgement and replacement) and on 01/08/2026 (catheter change and irrigation); however, no documentation was identified verifying…

    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 before2026-02-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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, resident and staff interviews, record review, and review of the facility policy titled, Oxygen Administration, the facility failed to ensure proper maintenance of an oxygen (O2) concentrator (machine that produces O2) and failed to secure an O2 tank for one of 23 residents (R) (R58) receiving oxygen. This practice had the potential to cause respiratory distress, increased risk of respiratory complications, and injury Findings include:Review of the facility policy titled Oxygen Administration revised [DATE], under the section titled Policy Explanation and Compliance Guidelines, number 2 documented, Personnel authorized to initiate oxygen therapy include physicians, RNs (Registered Nurses), LPNs (Licensed Practical Nurses), and respiratory therapists (RTs).A review of the electronic medical records (EMR) revealed R58 was admitted to the facility with diagnoses including, but were not limited to, acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease (COPD)…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0727 — failed to provide required RN coverage — isolated
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interviews and review of facility's policy titled, Emergency Staffing, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for six days, 04/05/2025, 04/06/2025, 05/03/2025, 05/24/2025, 05/25/2025, and 05/26/2025. This failure had the potential to affect all residents residing in the facility. The facility census was 110.Findings Include:Review of facility's policy titled Emergency Staffing Policy reviewed on 02/16/2024 revealed under section titled, Policy Explanation and Compliance Guidelines: The number of staff required for meeting resident needs on a daily basis are determined through the facility assessment. Schedules shall reflect sufficient staff with minimum use of scheduled overtime. In an emergency, the Administrator and key staff (as designated by the facility's Incident Command System) shall meet for briefing on staffing needs and develop an action plan. Staffing needs will be fulfilled in a step-wise fashion:a. On-duty staff and scheduled staff.b. Off-duty…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-12 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility's policies titled, Hand Hygiene and Enhanced Barrier Precautions, the facility failed to use proper hand hygiene during wound care for one of 46 sampled residents (R) ( ) and failed to provide signage and PPE protocols for two of 46 sampled R's (R127 and R88). The deficient practice had the potential to cause the spread of infection to other residents and staff.Findings include:Review of the facility's policy titled Hand Hygiene revised 02/01/2024, under section 6. a. revealed that the use of gloves does not replace hand hygiene. If your task requires gloves, perform hand hygiene prior to donning gloves and immediately after removing gloves.Review of the facility's policy titled Enhanced Barrier Precautions revised 03/20/2025, under section 2b states, An order for enhanced barrier precautions (EBP) will be obtained for residents with any of the following: i. Wounds (e.g. Chronic wounds such as pressure ulcers, diabetic foot…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-06-19 · tag F0803 — failed to meet residents' dietary needs — widespread
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, document review, and resident and staff interviews, the facility failed to ensure menus were prepared in advance for residents' diet orders. The facility failed to ensure menus indicated the serving size for each diet and whether each food item could be served for the diet. The failure placed all residents in the facility who receive oral meals from the kitchen at risk of nutritional problems and dissatisfaction with their meals. Findings include: During the entrance conference with the Administrator, Director of Nursing (DON), and Assistant DON (ADON), they were all asked for copies of all the weeks of the facility's menu cycle and for this week's menu the spread sheet with includes the extensions, portion size and whether the food item could be served, for each diet. During an interview on 6/17/2025 at 12:09 pm, the Administrator was again asked for the menus and meal extensions for this week's menu. She stated that she would get the menus. During an observation on 6/17/2025 at 12:06 pm of the lunch meal, all residents received beef stew, minced vegetables,…

    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
Show the remaining 19 citations
  • Potential for harm · Fcited before2025-06-19 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on document review, staff interviews, and review of the facility's policy, the facility failed to ensure their infection control and prevention program included infection control surveillance documentation for the year 2024. This failure placed all residents at risk of the spread of infections. Findings include: Review of the facility's policy titled Infection Surveillance dated 2/1/2024 revealed, .The purpose was to identify infections and to monitor adherence to recommended infection prevention and control practices in order to reduce infections and prevent the spread of infections . Review of R3's undated admission Record, located in the resident's electronic medical record (EMR) under the Profile tab revealed R3 was admitted on [DATE], readmitted on [DATE], and discharged on 3/2/2025. Review of R3's physician Orders located in the resident's EMR under the Orders tab revealed an order dated 12/24/2024 for Cipro [an antibiotic medication] 500 milligram (MG) tablet by mouth twice a day for a urinary tract…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-19 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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, staff interviews, and facility policy review, the facility failed to ensure resident rooms and dining rooms were in good repair creating a homelike environment for 13 of 49 resident rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]) and the main Dining Room. Findings include: Review of the facility's policy titled Resident Environmental Quality, dated 2/16/2024 indicated that the facility is to keep a safe, functional, sanitary, and comfortable environment for residents. Observation of the four units, 100, 200, 300 and 400, of the facility on 6/17/2025 at 9:50 am through 11:06 am revealed the following: 1. In the main dining room, the lower portion of the wall adjacent to the door to enter the dietary department had gauged and marred drywall. There were missing tiles from…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-08-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and a review of the facility policy titled Date marking for food safety, the facility failed to ensure that food was properly labeled, stored, and prepared in a sanitary condition to prevent foodborne illness, failed to monitor and log daily temperature of refrigerator and freezer temperatures to ensure food was preserved per recommended guidelines, failed to monitor and log daily steam table temperatures, failed to monitor and log daily dishwasher temperatures, failed to test and log daily test sanitation solution in three-compartment sink. In addition, the facility failed to ensure the cleaning of appliances (stoves, ovens, fryers), countertops, food preparation areas, floor tiles, and ceilings. The deficient practice had the potential to affect 97 of 112 residents receiving an oral diet. Findings included: Review of the facility policy titled, Date marking for food safety, not dated, stated under Policy: The facility adheres to date marking system to ensure the safety of ready-to-eat, time/temperature control for safety food. Under, Policy…

    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 · E2024-08-05 · 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 observation, record review, staff interview, and review of the policy titled, Medication Administration the facility failed to ensure a medication error rate of less than five percent (5%) during medication administration for three of six Residents (R) (R44, R46, and R61). There were 35 opportunities observed resulting in three medication errors. The medication error rate was 8.57%. The facility census was 112. Findings included: Review of the policy titled, Medication Administration date implemented 2/12/2022, under the section, Policy Explanation, and Compliance Guidelines: Review MAR to identify medication to be administered and Compare medication source with MAR to verify resident name, medication name, form, dose, route and time. Record review for R44 revealed diagnoses of but not limited to Alzheimer's Disease, Retention of urine, and Essential Hypertension. Orders - cranberry 450 mg 1tab po daily for urinary tract health, order started 8/2/2024, Ferrous Sulfate Tablet 325 (65 Fe) mg. Care Plan - The resident is at risk of bladder incontinence related to abnormalities…

    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 · E2024-08-05 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure 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, record reviews, staff interviews, and a review of the facility policy titled, Menus the facility failed to ensure residents were served meals that were palatable, appetizing, and attractive. The deficient practice had the potential to affect 97 of 112 residents who consume an oral diet. Findings included: A review of the facility policy titled, Menus issued April 2024 revealed, Menus shall meet the nutritional needs of residents, be prepared in advance, and be followed Guidelines 6. Deviations from menus that have already been posted will be noted (including the reason for the substitution and/or deviation) in the kitchen and/or recorded in the record book used solely for recording such changes. The Dietitian should be made aware of these changes and have signed off on them on the Substitute log. 7. Menus will provide a variety of foods from the basic daily food groups and will indicate standard portions at each meal. An observation on 8/1/2024 at 6:30 pm revealed a meal that included meatless hotdog bun with a slice of cheese and 8 ounces of chicken noodle…

    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 · Ecited before2024-08-05 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and a review of the facility policy titled, Disinfection of Bedpans and Urinals the facility failed to ensure a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections by not labeling and properly storing bath basins, bed pans, and urinals in eight of 49 rooms (309, 313, 315,402, 404, 405, 407, and 408). Findings included: A review of the policy titled Disinfection of Bedpans and Urinals dated 2/12/2022, revealed policy: bedpans and urinals are handled in a manner to prevent the spread of infection through personal equipment. Under Policy Explanation and Compliance Guidelines: 1. Bedpans and urinals are for single resident use only. [NAME] with resident's name and discard upon discharge. 2. Store bedpans and urinals in the resident's bedside cabinet or drawer after placing them in a plastic bag or as per facility policy. Observations on 7/30/2024 at 11:19 am and 8/1/2024 at 11:15 am revealed…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-05 · tag F0554 — isolated
    Allow 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, interviews, record review, and review of the facility policy titled Medication Storage, the facility failed to assess four of 65 sampled residents (R) (R56, R44, R41, and R21) for the ability to self-administer medications before leaving medications at the bedside. Findings included: A review of the policy titled, Medication Storage dated 2/12/2022 revealed that the facility will 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, light, ventilation, moisture control, segregation, and security. 1. A review of the electronic medical record (EMR) for R56 revealed that the resident presented with diagnoses of lupus erythematosus, asthma, Muscle weakness (generalized), cognitive-communication deficit, adult failure to thrive, and major depressive disorder. A review of the current physicians orders included Trelegy Ellipta Inhalation Aerosol…

    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 · D2024-08-05 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews, staff interviews, and a review of the facility policy titled Menus, the facility failed to honor residents' rights to make choices related to meals and snacks. This had the potential to affect 108 of 112 residents who can consume meals. Findings included: A review of the facility policy titled Menus revealed that the residents' council would be included periodically in menu planning . and if a food group is missing from a resident's daily diet (e.g. dairy products) the resident will be provided with an alternate means of meeting the resident's nutritional needs (e.g. calcium supplementation or fortified non-dairy alternative). A review of the last six months of resident council meeting minutes revealed that residents voiced that they had not been receiving snacks and that residents were not notified if snacks were being put out or distributed; food was cold and not delivered promptly; and residents could not eat in the dining room because staff did not assist them into the dining area. During an observation on 7/31/2024 at 5:30 pm, no residents…

    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 · D2024-08-05 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility policy titled Bed Hold Policy, the facility failed to provide bed hold information, in writing, at the time of transfer to the hospital, or within 24 hours, for one resident (R), R154 of three sampled residents. Findings included: A review of the facility policy titled Bed Hold Policy (2/12/22) stated at the time of transfer for hospitalization or therapeutic leave, the facility will provide to the resident and/or the resident representative written notice which specifies the duration of the bed-hold policy and addresses information explaining the return of the resident to the next available bed. Bed Holds Notice Upon Transfer 1. Before a resident is transferred to the hospital or goes on therapeutic leave, the facility will provide the resident and/or the resident representative written information that specifies. (a). The duration of the state bed-hold policy, if any, during which the resident is permitted to return and resume residence in 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-05 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews the facility failed to identify and submit a Preadmission Screening/Resident Review (PASARR) Level 2 review for one of three residents (R) (R60). Findings included: A review of the PASRR Level I Assessment revealed that the Resident has a Primary Diagnosis of serious mental illness, developmental disability, or related condition. There is presenting evidence to indicate a suspected diagnosis for an undiagnosed condition as indicated by substantial functional limitations in three or more of the following areas of major life activities; self-care, understanding and use of language, learning, mobility, self-direction and capacity for independent living. Review of the Nurse Practitioner Psychiatric Consultant on 7/16/2024 included: Assessment and Plan: 1) Schizophrenia ICD-10 code F20.9- Stable on current regime. Continue with the plan of care as GDR is contraindicated due to the risk of worsening depression, psychosis, and/or anxiety. 2) Staff to continue to monitor mood and behavior and document accordingly. 3) Will continue 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-05 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    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 staff interviews, and a review of the facility policy titled, Discharge Summary, the facility failed to reconcile all pre-discharge medications with the resident's post-discharge medication for one of three residents (R) (R158). Findings included: A review of the facility policy, Discharge Summary stated It is the policy of this facility to ensure that a discharge summary is provided upon a resident's discharge which addresses each resident's discharge goals and needs, including caregiver support and referrals to local contact agencies. Reconciliation of medications means a process of comparing pre-discharge medications to post discharge medications by creating list of both prescription and over the counter medication that includes the drug name, dosage, frequency, route, and indication for use the purpose of preventing unintended changes. A review of R158's record revealed a discharge date of 2/29/2024. The resident had the following diagnoses at the time of discharge not limited 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-05 · 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 and resident and staff interviews, the facility failed to provide a safe environment free from accident hazards for three of 64 residents (R) (R41, R9, and R24). Findings included: 1. A review of R41 Electronic Medical Records (EMR) revealed diagnoses that included major depressive disorder, single episode, unspecified upper limb, unspecified glaucoma, insomnia, unspecified, muscle weakness, type 2 diabetes mellitus without complications, and hoarding disorder. A review of R41 Quarterly Minimum Data Set (MDS) dated [DATE] revealed, Section C-Cognitive Patterns: Brief Interview for Mental Status (BIMS) of 15; Section GG-indicated resident using a wheelchair. An observation on 7/30/2024 at 11:19 am revealed nail polish remover on the R41 bedside table. An Interview on 8/1/2024 at 9:15 am with Licensed Practical Nurse (LPN) II LPN II revealed she has been working at the facility since 2006, her hours are from 7:00 am to 3:00 pm. LPN II acknowledges some of the rooms have clutter. LPN stated…

    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 before2024-08-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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, interviews, record review, and the policy titled, Oxygen Administration, the facility failed to provide effective oxygen therapy for four of 10 residents (R) (R47, R62, R21, and R100. Findings included: Review of the policy titled, Oxygen Administration, date implemented 2/12/2022, Under the Policy section, Oxygen is administered to residents who need it, consistent with professional standards of practice, the comprehensive person-centered care plans, and the resident's goals and preferences. Under the section Policy Explanation and Compliance Guidelines: Oxygen is administered under orders of a physician, except in the case of an emergency. Infection control measures include following manufacturer recommendations for the frequency of cleaning equipment filters and keeping delivery devices covered in plastic bags when not in use. 1. A review of the medical record for R47 includes Medical Diagnosis - Diffuse traumatic brain injury with loss of consciousness of unspecified duration,…

    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 · D2024-08-05 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 review of the facility policy titled, Hemodialysis, the facility failed to ensure communication was documented between the facility staff and dialysis staff to ensure pertinent information was being communicated for one of three residents (R) (R54) reviewed for dialysis. Findings included: A review of facility policy titled Hemodialysis (dated 2/1/2022) stated that the facility will provide the necessary care and treatment, consistent with professional standards of practice, physician orders, the comprehensive person-centered care plan, and the resident's goal and preferences, to meet the special medical, nursing, mental, and psychosocial needs of residents receiving hemodialysis. The facility will assure that each resident receives care and services for the provision of hemodialysis consistent t with professional standards of practice. this will include Ongoing assessment and oversight of the resident before, during, and after dialysis treatments, including…

    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 · D2024-08-05 · tag F0809 — failed to serve meals on a reasonable schedule — isolated
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and a review of the facility policy titled, Menus the facility failed to ensure meals and snacks are served at times per resident's needs, preferences, and requests. Nourishing alternative snacks were not provided for 97 of 112 residents to eat at non-traditional times or outside of scheduled mealtimes. The facility census was 112. Findings included: 1. A review of the facility policy titled, Menus dated April 2024 revealed Guidelines: 2. Menus and available snacks shall be adjusted to meet individual caloric and nutrient-intake needs of the resident. Reviewing the Resident Council minutes revealed the resident's expressed concerns about not receiving snacks. A Resident Council meeting was held on 7/31/2024 from 2:00 pm to 3:00 pm with 21 residents in attendance. The residents stated they do not receive snacks at night. The following residents were in attendance: R66 Brief Interview for Mental Status (BIMS)15, R95 BIMS13, R80 BIMS15, R41 BIMS15, R21 BIMS 15, R67 BIMS 14, R69 BIMS 15, R68 BIMS 12, R56 BIMS 15, R79-BIMS 15, R51 BIMS 9, R87 BIMS…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-12-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and review of facility policy, the facility failed to ensure sanitary practices were followed in one of one kitchen to prevent potential food borne illness for residents. Specifically, the facility: 1. failed to ensure dishes were properly washed and allowed to air dry before stacking/storing. 2. failed to ensure food items were stored off the floor in the freezer. The failed practices had the potential to affect 94 residents who received food from the kitchen. Findings included: Review of a facility policy titled, Education and Training, dated October 2019, revealed, It is the center policy that all Dining Services employees will be provided education and training upon hire and ongoing to insure [sic] that they have the appropriate competencies and skill sets to carry out the functions of the food and nutrition services, taking into consideration the needs of the resident population. The policy also indicated, Evidence of education will be maintained in employee files. 1. Review of a facility policy titled, Ware Washing, dated October 2019,…

    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 · D2022-12-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and facility policy review, it was determined that the facility failed to thoroughly investigate an injury of unknown origin and report to the State Agency for one of two sampled residents (R) (R#101) reviewed for injury of unknown origin. Findings included: Review of a facility policy titled, Abuse, Neglect and Exploitation, dated 2/1/22, specified, Policy: It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. The policy indicated, IV. Identification of Abuse, Neglect and Exploitation A. The facility will have written procedures to assist staff in identifying the different types of abuse - mental/verbal abuse, physical abuse, and the deprivation by an individual of goods and services. This includes staff to resident abuse and certain resident to resident…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-15 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and facility policy review, it was determined that the facility failed to revise a comprehensive care plan to include a post-fall intervention of a fall mat for one of four sampled residents (R) (R#101) reviewed for falls. Findings included: Review of a facility policy titled, Care Plan Revisions Upon Status Change, dated 2/1/22, specified, Policy: The purpose of this procedure is to provide a consistent process for reviewing and revising the care plan for those residents experiencing a status change. The policy also indicated, d. The care plan will be updated with the new or modified interventions. e. Staff involved in the care of the resident will report resident response to new or modified interventions. f. Care plans will be modified as needed by the Minimum Data Set (MDS) Coordinator or other designated staff member. g. The Unit Manager or other designated staff member will communicate care plan interventions to all staff involved in the resident's care. A review 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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, interviews, review of the facility policy, and record review it was determined that the facility failed to obtain a physician's order for one of three residents (R)(R#42) reviewed for the use of oxygen. Findings included: The facility policy titled, Oxygen Administration, with an implementation date of 2/1/22, indicated under policy explanation and compliance guidelines that Oxygen is administered under orders of a physician, except in case of an emergency. In such case, oxygen is administered and orders for oxygen are obtained as soon as practicable when the situation is under control. A review of the admission Record indicated the facility admitted R#42 with diagnoses of personal history of COVID-19, pneumonia, obstructive sleep apnea, and obesity. R#42 was most recently discharged from an acute care hospital, on 6/29/22, with an additional diagnosis of acute respiratory failure with hypoxia (low oxygen levels). A review of the care plan for R#42, with a revision date of 7/4/22,…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to JOURNEY HEALTHCARE — 32 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 51.9-0.9 vs chain
Health inspection 2 of 52.3-0.3 vs chain
Staffing 1 of 51.5-0.5 vs chain
Quality measures 4 of 52.7+1.3 vs chain
The other 31 homes this chain runs (chain average 1.9★, per CMS)
1 of 5Calhoun Crossing Of Journey LLCCalhoun, GA 1 of 5Clifton HeightsLouisville, KY 1 of 5Crossroads of Flowery Branch of Journey LLC, TheFlowery Branch, GA 1 of 5Jasper Point Of Journey LLCJasper, GA 1 of 5Jesup Ridge of Journey LLCJesup, GA 1 of 5Kirtland Woods Of JourneyKirtland, OH 1 of 5Morgantown Heights Of JourneyMorgantown, WV 1 of 5Murray Woods Of Journey LLCChatsworth, GA 1 of 5Reserve at Appling of Journey LLC, TheAppling, GA 1 of 5Stanford CrossingStanford, KY 1 of 5Stone Mountain Run Of Journey LLCStone Mountain, GA 1 of 5Thomasville Vistas of Journey LLCThomasville, GA 1 of 5Tucker Park Crossing of Journey LLCTucker, GA 2 of 5Crossings At East Lake Of Journey Llc, TheDecatur, GA 2 of 5Fort Valley Crossing of Journey LLCFort Valley, GA 2 of 5Frankfort TrailsFrankfort, KY 2 of 5Glasgow Hills Of JourneyGlasgow, WV 2 of 5Reserve at Fort Gaines of Journey LLC, TheFort Gaines, GA 2 of 5Warrenton Woods of Journey LLCWarrenton, GA 2 of 5Woods at Lumber City of Journey LLC, TheLumber City, GA 3 of 5Bainbridge Landing of Journey LLCBainbridge, GA 3 of 5Cartersville Crossing Of Journey LLCCartersville, GA 3 of 5Chardon WoodsChardon, OH 3 of 5Dublin Trails Of Journey LLCDublin, GA 3 of 5LaGrange Trails of Journey LLCLagrange, GA 3 of 5Riverside Valley Of JourneySaint Albans, WV 3 of 5Twin City Trails of Journey LLCTwin City, GA 3 of 5Vanceburg HillsVanceburg, KY 4 of 5Green River TrailsGreensburg, KY 4 of 5Roberta Trails of Journey LLCRoberta, GANot rated (Special Focus)Lyndon Crossing, LLCLouisville, KY

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
JOURNEY OX OF GA LLCOrganizationDIRECT OWNERSHIP INTERESTsince 11/01/2024
3 BEES HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
AJOJ HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
BEES FAMILY IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
BLUE OCEAN TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
JOURNEY OX GA HEALTHCARE HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
SHASAM FAMILY TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
SHASAM HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 11/01/2024
MCGUINNESS, BERNARDIndividualINDIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 08/28/2025
JOURNEY OX GA MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
BILBO, RICHARDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/20/2024
CONRAD, CAMERONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
DAVIS, TIFFANYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
FRINKS, TERENCEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
JOHNSON, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
JONES, ANTONIOIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/18/2024
OMARA, JODYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
PHILLIPS, EDNAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
SCANDRETT, PAMELAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
SILLINGS, NIKKIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/13/2025
TRAMMELL, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2024
SUMMIT FAIRBURN LLCOrganizationADP OF THE SNFsince 11/01/2024

CMS files one row per role, so the 38 rows in the source record cover these 22 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.

10 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.

$8.6M
Net patient revenuemost recent cost report
-35.2%
Operating marginrevenue minus expenses
$453K
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 76%Medicare 5%Other / private 18%

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $453K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$303per resident / day
operating cost
$9,218per month
≈ monthly operating cost
$224per day
avg. revenue, all payers

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

What families pay in GA

Paying with Medicaid

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.

Typical monthly cost in Georgia
$8,821/mo
Nursing home (semi-private)
$9,429/mo
Nursing home (private)
$5,300/mo
Assisted living

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 115298. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, 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.

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