Bolingreen Health And Rehabilitation

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

33.9% 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 56 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 26.7% 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 30 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 121 beds and averages 70.8 residents a day — about 59% occupied, or roughly 50 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 2.89 hrs/resident/day on weekends vs 3.70 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.84 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

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

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2024-02-04 · 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

  Based on record reviews and staff interviews, the facility failed to ensure one Resident (R)180, with pressure ulcers, received treatment and services to promote healing. Actual harm was identified when a statin (STAT) lab order on 11/5/2023 was not followed up on by staff, and twelve days later, on 11/17/2023, R180 was admitted to the hospital with sepsis due to a wound infection. Findings include: Record review of the most recent admission Minimum Data Set (MDS) assessment for R180, dated 12/2/2023, revealed that he had a Brief Interview for Mental Status Score (BIMS) of 15, indicating intact cognition. Exhibited no negative behaviors. Dependent on staff for all Activities of Daily Living. Has an indwelling catheter and is always incontinent of bowel and bladder. Active diagnoses, including but not limited to wound infection (other than foot), Diabetes Mellitus, and hemiplegia. Has a stage 1 or greater unhealed pressure ulcer, a scar over bony prominence, or a non-removable dressing/device and 1 stage 4, full thickness tissue loss with exposed bone, tendon, or muscle that slough,…

  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
• Actual harm · G2024-02-04 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management 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 observation, record review, interview, and review of facility policy Pain Assessment, the facility failed to stop and address verbal and facial expressions of pain during wound care for one resident (R) (R286) observed for wound care. Actual harm was identified on 2/2/2024 when Registered Nurse (RN) AA failed to assess and administer pain medication to R286 prior to providing wound care treatment, which resulted in pain during the treatment. Findings include: A review of the Policy titled Pain Assessment, review date 12/30/2022, revealed Guideline; pain evaluation utilizing the 0-10 pain scale should be completed and documented on the Treatment Administration Record prior to any treatment. A review of the clinical record revealed that R286 was admitted to the facility on [DATE] with diagnoses, including but not limited to, acquired absence of right leg above knee. A review of the baseline care plan revealed R286 has pain. Interventions include administer pain medications as ordered. Assess…

  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 before2026-04-23 · 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's records, and policy titled Storage Area, the facility failed to discard expired food items and failed to properly label and date. Additionally, the facility failed to maintain sanitary practice during food-handling and hand hygiene. The deficient practices had the potential to place 69 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings Include:Review of facility document titled Ready 365 Best Practice, dated 04/2024, revealed in the subject Hand Washing documented When to wash hands, Handling raw meat, poult y, and seafood (before and after), Leaving and returning to the kitchen/prep area, Taking out garbage. How to wash hands Total Process: 20 seconds Wet hands and arms. Use running warm water. Apply soap. Make sure there is enough soap to build a good lather. Follow the manufacture's instructions. Scrub hands and arms vigorously for 10 to 15 seconds. Clean the fingertips, under the fingernails, c between fingers. Rinse hands and arms thoroughly. Use…

  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 before2025-02-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to date, label, and/or cover bread products stored in the kitchen, and failed to keep the kitchen's two ovens, large manual can opener and its table base attachment, and food preparation pans clean. The facility also failed to discard two opened containers of thickened beverages stored in resident refrigeration for greater than seven days. This failure had the potential to create an environment for food-borne illnesses, which could affect 80 of 80 residents who consumed food prepared from the facility's kitchen. Findings include: Review of the facility's policy titled, Storage Areas, dated 12/27/2024, indicated, It is the intent of this center to store food in a manner that maintains quality and safety . First in first out (FIFO) should be followed . Refrigerator Food codes and internal tools may be used as a reference for proper dating. Review of the facility's policy titled, Cleaning and Sanitizing, dated 12/27/2024, indicated, It is the intent of this center to clean and sanitize utensils, dishware,…

  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 before2025-02-26 · 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

  Based on observations, interviews, and policy review, the facility failed to maintain a clean environment by storing unwashed and unsanitized mattresses next to racks of clean resident clothing in the shared clean laundry room and central supply room. This failure had the potential for residents being subject to the spread of infections within a facility, leading to more serious illnesses. Findings include: Review of the facility's policy titled, Cleaning and Disinfection of Resident-Care Items and Equipment, revised 2022, indicated .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 . Observation on 2/25/2025 at 7:54 am in the shared clean laundry room and central supply room revealed four unwashed and unsanitized mattresses being stored side by side leaning next to a rack of lost and found clothes. The Housekeeping Supervisor (HSKS) confirmed the mattresses were being stored unwashed, touching the rack of hanging clean…

  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 · F2025-02-26 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the facility failed to ensure the laundry dryers were maintained to ensure safe operating conditions. This failure placed the facility at an increased risk of fire and had the potential to affect all residents who resided at the facility. Findings include: Review of the manufacturer's manual titled UniMac Tumble Dryer Operational/Maintenance by Alliance Laundry Systems, dated January 2020, revealed . Maintenance .Daily 2. End of Day: a. Clean lint filter to maintain proper airflow and avoid overheating. Monthly 3. Remove lint filter and thoroughly vacuum exhaust duct. 4. Inspect fan, remove any accumulated lint or debris from fan to maintain proper airflow and avoid overheating . During an observation on 2/25/2025 at 7:54 am with the Housekeeping Supervisor (HSKS) of the laundry room revealed one dryer vent filter had two layers of lint built up, each shaded with a different color. Observation of the bottom compartment inside of the dryer revealed approximately one inch thick of lint lying on the bottom compartment inside of dryer.…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure over the counter (OTC) medications were securely stored. This failure had the potential for unauthorized people to access the medication. Findings include: Review of the facility's policy titled, Medication Labeling and Storage, dated 2001, indicated under the section, .The facility stores all medications and biologicals in locked compartments under proper temperature, humidity and light controls. Only authorized personnel have access to keys. Indicated under section .Medication storage; 2. The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner . Observation and interview on 2/25/2025 at 8:05 am with the Central Supply Supervisor (CSS) of the central supply stockroom revealed the room contained a supply cart which contained a 100-tablet count unopened bottle of acetaminophen 500 milligram (MG) in the cart. The CSS confirmed the cart contained the bottle of unopened acetaminophen and stated she did not have room 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-26 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the facility failed to provide a therapeutic diet as ordered for one resident (Resident (R) 59) of six residents reviewed for nutrition and/or food out of a total sample of 22 residents. This failure created a potential choking or swallowing hazard for R59, who had a diagnosis of dysphagia (difficulty with swallowing). Findings include: Review of the facility's policy titled, Meal Service, provided by the facility and dated 12/27/2024, indicated, It is the intent of the center to provide an enjoyable meal service in a safe, sanitary, and comfortable environment while focusing on patient centered care . Therapeutic diets and alternatives should be provided as needed. Review of R59's Diagnosis Sheet, provided by the facility, revealed the resident was admitted to the facility on [DATE] with diagnoses which included dysphagia, flaccid hemiplegia affecting right dominant side, and aphasia following cerebral infarction. Review of R59's quarterly…

  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 before2024-02-04 · 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

  Based on observations, interviews, and review of policy titled Infection Prevention and Control Program and COVID-19, the facility failed to ensure infection control practices to prevent cross contamination related to entering/exiting a resident (R50) room without use of proper personal protection equipment (PPE), falling to keep the door of COVID positive resident closed, failing to ensure equipment used in a COVID positive resident's room was disinfected after use, and failing to ensure receptacles for trash and linen were located in an isolation room (COVID). In addition, the facility failed to place signage on the entrance door informing staff, family, and visitors of the COVID outbreak in the facility. This deficient practice had the potential to spread infection to staff and other residents residing in the facility. Findings: 1. Review of CDC guidelines titled, Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic dated 5/8/2023 under section titled, Recommended routine infection prevention 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-04 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, record review, and a review of the facility policy titled Changes in a Patient's Condition, the facility failed to notify the family/health agent of a significant change related to weight loss for one of 27 sampled Residents (R) (R36). Findings Include: A review of the facility's policy titled Changes in a Patient's Condition, dated 12/30/2022, revealed it is the intent of the facility to notify the patient, his/her attending physician, and responsible party/patient representative of changes in the patient's condition and/or status. Guideline: Nursing services is responsible for notifying the patient's attending physician when: There is a significant change in the patient's physical, mental, or emotional status. Nursing services is responsible for notifying the patient, his/her next-of-kin, or responsible party/patient representative when: There is a significant change in the patient's physical, mental, or emotional status. Notifications, other than for medication emergency, should be made as soon as practical, but should not exceed twenty-four (24) hours.…

  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 · D2024-02-04 · 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 staff interviews, record review, and review of the facility policy titled Best Practices for PASRR, the facility failed to perform Level II PASRR (Preadmission Screening and Resident Review) for evaluation and determination of specialized services for one of 27 sampled residents (R) (R52) diagnosed with a mental disorder. This failure had the potential for residents with mental disorders not to receive identified specialized services. Findings include: A review of the undated facility policy titled Best Practices for PASRR revealed: There are two areas a person can be a PASRR patient: Significant Mental Illness and Intellectual Disability/Developmental Disability. Record review of the medical record for R52 revealed diagnoses that include but are not limited to bipolar disorder and unspecified intellectual disabilities. Record review of the most recent admission Minimum Data Set (MDS) for R52, dated 10/29/2023, revealed: Section A-No PASRR level 2 Section C-Cognition: Brief Interview of Mental Status score of seven (7) indicating poor cognition. Section D-Mood: score of 0…

  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 · D2024-02-04 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of the facility policy titled Patient's Plan of Care, the facility failed to develop care plans for diabetes and insulin use, as well as antianxiety and diuretic use, for one resident (R) (R 50). In addition, the facility failed to develop an individualized care plan for the behaviors related to pacing, delusions, and combativeness of one resident (R 72). The facility also failed to follow a care plan for one resident (R) 68 related to ADL care. The deficient practice had the potential to cause R50, R72, and R68 to not receive treatment and/or care according to their needs and to place them at risk for adverse consequences. The sample size was 27 residents. Findings include: Review of the facility policy titled, Patient's Plan of Care, with a review date of 12/30/2022, revealed under Guideline: Each patient will have a person-centered comprehensive care plan developed and implemented to meet his or her preferences and goals, and address the patient's medical,…

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

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

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

Fines & penalties

$16,800 in federal fines across 3 penalties.

• $4,017 — penalty dated 2024-02-04
• $6,391 — penalty dated 2024-02-04
• $6,392 — penalty dated 2024-02-04

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ETHICA HEALTH — 50 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 →

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

CMS files one row per role, so the 19 rows in the source record cover these 15 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.

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

Follow the money — this home’s finances

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

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA