Cherry Blossom Health And Rehabilitation
3520 Kenneth Drive, Macon, GA 31206 · Non profit - Other · 82 certified beds · (478) 781-7553 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2026
- 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
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (61%) runs well above the national median (45%)
- about 19% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 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 improved from 1 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.1% | 15.3% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.6% | 5.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.3% | 0.9% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.4% | 2.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 11.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.9% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 12.7% | 15.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 26.3% | 20.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 96.6% | 95.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 8.2% | 5.6% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 18.0% | 15.8% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.9% | 19.9% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 2.6% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 63.6% | 78.4% | 79.4% | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 82 beds and averages 56.5 residents a day — about 69% occupied, or roughly 26 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 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.39 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.28 hrs/resident/day on weekends vs 3.77 on weekdays — 13% thinner on weekends. RN hours go from 0.49 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 61% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.
- Potential for harm · Fcited before2026-03-22 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and a review of the facility's policy titled, Storage Area, the facility failed to ensure food safety protocols and maintain sanitary conditions, specifically concerning the disposal of expired food. Additionally, food items opened in the walk-in refrigerator and dry storage area lacked proper labeling or dates. The deficient practices had the potential to place 54 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings include:Review of facility's policy titled Storage Area reviewed dated 12/27/2025, revealed in Guideline items should be covered, sealed, labeled, and dated appropriately. Cleaning procedures should be a part of the routine cleaning schedules. First in first out (FIFO) should be followed. During the initial tour on 03/20/2026, at 7:43 am, the kitchen inspection revealed food in the dry storage area including one opened 4 lb. (pound) container of creamy peanut butter that was not labeled or dated and was improperly stored. Additionally, there was one opened 12 oz. (ounce) jar of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-22 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, record review, and the review of the facility policy titled, Abuse Prohibition, the facility failed to protect residents from verbal and physical abuse by a staff member for one of three sampled residents (R) (R10). The deficient practice placed R10 and other residents at risk for potential verbal and physical abuse by a staff member. Findings include:Review of the facility policy titled Abuse Prohibition documented INTENT-It is the intent of this center to actively preserve each patient's right to be free from mistreatment, neglect, abuse or misappropriation of patient property. We believe that each patient has the right to be free from verbal, sexual, physical and mental abuse, corporal punishment, and involuntary seclusion. The purpose of these identified procedures is to assure that we are doing all that is within our control to create a standard of intolerance and to prevent any occurrences of any form of mistreatment, neglect, abuse or misappropriation of any patient…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-22 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 resident and staff interviews, record review, and review of the facility policy titled, Abuse Prohibition Reporting and Investigating, the facility failed to report abuse for one of three residents (R10) reviewed for abuse. This deficient practice placed R10 and other facility residents at risk of potentially being abused by a staff member.Findings include:Revived of the policy titled Abuse Prohibition- Reporting and Investigating with a review date of [DATE] revealed: INTENT-It is the intent of this center to establish standards of practice for investigation and reporting of abuse, neglect, mistreatment, exploitation, and misappropriation of property. GUIDELINE-Reporting: -Any person hearing a complaint of abuse, corporal punishment, involuntary seclusion, neglect, mistreatment, misappropriation of patient property, or exploitation must immediately tell the Administrator, the Director of Nursing, the Social Services Director, any specific department leader, or the nurse in charge.-Any person…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-22 · tag F0645 — isolatedPASARR 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 a Level II PASRR (Preadmission Screening and Resident Review) for evaluation and determination of specialized services for one of 14 sampled residents (R) (R5). This failure had the potential for residents with mental disorders not to receive identified specialized services.Findings include:A review of the facility policy titled Best Practices for PASRR, no date, revealed that all residents must be evaluated to determine their PASRR status. The Social Services Director (SSD) is responsible for maintaining an active, ongoing, and up-to-date list of PASRR patients. This list should indicate whether each resident requires services, and a Level 2 screening tool should be used to assess whether a resident qualifies for the PASRR population.A review of the electronic medical record (EMR) revealed that R5 had a history of anxiety disorder (11/29/2024), Major Depressive Disorder (1/19/2024), Post-Traumatic Stress Disorder (9/15/2023), and unspecified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility policy titled, Enhanced Barrier Precautions (Contact, Enhanced Barrier, Droplet, Airborne), the facility failed to use Personal Protection Equipment (PPE) for one of 41 sampled residents (R) (R4). The deficient practice had the potential to spread infection.Findings include:Review of the facility policy titled Enhanced Barrier Precautions (Contact, Enhanced Barrier, Droplet, Airborne) reviewed 12/27/2024, indicated under Implementing Contact Versus Enhanced Barrier Precautions: . EBP (enhanced barrier precautions) would be applied during care for residents with indwelling medical devices. A review of the physician's orders dated 01/21/2026 revealed R4 received tube feedings via the gastrostomy tube.During an observation of LPN AA, on 03/21/2026 at 9:41 AM, LPN AA entered R4's room to administer a tube feeding bolus (feeding method allows formula to flow directly into the stomach using a syringe or reusable squeeze pouch). R4 was sitting in his wheelchair. LPN AA washed her hands and put on gloves but did not don…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-02-13 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and review of the facility policies titled Food Preparation and Distribution, and Ice Chests and Ice Machines, the facility failed to ensure the proper sanitation of equipment, removal of outdated food, and proper storage of open food in the kitchen. The deficient practices had the potential to place residents who received an oral diet at risk of foodborne illnesses. Findings Include: Review of the facility policy titled Food Preparation and Distribution, review date 12/27/2024, revealed the Intent section stated, It is the intent of this center to prepare and distribute food in a manner that minimizes the risk of food-borne illness and promotes safe food handling practices. The Guideline section included, . Work surfaces and equipment should be cleaned and sanitized as needed. During preparation of modified consistency foods, safe food handling practices should be followed. Review of the facility policy titled Ice Chests and Ice Machines, review date 12/27/2024, revealed the Intent was To assure patient safety in use of ice and ice machines.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-09-21 · tag F0700 — patternTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to ensure that six of six residents (Resident (R) 21, R29, R43, R44, R57, and R50) reviewed for bed rail use of 20 sample residents had documented safety assessment for the use of bed rails and the Resident or Resident Representative (RR) were advised of the risks and/or benefits of rail use. This failure had the potential for residents with bed rails to be uninformed of the risk of severe injury and/or death associated with bed rail use. Findings include: A request for a bed rail policy, on 09/20/23 at 5:35 PM the Division Regional Nurse (DRN) stated, We don't have a rail policy, it's just part of the admission assessment. I even called in compliance and there isn't one. 1. Review of R21's Face Sheet from the electronic medical record (EMR) Resident tab showed a medical diagnoses that included hemiplegia and hemiparesis following cerebral infarct, congestive heart failure, osteoarthritis, anxiety disorder, and hypertension. Review of a quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure one of twenty residents (R) (R43) reviewed had the equipment required to exit their room as desired to attend activities. This failure had the potential to affect any resident that requires a bariatric wheelchair. Findings include: Interview on 09/19/2023 at 10:20 am, R43 stated she was unable to get out of her room and wanted to attend activities. Review of the Electronic Medical Record (EMR) for R43 under the Resident tab showed a medical diagnoses that included hemiplegia and hemiparesis following a cerebral infarct, convulsions. Review of the quarterly Minimum Data Set (MDS) for R43 dated 08/22/2023, showed a Brief Interview of Mental Status (BIMS) score of 15 out of 15, indicative of being cognitively intact. Review of the activities participation documentation showed R43 attended bingo via Zoom during the month of August and September 2023. Review of the care plan located in the EMR under the care plan tab, dated 05/09/2023, noted Care Area/Problem: Needs assistance to participate in activities…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-09-21 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff interviews, and a review of the facility policy titled Abuse Policy, the facility failed to ensure that an allegation of resident to resident physical abuse was reported to the State Agency (SA) for one of one resident (R) (35) reviewed for reporting in a timely manner of 20 sampled residents within the required two hours of discovery. Findings include: Review of facility's policy titled Abuse Policy with a review Date of 12/30/2022, revealed If reasonable suspicion of a crime resulting in serious bodily injury is identified, police notification should occur within 2 hours. If reasonable suspicion of a crime is identified without seriously bodily injury involved, then police notification should occur within 24 hours. Review of facility investigative report dated 08/07/23 revealed R35's had a diagnoses of hallucinations, delusional disorders, legal blindness, and other psychotic disorder not due to a substance or known physiological condition. Review of R35's quarterly Minimum Data Set (MDS) found in the MDS tab of the electronic medication record (EMR)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interviews, and a review of the facility policy titled, Skilled Nursing Services Patient's Plan of Care and ADL [Activities of Daily Living] Plan of Care, the facility failed to develop and implement comprehensive person-centered care plans for three residents (R) (50,112, and 44) of 20 sample residents reviewed for care plans. R50 did not have a comprehensive care plan addressing dental needs, vision, and bed rails; R112 did not have a comprehensive care plan addressing dental needs, restorative services, and pain management; and R44 did not have a comprehensive care plan addressing bed rail use. Findings include: Review of the facility's policy titled Skilled Nursing Services Patient's Plan of Care with a review date of 12/20/22, revealed the facility had a policy to ensure that each patient would have a person-centered comprehensive care plan developed and implemented to meet his or her other preferences and goals, and address the patient's medical, physical, mental, 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.
Show the remaining 11 citations
- Potential for harm · D2023-09-21 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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
Based on record review and interviews, the facility failed to review and revise care plan interventions for one of four residents (R) (53) reviewed for fall prevention of 20 sample residents. This failure had the potential to delay appropriate interventions for care needs and safety concerns. Findings include: Record review of the care plan dated 09/16/2023 revealed fall interventions to include the resident in the activities program, to the assist patient with activities of daily living (ADLs) 08/21/2023 and to assist with mobility as needed, to keep the bed in a low position 08/20/2023, to keep the call light in in reach 08/20/2023, to decrease stimuli, to encourage rest periods 8/20/2023, to provide appropriate footwear such as non-skid socks 8/20/2023, to keep her personal items within reach 8/20/2023, to redirect her as needed , to remind the patient to call when needing assistance, and provide a toileting schedule for the resident. 8/20/2023. Record review of the nurse's notes for R53 dated 09/18/2023 at 12:57 pm, revealed that a Certified Nursing Assistant (CNA) reported that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and a review of the facility policy titled Care of Fingernails/Toenails, the facility failed to provide assistance with nail care to preserve and promote the dignity of two residents (R) (21 and R57) of four residents reviewed for activities of daily living out of 20 sample residents. This failure resulted in residents' appearance that did not maintain the resident's dignity. Findings include: Review of the facility policy titled Care of Fingernails/Toenails, reviewed 12/30/22, showed: Intent. It is the intent of this center to provide appropriate nail care to patients. Procedure. -Use appropriate hand hygiene/hand washing as situation dictates before beginning the Procedural Guidelines. -Assemble the equipment and supplies that should be necessary to perform the Procedural. Guidelines and take them to the patient's room. -Knock before entering the room. -Place the equipment on the bedside stand or over bed table. -Arrange the supplies so they can be easily…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and staff interview, the facility failed to ensure one resident (R) (27) of four residents reviewed for limited range of motion of 20 sample residents received restorative services as needed to address limited range of motion in his right arm. This created a potential for worsening contracture (fixed resistance to passive stretch), pain, or skin breakdown. Findings include: Record review of the Electronic Medical Record (EMR) revealed a diagnoses including hemiplegia (paralysis of one side of the body) and hemiparesis (one-sided muscle weakness) following cerebral infarction (stroke) affecting the right dominant side. Record review of the most recent quarterly Minimum Data Set (MDS) for R27 dated 08/20/2023 revealed R27 required extensive assistance with bed mobility, dressing, and toilet use and required total assistance with personal hygiene. R27 had limited range of motion on one side in the upper and lower extremities. Observation on 09/19/2023 at 9:11 am, R27 was in his bed, holding his right arm with his left hand. R27's right arm was bent…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure appropriate fall interventions were implemented resulting in continued falls for one (Resident (R) 53) of four residents reviewed for falls. This failure presented a potential risk for increased falls and physical injury. Findings include: Review of R53's Face Sheet tab found in the electronic medical record (EMR) revealed the following diagnoses: Alzheimer's disease, hypertension, iron deficiency anemia, type 2 diabetes mellitus, and dementia. Review of R53's quarterly Minimum Data Set (MDS) found in the MDS tab of the EMR, with an Assessment Reference Date (ARD) of 07/14/23 revealed she was unable to complete the Brief Interview for Mental Status (BIMS) and staff assessment revealed memory problems and severely impaired cognition. She occasionally rejected care but had no other behavioral symptoms. R53 required limited assistance with transfers, bed mobility, and walking and required extensive assistance with toileting. R53's balance was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0730 — isolatedObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to ensure two of two eligible Certified Nurse Aides (CNAs) 1 and CNA 4 had an annual performance review completed to enable in-service education based on the outcome of the reviews. This failure could affect the skills and knowledge required to correctly and efficiently provide care for residents. Findings include: Review of two CNA personnel files, chosen for a hire date greater than twelve months prior to the review showed the following data: CNA 1: Date of Hire 06/17/21 and had an Associate Performance Appraisal dated 06/12/23. CNA 4: Date of Hire 10/06/21 and had an Associate Performance Appraisal dated 10/12/22. The Associate Performance Appraisal had the following categories and sub-areas graded as Consistently Superior, Consistently Satisfactory, or Consistently Unsatisfactory: -Quality if work (accuracy, neatness, and ethical); Quantity of work (productivity and teamwork); Dependability (follows instructions, judgement, punctuality, attendance, and helpful); Cooperation (with supervisor, with fellow employees,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0790 — failed to provide dental care — isolatedProvide routine and 24-hour emergency dental care for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and a review of the facility policy titled, Dental Services/Oral Assessments, the facility failed to assist two of eight residents (Resident (R) 50 and R112) reviewed for dental services in obtaining routine dental care out of 20 sample residents. Findings include: Review of facility's policy titled, Dental Services/Oral Assessments, with a review date of 12/30/22, revealed that the facility would assist residents obtain dental services by making appointments and arranging transportation and that they would perform oral assessments on admission, annually, and as needed. 1. Review of R50's Face Sheet tab located on the home page in the electronic medical record (EMR) revealed diagnoses which included cerebral infarction, unspecified, type 2 diabetes mellitus with diabetic nephropathy, chronic diastolic (congestive) heart failure, chronic obstructive pulmonary disease, unspecified, Ischemic cardiomyopathy, schizoaffective disorder, bipolar type, hypothyroidism, unspecified, hyperlipidemia, unspecified, mild neurocognitive disorder due to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and a review of the facility policy titled, Medication Orders, the facility failed to ensure accurate documentation of medical conditions for three (Resident (R) 27, R112, and R31) of 20 sample residents. These failures had the potential to contribute to inappropriate care or unnecessary medication use. Findings include: Review of the facility's policy titled Medication Orders, dated 2019 and provided on paper, revealed, Medication orders specify the following: -Full patient name -Name of medication -Strength of medication, where indicated -Dosage-Route of administration -Time or frequency of administration -Quantity or duration (length) of therapy . -Diagnosis or indication for use -Date and time of order Any dose or order that appears inappropriate considering the patient's age, condition, or diagnosis is verified with the prescriber. 1. Review of R27's Face Sheet of the electronic medical record (EMR) under the Resident tab revealed a diagnoses including hemiplegia (paralysis of one side of the body) and hemiparesis (one-sided muscle weakness)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and a review of the facility policy titled, Antibiotic Stewardship, the facility failed to identify trends in antibiotic use, maintain documentation for clinical indication of use for antibiotics, implement systematic protocols to monitor, decrease use and measure effectiveness of antibiotics and create an action plan to lower the use of antibiotics that did not meet criteria with the potential to effect 61 census residents. Findings include: Review of the facility's policy titled Antibiotic Stewardship with a review date of 12/30/22 revealed that the team members included the Quality Assessment Performance Improvement (QAPI) committee members and other members were brought in on an as needed basis. The policy revealed that the facility's antimicrobial stewardship program included but not limited to formulary restriction, prospective audit and feedback by contracted pharmacy and feedback to physicians, staff, and physician education, parenteral to oral conversion protocol, dose optimization/automatic dose adjustment, streamlining/de-escalation of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0940 — failed to train staff — isolatedDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to implement and maintain a training program for dementia training for one of two Certified Nurse Aides (CNA1) and emergency evacuation of bariatric residents for all staff. This failure had the potential to affect the care and services provided to 27 of the 61 residents with dementia and two bariatric residents reviewed in the survey sample of 20 in the facility. Findings include: 1. Review of two CNA educational documentation, chosen for a hire date greater than twelve months prior to the review, showed: CNA 1: Date of Hire 06/17/21 did not have documented dementia care training. 2. During the course of the investigation into two Resident's (R)1 and R43 interviewed that did not have wheelchairs that fit through their room doorways, a concern regarding emergency evacuation was raised and, on 09/21/23 at 1:03 PM the Administrator stated no training regarding emergency evacuation of bariatric patients had been done as part of the facility Emergency Preparedness Program (EPP). During an interview on 09/21/23 at 1:10 PM Licensed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0943 — isolatedGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to implement and maintain a training program regarding the prevention of abuse and neglect for one of two Certified Nurse Aides (CNA) 1 reviewed and one of two Licensed Practical Nurses (LPN) 1 reviewed for training. This failure had the potential to affect the safety, care, and services provided to the 61 residents in the facility. Findings include: Review of two CNA training transcripts, chosen for a hire date greater than twelve months prior to the review, showed: CNA1: Date of Hire 06/17/21 did not have documented abuse/neglect prevention training. Review of two LPN training transcripts, randomly chosen from the State Agency Personnel review form showed: LPN1: Date of Hire 12/10/21 had no documented abuse/neglect prevention training. During an interview on 09/21/23 at 6:00 PM, the Administrator stated it was an expectation that staff would receive training prior to working with residents and annually. During an interview on 09/21/23 at 3:23 PM the Division Regional Nurse (DRN) confirmed the training was not on the list…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-09-21 · tag F0949 — failed to train staff on dementia and abuse — isolatedProvide behavior health training consistent with the requirements and as determined by a facility assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and staff interviews, the facility failed to ensure two of two Certified Nurse Aides (CNA) 1 and CNA 4 and two of two Licensed Practical Nurses (LPN) 1 and LPN 2, reviewed had received behavioral health training to care for residents diagnosed with mental health illnesses indicated as admittable in the facility assessment. This failure had the potential for direct care staff to lack current knowledge to work with the unique challenges mental health illnesses present. Findings include: Review of the Facility Assessment, dated as reviewed on 09/18/23, showed: Diseases/conditions, physical and cognitive disabilities 13. List common diagnoses or conditions associated with the category in the space provided below. Category Psychiatric / Mood Disorders Diagnosis. Psychosis (Hallucinations, Delusions, etc) Impaired Cognition, Mental Disorder, Depression, Bipolar Disorder (i.e., Mania/Depression), Anxiety Disorder, Unspecified Schizophrenia, Schizoaffective, Post Traumatic Stress Disorder, Behaviors not listed elsewhere, Pasarr level II. Review of two CNA training…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.6 | -0.6 vs chain |
| Health inspection | 3 of 5 | 3.6 | -0.6 vs chain |
| Staffing | 2 of 5 | 3.1 | -1.1 vs chain |
| Quality measures | 4 of 5 | 2.8 | +1.2 vs chain |
The other 49 homes this chain runs (chain average 3.6★, per CMS)
Showing 40 of 49; lowest-rated first.
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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| B.F.L.D., INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 100% | since 11/21/1989 |
| CABLE, PAUL | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 03/14/2003 |
| DAVIS, GREGORY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | — | since 09/01/2023 |
| DENNIS, KATHRYN | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 11/17/2015 |
| NICHOLS, JOSEPH | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 11/19/2024 |
| ROLLINS, RONNIE | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 03/14/2003 |
| WALL, JOSEPH | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 03/14/2003 |
| WARNOCK, RALPH | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 06/23/2020 |
| CLINICAL SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/30/2003 |
| HESS, CHARLES | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/03/2026 |
| KEENER, CHARITY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/11/2026 |
| PATEL, MAULIKKUMAR | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2025 |
| SHEFFIELD, KIMBERLY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 12/19/2025 |
CMS files one row per role, so the 18 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in GA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115652. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-22, 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.