Roselane Health Center By Harborview

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.

54.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 175 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.2% 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 76 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 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 137 beds and averages 122.5 residents a day — about 89% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.27 hrs/resident/day on weekends vs 4.03 on weekdays — 19% thinner on weekends. RN hours go from 0.67 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 27% is below the national median of 45%.

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

Inspection trend

Deficiencies are 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.

25 citations, most serious first. The 13 most serious are shown; the remaining 12 are one tap away and print in full.

• Actual harm · G2026-02-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and review of the facility policies titled Abuse, Neglect and Exploitation and Reporting Reasonable Suspicion of a Crime, the facility failed to protect two of 33 sampled residents (R)(R57 and R148) from abuse. Harm was identified to have occurred on 11/14/2025 when R57 sustained bruising and a skin tear after staff grabbed her arm. Findings included:1. A review of the electronic medical record (EMR) revealed resident R57 was admitted to the facility on [DATE] with a diagnosis of, but not limited to, the following: Acute embolism and thrombosis of the right femoral vein, history of pulmonary embolism, fibromyalgia, major depressive disorder, and dementia with agitation.A review of R57's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 10, which indicated R57 had moderate cognitive impairment; that R57 requires setup and cleanup and substantial assistance with toileting hygiene and showering;…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-06-02 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, review of facility policy, and record reviews, it was determined the facility failed to provide services as outlined by the comprehensive care plan and that met professional standards of quality for one of 24 sampled residents (R) (R#26) related to thoroughly assessing the resident after a significant change in condition and ensuring pain management. Harm was identified to have occurred on 4/23/23, when staff were returning R#26 to their room after a shower and the resident's right foot hit a door frame. The resident immediately complained of pain and stated the pain radiated from their foot upward to the hip. The resident continued to complain of pain after the incident and requested an x-ray of the leg. Nursing staff assessed the resident's right foot but did not address the resident's continued complaints of pain to the right leg and thigh area or requests for an x-ray until 4/25/23 On 4/24/23 an x-ray was ordered, and R#26 had a fractured femur (bone in the upper part of the leg). This failure resulted in the delay of obtaining an x-ray which was positive…

  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
• Actual harm · G2023-06-02 · 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 interviews, review of facility policy, and record reviews, it was determined the facility failed to provide effective pain management for one of 24 sampled residents (R) (R#26). Harm was identified to have occurred on 4/23/23, when staff were returning R#26 to their room after a shower and the resident's right foot hit a door frame. The resident immediately complained of pain and stated the pain radiated from their foot upward to the hip. The resident continued to complain of pain after the incident and requested an x-ray of the leg. Nursing staff assessed the resident's right foot but did not address the resident's continued complaints of pain to the right leg and thigh area or requests for an x-ray until 4/25/23 On 4/24/23 an x-ray was ordered, and R#26 had a fractured femur (bone in the upper part of the leg). This failure resulted in the delay of obtaining an x-ray which was positive for a fractured femur and ultimately resulted in R#26 having uncontrolled pain for approximately two days. Findings…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure that kitchen staff wore appropriate beard nets. This deficient practice had the potential to contaminate food and cause food-borne illnesses. The facility had a census of 127.Findings included: During an observation on 2/15/2026 at 11:39 am, during the initial kitchen tour, the [NAME] (Cook NN) and the Food Service Director (FSD) were observed to have facial hair with no beard nets. On 2/16/2026 at 10:49 am, during the comprehensive kitchen tour, the [NAME] (Cook OO) and the FSD were observed to have facial hair with no beard nets. On 2/16/2026 at 12:05 pm, during the food temperature observation, [NAME] OO, [NAME] NN, and FSD were observed not to be wearing beard restraints. [NAME] OO took temperature readings for fifteen items. While testing the temperature of the food items, he had to lean over the steam table. His beard came into proximity to hot foods. On 2/16/2026 12:30 pm, the FSD confirmed beard restraints were on order for Dietary staff, and individuals with facial hair should wear…

  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 · E2026-02-18 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and a review of facility policy titled Puree Food Preparation, it was determined that the facility failed to follow puree preparation guidelines to ensure puree food was prepared in a manner to conserve the nutritive value/appearance, and palatable for eight of eight residents who are on a puree or mechanical diet. This deficient practice places residents at risk for swallowing and choking hazards. Findings included: A review of the facility's policy titled Puree Food Preparation, dated 3/1/2022 and revised 6/1/2024, revealed, It is the policy of this facility to provide puree food that has been prepared in a manner to conserve nutritive value, palatable flavor, and attractive appearance.A review of the Puree Food Preparation Guideline per Serving revealed (more or less may be used depending on the consistency of the cooked food): Meats: Add 1 teaspoon beef broth or beef gravyPoultry: Add 1 teaspoon chicken broth or chicken gravyFish: Add 1 teaspoon of mayonnaiseNoodles: Add 1 teaspoon of margarineVegetables (leaf, stem, or flower) Add 2…

  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 · D2026-02-18 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff and resident interviews, record review, and review of the facility's policy titled Residents' Rights, the facility failed to allow choice of personal hygiene care, bathing, or showering of one of 33 sampled residents (R) (R112). This deficient practice had the potential to cause loss of dignity and sense of control over life's needs and contributed to depression and poor skin integrity. Findings included: During an observation and interview on 2/15/2026 at 2:30 pm, a malodorous smell was detected in R112's room. During the interview, R112 admitted that when he is offered a bath, it is always a bed bath because he requires a mechanical lift to get out of bed. He stated that he would prefer a shower instead of a bed bath. During a follow-up interview with R112 on 2/16/2026 at 1:30 pm, he stated that he would prefer a shower but said that it is too much work for the staff, so he doesn't push the issue. A review of the electronic medical record (EMR) revealed R112 was admitted to the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and review of the facility's policy titled MDS 3.0 Completion, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were completed within the required regulatory timeframe for two of three sampled residents (R) (R33 and R104). This deficient practice had the potential to delay the development and implementation of an updated comprehensive care plan and impact regulatory compliance.Findings included:A review of the Electronic Health Record (EHR) revealed R33 was admitted on [DATE].A review of the R33's Minimum Data Set (MDS) assessments revealed the following Assessment Reference Dates (ARDs):12/21/2024 - Quarterly Assessment3/25/2025 - Quarterly Assessment3/29/2025 - Quarterly Assessment6/29/2025 - Quarterly Assessment9/21/2025 - Annual Assessment12/22/2025 - Quarterly AssessmentFurther review determined the interval between the 12/21/2024 Quarterly Assessment and the 3/25/2025 Quarterly Assessment was 94 days, exceeding the 92-day regulatory…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide 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 observations, record review, and resident and staff interviews, the facility failed to ensure that Activities of Daily Living (ADL) care was provided for three of 33 sampled residents (R) (R15, R46, and R125) related to showers and bed baths according to the schedule. Findings included:1. During the initial screening interview on 2/15/2026 at 2:07 pm, R15 shared that she had not had a shower since her admission. She mentioned that she received bed baths; however, she expressed a preference for showers and declined once, when a male provider proposed to assist her with the shower task.A review of the electronic medical record (EMR) for R15 revealed she was admitted to the facility on [DATE] with diagnoses including, but not limited to, orthopedic aftercare following surgical amputation, sepsis, gangrene, atheroembolism of unspecified lower extremity, abscess of left foot, and urinary tract infection.A review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed R15 presented with a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interviews, and review of the facility's policy titled Oxygen Administration, the facility failed to ensure the oxygen concentrator filter was free of debris for one of 30 residents (R) (R30) receiving oxygen therapy. This deficient practice created the potential for impaired oxygen delivery, inhalation of contaminants, and worsening respiratory symptoms.Findings included:A review of the Electronic Health Record (EHR) revealed R60 was admitted on [DATE] and readmitted on [DATE] with diagnoses including but not limited to chronic obstructive pulmonary disease (COPD), chronic respiratory failure with hypoxia, interstitial pulmonary disease, and paroxysmal atrial fibrillation.A review of the quarterly Minimum Data Set (MDS) dated [DATE] documented that the resident receives oxygen therapy.A review of physician orders dated 2/4/2026 revealed an order to Clean Oxygen (O2) Concentrator Filter once weekly and as needed.A review of the resident's care plan revealed the resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and review of the facility's policy titled Antibiotic Stewardship Program, the facility failed to ensure antibiotic medications were not administered unnecessarily for two of five sampled residents (R) (R92 and R10) reviewed for unnecessary medications. This deficient practice had the potential to cause adverse drug reactions, medication interactions, and the development of multidrug-resistant organisms (MDROs).Findings included:1. A review of the Electronic Health Record (EHR) for R92 revealed she was admitted on [DATE] with a most recent readmission date of 4/7/2025 with diagnoses included, but not limited to, vascular dementia with psychotic disturbance, delirium due to a known physiological condition, urinary retention, cerebrovascular disease, metabolic encephalopathy, and major depressive disorder.A review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented that R92 presented with a Brief Interview for Mental Status (BIMS) score of 12,…

  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 · D2026-02-18 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and a review of the facility's policies titled Medication Administration, the facility failed to be free of a medication error rate of 5 percent or less for six of 25 observations (24 percent medication error rate). This deficient practice had the potential to cause serious medication side effects and health issues.Findings included:During an observation of medication administration on 2/17/2026 at 9:12 am, R22 was observed to have a gastrostomy tube (GT) through which all medications were to be administered. Licensed Practical Nurse (LPN) FF crushed R22 medication together in the same envelope, mixed them in water, and administered it through the GT. Per professional standards, the medications should be crushed separately and given separately through the GT. There was also an omission of a Coreg 6/25mg, which was not available on the cart. LPN FF did not call the pharmacy nor check the emergency stock for the medication. A review of the electronic medical record (EMR) revealed that multiple residents had missing documentation in their…

  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 · D2026-02-18 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and review of the facility's policy titled Antibiotic Stewardship Program, the facility failed to implement an effective Antibiotic Stewardship Program to ensure antibiotics were initiated in accordance with nationally recognized infection surveillance criteria, specifically the McGeer criteria, for two of five sampled residents (R) (R92 and R10) reviewed. The facility initiated antibiotic therapy for residents who did not meet established McGeer criteria for urinary tract infection. This deficient practice had the potential to result in unnecessary antibiotic exposure, adverse drug reactions, development of multidrug-resistant organisms (MDROs).Findings included:1. A review of the Electronic Health Record (EHR) for R92 revealed she was admitted on [DATE] with a most recent readmission date of 4/7/2025. Diagnoses include but are not limited to vascular dementia with psychotic disturbance, delirium due to a known physiological condition, urinary retention, cerebrovascular…

  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 · Fcited before2024-12-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews , and review of the facility policy, the facility failed to ensure all food in the freezer, refrigerator, and dry storage was labeled, dated, and not expired. These failures had the potential to affect all 116 residents in the facility who consumed food from the kitchen. Findings include: Review of the facility's policy titled, Date Marking for Food Safety, dated 04/01/23, revealed The individual opening or preparing a food shall be responsible for date marking the food at the time the food is opened or prepared. The marking system shall consist of a color-coded label, the day/date of opening, and the day/date the item must be consumed or discarded. The discard day or date may not exceed the manufacturer's use-by-date, or four days, whichever is earliest. The date of opening of preparation counts as day one. The head cook, or designee, shall be responsible for checking the refrigerator daily for food items that are expiring, and shall discard accordingly. The dietary manager, or designee, shall spot check refrigerators weekly for compliance .…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$6,682 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $6,682 — penalty dated 2024-12-05
• Medicare payment denial — starting 2025-02-19 for 13 days

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

Part of a chain

This home belongs to HARBORVIEW HEALTH SYSTEMS — 22 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

1 organizational owner 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in GA