Summerhill Elderliving Home & Care

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.

52.0% 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 297 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 33.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 180 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 160 beds and averages 137.4 residents a day — about 86% occupied, or roughly 23 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 4.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above 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 3.89 hrs/resident/day on weekends vs 4.80 on weekdays — 19% thinner on weekends. RN hours go from 0.71 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

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

Inspection trend

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.

23 citations, most serious first. The 15 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · G2025-01-28 · 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

  Based on observation, staff and resident interviews, record reviews, and a review of the policy titled Abuse Prohibition Policy and Procedures, the facility failed to protect the resident's right to be free from physical abuse by Certified Nursing Assistant (CNA) FF for one of 11 residents (R) (R3), from a total sample. Actual harm was identified to have occurred on 12/17/2024, (CNA FF) grabbed R3's hand tight and took her call light out of her hand resulting in bruises and discoloration on the first three fingers on the right hand of R3. Findings include: The facility had an Abuse Prohibition Policy and Procedures, dated January 2017. The policy's statement documented that it was the intent of the facility to actively preserve each resident's right to be free from mistreatment, neglect, abuse or misappropriation of resident property. The policy included definitions of abuse and physical abuse. Abuse was defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm or pain or mental anguish. Physical abuse was defined…

  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 · Gcited before2025-01-28 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure that Activities of Daily Living (ADL) care was provided by the appropriate number of staff as care planned for one resident (R1), and medications were administered as care planned and ordered for one resident (R2), from a total sample of 11 residents. Actual harm was identified to have occurred on 12/21/2024, when Certified Nursing Assistant (CNA) AA provided ADL care to R1 by herself, instead of with the required two-person assistance. R1 fell from the bed and sustained a laceration to the right side of the forehead. Actual harm was also identified to have occurred on 12/19/2024 when Licensed Practical Nurse (LPN) CC administered the wrong resident's medications to R2. R2 was sent to the hospital and admitted for monitoring for potential side effects. Findings include: 1. Review of the care plan revealed that R1 had impaired cognition, a self-care deficit, was at risk for falls, and received hospice services. The fall risk care plan problem…

  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 · Gcited before2025-01-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure that bed bolsters were secured, and that Activities of Daily Living (ADL) care was provided by the appropriate number of staff, to prevent accidents for one of 11 residents (R) (R1) sampled for ADL care. Actual harm was identified to have occurred on 12/21/2024, when a Certified Nursing Assistant (CNA) AA provided ADL care to R1 by herself, instead of with the required two-person assistance. R1 fell from the bed and sustained a laceration to the right side of the forehead. Findings include: Review of the clinical record for R1 revealed that she was admitted to the facility on [DATE] and had diagnoses that included, but were not limited to, Alzheimer's disease, fibromyalgia, dementia, and adult failure to thrive. Review of the 10/11/2024 Quarterly Minimum Data Set (MDS) assessment revealed that R1 was cognitively impaired and dependent on staff for ADL, including bed mobility. Review of physician's orders revealed a corresponding physician's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-08-28 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure staff followed care plan interventions to ensure that a two-person assist was provided for one resident (R) (R#1) during a bed bath which resulted in actual harm when the resident fell out of the bed and sustained a fracture of the right femur. The sample size was six residents. Findings include: R#1 was admitted to the facility on [DATE] with the following but not limited to diagnoses: Alzheimer's disease, low back pain, age related osteoporosis and vitamin D deficiency. Review of the 9/1/22 admission Minimum Data Set revealed the resident was assessed as requiring a two-person physical assist with bed mobility and bathing. The resident had a care plan since 9/14/22 for activities of daily living self-care performance deficit related to impaired balance with the following interventions: resident is totally dependent on two staff to provide a shower three times a week and totally dependent on two staff for repositioning and turning in bed.…

  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 · Gcited before2023-08-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to provide adequate supervision during a bed bath to prevent an avoidable fall for one of six sampled residents (R) (#1). Actual harm occurred on 12/1/22 when R#1 fell from her bed during care and sustained a right femur fracture. Findings include: Review of the policy titled, Fall Management dated 5/17/17 indicated it is the policy of this facility that the administration and staff provide a safe environment for all residents. The facility will assess residents for fall risk, will evaluate each resident individually and provide, to the best of the facility's ability, interventions to decrease the likelihood of falls. R#1 was admitted to the facility on [DATE] with the following but not limited to diagnoses: Alzheimer's disease, low back pain, age related osteoporosis and vitamin D deficiency. Review of the 9/1/22 admission Minimum Data Set revealed the resident was assessed as requiring a two-person physical assist with bed mobility and bathing.…

  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 · F2026-01-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, record review, and policy review, the facility failed to ensure equipment, floors, walls and ceiling surfaces were clean and in good repair, beard guards were worn while serving food, and hands were washed between touching soiled and clean dishes when operating the dish machine. These failures had the potential to cause food-borne illnesses for 136 of 136 residents who received meals prepared in the facility's kitchen.Findings include: 1. On 01/20/26 at 8:45 AM and 01/21/26 at 2:00 PM the kitchen was toured with the Dietary Supervisor (DS) and sanitation issues found included:The floor in the walk-in refrigerator had dried spillage and trash debris along the walls behind shelves and a long crack across the concrete floor.The walk-in freezer was full of numerous stacks of boxes of food. Some boxes were crushed with the weight of other boxes, causing the food product to be exposed. The floor contained food debris throughout the freezer.The interiors of the two convection ovens were soiled with baked-on grease and charred food debris. The exterior…

  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 · F2026-01-23 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and document review, the facility failed to have an effective pest control program to prevent an infestation in the kitchen and in resident rooms. This failure could cause a decrease in quality of life, contamination of food, and transmission of disease for all residents in the facility.Findings include: Review of the facility's grievance log involving pests included: On 05/27/25, Resident rooms have Water Bugs and roachesOn 06/25/25, There are roaches and ants in [resident's] roomOn 07/29/25, having issues with roaches, silverfish, and fliesOn 08/26/25, found a roach in a resident's food, roaches in a resident's room, found a roach in a resident's bed.On 09/21/25, resident is still having issues with roaches.On 12/30/25, room has roachesReview of the facility's pest control receipts revealed:On 08/14/25, cockroach treatment was applied to the exterior area [of the building] and near entry- introduction point [of the building]On 09/09/25, cockroach treatment was applied 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-23 · tag F0628 — pattern
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 policy review, the facility failed to provide residents and their Resident Representatives (RR) with the required written transfer and bed-hold notices following emergent hospital transfers for four of four residents (Resident (R) 4, R3, R11, and R141) reviewed for hospitalization out of 32 sampled residents. The facility also failed to ensure the required information was communicated to the hospital at the time of the transfer. These failures created a risk that residents and their RRs would be uninformed about the reason and location of the transfer, their right to appeal, and the bed-hold process, increasing the potential for denial of readmission and loss of the resident's home following hospitalization.Findings include: 1. Review of R4's admission Record located under the Profile tab of the electronic medical record (EMR) revealed R4 was admitted on [DATE]. Review of R4's Progress Notes located under the Prog (Progress) Note tab of the EMR dated…

  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 · D2026-01-23 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to encode and transmit Minimum Data Set (MDS) assessments to the Centers for Medicare and Medicaid Services (CMS) system for two residents (Resident (R) 42 and R124) out of 32 sampled residents. This failure prevented the transmission of resident-specific information used for payment, quality measures, and ongoing clinical data analysis.Findings include:1. Review of R42's Prog (Progress) Notes tab located in the electronic medical record (EMR) revealed R42 discharged from the facility on 08/18/25.Review of the MDS tab of the EMR revealed no discharge MDS assessment was entered, completed, or transmitted to CMS.2. Review of the MDS tab of the EMR revealed Resident R124 had a Death in Facility assessment with an Assessment Reference Date (ARD) of 08/25 entered and completed but not transmitted to the CMS site.During an interview on 1/23/26 at 2:47 PM, Corporate Clinical Reimbursement Coordinator (CCRC) acknowledged R42 did not have a Discharge MDS entered,…

  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 · D2026-01-23 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, policy review, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure an accurate Minimum Data Set (MDS) was submitted to include the correct Preadmission Screening and Resident Review (PASSAR) II status for one of three residents (Resident (R) 5) reviewed for PASARR out of 32 sampled residents. This deficient practice had the potential to place R5 at risk of inaccurate assessments and care planning. Findings include:Review of R5's admission Record located under the Profile tab of the electronic medical record (EMR) indicated the resident was admitted to the facility on [DATE] with diagnoses ofmajor depressive disorder, anxiety disorder, and bipolar disorder.Review of R5's Treatment Service: PASRR Level II located under the Misc tab of the EMR, dated 12/20/22, revealed R5 had Serious Mental Illness (SMI) with diagnoses of bipolar disorder, generalized anxiety disorder, and major depressive disorder.Review of R5's annual MDS located…

  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 · D2026-01-23 · 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 observation, interview, record review, and facility policy review, the facility failed to ensure that a resident's fingernails were kept clean and properly trimmed for one of one resident (Resident (R) 12) reviewed for activities of daily living (ADLs) out of 32 sampled residents. This failure created a potential risk of infection, injury, and compromised personal hygiene.Findings include:Review of R12's admission Record located under the Profile tab of the electronic medical record (EMR) indicated R12 was admitted on [DATE].Review of R12's Care Plan located under the Care Plan tab of the EMR revealed, observe for need to trim fingernails, toenails during bath/ shower time. Let nurse know if these items need to be completed during the bath/shower, with a start date of 04/21/22.Review of R12's quarterly Minimum Data Set (MDS) located under the MDS tab of the EMR with an Assessment Reference Date ARD of 11/12/25 revealed a Staff Interview for Mental Status (SAMS) score of three indicating moderately…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-28 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record reviews, and a review of the policy titled Adverse Consequences and Medication Errors, the facility failed to ensure that the physician or nurse practitioner was notified of a significant medication error in a timely manner for one resident (R) (R2), from a total sample of 11 residents. Actual harm was identified to have occurred on 12/19/2024 when a Licensed Practical Nurse (LPN) CC administered the wrong resident's medications to R2. R2 was sent to the hospital and admitted for monitoring of potential side effects. Findings include: The facility also had an Adverse Consequences and Medication Errors policy, dated 3/22/2017. The policy documented in the event of a significant medication-related error or adverse consequence, immediate action is taken, as necessary, to protect the resident's safety and welfare. Significant was defined to include, but not limited to, requiring hospitalization. The policy also documented that the Attending Physician is notified promptly of any significant medication error or adverse consequence. Review of the 9/19/2024…

  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 · D2025-01-28 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interviews, record reviews, and review of the policy titled Abuse Prohibition Policy and Procedures, the facility failed to ensure that an allegation of abuse was reported to law enforcement for one of 11 residents (R) (R3), from a total sampled. Findings include: The facility had an Abuse Prohibition Policy and Procedures, dated January 2017. The policy included a section titled Reporting. The reporting section included that regarding reasonable suspicion of a crime, it would be reported to the State Agency and one or more law enforcement entities for the location in which the facility is located. Review of R3's clinical record revealed that she was admitted to the facility on [DATE] and had diagnoses that included, but were not limited to, Parkinson's disease, polyneuropathy, adjustment disorder with mixed anxiety and depression, and dementia. A review of facility reported incidents revealed a Facility Incident Report Form, dated 12/18/2024, that documented an…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-28 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, record reviews, and a review of the policy titled Care Plans - Comprehensive, the facility failed to revise the care plan to include actual skin impairment (bruising) for one resident (R) (R3), from a total sample of 11 residents. Findings include: The facility had a policy titled Care Plans - Comprehensive. The policy documented that assessments of residents are ongoing, and care plans are revised as information about the resident and the resident's condition change. Review of the care plan revealed that R3 was at risk for impairment to skin integrity. However, further review of the care plan revealed no evidence that the care plan had been revised to include actual skin impairment of bruising to the right hand, which was identified on 12/18/2024. A review of facility reported incidents revealed a Facility Incident Report Form, dated 12/18/2024, that documented an allegation of staff to resident abuse that had occurred on 12/17/2024 around 1:00 am. The form included that R3 had bruises to the first three fingers on the right hand. During an…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, review of the facility's policy titled Documentation of Medication Administration, and review of the Licensed Practical Nurse (LPN) job description, the facility failed to ensure that services being provided by a licensed nurse met professional standards of quality including inaccurate documentation of medication administration for one resident (R2), from a total sample of 11 residents. Actual harm was identified to have occurred on 12/19/2024 when a Licensed Practical Nurse (LPN) CC administered the wrong resident's medications to R2. R2 was sent to the hospital and admitted for monitoring of potential side effects. Findings include: The facility had a Documentation of Medication Administration policy, dated 3/22/2017. The policy documented that the nurse shall document all medications administered to each resident on the resident's electronic Medication Administration Record (eMAR). The policy included that administration of medication must be documented immediately as…

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

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

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

Fines & penalties

$86,129 in federal fines across 3 penalties.

• $78,228 — penalty dated 2025-01-28
• $3,950 — penalty dated 2023-08-28
• $3,951 — penalty dated 2023-08-28

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 CROSSROADS MEDICAL MANAGEMENT — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 11 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 $1.6M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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