Kalakaua Gardens

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

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.

69.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 148 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 15.6% 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 77 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 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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 49 beds and averages 38.5 residents a day — about 79% occupied, or roughly 10 beds typically open. It usually has some room. 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 5.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.04 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.38 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 5.51 hrs/resident/day on weekends vs 5.88 on weekdays — 6% thinner on weekends. RN hours go from 2.15 to 1.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 100% 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.

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

• Actual harm · G2025-01-17 · 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

  Based on interviews and record review, the facility failed to provide adequate supervision to prevent a second fall which could have been avoided for one (Resident (R)22) of 14 residents sampled. As a result of this deficient practice, the resident had a second fall which could have been avoided and sustained physical injuries. Findings include: On 11/17/24 at 08:57 AM, conducted a record review of R22's Electronic Health Record (EHR). Review of progress notes documented on 9/5/24 at 03:28 AM, a Certified Nurse Aide (CNA)65 answered R22's light at 12:45 AM and assisted R22 onto the toilet. CNA65 left R22 unattended, then heard a loud noise and the resident calling for help. CNA65 and Registered Nurse (RN)41 went into the bathroom and found the resident on the floor. R22 was lying on the right side, with her right arm under and behind the resident's back; the resident's head was against the wall (adjacent to the toilet), with wet briefs around her ankles and urine on the floor. R22 reported to staff that she hit her head hard against the wall, but she doesn't remember how or why she…

  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 before2024-01-26 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 review, the facility nursing staff failed to demonstrate the competency (knowledge and skill set) to meet the needs of one Resident (R)1 of a sample size of three. The Nursing Staff: 1) did not identify a change in R1's level of consciousness, 2) did not report the trend Rl's high blood pressure (BP) medication was held due to low blood pressure. 3) administered medication twice when it should have been held because BP was outside parameters, and 4) did not administer oxygen timely or notify the physician (MD)1 when R1's oxygen level (PO2) remained below. Due to these deficiencies, R1's changing condition was not recognized and reported to the MD, which did not allow for timely interventions, and she suffered harm. On [DATE], R1 was transferred to the hospital where she was admitted in critical condition with diagnosis of urosepsis (sepsis due to urinary tract infection) and fluid overload. She expired on [DATE]. This could affect any resident who has a change of condition that is…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-20 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to assure the kitchen followed dishwasher manufacturers guidelines for sanitizing their dishware and utensils, failed to label beverages with the opened-on date once they were opened, failed to label prepared vegetables and grated cheese with the prepared-on date and failed to throw away meats by the facility's discard by date. The deficient practice puts all residents who eat their meals at the facility at risk for foodborne illness. On 02/17/26 at 09:20 AM initial tour of the kitchen started with [NAME] (C) 9. Inquired about the facility dishwasher logs which C9 was able to provide. Reviewed the dishwashing/warewashing machine temperature log which states For High Temperature Machine: (Refer to machine data plate for temperature requirements). Review of the temperatures logged by facility staff for Final Rinse Temp ranged from 110-185 degrees Fahrenheit from 02/09/26 - 02/17/26. Observation of the dishwasher at this time revealed it was a Model ADC-44, Multi-tank, rack conveyor dishmachine manufactured by…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-20 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure that 2 of 2 ice and water machines for the residents were kept in clean and sanitary conditions in accordance with professional standards for food service safety. Unsanitary food handling and/or equipment maintenance practices represent a potential source of pathogen exposure for all residents receiving ice or water on the affected resident units. Findings include:On 02/17/26 at 10:35 AM, observed a buildup of hardened dark brown sediment/material around the bottom edges of the plastic chute dispensing ice and water from the ice/water machine located on the 4th floor dining room. On 02/18/26 at 08:33 AM, observed the same ice/water machine in the 4th floor dining area with the same buildup of hardened dark brown sediment/material around the bottom edges of the plastic chute. On 02/18/26 at 08:37 AM, interviewed the Director of Nursing at the ice/water machine located on the 4th floor dining area. The DON stated that the ice/water machine is used by residents, staff, and visitors. The DON confirmed the presence 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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

  Based on observation, interview, and record review, the facility failed to ensure respiratory equipment was maintained within professional standards of practice for 4 of 4 Residents (Resident (R) 12, R24, R26, and R45) sampled for Respiratory/Tracheostomy care and suctioning. The facility failed to label and properly store oxygen, nebulizer, and suction equipment. The deficient practice placed the residents at risk of infections and illness. Findings include:1) On 02/17/26 at 10:03 AM and 02/18/26 at 08:21 AM, the following was observed in R12's room: -Undated humidifier bottle with undated tubing connected to an oxygen concentrator. -Uncovered oxygen tubing connected to an oxygen tank located on the side of R12's bed. -Uncovered yankauer suction tip catheter attached to suction tubing and connected to the suction machine was hanging down from the suction machine and leaning against R12's bedside dresser drawer. On 02/19/26 at 01:32 PM, a review of R12's physician orders noted active orders stating, Suction orally prn [as needed] for increased secretions and O2 [Oxygen] 1-4 L…

  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 · D2026-02-20 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to inform 1 of 5 residents (Resident (R) 2), of the risk and benefits of taking an antidepressant medication for his insomnia. The deficient practice could affect all residents in the facility who are not informed in advance of starting an antidepressant of the risks and benefits and offered other treatment alternatives or options. On 02/19/26 at 09:12 AM during record review of R2's Electronic Health Record (EHR) found R2 was ordered Trazodone HCL 50 mg one tablet by mouth at bedtime for insomnia. Review of R2's consents and progress notes did not reveal documentation that R2 or his representative was informed in advance of the risks and benefits of this medication or treatment alternatives that he could choose.On 02/19/26 at 10:00 AM requested of Director of Nursing (DON) documentation that the facility reviewed the risk and benefits of Trazodone with R2 or his representative.On 02/19/26 at 04:30 PM DON confirmed she could not find any documentation that facility staff reviewed the risks and benefits with R2 or his…

  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 · D2026-02-20 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to provide clean personal care equipment and living space for 1 of 13 residents (Resident (R) 26) sampled for a clean environment. The deficient practice placed the resident at risk for discomfort and illness. Findings include: Resident (R) 26's room was observed on 02/17/26 at 09:47 AM. R26 was asleep in her bed and observed an Oxygen (O2) concentrator that was not being used in the corner next to the bed. Upon closer inspection observed dust on the top of the unit. In the same area, thick dust was observed on the wall behind the resident's headboard. On the left side of the bed on the nightstand, observed a suction cannister with clear secretions inside and tubing connected to a yankauer (small device used to suction the mouth) without a date or label. No date or time written on the wrap or the tubing. Registered Nurse (RN) 17 was interviewed on 02/20/2026 at 09:25 AM in the nurse's station and was asked if the O2 concentrator is for R26. RN17 said, Yes, she's receiving Hospice care. Asked if R26 uses it and she said, No she…

  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 · D2026-02-20 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 1 of 5 residents (Resident (R) 3) sampled for unnecessary psychotropic medication was not prescribed as needed (PRN) anti-psychotic medication for greater than 14 days. The deficient practice placed the resident at risk for an adverse event. Findings include:Electronic Medical Record (EMR) reviewed on 02/19/26. Resident (R) 3 is an [AGE] year-old male admitted to the facility on [DATE]. Resident is taking Quetiapine (an anti-psychotic medication) for his diagnosis of Parkinsons and non-Alzheimer's dementia. Reviewed the Medication Regimen Review (MRR) dated 01/31/26. Note to attending physician/ prescriber with recommendations to order PRN for no more than 14 days and then reassess. The physician (MD) agreed and wrote the order for 30 days. It was signed and dated 02/05/26.Physician orders reviewed. Quetiapine Fumarate oral tablet 25 milligrams (MG); Give 0.5 tablet by mouth every 12 hours as needed for mild hallucinations for one month and give…

  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 · D2026-02-20 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  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 implement resident centered activities based on the resident's interests for 1 of 2 residents (Resident (R) 44) sampled for activities. This deficient practice failed to enhance the Resident's sense of well-being of watching news and sporting events on the television. Findings include: Observed Resident (R) 44 in her room in bed on 02/17/2026 at 10:35 AM. The television (TV) was off and the room was quiet. R44 was non-verbal and smiled. Random observations made on 02/17/26 and 02/18/26, observed R44 in her room in bed with the TV off and the room quiet while awake. Family member (FM) 10 was sitting at the bedside and interviewed on 02/19/2026 at 10:33 AM. Asked how often she visits R44. FM10 said, My husband visits her more often. When asked how R44 is doing, she answered, Ok, but I wish we could turn the TV on for her. I think there is something wrong with the remote. I asked the nurse and she said she would ask for maintenance to look at it. She [R44] really does seem to engage with the TV.Minimum data set…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-20 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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, and record review the facility did not correctly transcribe the physician orders for the splints/braces to the Medication/Treatment Administration record (MAR/TAR), did not ensure staff were trained on the application of physician ordered splints/braces, and did not follow-up on therapy recommendations for a palm splint for 1 of 3 residents (Resident (R) 37) sampled for limited range of motion (ROM). This deficient practice hindered R37's ability to maintain the highest practicable well-being and has the potential to affect all residents at the facility who have limited ROM. Findings include:Resident (R) 37 is a is a [AGE] year-old male with a diagnosis of left hemiplegia following cerebral infarction. A Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/19/25 noted R37 requires dependent care (resident does none of the effort to complete the activity) for his activities of daily living (ADL).On 02/17/26 at 10:10 AM, observed R37 sleeping in bed with left arm…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-20 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure that medications in 2 of 4 medication carts were stored and locked in accordance with professional standards. Proper storage of medications and locking of the medication cabinet is necessary to promote safe administration practices and decrease the risk for medication errors. This deficient practice has the potential to affect all residents in the facility who take medications.Findings include:1) On 02/19/26 at 07:43 AM, the 4th floor medication cart B was inspected with Registered Nurse (RN) 16 present. In the first drawer of the medication cart: -Three individually sealed capsules of Vancomycin Hydrochloride 125mg and one individually sealed capsule of Cephalexin 250mg was found in a container that also contained sealed Acetaminophen and Bisacodyl suppositories. The individually sealed capsules were not stored in a bag/packaging containing the following minimum information: Medication name (generic and/or brand), prescribed dose, strength, the expiration date when applicable, the resident's name, and route 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0826 — isolated
  Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, therapy services failed to follow physician ordered restrictions for 1 of 3 residents (Resident (R) 7) sampled for limited range of motion. This deficient practice had the potential to lead to worsening injury to R7.Findings include: On 02/19/26 at 02:32 PM, R7's records in the Electronic Health Record (EHR) were reviewed. R7 re-entered the facility from the hospital on [DATE] with a diagnosis of unspecified fracture of left femur with non-operative management. A physician's order dated 02/26/25 stated non-weight bearing (NWB) and no range of motion (ROM) every shift for left distal femur fracture. On 02/20/26 at 08:43 AM, an interview was conducted with the Therapy Director (TD) in her office. The TD stated that R7 received physical therapy that spanned from 04/29/25-06/27/25 and ROM was being done to R7's bilateral lower extremities (ankle, knee, and hip). The TD confirmed that during the span of therapy, no new order was received since the 02/26/25 initial order for NWB…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$55,692 in federal fines across 1 penalty.

• $55,692 — penalty dated 2025-01-17

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.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

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 HI