Pinnacle Specialty 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.

52.8% 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 176 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 81 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 0.30 therapist hours per resident per day in 2026Q1 — more than 47% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 100 beds and averages 96.1 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 3.03 hrs/resident/day on weekends vs 3.42 on weekdays — 11% thinner on weekends. RN hours go from 0.60 to 0.28 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 unchanged from the previous inspection. 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 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2023-11-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 clinical record review, staff, family, and provider interviews the facility failed to provide ongoing assessments, intervention, and physician updates to inform of an ongoing change in condition, for 1 of 6 residents reviewed (#1) who exhibited left leg swelling, intermittent pain, warmth, and a lump behind the left knee which resulted in the resident being transferred to a local emergency room with a blood clot on 6/6/23 after discharge from the facility to an Assisted Living home on 6/5/23. The facility reported a census of 89 residents. Findings include: According to the Quarterly Minimum Data Set (MDS) dated [DATE] Resident #1 had admitted to the facility on [DATE] with diagnoses including malnutrition, muscle weakness, and COPD. The resident had a Brief Interview for Mental Status (BIMS) score of 8 out of 15 indicating moderately impaired cognitive ability. The resident required extensive assistance of 1 staff for transfers, dressing, and personal hygiene. Review of Resident #1's Care Plan dated 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-09 · 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 electronic health record (EHR), facility records, facility policies and staff interviews the facility failed to timely report an allegation of abuse for 1 of 2 residents (Resident #33) reviewed. The facility reported a census of 92 residents. Findings include:Resident #33's Minimum Data Set (MDS) assessment dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The MDS documented Resident #33 had no hallucinations (seeing things not there) or delusions (false beliefs). The MDS identified Resident #33 as occasionally incontinent of urine. The MDS documented Resident #33 had a recent surgery and required surgical wound care. The MDS included diagnoses of heart failure (weak heart), diabetes mellitus (high blood sugar), and hip fracture (broken hip). The Care Plan Report initiated on 4/15/26 identified Resident #33 had skin impairment to a surgical hip and a blister to the top of the left foot. The Care Plan included the following Interventions:4/15/26:…

  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 · D2026-06-09 · 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 electronic health record (EHR), facility records, personnel file and staff interview the facility failed to develop and implement a comprehensive Care Plan for 1 of 3 residents (Resident #22) reviewed. The facility reported a census of 92 residents. Findings include:Resident #22's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS included diagnoses of anxiety disorder (excessive worry), type II diabetes mellitus (high blood sugar), and osteoarthritis (chronic joint pain). Resident #22 received scheduled pain medications and occasionally experienced pain in the five-day look-back period. The Care Plan Report initiated on 7/25/24 identified a focus area for activities of daily living (everyday tasks) that directed staff to follow these interventions:Two-assist with bed mobility.Toileting: Two-assist with a mechanical lift when toileting.Provide care in pairs initiated 5/14/26. The Documentation Survey…

  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 · Dcited before2026-06-09 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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, electronic health record (EHR), facility policy review, resident and staff interviews, the facility failed to consistently respond to activated call lights within a reasonable amount of time. Residents reported having to wait up to 2 hours for a call light to be answered. Observations revealed a response time greater than 15 minutes for 2 of 2 residents observed (Residents #12 and #35). The facility reported a census of 92.Findings Include:1. Resident #35's Minimum Data Set (MDS) assessment dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 11, indicating moderately impaired cognition. The MDS listed Resident #35 as dependent (helper does all effort) for toileting hygiene. Resident #35 required partial/moderate assistance (helper does less than half effort) for toilet transfers. The MDS included diagnoses of diabetes mellitus (high blood sugar), Alzheimer's disease (progressive memory loss), and post-traumatic stress disorder (PTSD) (trauma-induced anxiety). The Care…

  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 · D2026-06-09 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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, electronic health record (EHR), Medication Administration Record (MAR), facility records, facility policy review, resident and staff interviews, the facility failed ensure medication administration was performed in accordance with physician orders and failed to maintain accurate medical record documentation for 2 of 8 residents (Resident #16 and #19) reviewed. The facility reported a census of 92 residents. Findings Include:1. Resident #19's Minimum Data Set (MDS) assessment dated [DATE] included a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS documented Resident #19 had no hallucinations (seeing things that aren't there) or delusions (false beliefs). The MDS documented Resident #19 was dependent on a helper for all effort to roll left and right and for chair/bed-to-chair transfers. The MDS documented Resident #19 received scheduled and as-needed pain medications. The MDS identified Resident #19 experienced pain almost constantly. The MDS…

  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 · D2026-06-09 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on document review, staff interviews, and facility policy review the facility failed to demonstrate good faith attempts to correct quality deficiencies based on issues identified with repeat deficiencies during the current survey process in 1 area and corrections that remained incomplete in a reasonable time frame. The facility reported a census of 92 residents.Findings include:Review of the Federal Centers for Medicare and Medicaid Services (CMS) form 2567 for the survey results with correction dates of 11/29/25 indicated the facility had received deficiency F725 related to insufficient nursing staff. On 6/9/26 at 11:47 AM, the Assistant Director of Nursing (ADON) reported the facility is continuing to monitor call lights with audits. The ADON further revealed the facility provided education to staff on the spot when they observed staff sitting at the nurse's station with active call lights present. The Quality Assurance and Performance Improvement (QAPI) Program - Governance and Leadership policy revised March 2020 directed: The responsibilities of the QAPI Committee are…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-02 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff and physician interviews, and policy review the facility failed to ensure stock over-the-counter (OTC) medications were on hand for administration. This failure resulted in medications such as Miralax, Lidocaine patches, Sennaside, and Acetaminophen (APAP) being unavailable for multiple days.The facility reported a census of 93 residents.Findings include: 1. Resident #7's March 2026 Medication Administration Record (MAR) revealed he did not receive Poly-Iron 150 Oral Capsule (medicine used to treat an iron deficiency) 150 milligrams (mg) on 3/12, 3/14, 3/15, 3/16, 3/17, 3/21, 3/22, 3/23, 3/24, and 3/25.Staff documented a code of 9 for these dates, which directed the reader to the Progress Notes for further explanation. Resident #7 received all other medications as scheduled on these specific dates.Review of Resident #7's Progress Notes lacked clarification as to why the staff did not provide the supplement on the dates listed above.2. Resident #1's January 2026 MAR revealed an order dated 12/27/25 for Loratadine (used to treat allergies) Oral Tablet 10…

  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 · Dcited before2026-04-02 · 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 record review, resident, staff, and Advanced Registered Nurse Practitioner (ARNP) interview, the facility failed to revise the Care Plan to include new interventions to address skin integrity and non-compliance with bed rest for one of 16 residents reviewed (Resident #2). The facility reported a census of 93 residents.Findings include: Resident #2's Minimum Data Set (MDS) Assessment, dated 2/10/26, documented a Brief Interview for Mental Status (BIMS) score of 10, indicating moderately impaired cognition. The MDS documented diagnoses of Parkinson's Disease, polyneuropathy (damage to multiple peripheral nerves throughout the body), and a left fibula (lower leg bone) fracture. The MDS identified Resident #2 as being at risk for pressure ulcers but indicated no unhealed pressure ulcers or injuries at that time.The Care Plan Focus revised 3/16/26 identified Resident #2 had a potential/actual skin integrity impairment. The Interventions dated 2/5/26 included the following:a. Avoid scratching. Keep hands and body parts from excessive moisture. Keep fingernails short.b. Cushion 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff and resident interviews, and policy review the facility failed to provide Peripherally Inserted Central Catheter (PICC) line dressing changes for 1 of 3 residents reviewed for intravenous lines (Resident #9). The facility reported a census of 93 residents.Findings include: Resident #9's Minimum Data Set (MDS), dated [DATE], identified a Brief Interview for Mental Status (BIMS) score of 15, indicating no cognitive impairment. Resident #9 had diagnoses including cellulitis of the buttock (skin infection), anemia (low iron), heart failure, renal insufficiency, diabetes mellitus, and hidradenitis suppurativa (painful skin lumps). The MDS documented Resident #9 had a PICC line in place.The Electronic Medication Administration Record (EMAR) lacked documentation of the transparent semi-permeable membrane (TSM) dressing change for the PICC site scheduled for 3/30/26.During an interview on 3/31/26 at 11:22 AM, Resident #9 reported staff flushed the PICC line but didn't change…

  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 · D2026-04-02 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services 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 record review, staff and resident interviews, and policy review, the facility failed to complete pre-dialysis assessments for 1 of 1 residents prior to their departure for dialysis services (Resident #5). The facility reported a census of 93 residents. Findings include:Resident #5's Minimum Data Set (MDS) dated [DATE] recorded a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. The MDS included diagnoses of type 2 diabetes mellitus (DM) with other diabetic kidney complications, (insufficient insulin production caused high blood sugar that damaged kidney vessels), anxiety, high blood pressure, depression, schizophrenia, seizures, and heart failure (the heart doesn't pump blood efficiently). The MDS reflected Resident #5 received dialysis (a treatment that filters waste, excess fluid, and salt from the blood when kidneys fail).Resident #5's Electronic Health Record (EHR) lacked documentation of a pre-evaluation for dialysis for the month of March 2026.On 3/31/26 at 12:58…

  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 before2025-11-19 · 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, policy review, staff, and resident interviews, the facility failed to ensure 1 of 3 residents received adequate nursing supervision and follow up assessment after a staff member transferred a resident using less than the required staff needed to transfer him as directed in the Care Plan and resulted in him being lowered to the floor (Resident #4). The facility reported a census of 93 residents. Findings include:The Minimum Data Set (MDS) dated [DATE] for Resident #4 documented a Brief Interview for Mental Status of 9, suggesting moderate cognitive impairment. The MDS documented he is dependent on staff (staff does all the effort) for transferring from chair or bed to chair transfers. The MDS revealed he had diagnoses of cancer, malnutrition, and septicemia (a life-threatening condition where an infection spreads throughout the bloodstream).Review of Witnessed Fall report for Resident #4 dated 8/4/25 at 10:00 AM informed Resident #4 wife called and reported a CNA lowered Resident #4 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.

  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

$8,362 in federal fines across 1 penalty.

• $8,362 — penalty dated 2023-11-13

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 CARE INITIATIVES — 43 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 25 rows in the source record cover these 20 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.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 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 IA