Thomas Rest Haven

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.

Met the expected recovery: 61.5% 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 26 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 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 57 beds and averages 34.9 residents a day — about 61% occupied, or roughly 22 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.71 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 3.25 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 3.97 hrs/resident/day on weekends vs 5.01 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.76 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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.

18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · Gcited before2026-01-15 · 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 observation, staff interviews, clinical record review and nursing standard of practice, the facility failed to ensure that staff used safe transfer techniques and fall preventions for 1 of 3 residents reviewed. Resident #1 had frequent falls and a history of self-transferring, the staff failed to use a gait belt while transferring, and failed to ensure the intervention of slip proof strips on the floor was implemented. The facility reported a census of 33 residents. The facility corrected the deficiency practice per past non-compliance on 1/7/26 through the following actions:*Nursing staff re-education on fall prevention, proper transfer techniques, mandatory use of gait belts and accountability for care plan compliance. *Audits of transfers and ambulation to ensure gait belt use when required. *Supervisory observations by nursing leadership. *Any non-compliance will result in immediate re-education and progressive discipline if indicated. *Ongoing review of fall incidents through QAPI to identify…

  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 · Past Non-Compliance
• Actual harm · Gcited before2025-04-09 · 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 observation, clinical record review, staff interview, and policy review the facility failed to provide adequate nursing supervision to prevent an accident and injury by leaving a resident that needed assistance with transfers, was a high risk for falls, and care planned to not leave unattended in the bathroom, unattended on the toilet and the resident fell and received an abrasion to the elbow and abrasion to the hip/buttock for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 36 residents. Findings include: The Minimum Data Set (MDS) for Resident #1, dated 1/23/25, documented a Brief Interview for Mental Status score of 10, indicating moderate cognitive impairment for decision-making. The MDS included diagnoses of Non-Alzheimer's Dementia, Parkinson's disease (progressive neurological condition), anxiety disorder, and depression. The MDS documented the resident required substantial/maximal assistance with toilet transfers, used a walker and wheelchair (w/c) for mobility, and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-18 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 policy review the facility failed to use universal infection control measures (hand hygiene), and Enhanced Barrier Precautions (EBP) during catheter cares/wound cares for 5 of 5 residents reviewed for infection control (Residents #1, #3, #10, and #26). The facility reported a census of 31 residents.Findings include: 1. Review of Resident #10's Minimum Data Set (MDS) dated [DATE] revealed diagnoses of progressive neurological conditions, Alzheimer's disease, Non-Alzheimer's dementia, and obstructive uropathy. The MDS further revealed Resident #10 utilizes an indwelling catheter. Review of Resident #10's Electronic Healthcare Record (EHR) page titled, Clinical Physician Orders, revealed an order to change catheter every 30 days and as needed dated 6/24/24. Observation 9/16/25 at 12:31 PM Staff L Certified Nursing Assistant (CNA), and Staff M CNA completed hand hygiene, donned gloves and gowns. Staff L then raised Resident #10's bed while wearing gloves and proceeded 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-18 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 interviews and policy review, the facility failed to acquire a physician's signature on an Advance Directive in 1 of 3 residents (Resident #29) reviewed. The facility reported a census of 31 residents.Findings Includes: Resident #29's Minimum Data Set (MDS) dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 10, indicating moderately impaired cognition. Resident #29's MDS documented active diagnoses: seizure disorder or epilepsy, traumatic brain injury (brain dysfunction caused by an outside force), malnutrition, anxiety disorder, depression, bipolar disorder, psychotic disorder, schizophrenia, post traumatic stress disorder, asthma, chronic obstructive pulmonary disease or chronic lung disease, respiratory failure, type 2 diabetes, atherosclerosis of aorta (build up of fat,cholesterol and other substances in and on the artery walls), rheumatoid arthritis, bilateral primary osteoarthritis of the hip, muscle weakness.The Care Plan with a targeted…

  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 · D2025-09-18 · 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 clinical record review, staff interviews and policy review the facility failed to ensure that staff contacted the physician when a resident had a change in status for 1 of 2 residents reviewed. Resident #31 had many falls during his stay and the chart lacked documentation of physician notification. The resident was found to have a bruised, swollen hand and staff failed to contact the doctor for direction or orders. The facility reported a census of 31 residents. Findings include:According to the Minimum Data Set (MDS) date 8/11/25, Resident #31 had a Brief Interview for Mental Status (BIMS) score of 1 (severe cognitive deficits). The resident was independent with eating, transferring and walking 50 feet. Resident #31 had wandering behaviors that occurred 1 to 3 days a week. He had diagnoses that included cancer, anemia, deep venous thrombosis, benign prostatic hyperplasia and dementia. The Care Plan updated on 8/18/25, showed that Resident #31 was at risk for impaired skin integrity related to fragile and thin skin, friction and sheering potential. Staff were to complete…

  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 · D2025-09-18 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on personnel file review, staff interviews, and policy review, the facility failed to ensure that current background checks had been completed for 1 of 4 staff reviewed. The facility reported a census of 31 residents. Findings include:A review of the file for Staff A, Certified Nurse Aide (CNA) revealed that the last Single Contact License and Background Check completed for her was dated 12/3/2020.On 9/16/25 at 2:30 PM, Staff J, Administrative Assistant, said that Staff A was first hired on 12/16/20 and terminated on 11/15/23. She was rehired on 3/1/24 but the file lacked a background check for the rehire. Staff J acknowledged that it hadn't been done and she started the process to run one for the staff member.On 9/18/25 at 3:30 PM the Administrator acknowledged that a second background check should have been completed for Staff A before rehire.According to the facility policy titled: Nursing Facility Abuse Prevention, Identification, Investigation and Reporting Policy dated July of 2019, The facility would conduct an Iowa criminal record check and dependent adult/child abuse…

  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 · D2025-09-18 · tag F0628 — isolated
  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 clinical record review, resident interview, staff interview, and policy review the facility failed to notify the Long-Term Care Ombudsman of a transfer to a hospital for 2 of 3 residents (Residents #3, and #32) reviewed. The facility reported a census of 31 residents. Findings include: 1. Review of Resident #32's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 14 indicating intact cognition. The MDS further revealed a reentry back to the facility on 4/18/25 from a short-term general hospital stay. Interview on 9/15/25 at 11:06 AM with Resident #32 revealed that she was in the hospital in April of this year. Review of a facility provided document titled, Notice of Transfer Form to Long Term Care Ombudsman for the month of April 2025 revealed Resident #32 was not included on the form. Interview on 9/16/25 at 11:58 AM with the Social Services Manager revealed that the residents should be on the report and she was unsure why they weren't. The Social Services…

  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 · D2025-09-18 · 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

  Based on clinical record review, family interview, staff interview and policy review, the facility failed to provide timely and accurate assessment and interventions for 1 of 2 residents reviewed (Resident #31.) Resident #31 had many falls and the staff failed to complete skin assessments with measurements and failed to document and monitor injuries. The facility reported a census of 31 residents. Findings include:According to the Minimum Data Set (MDS) date 8/11/25, Resident #31 had a Brief Interview for Mental Status (BIMS) score of 1 (severe cognitive deficits). The resident was independent with eating, transferring and walking 50 feet. Resident #31 had wandering behaviors that occurred 1 to 3 days a week. He had diagnoses that included cancer, anemia, deep venous thrombosis, benign prostatic hyperplasia and dementia. The Care Plan updated on 8/18/25, showed that Resident #31 was at risk for impaired skin integrity related to fragile and thin skin, friction and sheering potential. Staff were to complete weekly treatment documentation to include measurement of each area of skin…

  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 · Past Non-Compliance
• Potential for harm · D2025-09-18 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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, observations, staff interview, and policy review the facility failed to provide a professional standard of quality of care by not completing catheter cares for 1 of 2 residents reviewed (Resident #3). The facility reported a census of 31 residents. Findings include:Review of Resident #3's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 8/15 indicating moderate cognitive deficit. The document provided diagnoses of benign prostatic hyperplasia, renal insufficiency, and obstructive uropathy. The resident had an indwelling catheter and urinary continence was not rated. Resident #3's Care Plan dated 6/26/25 revealed a focus area of self-care deficits revised 6/16/25 contained interventions of toileting 1 assist with emptying catheter, suprapubic catheter and wears a leg bag for urinary drainage initiated on 6/6/24 and revised on 6/20/24. An additional focus area of suprapubic catheter and at increased risk for infections was initiated…

  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 · D2025-09-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, staff interviews, and policy review the facility failed to provide respiratory care and services in accordance with professional standards of practice for 3 of 4 residents reviewed (Residents #2, #3, and #10) requiring the use of oxygen. The facility reported a census of 31 residents. Findings include: 1. Review of Resident #10's Minimum Data Set (MDS) dated [DATE] revealed diagnoses of progressive neurological conditions, Alzheimer's disease, Non-Alzheimer's dementia, and anxiety disorder. The MDS further revealed the use of continuous oxygen therapy. Observation 9/15/25 at 11:24 AM revealed the oxygen tubing set ups in Resident #10's room were dated 8/31 on both nasal cannulas. Review of Resident #10's Electronic Healthcare Record (EHR) page titled, Clinical Physician Orders, revealed an order to change and date oxygen tubing, nasal cannula, and bag weekly and as necessary with a start date of 3/5/23. Interview on 9/16/25 at 10:11 AM with Staff G Licensed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 failed to ensure that residents were treated with dignity and respect for 2 of 13 residents reviewed. Resident's #238 and #1 reported that a staff member instructed them to urinate in their adult briefs if/when they couldn't assist them to the restroom in a timely manner. The facility reported a census of 37 residents. Findings include: 1) According to the Minimum Data Set (MDS) dated [DATE], Resident #238 had a Brief Interview for Mental Status (BIMS) score of 7 (moderate cognitive deficit). He had diagnoses that included heart failure, hypertension, diabetes, cerebrovascular accident, and traumatic brain injury. Resident #238 was admitted to the facility on [DATE]. The Care Plan for Resident #238, dated 10/8/24, showed that he had self-care deficits and required assistance with activities of daily living. He was unable to ambulate, used a wheelchair and required assistance of 2 staff with the sit to stand mechanical lift for transfers. The…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-17 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide adequate nursing supervision to prevent falls for 1 of 4 residents reviewed (Resident #24). Resident #24 had a fall that caused injury after he got up from the chair without assistance. The facility reported a census of 37 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #24 had a Brief Interview for Mental Status (BIMS) score of 0 (severe cognitive deficit). The resident had verbal and physical behavioral symptoms directed toward others 1-3 days a week. The resident used a wheel chair and a walker for mobility. He was totally dependent on staff for hygiene and dressing and required partial assistance with chair to bed transfers and toilet transfers. The Care Plan for Resident #24, dated 4/6/24, showed that he was at risk for falls due to impaired balance during transitions. He often slept in the recliner and staff were to monitor and assist him in getting out of the chair. The resident…

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

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

“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

$11,190 in federal fines across 1 penalty.

• $11,190 — penalty dated 2026-01-15

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 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

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 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 IA