Windmill Manor

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.

51.9% 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 164 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 64 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 0.13 therapist hours per resident per day in 2026Q1 — more than 10% 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 therapy on weekdays, with essentially none at the weekend. 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 120 beds and averages 108.9 residents a day — about 91% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.08 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 3.48 hrs/resident/day on weekends vs 4.25 on weekdays — 18% thinner on weekends. RN hours go from 0.48 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · Gcited before2025-09-17 · 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 clinical record review, staff interviews, and policy review, the facility failed to provide appropriate supervision when a staff failed to use a gait belt to ensure each resident safety during a transfer for 1 of 3 residents reviewed (Resident #1) for safety. Resident #1 fell during the transfer which resulted in a left arm and wrist fracture. The facility reported a census of 109 residents. Findings include: Resident #1's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 10 out of 15, which indicated moderate cognitive impairment. The MDS further indicated that the resident received partial/moderate assistance with transfers. The clinical census for Resident #1 revealed the following: a.7/21/25 admitted to the facility b.7/30/25 discharged from the facilityThe Care Plan initiated 7/22/25 indicated Resident #1 had a mobility deficit, utilized a front wheeled walker for transferring and required extensive assistance of 1 staff. A Progress Note…

  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 before2024-05-16 · 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 clinical record review, staff interviews, and policy review the facility failed to implement and modify interventions, and provide safety to 1 of 3 residents reviewed for falls (Resident #67) who fell repeatedly at the facility and sustained two (2) fractures. The facility reported a census of 94 residents. Findings included: The Minimum Data Set (MDS) dated [DATE] for Resident #67 documented a Brief Interview of Mental Status (BIMS) score of 4 indicating he has severely impaired cognition. The MDS documented he does not walk, stand, or use the toilet and he is dependent on staff for toilet hygiene, and changing positions from lying to sitting and for transfers. The MDS also documented his primary diagnosis of fractures and other multiple traumas, Alzheimer's, and hip fracture. 1. Record review of a Progress Note dated 11/08/2023 at 4:14 PM for Resident #67 documented the kitchen chef walked down the hall and saw Resident #67 sitting on the floor in bathroom in front of his stool and notified staff.…

  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 before2026-04-09 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident and staff interviews, and facility policy review, the facility failed to serve food at a safe, preferred temperature and palatable. The facility reported a census of 111 residents. Findings include: 1. During the observation of the noon meal on 04/07/2026 at 12:05 PM, Staff N, took the temperature of the pork entree with a result of 171 degrees Fahrenheit (F). The pureed pork had a temperature of 166 F. At 1:35 PM, Staff O, [NAME] took the temperatures of a test tray for the State Agency. The pureed pork had a temperature of 113 F, and the pork entrée had a temperature of 135 F. The pork entrée lukewarm upon the taste test. 2. The Minimum Data Set (MDS) assessment tool, dated 3/10/26, listed Resident #13's Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. During an interview on 4/6/26 at 11:52 AM, Resident #13 stated she did not get her lunch serviced until after 1:00 PM and it was cold. 3. Review of the MDS assessment for Resident #86, dated 3/10/26, revealed a BIMS score of 12 out of 15, which indicated a…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews and policy review the facility failed to ensure kitchen equipment and floors are maintained in a clean and sanitary manner, open food items dated, and expired food items discarded. The facility reported a census of 111 residents.Findings include:1. During a continuous observation on 4/6/26 starting at 10:40 AM, and ending at 11:09 AM the following noted: a. In the dry pantry – a wet, brown substance on the floor, and the floor felt sticky. The following opened items found in the dry pantry with no date labeled to indicate when opened - a low-calorie punch drink; a container of an unidentified white powerlike substance, and a bag of crispy fried onions. b. The main refrigerator temperature log blank from April 1 -4, 2026. A container of soy sauce opened with no open date indicated, and an outdated container of a pureed dessert dated 3/29/26 found in the refrigerator. c. The dishwasher logs for temperature and sanitizer yet to be completed for the April 2026. d. The kitchen floor noted to be sticky and have visible crumbs. e. The grill not…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-09 · 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

  Based on observation, interview, and policy review the facility failed to ensure laundry was processed and transported in a safe and sanitary manner in a hallway with 31 residents and in the laundry room. The facility staff also failed to wear appropriate protective equipment when soiled laundry was sorted. The facility reported a census of 111 residents.Findings include: During a continuous observation that started at 1:30 PM on 04/07/2026, Staff A, Laundry, delivered clean laundry residents in hall 100. Staff A used a laundry cart covered with a bed sheet. During the transport, three pieces of clothes (blue pants, purple shirt and a red shirt) hung outside of the cart and touched the handrail along the hallway. Staff A removed the cover sheet, bundled it up and placed it on top of the cart. Staff A gathered clean clothes on hangers and while taking them into a resident's room they brushed up against her scrub top. At 1:37 PM and again at 1:39 PM, Staff A removed dirty clothing from a resident room and placed them in the cart with the clean clothing. At 1:42 PM, Staff A took dirty…

  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 · D2026-04-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility policy review, and staff interview, the facility failed to implement their policy to prohibit and report allegations of abuse of a resident for 1 of 1 resident (Resident #72) reviewed for abuse. The facility reported a census of 111 residents.Findings include:The Minimum Data Set (MDS), dated [DATE], listed diagnoses for Resident #72 which included diabetes, non-Alzheimer's dementia, and weakness. The MDS listed his Brief Interview for Mental Status (BIMS) score as 8 out of 15, indicating moderately impaired cognition. Review of the electronic health record (EHR) revealed the following:a. A 5/17/25 Nursing Note entered at 3:34 PM, written by Staff H Registered Nurse (RN): During a visit, the resident began yelling at the visitor. In response, the visitor became upset, stepped on the resident's foot, and loudly told him to shut up. The nurse chose not to intervene at this time to avoid escalating the situation but would like to formally report the visitor inappropriate…

  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 · D2026-04-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, policy review, and staff interview, the facility failed to revise a care plan to ensure resident safety with a visitor after allegations of abuse had been identified for 1 of 1 residents (Resident #72) reviewed for care plans. The facility reported a census of 111 residents.Findings include:The Minimum Data Set (MDS), dated [DATE], listed diagnoses for Resident #72 which included diabetes, non-Alzheimer's dementia, and weakness. The MDS listed his Brief Interview for Mental Status (BIMS) score as 8 out of 15, indicating moderately impaired cognition. Review of Resident #72 Care Plan revealed no Problem area to address safety with visitors related to past allegations of abuse. Review of the electronic health record (EHR) revealed the following:a. A 5/17/25 Nursing Note entered at 3:34 PM, written by Staff H Registered Nurse (RN): During a visit, the resident began yelling at the visitor. In response, the visitor became upset, stepped on the resident's foot, and loudly told him 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 · D2026-04-09 · 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 observations, staff interviews, and facility policy review the facility failed to properly store and secure resident safety and accessibility of a medication cart by leaving it unlocked and accessible to residents during medication pass near the main dining room. The facility identified a census of 111 residents. Findings include:During a continuous observation on 04/06/2026 started at 4:15 PM, Staff J, Certified Medication Aide (CMA), positioned the medication cart in the living room approximately 20 feet from the dining room. a. At 4:18 PM, Staff J, CMA walked away from the cart to administer medication and left all eight drawers unlocked, which included the first lock to the narcotics.b. At 4:40 PM and again at 4:50 PM, Staff J, CMA walked away from the cart to administer medication to a resident in the dining room. The cart remained unlocked. During an interview on 4/6/26 at 4:55 PM, Staff J, CMA stated she typically locked the medication cart when she walked away. She explained that since she went from the living room across to the dining room and the cart remained in…

  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 · D2026-04-09 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, resident interview, family and staff interviews, the facility failed to ensure the resident received food in a consistency based on physician orders for 1 of 2 residents (Resident #86) reviewed for therapeutic diet. The facility reported a census of 111 residents. Findings include: Review of the Minimum Data Set (MDS) assessment for Resident #86, dated 3/10/26, revealed a Brief Interview for Mental Status (BIMS) score of 12 out of 15, which indicated a moderate cognitive impairment. The assessment identified the resident had diagnoses of dysphagia (difficulty swallowing) and vascular dementia, severe, with psychotic disturbances. Review of the Physician Order Report, dated 4/1/26 to 4/30/26, revealed an order, dated 3/30/26 for regular diet when supervised and pureed diet when unsupervised. Review of the Care Plan for Resident #86, dated 3/20/26, revealed the resident received a regular diet when eating supervised in the dining room, and received a pureed diet when eating unsupervised in her room. During an interview on 4/6/26 at 11:30…

  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 · D2025-12-30 · 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 clinical record review, facility policy review and staff interviews, the facility failed to ensure medications available for administration as ordered for 1 of 3 residents (Resident #3). Resident #3 missed a total of four doses of medications due to two medications not be available in the facility. The facility reported a census of 105 residents. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 11/05/25, revealed Resident #3 admitted to the facility on [DATE] and had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. The list of diagnoses included lung transplant status and adult failure to thrive. Review of the Care Plan, initiated on 10/30/25, revealed a Focus area for Resident #3 admission after hospitalization for adult failure to thrive, severe protein calorie malnutrition, and bilateral lung transplant requiring continued antirejection medications. The intervention instructed staff to administer antirejection medications per…

  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 · D2025-04-17 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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, facility policy review and staff interviews, the facility failed to re-submit a Pre-admission Screening and Resident Review (PASARR) for a stay longer than 60 days for 1 of 3 residents reviewed. The facility reported a census of 88 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #66 documented diagnosis of anxiety disorder, bipolar disorder and delusional disorders. Review of a PASARR, dated 10/22/2024 revealed results which included, in part: You may be admitted to a Medicaid certified nursing facility for up to 60 calendar days. You are expected to discharge within 60 days. If your stay goes beyond 60 calendar days, a NF (nursing facility) representative must submit a Status Change Level 1 to [company redacted]. During an interview on 4/16/25 at 2:19 PM, the Social Services Director (SSD) stated on of her is to process the PASRR. The SSD stated she had been in this position for over two years. She was not aware that time-limited PASARR 's had…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-18 · 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

  Based on clinical record review, resident interview and facility policy review the facility failed to implement care plans for two (2) of three (3) residents reviewed (Resident #2 and #3). The facility reported a census of 101 residents. Findings include: 1. Review of Resident #3 Care Plan indicated the following Problem area which included the following Approach as dated: a. The Resident had Depression and Anxiety. Start Date 11/2/2024. 1. Staff to have administered Clonazepam (for a panic disorder) one (1) milligram (mg) by mouth (po) three (3) times a day (TID). Start Date 11/2/2024. According to a Medication Error Report form dated 12/9/24 the facility staff failed to follow Physician orders for Clonazepam 1 mg TID on 12/8/24 and 12/9/24 which caused increased anxiety for the resident and transferred to the emergency room (ER). During an interview 3/18/25 at 10:21 a.m. Resident #3 confirmed staff failed to have administered her Clonazepam in December. 2. According to a Medication Error Report form for Resident #2 dated 9/27/24 at 9:00 p.m. the facility staff administered Lyrica…

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

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

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

Fines & penalties

$11,213 in federal fines across 1 penalty.

• $11,213 — penalty dated 2024-05-16

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 RESIDENTIAL ALTERNATIVES OF ILLINOIS — 7 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 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

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