Creston 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.

55.1% 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 131 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 76.9% 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 65 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 74 beds and averages 51.6 residents a day — about 70% 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 3.26 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.75 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 2.81 hrs/resident/day on weekends vs 3.44 on weekdays — 18% thinner on weekends. RN hours go from 0.71 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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.

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · Gcited before2024-06-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, observations, family interview, staff interviews and facility policy review, the facility failed to maintain a safe environment due to staff members not following safety precautions during resident transfers, resulting in Resident #21 to have three falls in a three month period. This resulted in harm to Resident #21 due to increasing pain, causing the need for increased pain management, and needing a higher level of assistance for transfers. The facility reported a census of 55 residents. Findings include: The Minimum Data Set (MDS) Assessment of Resident #21, dated 4/23/24 identified a Brief Interview of Mental Status (BIMS) score of 8 which indicated moderate cognitive impairment. The MDS documented the resident required partial assistance of 1 staff member for sitting to standing position, transfers and toileting. The MDS documented a diagnosis of repeated falls. The MDS documented the resident took no scheduled or as needed pain medications during the look back period and had received no non-medication interventions for pain. The MDS documented…

  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 · G2024-01-04 · 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, staff interviews, Nurse Practitioner (NP) interview and facility policy review the facility failed to assess weights per orders, lung assessments and edema assessments per care plan for 1 of 3 residents reviewed with Congestive Heart Failure (Resident #3). The facility identified a census of 55 residents. Findings include: A Minimum Data Set (MDS) assessment form dated 11.15.23 indicated Resident #3 had diagnosis that included anemia, atrial fibrillation (AF), renal insufficiency/failure, diabetes mellitus (DM), chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), hypovolemic shock and a history of urinary tract infections. The assessment indicated the resident had a Brief Interview for Mental Status (BIMS) score of 15 out of 15 (cognitively intact) and required staff assistance with activities of daily living (ADL's). A Care Plan identified a Focus area of an altered cardiovascular status related to cardiomyopathy, CHF and AF initiated 11.14.23. The Interventions/Tasks included the following as dated: a. Monitor, document…

  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 · E2026-07-01 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and policy review the facility failed to properly secure and store medications to minimize loss or access for 1 of 3 medication carts. The facility reported a census of 47 residents. Findings include:Continuous observation on 6/28/26 at 3:37 PM an unlocked treatment cart at the nurses' station with no staff present. Observed 6 residents in the area seated in wheelchairs or dining chairs in the living/dining area. The medication cart contained the following:The top right drawer contained stock medications including aspirin 81, Bisacodyl, magnesium, acetaminophen.The second right drawer down contained prescribed medications for 12 residents.The third right drawer down contained prescribed medications for 9 residents.The bottom right drawer contained liquid laxative, inhalers, nebulizer solution, antacids, and cough syrup.The top left drawer contained scissors and a pill cutter.The second left drawer down was locked.The third left drawer down contained lancets.At 3:43 PM the Administrator walked up to the open medication cart and asked where 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-07-01 · tag F0803 — failed to meet residents' dietary needs — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, menu review, clinical record review, staff interviews, and policy review, the facility failed to serve all of the menu items to seven (7) residents who were ordered pureed diets. The facility reported a census of 47 residents.Findings include:On 6/30/26 at 11:19 AM, a meal service observation revealed Staff I, cook, reviewed the diet sheet in the kitchen, verified the menu items to be served, and stated there were seven (7) residents who were prescribed pureed diets. She pureed eight (8) servings of broccoli and chicken but did not puree wheat rolls.During a continuous lunch service observation that began on 6/30/26 at 11:19 AM and ended at 12:22 PM, all seven (7) pureed diets were served without pureed wheat rolls.On 6/30/26 at 12:40 PM, a menu review approved 3/11/26 revealed one (1) wheat roll was included in each pureed diet.On 6/30/26 at 1:00 PM, Staff I stated she forgot to include the dinner roll in the pureed diets during preparation and service. The Certified Dietary Manager (CDM)…

  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 · E2026-07-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, staff interviews, and policy review the facility failed to provide food at an appetizing temperature to 4 of 8 residents reviewed (Resident #5, #8, #14 and #23) The facility reported a census of 47 residents.Findings include:1. The Minimum Data Set (MDS) dated [DATE] for Resident #5 documented a Brief Interview for Mental Status (BIMS) of 15 indicating no cognitive impairment.On 6/28/26 at 3:54 PM Resident #5 stated occasionally the warm food can be served cold and he would like it warm. Resident #5 stated he does not ask for staff to warm the food up but thought they would. 2. The MDS dated [DATE] revealed Resident #8 had a BIMS of 15 indicating no cognitive impairment. On 6/28/26 at 3:19 PM Resident #8 stated the food just did not have any taste to it at all. Resident #8 stated the food is served cool once in a while as well.3. The MDS dated [DATE] revealed Resident #14 had a BIMS of 13 indicating no cognitive impairment. On 6/28/26 at 1:29 PM Resident #14 stated she…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-07-01 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, and policy review, the facility failed to date and label previously opened food packages or properly store food in the freezer and dry goods storage room. The facility reported a census of 47 residents. Findings include:On 6/28/2026 at 9:50 AM, an initial kitchen tour revealed the following items:Four (4) serving trays with multiple uncovered, unlabeled, and undated small plates containing square items and multiple small bowls of pudding-like substance were stored in the refrigerator.An unlabeled bag of small, irregularly oval shaped items was stored in a bin labeled cereal but did not identify the type.An undated, previously accessed bag of mild cheddar cheese was stored in the walk-in refrigerator.Two (2) unlabeled, resealable bags of green leafy items dated 6/23 were stored in the walk-in refrigerator.On 6/28/26 at 10:12 AM, Staff H, cook, told the Certified Dietary Manager (CDM) the 4 trays were not labeled at the beginning of the survey tour. The CDM replied that they…

  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 · Dcited before2026-07-01 · 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 observations, clinical record review, resident and staff interviews, and policy review, the facility failed to follow the physician's orders for one (1) resident (#56) by failing to apply a leg immobilizer while the resident was in bed. The facility reported a census of 47 residents. Findings include:Resident #56's Minimum Data Set (MDS) for Resident #1 dated 6/25/26 revealed a Brief Interview for Mental Status (BIMS) score of 13 out of 15 which indicated completely intact cognition. It included diagnoses of traumatic brain injury (TBI), a stroke, one-sided weakness, and a right arm fracture. It indicated the resident was admitted on [DATE] and his functional abilities had not yet been assessed.A Physician's Order dated 6/22/26 indicated the resident had a right leg fracture and included an order for right leg immobilizer to remain in place when resident is in bed and overnight. Ok to remove when up ambulating and working with <physical therapy> PT.A Nurses Note Progress Note dated 6/22/26 at 2:17 PM…

  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 before2026-07-01 · 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 lock the wheelchair during a transfer for 1 of 5 residents dependent on mechanical lift transfers (#40). The facility reported a census of 47 residents.Findings include:Resident #40's Minimum Data Set (MDS) dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated moderately impaired cognition. It included diagnoses of anxiety, depression, schizophrenia, muscle weakness, and unsteadiness on feet. It indicated she required setup assistance with eating, moderate assistance with oral hygiene, and was dependent with all other Activities of Daily Living (ADLs) and mobility. It also indicated she used a wheelchair for mobility.The Care Plan initiated 10/16/23 indicated the resident was dependent with transfers and directed staff to use a 2-person, mechanical lift with a sling for transfers.On 6/28/26 at 12:46 PM, Staff G, Licensed Practical Nurse (LPN) and Staff J,…

  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 before2025-10-09 · 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 observations, interviews, record reviews, and policy review the facility failed to provide services meeting profession standards for 1 of 3 residents (Resident #2). The facility failed to follow physician orders for provision of medications as per physician orders. The facility had a census of 54. Findings include:Resident #2's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13/15 indicating normal cognition. The document provided the diagnoses of atrial fibrillation, anemia, heart failure, hypertension, and respiratory failure. The document listed Resident #2's medications included an anticoagulant. The Care Plan Dated 10/7/25 provided a focus area related to risk for urinary tract infection (UTI) related to incontinence dated 91/8/24 and revised 10/3/24. Interventions included encouraging fluids and monitoring for signs and symptoms of UTIs. An anticoagulant use related to congestive heart failure (CHF) initiated on 3/31/23 and revised 8/26/23 focus…

  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 · D2025-10-09 · 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 observations, resident and staff interviews, and policy review the facility failed to provide nursing staff to assure residents safety by not responding to call lights in a timely manner for 3 of 4 residents reviewed (Residents #1, 2 and 4). The facility reported a census of 54. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15/15 indicating normal cognition. The document listed Resident #1 as occasionally incontinent of bladder. The resident required partial/moderate assistance for transfers and toileting. Resident #1's Care Plan dated 9/29/25 revealed an Activities of Daily Living (ADLs) focus area, dated 7/24/25, with interventions indicating the resident required partial assistance x1, stand pivot transfer, dated 7/24/25 and revised 9/30/25, and parietal assistance x1 for toileting, dated 7/24/25 and revised 9/30/25. The document included a urinary incontinence focus area dated 7/24/25 and revised 7/25/25. Interventions…

  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 · E2025-05-08 · tag F0637 — pattern
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interview, and guidance from the 2024 Resident Assessment Instrument (RAI) Manual, the facility failed to complete and transmit Comprehensive Minimum Data Set (MDS) Assessments following a significant change within federal guidelines for 5 of 5 residents (#2, #17, #31, #34 and #45) reviewed for MDS Assessments. The facility reported a census of 47 residents. Findings include: 1. The Census Line portion of the Electronic Health Record (EHR) of Resident #2 documented the resident enrolled in hospice care on 11/1/24. The Medicare Hospice Election form additionally dated 11/1/24 as the date of hospice services to begin for Resident #2. The Significant Change MDS of Resident #2 was dated 11/12/24. Page 58 of the MDS recorded a completion date of 11/26/24, which was 25 days after hospice election. 2. The Census Line portion of the Electronic Health Record of Resident #17 documented the resident enrolled in hospice care on 3/12/25. The Medicare Hospice Election form additionally dated 3/12/25 as the date of hospice services to begin for Resident #17.…

  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 · D2025-05-08 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, clinical record review, family and staff interviews, and policy review, the facility failed to support the residents right to her choice by not assisting the resident in leaving her room despite multiple requests for 1 of 3 residents screened (Resident #33). The facility reported a census of 47. Findings Include: The quarterly Minimum Data Set (MDS) for Resident #33, completed 04/15/2025, documented her brief interview for mental status score as 05, indicating severely impaired cognition. It documented the following relevant diagnoses: cerebrovascular event (stroke), Non-Alzheimer's dementia, anxiety disorder, depression, and vascular dementia with behavioral disturbance. It documented the resident required a wheelchair for mobility and that she was fully dependent on staff for wheelchair mobility. The Care Plan for Resident #33, last revised on 05/03/2025, documented the resident has periods of increased anxiety behaviors. It instructs staff to assist the resident to a quieter, less populated place if she becomes agitated and to provide emotional supports 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.

  Resident Rights 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

$19,663 in federal fines across 2 penalties.

• $12,048 — penalty dated 2024-06-20
• $7,615 — penalty dated 2024-01-04

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 24 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.

This home reported $586K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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