Dubuque 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.

59.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.0% 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 25 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 14% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% 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 84 beds and averages 52.0 residents a day — about 62% occupied, or roughly 32 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 2.89 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.79 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 2.40 hrs/resident/day on weekends vs 3.09 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.68 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above 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 fewer than at the previous inspection — improving. 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 · G2024-07-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interview, the facility failed to prevent two pressure ulcers from developing for 1 of 2 residents reviewed with pressure ulcers (Resident #14). The facility reported a census of 58 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] identified Resident #14 as cognitively intact with a BIMS (Brief Interview for Mental Status) of 15 and had the following diagnoses: Heart Failure, Renal Insufficiency, and COPD (Chronic Obstructive Pulmonary Disease). The MDS also identified Resident #14 to be dependent on staff assistance with putting on and taking off footwear, transfers from chair to bed and from sitting to standing. On 7/30/20, the Care Plan identified Resident #14 with the problem of being at risk for pressure ulcers and had an open areas on her right shin. The Care Plan did not identify Resident #14 developed pressure ulcers to both outer calves. On 3/25/24, the Care Plan directed staff to teach her the risk factors for development of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-24 · 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, observations, staff interviews, and facility incident and policy review, the facility failed to provide appropriate supervision to keep the resident safe and free from injury for one of three residents reviewed (Resident #2). The facility reported a census of 60 residents. Findings include: The MDS (Minimum Data Set) dated May 5, 2023 revealed Resident #2 had moderately impaired cognitive ability, required extensive assistance of two staff for bed mobility, (how resident moves to and from lying position, turns side to side, and positions body while in bed or alternate sleep furniture). The resident required total dependence on staff for transfers, (how resident moves between surfaces including to or from: bed, chair, wheelchair). The MDS indicated the resident had diagnoses including hypertension, morbid obesity and diabetes. The MDS dated [DATE] revealed the resident had a fall since the prior assessment that resulted in a major injury (bone fractures, joint dislocations, closed…

  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 · F2025-07-30 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility policy review and review of the Summary Statement of Deficiencies of previous surveys, the facility failed to maintain an effective Quality Assurance and Performance Improvement (QAPI) program to prevent repeat deficiencies. The facility reported s census of 57 residents.Review of the Statement of Deficiencies for a Recertification and Complaint Survey completed on 7/15/24, revealed the deficiencies identified included F657 (Care Plan Timing and Revision), F725 (Sufficient Nursing Staff), F812 (Food Procurement, Store/Prepare/ Serve-Sanitary), and F880 (Infection Control). The Recertification and Complaint Survey completed on 7/30/25, identified repeat deficient practices for: F657, F725, F812, and F880. During an interview on 07/30/2025 at 11:03 AM, the Administrator reported the facility worked on all the previously cited deficiencies in the Quality Assurance Performance Improvement (QAPI).The Facility provided a policy titled Quality Assurance and Performance Improvement (QAPI) Program dated march 2020, included the responsibilities of the QAPI…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-30 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 observation, record review, resident and staff interview, the facility failed to incorporate recommendations from the PASRR (Pre-admission Screening and Resident Review) Level II Determination into the Care Plan for 2 of 3 residents reviewed (Residents #10 and Resident #52). The facility reported a census of 57 residents.Findings include:1.The Minimum Data Set (MDS) dated [DATE] identified Resident #10 as cognitively intact with a BIMS (Brief Interview for Mental Status) of 14 out of 15, and had the following diagnoses: Seizure Disorder/Epilepsy, Depression, Bipolar Disorder and Schizophrenia. Daily observations of Resident #10 on July 21, 22, 23, 24 revealed he was well groomed, wearing clean clothing and shoes and did not display any behaviors that would require staff interventions.Review of an assessment of PASRR compliance report dated 4/16/25 revealed Resident #10 had a Level II Outcome dated 3/10/25. The Clinical Reviewer Assessment section revealed the facility was noncompliant with disability…

  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 before2025-07-30 · 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, staff interviews and facility policy review the facility failed to update the Care Plan after a new mental health diagnosis for 1 of 4 residents reviewed (Resident#2). The facility reported a census of 57 residents. Findings include:The Minimum Data Set (MDS) assessment dated [DATE], list of diagnoses for Resident #2 included Post Traumatic Stress Disorder (PTSD) and anxiety.Review of the Medical Diagnosis list in the electronic health record for Resident#2 revealed a diagnosis of PTSD, date 5/11/2023. Review of the Pre-admission Screening & Resident Review (PASRR) dated 7/11/24, revealed a diagnoses of PTSD.The Care Plan for Resident #2, revised date of 6/20/25, failed to reflect the updated PASRR, and address the diagnosis of PTSD. Review of the Trauma Informed Intake assessment dated [DATE], directed review or update the Trauma Care Plan. During an interview on 07/30/25 at 9:33 AM, the MDS Coordinator reported Resident#2 did not know her PTSD triggers, as a result the facility…

  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 before2025-07-30 · 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 clinical record review, resident and staff interviews, and facility policy review the facility failed to respond to call lights in a timely manner for 2 out of 10 residents reviewed (Resident # 2 and Resident #51). The facility reported a census of 57 residents.Finding include:1. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed a list of diagnosis for Resident #2 which included heart failure, and anxiety disorder. The Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicated cognition intact. The MDS identified Resident #2 dependent for transfers to bed and chair, and dependent with toileting hygiene. Review of the Care Plan, dated 9/8/22, identified Resident #2 dependent and required the assist of 1 staff with toileting and the assist of 2 staff for transferring in and out of bed. The Care Plan further identified the resident needed the substantial assist of 1 staff for personal hygiene, and bed mobility.During an interview on 7/21/25 at 2:48 PM, Resident #2 stated…

  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 · D2025-07-30 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, resident and staff interviews, the facility failed to ensure ongoing care planning to address a resident's behavioral health needs, including timely implementation of a Crisis Intervention/Safety Plan per Preadmission Screening and Resident Review (PASRR) recommendation for 1 of 1 resident reviewed for behavioral healthcare (Resident #52). The facility reported a census of 57 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] identified Resident #52 as cognitively intact with a Brief Interview for Mental Status (BIMS) of 15 out of 15, and had the following diagnoses: diabetes mellitus, anxiety disorder, depression, and post traumatic stress disorder. The MDS also identified Resident #52 had little interest or pleasure in doing things several days over the past two weeks, and did not respond when asked if feeling depressed or hopeless. Per the MDS, the resident sometimes felt lonely and isolated from those around her. The Care Plan initiated 1/6/23…

  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 · D2025-07-30 · 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

  Based on observation, clinical record review, facility policy review and staff interview, the facility failed to prime an insulin pen prior to 2 of 2 observations for insulin administration (Resident #25). The facility reported a census of 57 residents. Findings include: Review of the Minimum Data Set assessment, dated 7/10/25 revealed a list of diagnoses for Resident #25 which included diabetes mellitus, renal insufficiency, and osteomyelitis (infection of bone) to the right ankle and foot. The Brief Interview for Mental Status score of 13 out of 15 indicated intact cognition. The MDS identified Resident #25 had orders for insulin (a hypoglycemic medication used to lower blood sugars) to be administered at least daily.A review of the July 2025 Medication Administration Record revealed the following orders:a. NovoLOG Solution 100 UNIT/ML (unit per milliliter) (Insulin Aspart) Inject 2 units subcutaneously three times a day .Start date: 7/18/25. b. Tresiba FlexTouch Subcutaneously Solution Pen-Injector 200 UNIT/ML (Insulin Degludec) Inject 10 units subcutaneously one time a day…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-30 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of kitchen staff training records, and staff interviews the facility failed to prepare pureed foods under safe and sanitary conditions during 1 of 2 kitchen observations. The facility reported a census of 57 residents.Findings include:During an observation on 7/22/2025 at 8:23 AM, Staff A, [NAME] started the puree process for lunch. She stated she would make 4 servings of puree for 2 residents and wanted a pudding consistency. Staff A placed 12 ounces of turkey and turkey gravy in the machine, added additional gravy from a pan, and blended. She used a measuring cup to determine scoop size and transferred the pureed turkey into a holding pan and set it on another counter. She used a dry cloth to wipe the prep surface and the side of the puree machine. There was not a sanitizer bucket or spray on the counter or near the puree machine. Staff A did not wash her hands.At 8:30 AM, Staff A poured the peas from a holding pan into the puree canister. She wiped the counter again with the dry rag, smearing turkey from the rag back onto the counter where she wiped…

  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 before2025-07-30 · tag F0880 — failed to prevent and control infections — isolated
  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 observations, clinical record review, staff interview and facility document review the facility failed to use enhanced barrier precaution (EBP) and keep resident catheter tubing off the floor for 1 out of 2 residents reviewed (Resident #2). The Facility reported a census of 57 residents.Finding include:Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed a list of diagnosis for Resident #2 which included neurogenic bladder (loss of control due to nerve damage) heart failure, and anxiety disorder. The Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicated cognition intact. The MDS identified Resident #2 dependent for transfers to bed and chair, and dependent with toileting hygiene. Review of the Care Plan, dated 9/8/22, revealed a Focus area for Resident #2 to address the use of a urostomy (a specific type of urinary system to collect urine outside of the body through tubing to a collection bag, may be referred to in general terms as a urinary catheter) due to bladder…

  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 · E2024-07-15 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interviews, resident interviews, and policy review the facility failed to follow Physician's Orders when administering insulin for 4 of 4 residents reviewed for diabetes mellitus medication administration (Residents #4, #36, #56, and #60). The facility reported a census of 58 residents. Findings include: 1. The Minimum Data Set (MDS) assessment for Resident #36, dated 4/5/24 documented a Brief Interview for Mental Status (BIMS) of 15/15, which indicated intact cognition. The MDS reflected diagnoses of diabetes mellitus, morbid obesity, and need for assistance with personal care. The assessment indicated Resident #36 was dependent on staff for toileting and transfers, and required partial to moderate assistance for sitting to lying and lying to sitting. The resident's Care Plan included a focus area dated 1/11/23 which documented the resident had diabetes mellitus with interventions to take diabetes medication as ordered by doctor, and to monitor for and document side…

  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 · Ecited before2024-07-15 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interview, the facility failed to answer call lights in a timely manner for 4 of 4 residents observed. (Residents #14, #28, #36 and #214). The facility reported a census of 58 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #14 as cognitively intact with a BIMS (Brief Interview for Mental Status) of 15 and had the following diagnoses: Heart Failure, Renal Insufficiency, and COPD (Chronic Obstructive Pulmonary Disease) The MDS also identified Resident #14 to be dependent on staff assistance with putting on and taking off footwear, transfers from chair to bed and from sitting to standing. An observation of Resident #14's call light on 7/29/24 revealed the following: 6:50 AM [NAME] at end of C hall showed Resident #14's call light was on. Currently no staff in the hallway. 6:56 AM Staff S, CNA entered room C 11 to assist that resident then pushed that resident out to the main dining room without checking on 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.

  Nursing and Physician Services 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

$53,372 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $53,372 — penalty dated 2024-07-15
• Medicare payment denial — starting 2024-08-07 for 16 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CARE INITIATIVES — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 83% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $579K paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA