Dunlap 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.

44.9% 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 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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 46 beds and averages 32.8 residents a day — about 71% occupied, or roughly 13 beds typically open. It usually has some room. 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 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 3.34 hrs/resident/day on weekends vs 3.67 on weekdays — 9% thinner on weekends. RN hours go from 0.88 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

41 citations, most serious first. The 15 most serious are shown; the remaining 26 are one tap away and print in full.

• Immediate jeopardy · J2023-11-09 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 clinical record review, hospital document review, staff interviews, family interviews, hospice documents, hospice agreement and facility policy review the facility failed to notify in a timely manner 1 of 3 resident's hospice provider when she had a fall with injury (Resident #1). On [DATE] at 8:30 AM the nurse was called to the resident's room by another staff member. Resident #1 was lying on the floor on her left side. The resident reported she was getting up to go to the bathroom and fell. An assessment was completed and found skin tears to her left arm and next to her left eye. Bruising was noted to start over her left eye. At 10:07 AM the hospice nurse was notified that the resident had a fall and sustained an injury. When the hospice nurse arrived to the facility at 11:38 AM she noted a large hematoma to her left eye and it was swollen shut. Various small lacerations to her bilateral upper extremities were also noted. She was later sent to the hospital and found to have a subarachnoid hemorrhage…

  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
• Immediate jeopardy · J2023-05-04 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, resident and staff interviews and facility policy review the facility failed to keep a resident (Resident #27) from physically abusing other residents while living at the facility. Review of Resident #27 record revealed documentation in the past she has open handed slapped another resident in the face, hit a resident in the back of the head, and threw water at a resident. During the survey Resident #27 threw a full pop can at a resident causing mental anguish and pain. The facility was unable to produce documentation of nursing risk management incident report investigations potentially placing all residents at risk for resident to resident abuse due to failure to review incidents. The Iowa Department of Inspections and Appeals (DIA) informed the facility of the Immediate Jeopardy (IJ) that began as of December 14, 2022 on April 27, 2023 at 11:45 AM the Facility Staff removed the Immediate Jeopardy on April 27, 2023 through the following actions: a. Resident # 27 was placed on one to one supervision with staff for 24 hours a day, until further…

  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
• Immediate jeopardy · Jcited before2023-05-04 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interviews, and facility policy review the facility failed to report continued resident to resident altercations for 1 of 3 residents reviewed to the State Agency (Iowa Department of Inspections and Appeals (DIA)), (Resident #27). The facility reported Resident #27 initial resident to resident physical altercation for an incident that occurred on 12/14/2022, however the facility failed to report subsequent resident to resident physical altercations by Resident #27 that occurred on 12/23/22 and 3/5/2023. During the facilities annual survey Resident #27 had an additional resident to resident physical incident that could of potentially been avoided if the State Agency would have been aware of Resident #27 continued aggression towards other residents. The State Agency (DIA) informed the facility of the Immediate Jeopardy (IJ) that began as of December 23, 2022 on April 27, 2023 at 11:45 AM the Facility Staff removed the Immediate Jeopardy on April 27, 2023 through the following actions: a. Resident # 27 was placed on one to one supervision with…

  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
• Immediate jeopardy · Jcited before2023-05-04 · 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 record review, resident and staff interviews, and facility policy review the facility failed to implement safety measures and interventions for Resident #27 to protect residents from her physical resident to resident altercations for 2 of 3 residents reviewed (Residents #11 and #24). The facility failed to identify the root cause and implement interventions for Resident #27 aggression towards other residents potentially placing all residents at risk. The Iowa Department of Inspections and Appeals (DIA) informed the facility of the Immediate Jeopardy (IJ) that began as of December 14, 2022 on April 27, 2023 at 11:45 AM the Facility Staff removed the Immediate Jeopardy on April 27, 2023 through the following actions: a. Resident # 27 was placed on one to one supervision with staff for 24 hours a day, until further assessment and safety plan can be implemented. b. Resident #27 primary care physician has been notified of the alleged behavior. c. Resident #27 care plan will be revised according to the treatment plan. d. Facility staff and agency staff (prior to their next…

  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 before2024-01-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy review, the facility failed to provide assessment and intervention timely for the necessary care and services after a resident fall for 1 of 6 residents reviewed (Resident #1). The facility reported a census of 29 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] revealed the resident had a Brief Interview for Mental Status score of 15 of 15; indicating no cognitive impairment. It also listed diagnoses of Cerebrovascular accident (stroke), Non-Alzheimer's dementia, anxiety disorder, Chronic Obstructive Pulmonary Disease (COPD), and neoplasm of bronchus and lung. It also indicated the resident required moderate to maximal assistance with all care areas except bathing self, eating, and oral hygiene. The Care Plan dated 11/22/23 revealed the resident had chronic pain related to trigeminal neuralgia and directed staff to monitor, document, and report any complaints of pain or signs or symptoms of non-verbal pain to the nurse. It also…

  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 · E2025-05-22 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on Electronic Health Records (EHR) review, observations, resident interview, family interview, staff interviews, and policy review the facility failed to provide the residents with a comfortable/clean homelike environment by not cleaning resident rooms or common space in a timely manner. The facility reported a census of 33 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #6 documented a Brief Interview of Mental Status (BIMS) score of 5 indicating severe cognitive impairment. On 5/19/25 at 11:17 AM Resident #6's daughter stated there was a spider in the dining room by the nurses station for about a week. The resident's daughter stated her mothers room gets spiders at times. She stated she had told the administration. The daughter stated she killed a large spider in the chapel and explained to look behind the door in the chapel where she killed the spider about a week ago. The daughter stated there were a lot of dead bugs in the chapel when she was there last. On 5/19/25…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-22 · 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 interview, and policy review the facility failed to store food in accordance with professional standards by not dating open food items or disposing of expired food items. The facility reported a census of 33 residents. Findings include: On 5/19/25 at 8:24 AM an observation during the initial kitchen tour revealed a 3 door refrigerator with 3 bags of lettuce (one bag open) with the expiration date of 4/25/25. A second 3 door refrigerator had a bag containing 8 hard boiled eggs that were open and undated, 8 individual yogurt containers with expiration of 5/17/25 and cheese in a large clear plastic container with an open date of 4/7/25. Dry storage contained a bag of gravy mix, a bag of lemonade mix, a 2 pound bag of gluten free flour, a 5 pound bag of egg noodles, a 10 pound bag of tri colored noodles and a 5 pound bag of white cake mix open and undated. On 5/19/25 at 10:23 AM Staff E, Certified Dietary Manager (CDM) stated the facility's expectation was that all open food items would be dated with the date the item was opened. Staff E stated she would…

  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 before2025-05-22 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, Electronic Health Record (EHR) review, resident interview, family interview, staff interviews, and policy review the facility failed to follow physician orders for a resident with an ordered breathing treatment and a resident with oral medication for 2 of 4 residents (Resident #6 and #7). The facility reported a census of 33 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #6 documented a Brief Interview for Mental Status (BIMS) score of 5 indicating severe cognitive impairment. The MDS also documented a diagnosis of pneumonia on 4/18/25. Review of Resident #6's EHR titled, Orders documented a physician's order for sodium chloride inhalation nebulization solution 3% to be administered between 7:00 AM and 9:00 AM. Review of the Medication Administration Record (MAR) documented on 4/30/25 the AM dose of sodium chloride inhalation nebulization solution was administered by Staff A, Registered Nurse (RN). The Progress Note with the created date of 4/30/25…

  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 · D2025-05-22 · 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 observations, interviews and record review the facility failed to ensure a resident does not develop pressure ulcers unless unavoidable and failed to ensure interventions in place for a resident with pressure ulcers for 1 of 3 residents reviewed. On 5/13/25, the Primary Care Provider discovered that Resident #15 had a pressure injury on his heel. Staff documented no new skin issues on the same day. In an observation on 5/22/25, staff failed to have interventions in place. The facility reported a census of 33 residents. The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues. Stage II is partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough (dead tissue, usually cream or yellow 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-22 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, clinical record review and policy review the facility failed to ensure that medications were given in a timely manner for 1 of 4 residents. On 5/11/25, the morning medication, administered via Percutaneous Endoscopic Gastrostomy (PEG) tube, for Resident #3 were not administered until afternoon. The facility reported a census of 33 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE] Resident #3 had a Brief Interview for Mental Status (BIMS) score of 8 (moderate cognitive deficits.) She was totally dependent on staff for dressing, hygiene, nutrition and transfers. She had an indwelling urinary catheter and a feeding tube, abdominal always incontinent of bowel. The Care Plan for Resident #3, last updated on 5/14/25, showed that she had a Foley catheter for neurogenic bladder. Staff were to provide catheter care every shift. The resident had a terminal prognosis related to diagnosis of progressive multifocal leukoencephalopathay (damage to the brain…

  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 before2025-05-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 record review the facility failed to complete accurate resident records for 3 of 13 residents reviewed (Residents #3, #24 and #30.) Documentation on dialysis residents #30 and #24 had been completed up to 12 days after the date of the assessment. Staff entered a late nursing note for Resident #3 that indicated catheter care had been completed the previous evening when it had not been done. The facility reported a census of 33 residents. Findings include: 1. According to the Minimum Data Set (MDS) dated [DATE] Resident #3 had a Brief Interview for Mental Status (BIMS) score of 8 (moderate cognitive deficits). She was totally dependent on staff for dressing, hygiene, nutrition and transfers. She had an indwelling urinary catheter and a feeding tube, abdominal always incontinent of bowel. The Care Plan for Resident #3, last updated on 5/14/25, showed that she had a Foley catheter for neurogenic bladder. Staff were to provide catheter care every shift. The resident had 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-22 · 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, Electronic Heath Record (EHR) review, policy review, and staff interviews the facility failed to provide appropriate infection prevention practices when providing care to a resident with an enteral feeding tube and stage 2 wound with one that had a care plan for Enhanced Barrier Precautions (EBP) for 2 of 3 reviewed (Resident #3 and #6). The facility reported a census of 33 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #6 documented a Brief Interview of Mental Status (BIMS) score of 5 indicating severe cognitive impairment. The MDS also indicated Resident #6 had one or more unhealed pressure ulcers. The MDS had described the pressure ulcer as a stage 2. Review of document titled, Resident Matrix revealed Resident #6 had a stage 2 pressure ulcer that was not present on admission. On 5/21/25 at 9:06 AM an observation of Resident #6's transfer onto the shower chair by Staff N, Certified Nursing Assistant (CNA) and Staff O, Observation revealed Staff N…

  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 · Dcited before2025-02-12 · 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, record review, resident, staff and family interview the facility failed to ensure 1 of 2 residents (Resident #2) had orders to change his catheter. The facility reported a census of 34 residents. Findings include: According to the admission Minimum Data Set (MDS) assessment tool with a reference date of 9/25/2024, Resident #2 had a Brief Interview of Mental Status (BIMS) score of 15. A BIMS score of 15 suggested he had no cognitive impairment. An admission date of 9/18/2024 was documented on the MDS. The MDS documented Resident #2 did not refuse care during the review period. The MDS documented he had an indwelling catheter. The following diagnoses were documented for Resident #2: renal failure, malnutrition, depression, and hypersomnia. According to the quarterly MDS assessment tool with a reference date of 12/25/2024, Resident #2 had a BIMS score of 15. A BIMS score of 15 suggested he had no cognitive impairment. The MDS documented Resident #2 did not refuse care during the review…

  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 · E2024-07-03 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview with staff and residents, record review, and policy review the facility failed to treat all residents with dignity and respect for 4 of 18 reviewed. Staff reported that Staff G, Licensed Practical Nurse (LPN) made disrespectful remarks to Residents #12, #25, and #29. Resident #81 reported that Staff J, Registered Nurse (RN) was disrespectful to her during cares. The facility reported a census of 26 residents. Findings include: 1) According to the Minimum Data Set (MDS) dated [DATE], Resident #12 had a Brief Interview for Mental Status (BIMS) score of 15 (intact cognitive ability). The resident did not reject cares, and was totally dependent on staff for toileting hygiene and toilet transfers. Resident #12 had an indwelling urinary catheter and was frequently incontinent of bowel. His diagnoses included; renal insufficiency, diabetes mellitus, and multiple sclerosis (MS). The Care Plan updated on [DATE] showed that Resident #12 was unable to ambulate independently, required substantial…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-03 · 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 facility policy review the facility failed to ensure sanitary conditions where staff prepared food, and failed to perform hand hygiene during meal service. The facility identified a census of 26 residents. Findings included: The initial kitchen walk-through on 07/01/24 10:10 AM revealed the following: a. The stove top showed a thick layer of grease with food splatter and a variety of food debris. b. A clean dish cart contained a variety of scattered food debris. c. The floor contained an accumulation of food debris and a variety of dried liquid. d. All refrigerator and freezer systems with dried liquid and debris on the bottom of the unit. e. Ice build-up in freezers and milk cooler. f. Microwave splattered with food and dried liquid inside and out. g. Toaster covered in grime. h. Dead gnats found along window sills. During the kitchen walk-through the Dietary Manager (DM) reported that she expected the refrigeration and freezer units, carts, equipment, and floor to be clean and free of food, dried liquid, and debris. The DM stated, there…

  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

“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

$10,062 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $10,062 — penalty dated 2023-11-09
• Medicare payment denial — starting 2023-12-06 for 55 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 26 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.

This home reported $285K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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