Birkwood Village of Fort Madison

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.

48.3% 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 118 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.8% 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 76 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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 80 beds and averages 61.4 residents a day — about 77% occupied, or roughly 19 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 4.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.81 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 3.77 hrs/resident/day on weekends vs 4.82 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.90 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as 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.

25 citations, most serious first. The 11 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2024-10-30 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to evaluate the placement of the urinary catheter after a routine catheter change with little to no urine output along with bloody urine for 2 days and then continued to have bloody urine for an additional 2 days before sending the resident to the hospital 4 days where it was found the balloon inserted in the urethra causing trauma and the resident diagnosed with a UTI (Urinary Tract Infection) for 1 of 3 residents reviewed for urinary catheters (Resident #1). The facility reported a census of 59 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition intact. The MDS revealed the resident had impairment in both lower extremities and used a wheelchair. The MDS revealed the resident was dependent on staff with toileting hygiene, and transferring to the toilet was not applicable due to not attempted and 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-16 · 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, facility policy review and staff interviews, the facility failed to ensure kitchen staff followed safe food handling practices during the preparation and serving for the noon meal. The facility reported a census of 64 residents.Findings included:On 4/14/26 at 10:11 AM, during an interview, Staff A, Cook, reported she planned to serve baked chicken, baked potatoes or roasted potatoes and mixed vegetables for the lunch meal. Staff A planned to prepare 5 pureed servings and 5 mechanical soft (ground) meat servings. Observation of the meal preparation, during the same interview, revealed Staff A was already wearing a pair of gloves. Staff A grabbed a loaf of bread, opened a cooler, got out a gallon of milk and brought both to the prep counter by the Robot Coup (machine used to grind and puree food). Staff A touched a plastic covered menu and opened a drawer to get a pair of tongs. Without changing gloves, Staff A used the tongs and her right gloved hand to start picking up pieces hot chicken from a baking pan. Staff A ran her right gloved hand through the cooked…

  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 · D2026-04-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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 observations, clinical record review, facility housekeeping checklist, facility policy review, resident and staff interviews, the facility failed to clean resident's room daily for 1 of 2 residents reviewed for environment (Resident #1). The facility reported a census of 64 residents. Findings include:The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 scored a 13 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated cognition intact.During an interview on 4/13/26 at 1:35 PM, Resident #1 stated his room got dirty because housekeeping didn't come and clean it for a week. Resident #1 stated a Certified Nurse Aide (CNA) went and got a broom and dustpan and cleaned it. Resident #1 stated he was told that housekeeping saw Resident #1 exposed and so housekeeping refused to come in Resident #1 room. Resident #1 stated he didn't know if housekeeping had seen him exposed or not. Resident #1 stated housekeeping cleaned his roommate's side of the room. During an…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-18 · 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 observation, clinical record review, staff interviews, and the facility policy, the facility failed to use hand hygiene in an effort to minimize the risk of spreading infections during the completion of personal, wound and catheter care for 1 of 1 resident (Resident #2) reviewed for infection control. The facility reported a census of 63 residents. Findings include: Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. The MDS indicated resident dependent with toileting hygiene and required substantial/maximal assistance with rolling left to right. The MDS revealed the resident utilized an indwelling catheter and always incontinent of bowel. The list of diagnoses included obstructive uropathy (unable to urinate due to an obstruction). The MDS identified Resident #2 with a Stage IV pressure ulcer (PU or PI for pressure injury), which required ongoing treatments…

  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 · Ecited before2025-04-24 · 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 observation, interview, and record review, the facility failed to ensure proper labeling and dating of all food items, failed to discard food items in appropriate time frames, and failed to ensure proper use of beard restraints. The facility reported a census of 54 residents. Findings include: On 4/21/25 at approximately 10:40 AM during the initial tour of the kitchen, the following items observed in the walk in refrigerator: a. One 5 lb (pound) container of tuna salad dated 4/6 b. One 5 lb container of chicken salad dated 4/4 Observation of the ice machine present in the kitchen revealed dust present on the air filter. The following directions observed on the ice machine equipment: Clean air filter twice a month. Observation conducted in the kitchen on 4/23/25 at approximately 9:50 AM revealed dust on the ice machine filters, and a styrofoam scoop present in a clear plastic bin for the sugar. Observations conducted in the kitchen on 4/23/25 at approximately 10:03 AM and 10:55 AM revealed Staff A, Dietary prepared pureed food. The resident had facial hair to the side of 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interviews, the facility failed to issue the Notice of Medicare Non-Coverage (NOMNC) Form 10123 for 2 of 3 residents reviewed for beneficiary notices (Resident #36 and Resident #51). The facility reported a census of 54 residents. Findings include: 1. The Review of Resident #36 Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) Form 10055 indicated on 3/8/25 Medicare may not pay due to Resident #36 met her therapy goals and is at baseline independence and Resident #36 signed the notice on 3/5/25. The Review of the SNF (Skilled Nursing Facility) Beneficiary Protection Notification Review revealed resident started skilled service on 2/14/25 and the last day covered of Part A Services was on 3/7/25 due to resident and therapy agreement to end SNF due to being at baseline independence. The section Was a NOMNC (CMS- 10123) provided to the resident section indicated No, with Other Explain: unaware of needing both forms. The NOMNC, Form CMS-10123 informs the beneficiary that Medicare will no longer cover their services…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · 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 clinical record review and staff interviews, the facility failed to update the Care Plan and initiate Specialized Services for a resident as directed per the PASRR (Preadmission Screening and Resident Review) Level II for 1 of 1 (Resident #10) residents reviewed. The facility reported a census 54 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #10 scored a 99 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated severely impaired cognition. The MDS list of diagnoses included moderate intellectual disabilities, and unspecified mood (affective) disorder. The MDS PASRR section indicated No to answer Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition. The MDS revealed Resident #10 prescribed antipsychotic, antianxiety and anticonvulsant medications. Review of the Care Plan revealed a lack of a Focus area and associated…

  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 · D2025-04-24 · 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 and staff interviews, the facility failed to address the reason and the trigger areas for the resident's diagnoses of PTSD (post traumatic stress disorder) for 1 of 5 residents reviewed for unnecessary medications (Resident #33). The facility reported a census of 54 residents. Findings include: The MDS assessment dated [DATE] revealed Resident #33 scored a 14 out of 15 on the BIMS exam, which indicated cognition intact. The MDS revealed diagnoses for Parkinsonism, unspecified; depression; and post traumatic stress disorder (PTSD). Review of the Care Plan, Date Initiated: 11/30/23 revealed a Focus area to address Resident has a history of post-traumatic stress disorder (PTSD). The Interventions, Date Initiated: 11/30/23 included: a. Charge Nurse will report traumatic reactions to provider for guidance in resident's care. b. Staff will report any traumatic reactions to charge nurse. Review of the Physician Orders revealed an order for Divalproex Sodium Oral Tablet Delayed Release…

  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 · D2025-04-24 · 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 observation, interview, and record review, the facility failed to ensure timely follow up for a resident with history of constipation who had not had a bowel movement (BM) in multiple days for one of one resident reviewed for constipation (Resident #21). The facility reported a census of 54 residents. Findings include: Review of the Minimum Data Set (MDS) assessment for Resident #21 dated 3/20/25 revealed the resident scored 15 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Per this assessment, the resident was occasionally incontinent of bowel. Review of the resident's Medical Diagnoses included constipation. Review of the Care Plan dated 3/25/24 revealed, The resident has constipation/diarrhea r/t (related to) DM (Diabetes Mellitus) type 2, ESRD (End Stage Renal Disease). Interventions per the Care Plan, all dated 3/25/24, revealed the following: a. Administer medications as ordered, monitor effectiveness and any adverse side effects. b. Encourage fluid intake c. Monitor/document/report PRN (as needed) s/sx (signs/symptoms)…

  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 · D2025-04-24 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 and staff interviews, the facility failed to ensure competent nursing staff provided wound care and applied a wound VAC (vacuum assisted closure) for 1 of 1 resident reviewed with pressure wounds (Resident #55). The facility reported a census of 54 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] identified Resident #55 as moderately cognitively impaired based on a Brief Interview for Mental Status (BIMS) score of 10 out of 15. The MDS list of diagnoses included: respiratory failure dependence on a ventilator, critical illness myopathy (major muscle weakness disorder in critically ill patients), diabetes mellitus, and wound infection. The MDS assessed Resident #55 dependent on staff for all care needs. The MDS documented Resident #55 admitted to the facility with two unstageable pressure wounds to the buttocks. The MDS documented Resident #55 admitted to the facility on [DATE] from a long term hospital stay. Review of the Care Plan, Date Initiated:…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-24 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure documentation of targeted behaviors and behavioral monitoring for the use of an antipsychotic medication for one of five residents reviewed for unnecessary medications (Resident #54). The facility reported a census of 54 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was rarely to never understood, took antipsychotic medication, and had no hallucinations, delusions, or physical, verbal, or other behavioral symptoms not directed towards others. Review of Resident #54's Baseline Care Plan dated 11/25/24 revealed the following per the psychotropic medication section: antianxiety and antipsychotic. Under the mental health needs and behavior concerns section, a zero was documented. Review of the resident's Care Plan revealed, Resident receives psychotropic medications antidepressant, antipsychotic, antianxiety r/t (related to) dx (diagnosis) of depression, anxiety, dementia. 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

“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

$3,145 in federal fines across 1 penalty.

• $3,145 — penalty dated 2023-09-05

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

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

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