Elm Crest Retirement Community

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.

49.9% 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 75 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 73.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 46 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% 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 50 beds and averages 45.8 residents a day — about 92% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.69 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 3.45 hrs/resident/day on weekends vs 4.21 on weekdays — 18% thinner on weekends. RN hours go from 0.85 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 72% 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.

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

• Actual harm · Gcited before2026-06-10 · 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, facility investigation file review, resident and staff interviews, and policy review the facility staff failed to follow the facility's fall policy and protocol to notify the charge nurse in order to complete an assessment in a timely manner and begin interventions after a resident had a fall for one of three residents reviewed for injuries of unknown origin and nursing supervision (Resident #1). The facility reported a census of 41 residents. The facility corrected the deficient practice per past noncompliance on 2/17/26 through the following actions: *The facility DON and Administrator began an investigation when the bruises were discovered on Resident #1 on 2/4/26.*The facility sent Resident #1 to the Emergency Department (ED) on 2/4/26 for evaluation. *The facility interviewed residents with BIMS >13 if they had a fall, what to do if they fall, if they felt safe at the facility. *Staff Education was provided on Unexplained Injuries, Fall Prevention to include reporting falls,…

  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 · Past Non-Compliance
• Actual harm · Gcited before2024-11-14 · 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, observation, facility document review, staff interviews and facility policy review, the facility failed to use safe transfer techniques for 1 of 3 residents. Resident #37 had fell in the bathroom and sustained bruising and a skin tear after staff assisted him without the use of a gait belt or proper footwear. The facility also failed to implement new interventions with repeat falls to reduce the risk for Resident #37. The facility reported a census of 43 residents. Findings include: According to the admission Minimum Data Set (MDS) assessment dated [DATE], Resident #37 was admitted to the facility on [DATE] and had a Brief Interview for Mental Status (BIMS) score of 11 (minimal cognitive deficit.) He required substantial/max assistance for toileting hygiene and transfers. Resident #37 had diagnosis including anxiety disorder, Post Traumatic Stress Disorder (PTSD) and Chronic Obstructive Pulmonary Disease (COPD) with acute exacerbation. The MDS documented the resident had fallen…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-14 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility reported a census of 47 residents. Findings include: 1. Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12 out of 15, indicating moderate cognitive impairment. Interview on 1/11/26 at 12:16 PM with Resident #1 revealed that the food is often cold when it should be warm. 2. Review of Resident #13's MDS dated [DATE] revealed a BIMS score of 13 out of 15, indicating intact cognitive functioning. Interview on 1/11/26 at 2:20 PM with Resident #13 revealed that the food is not always warm. 3. Review of Resident #34's MDS dated [DATE] revealed a BIMS score of 9 out of 15, indicating moderate cognitive impairment. Interview on 1/11/26 at 11:55 AM with Resident #34 revealed that food does not taste very good, and that it is not always hot when it should be. 4.…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-14 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 that residents were served meals according to the residents' specific needs for 5 of 46 residents reviewed. The facility reported a census of 47 residents. Findings include: The facility Menu for Week 3 of a 4-week rotation, showed that on 1/12/26 the lunch meal would include: diced chicken on rice, topped with sweet and sour sauce, stir fry vegetables, fortune cookie and fruit cocktail. The Mechanical Soft (texture modified foods for people who have soft and easy to eat if resident has difficulty swallowing) therapeutic menu showed that the chicken would be ground, no changes with the rice or the sauce, broccoli florets instead of the stir fry veggies, omit the fortune cookie and substitute peach and or pears for the fruit cocktail. The menu was signed by the dietician on 6/19/25. The following was found in the facility electronic record Orders tab:a. Resident #9 had an order dated 10/15/24 at 2:35 PM, for a regular diet, mechanical soft texture, thin consistency, small bites alternating small sips 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and policy review the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. The facility failed to maintain a clean kitchen environment. The facility reported a census of 47 residents. Findings include: Continuous observation on 1/11/26 at 9:35 AM during the initial kitchen walk through identified the following concerns: a. The chocolate milk cooler contained dirty crates, walls with the appearance of spilled chocolate milk and a black residual along the hinge of the lid. The cooler did not contain an internal thermometer.b. The cooler containing white milk, sour cream and cottage cheese displayed frost along the inside cooler walls. The thermometer was upside down. c. The left side of a side by side refrigerator contained an unidentified and undated opened food item in a clear storage container. The right side of the refrigerator also contained a dirty towel on the bottom. d. Another side by side refrigerator contained a metal basin with separate containers of brown lettuce,…

  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 before2025-11-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, family and staff interviews, clinical record review and policy review, the facility failed to ensure that staff used safe transferring techniques for 1 of 4 residents reviewed. Resident #4 had many falls and required 2 staff assistance. On 9/12/25 he had another fall while being transferred from the toilet to the wheel chair with just one staff. The facility reported a census of 46 residents. Findings include:According to the Minimum Data Set (MDS) dated [DATE], Resident #4 had a Brief Interview for Mental Status (BIMS) score of 12 (moderate cognitive deficit.) The resident had impairment on both sides of the lower extremities. He required substantial assistance with sit to lying, and toilet transfers. His diagnoses included renal insufficiency, neurogenic bladder, diabetes mellitus and Cerebrovascular Accident (CVA) and chronic pain. The Care Plan (CP) for Resident #4 showed that he was at risk for falls because he was unsteady on his feet, and needed assistance. On 4/7/25, the CP was…

  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 before2024-11-14 · 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, facility record review, staff interviews and policy review the facility failed to follow proper sanitation to prevent the spread of illness according to professional standards by serving residents on dishes that had not been rinsed in the hot water dish machine at an appropriate temperature to prevent the spread of illness. The facility reported a census of 43 residents. Findings include: Observation on 11/12/24 at 9:50 AM of a high temperature dish machine in use revealed a temperature of 140 degrees for the wash cycle and 170 degrees for rinse cycle. Observation of 3 loads of dishes ran though the dish machine with temperatures of 140 degrees for wash and 170 degrees for rinse. Review of document titled, Temperature Monitoring Form -1 Compartment Dishmachine for the month of October documented wash temperatures under 150 degrees on 10/24, 10/28 and 10/3 and rinse temperature under 180 on 10/1, 10/3, 10/5, 10/6, 10/20, 10/25, 10/27, 10/28 and 10/29. On 11/12/24 at 10:00 AM Staff M, Dietary Aide stated when the temperatures are below 150 degrees for wash and…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-11-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, staff interviews, and facility policy review the facility failed to use universal infection control measures and Enhanced Barrier Precautions (EBP) during cares for 3 of 3 residents (Resident #9, #33 and #21). The facility reported a census of 43 residents. Findings include: 1. Review of Resident #33's Minimum Data Set (MDS) assessment dated [DATE] revealed diagnosis of renal insufficiency, neurogenic bladder, and septicemia. The MDS further revealed that Resident #33 utilizes an indwelling catheter. Review of Resident #33's Electronic Healthcare Record (EHR) page titled diagnosis revealed a diagnosis of carrier or suspected carrier of methicillin resistant staphylococcus aureus (MRSA) dated 2/13/23. Review of Resident #33's Care Plan with a review date of 9/18/24 revealed special instructions for enhanced precautions. Observation 11/13/24 at 10:33 AM Staff I Certified Nurse Assistant (CNA) donned gloves without hand hygiene, and then placed a barrier on the floor.…

  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 · D2024-11-14 · tag F0550 — failed to protect resident dignity and rights — isolated
  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 staff interviews, clinical record review, facility document review and policy review the facility failed to ensure that all residents were treated with dignity and respect for 1 of 14 residents reviewed. A staff member was demanding, forceful and demeaning to Resident #96 when she became restless and tried to get out of her chair unassisted. The facility reported a census of 43 residents. Findings include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #96 had a Brief Interview for Mental Status (BIMS) score of 0 (severe cognitive deficit). She required set up assistant for eating, and substantial assistance with sit to stand chair transfers. Her diagnosis included diabetes mellitus, urinary tract infection and arthritis. The Care Plan for Resident #96, dated 9/19/24, showed that she was admitted to hospice and was at high risk for falls due to poor mobility. The resident needed assistance with ambulation, transfers and bed mobility. Resident #96 used anti-anxiety medication…

  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 · D2024-11-14 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 complete a comprehensive Minimum Data Set (MDS) assessment during the required timeline for 1 of 14 residents reviewed (Resident #35). The facility census was 43. Findings include: Resident #35's MDS Quarterly assessment dated [DATE] revealed Section GG (Functional Abilities) lacked data or reason for non-assessment. The previously completed Quarterly MDS dated [DATE] was completed in its entirety. On 11/13/24 at 11:19 AM the Director of Nursing (DON) stated the MDS is completed with coordination between the facility MDS Coordinator and Corporate MDS Consultant. The DON reviewed the MDS dated [DATE] and could not explain why Section GG had not been completed, and would expect the document to be completed in its entirety. On 11/13/24 at 11:25 AM Staff G, MDS Coordinator, stated she was not in the position in August of 2024 and could not provide details why Section GG was not completed. On 11/13/24 at 2:00 PM, the Administrator stated she…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on electronic health record review, document review, policy review and staff interviews the facility failed to provide a comprehensive care plan that included goals or interventions for a diagnosis of methicillin-resistant staphylococcus aureus (MRSA) and or enhanced barrier precautions (EBP) related to the diagnosis of a multidrug-resistant organism (MDRO) for 1 of 5 residents reviewed (Resident #22). The facility reported a census of 43 residents. Finding include: The Electronic New Order dated 7/4/24 for Resident #22 documented a new order for Bactrim DS and a diagnosis of carrier or suspected carrier of methicillin resistant Staphylococcus aureus. Review of Resident #22's MDS dated [DATE] documented no active diagnosis of MDRO. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #22 documented a Brief Interview for Mental Status (BIMS) score of 15 indicating no cognitive impairment. Review of Resident #22's Care Plan documented no focus, goals or interventions for a diagnosis of MRSA. On…

  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 · D2024-11-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical document review, resident interview, staff interview, and policy review the facility failed to provide services to increase mobility or prevent a loss in mobility for 1 of 2 residents (Resident #12) reviewed. The facility reported a census of 43 residents. Findings include: Review of the Minimum Data Set (MDS) assessment for Resident #12 dated 9/25/24 documented a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS further documented diagnosis of hypertension, diabetes mellitus, and neuropathy. The document further revealed the resident was severely visually impaired. Review of Resident #12's Care Plan revealed a focus area for ambulation restorative nursing program due to neuropathy and diabetes created on 4/8/24. The goal revealed the ability to ambulate 500 feet daily through the next quarter with a goal date of 3/19/25. Interventions included referral to therapy if needed, registered nurse (RN) to evaluate and make changes to the program, and the staff to report the changes in participation to nursing staff. Review 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

“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

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2024-12-06 for 8 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 AMERICAN BAPTIST HOMES OF THE MIDWEST — 6 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

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.

This home reported $334K 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 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA