Lenox Care Center

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.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 39% 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 36 beds and averages 25.2 residents a day — about 70% occupied, or roughly 11 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 4.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.30 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.83 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 3.88 hrs/resident/day on weekends vs 4.93 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.45 to 0.92 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below 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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Fcited before2026-03-24 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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, kitchen cleaning checklist and policy review the facility failed to maintain clean and sanitary conditions in the kitchen, failed to label and store food items and discard leftovers after 3 days in order to maintain food quality and reduce the risk of food-borne illness in the kitchen for two of two kitchen observations. The facility staff also failed to conceal hair completely in a hairnet for two of two meal service observations. The facility reported a census of 25 residents. Findings include:1.Initial Kitchen observations starting on 3/21/26 at 1:10 PM revealed the following: a. The door inside the Kenmore refrigerator contained one open carton of liquid whole eggs without an open date. The directions on the outside of the contain revealed to use the product within 3 days of the open date. The bottom shelf had a plastic bag that contained what appeared to be uncooked hamburger patties. The bag had no label or date listed on it. b. The Troulsen refrigerator had a container of whipped salad dressing with splatters of the contents on 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 · Fcited before2026-03-24 · tag F0880 — failed to prevent and control infections — widespread
  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 record review, observations, staff interview and policy review the facility failed to utilize enhanced barrier precautions (EBP's) and failed to ensure staff followed infection control practices to protect against cross contamination and potential spread of infection for 2 of 4 residents sampled on EBP's (Resident #1 and #22). The facility staff also failed to use a barrier and utilize appropriate wound care techniques, and failed to handle soiled linens to prevent the potential spread of infection for 1 of 3 residents observed for wound care (Resident #22). The facility also failed to develop a comprehensive water management program and identify areas or devices in the building to reduce the risk and prevent the growth of Legionella or other waterborne pathogens. The facility reported a census of 25 residents. Findings include: 1.The Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #1 had diagnoses of heart failure, diabetes, and chronic obstructive pulmonary disease (COPD). The MDS…

  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 · E2026-03-24 · tag F0926 — failed to keep the home smoke-free / fire-safe — pattern
  Have policies on smoking.
  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, observation, resident and staff interview, policy review and the National Fire Protection Association (NFPA), the facility failed to ensure that oxygen was not in the vicinity of residents that were smoking for 1 of 1 resident observed with oxygen in use (Resident #13). The facility reported a census of 25. Findings include: The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #13 had diagnoses of cerebrovascular accident (CVA) (stroke), anemia, and hypertension (high blood pressure). The MDS indicated the resident did not use tobacco. The resident used oxygen (O2). The MDS dated [DATE] revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS recorded the resident was on O2. The Care Plan initiated on 12/2/25 revealed the resident used continuous O2 and at risk for alterations in O2 levels due to a diagnoses of CHF (congestive heart failure). She also had a risk of chest pain and shortness of breath.…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-24 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 reviews, staff interview, and policy review, the facility failed to identify and consistently document non-pharmacologic behavior interventions for 3 of 3 residents (#3, #6, #7) who received psychotropic medications (medications that affect a person's mental state, emotions, and behavior). The facility reported a census of 25 residents. Findings include:1) Resident #3's Minimum Data Set (MDS) assessment identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated completely intact cognition It included diagnoses of non-Alzheimer's dementia, anxiety, depression, psychotic disorder, and schizophrenia. It indicated the resident required setup assistance with eating, moderate assistance with oral hygiene, maximal assistance with upper body dressing, and was dependent with all other Activities of Daily Living (ADLs) and mobility. It further revealed the resident took antipsychotic and antidepressant medications in the 7-day look-back period.The Care Plan dated…

  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
• Potential for harm · D2026-03-24 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy review, the facility failed to identify an expired medication before it was administered to 1 of 4 residents (#17). The facility reported a census of 25 residents.Findings include:Resident #17's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 13 out of 15 which indicated completely intact cognition. It included diagnoses of multiple sclerosis, seizure disorder, and respiratory failure. It indicated the resident required setup assistance with eating and oral hygiene, and moderate assistance with all other Activities of Daily Living (ADLs) and all forms of mobility. It revealed the resident received an anticonvulsant medication in the 7-day look-back period.The Medication Administration Record (MAR) included a physician's order dated [DATE] for a 200 milligrams (mg) anticonvulsant medication by mouth twice per day. It further revealed the resident received 42 doses since [DATE].The Care Plan…

  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 before2025-06-25 · 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 Electronic Health Record (EHR) review, resident interview, staff interview, and Medication Administration Records - Treatment Administration Records (MAR-TAR) review the facility failed follow physician ordered interventions for a resident with no bowel movement for 3 days and 5 days for 2 of 3 residents reviewed (Residents #2 and #3). The facility reported a census of 25 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #2 documented no Brief Interview for Mental Status (BIMS) indicating Resident #2 was rarely/never understood. The MDS also documented a diagnosis of constipation. The MDS further documented Resident #2 was always incontinent of bowel. Review of Resident #2's EHR titled, Bowel Elimination from 5/21/25 - 6/24/25 documented no bowel movement from 5/24/25 through 5/29/25. The previous bowel movement was recorded on 5/23/25 at 12:15 PM. The next bowel movement was recorded on 5/30/25 at 1:40 PM. No bowel movements were recorded from 6/18/25 - 6/19/25. 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 · Dcited before2025-06-25 · 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, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing care to a resident with a catheter, that was on Enhanced Barrier Precautions (EBP) for 1 of 3 residents reviewed (Resident #2). The facility reported a census of 25 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #2 documented no Brief Interview for Mental Status (BIMS) indicating Resident #2 was rarely/never understood. The MDS also documented utilization of an indwelling catheter. The MDS further documented Resident #2 was always incontinent of bowel. On 6/24/25 at 4:02 PM an observation of personal care and catheter care completed on Resident #2 with the Director of Nursing (DON) present revealed both Staff D, Certified Nursing Assistant (CNA) and Staff E, Certified Nursing Assistant (CNA) completed hand hygiene, applied gloves and donned gowns. Staff D applied lift cloth, full body mechanical lift utilized, Staff D utilized 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-27 · tag F0567 — failed to protect residents' money held by the home — pattern
  Honor the resident's right to manage his or her financial affairs.
  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 the clinical record review, resident interview, staff interview and policy review the facility failed to provide access to personal funds managed by the facility for 1 of 1 residents reviewed. The facility reported a census of 24 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] documented Resident #11 had a Brief Interview for Mental Status (BIMS) score of 15 indicating no cognitive impairment. On 2/24/25 at 11:55 AM Resident #11 stated she wanted to have some money on the weekend recently to buy soda but it is not available from personal funds at the facility on the weekends or in the evenings. On 2/25/25 at 2:28 PM Staff C, Business Office Manager stated the facility did have money in a lockbox available for the residents. Staff C stated the facility kept $110.00 in the lockbox. Staff C stated she and the Administrator are the only staff that had access to the petty cash. Staff C stated the residents could not have money if she was not in the building unless it was an emergency.…

  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 · E2025-02-27 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, document review and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs of the residents by not serving residents on a mechanical soft diet the appropriate amount of meat according to the menu for 4 of 24 residents reviewed. The facility reported a census of 24 residents. Findings include: On 2/26/25 at 11:50 AM Staff H, AM [NAME] obtained 8 meatballs and placed them in the food processor. Staff H processed the meatballs and removed them from the processor into a plastic container. Staff H then placed the plastic storage container in a pan in the steam table. Lunch was served. Tongs were utilized for serving mechanical soft meatballs. The last plate was for a resident with a mechanical soft diet. Staff H measured 1/3 cup for the remaining mechanical soft meatballs. Review of document titled, Diet Spreadsheets Week 3 Wednesday documented 2 ground meatballs for mechanical soft diets. On 2/26/25 at 1:10 PM Staff I, Certified Dietary Manager (CDM) acknowledged all of the mechanical soft meatballs should have been…

  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 before2025-02-27 · 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

  Based on observation, staff interview and policy review the facility failed to provide food at an appetizing temperature when the mechanical soft meatballs temperature was 95 degrees in the steam table. The facility reported a census of 24 residents. Findings include: During continuous observation of lunch service on 2/26/25 at 11:50 AM - 1:00 PM Staff H, AM Cook, completed lunch service with the last plate for a resident on a mechanical soft diet. Staff H obtained a temperature of 95 degrees on the remaining mechanical soft meatballs left in the steam table. On 2/26/25 at 1:00 PM Staff H acknowledged the mechanical meatball temperature of 95 degrees was unacceptable. Staff H stated food in the steam table should have had a holding temperature of 135 degrees or higher. On 2/26/25 at 1:10 PM Staff I, Certified Dietary Manager (CDM) stated the mechanical meatball temperature of 95 degrees was unacceptable. Staff I stated the mechanical soft meatballs in the steam table should have had a holding temperature of 135 degrees or higher. On 2/26/25 at 3:56 PM Staff E, Contract Registered…

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to ARBORETA HEALTHCARE — 2 facilities. Here is how its ratings compare with the chain’s average across all its homes:

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 37 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted.

16 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 $87K 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