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Jackson Ridge Healthcare Center

1015 Wesley Drive, Maquoketa, IA 52060 · For profit - Limited Liability company · 75 certified beds · (563) 652-4968 Medicare & Medicaid certified

Call the home — (563) 652-4968 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 20 lower-level deficiencies on record (see below)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1419 11th St · (321) 230-8694 · Call to confirm hours
Pharmacy
918 W Platt St · (563) 652-5611 · Call to confirm hours
Grocery
110 Westgate Dr · (563) 652-4992 · Call to confirm hours
Park
612 W Summit St · Typically dawn to dusk
Place of worship

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

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.2%17.1%15.4%worse
Long-stay residents who lose too much weight4.0%4.6%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.5%0.9%better
Long-stay residents with a urinary tract infection1.4%2.4%2.0%better
Long-stay residents with depressive symptoms80.7%4.2%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury3.7%3.8%3.3%worse
Long-stay residents whose ability to walk worsened13.0%16.6%16.1%better
Long-stay residents on antianxiety or hypnotic medication52.9%20.8%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers2.5%4.2%4.7%better
Long-stay residents with worsening bladder/bowel control29.9%25.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table66.4%19.5%17.1%check this — see note marked dagger below the table
Short-stay residents who newly got an antipsychotic medication0.0%2.1%1.4%better
Long-stay hospitalizations per 1,000 resident days1.431.491.67better
Long-stay outpatient ER visits per 1,000 resident days2.272.081.80worse

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

0.06U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.06 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.40
RN hours/ resident / day
0.53
LPN hours/ resident / day
2.41
Aide hours/ resident / day
3.34
Total nurse hours/ resident / day
0.35
RN hoursweekends
43.5%
Total nursing turnover
55.6%
RN turnover

How full it usually is: this home is certified for 75 beds and averages 62.4 residents a day — about 83% occupied, or roughly 13 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.34 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.13 hrs/resident/day on weekends vs 3.43 on weekdays — 9% thinner on weekends. RN hours go from 0.42 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

5
deficiencies at the latest standard inspection (2025-06-26)
10
at the previous standard inspection (2024-08-07)

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.

ABCDEFGHIJKL

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.

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

  • Potential for harm · Ecited before2026-06-05 · 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, staff interview, record review, and facility policy review, the facility failed to ensure that records including dishwashing, refrigerator, and food temperatures logs were consistently documented, completed, and monitored. The facility reported a census of 58 residents.Findings include: On 5/28/26 at 1:00 PM, observation revealed that the facility lacked documentation of appropriate sanitizing of the dishwashing machine, and food and refrigerator temperature logs. Review of the Dishwashing Record, Low-Temperature/Chemical Log for May 2026 indicated staff were instructed to report in parts per million (ppm) is less than (space left blank) ppm. Report if temperature is less than (space left blank) Fahrenheit. The following dates failed to have any temperature or chemical sanitization ppm documented:a. All three meals on: 5/2/26, 5/3/26, 5/11/26, 5/17/26, 5/22/26, 5/25/26, 5/29/26, 5/30/26, 5/31/26.b. Lunch and Dinner meals on: 5/10/26, 5/16/26, 5/24/26, and 5/28/26.c. Dinner meals on: 5/1/26, 5/4/26-5/9/26, 5/13/26-5/15/26, 5/18/26-5/20/26, 5/26/26-5/27/26.…

    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 no plan of correction
  • Potential for harm · D2026-06-05 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, and facility policy, the facility failed to provide professional standards of quality by not following physician orders for blood sugars to be completed upon admit for 1 of 3 residents reviewed (Resident #2). The facility reported a census of 58 residents.Findings include:Resident #2's Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 2 out of 15, which indicated severely impaired cognition. Resident #2 was able to be understood and understood others, and had no behaviors. Per the MDS, the resident admitted to the facility on [DATE] from a short term general hospital. The resident required substantial to maximal assistance with toileting, transfers, dressing, and personal hygiene. The MDS included diagnoses of heart failure, diabetes mellitus, non-Alzheimer's dementia, and depression. The Care Plan initiated 7/29/25 indicated Resident #2 had diabetes mellitus that was managed with diet…

    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 no plan of correction
  • Potential for harm · E2025-06-26 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, document review, clinical record review, policy review, and staff interview, the facility failed to serve the Dietician approved menu for 5 of 5 residents receiving a pureed diet. (Residents #1, #8, #19, #43, #46). The facility identified a census of 59 residents. Findings include: An untitled document provided by the facility on 6/23/25 documented Residents #1, #8, #19, #43, and #46 on pureed diets. A 6/24/25 Week Two Dietician approved Menu for Tuesday documented the following puree menu: a. Beef cube pepper steak, 1 serving (4 ounces (Oz.) b. French onion rice, 1 serving (4 Oz) c. Buttered peas, #12 scoop d. Seasonal fresh fruit, 1 serving Observation on 6/24/25 at 10:42 AM Staff A, [NAME] reported the facility had five residents on pureed diets and she planned to puree five servings of each item. Staff A placed five, 4 Oz. servings of peas into the Avamix blender, adding 1 ¼ cups milk to blend the mixture. She poured the mixture into a large measuring cup and reported the total volume…

    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 before2025-06-26 · 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, policy review, and staff interview, the facility failed to minimize the risk of foodborne pathogens by storing dishes wet; failed to cover food during transport, and failed to maintain proper food temperatures. The facility identified a census of 59 residents. Findings include: Observation on 6/24/25 at 11:08 AM revealed Staff C, Dietary Aide (DA) continually taking wet dishes from the dish rack and placing back in storage. Finally, Staff C removed a glass 8-cup measuring cup and two white spatulas from a dish rack on the clean side of the dishwasher. Staff C hung the measuring cup and two spatulas above the preparation table where Staff A, [NAME] prepared the puree food items for the noon meal. The 8-cup measuring cup observed with water droplets all along the top rim of the cup and the two spatulas had water droplets on the backside of the spatulas which hung touching each other on the rack. Observation on 6/24/25 at 12:44 PM Staff B pushed a cart with Resident #10 and #17 room trays out of the kitchen and down the hallway without covering the fruit bowls.…

    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 · E2025-06-26 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, document review, policy review, and staff interview, the facility failed to ensure an effective Quality Assurance Performance Improvement (QAPI) process to address a previously identified quality deficiency, resulting in a repeated deficiency identified on two consecutive recertification surveys within 10 months. The facility reported a census of 59 residents. Findings include: The Center for Medicare and Medicaid (CMS) 2567 Form from the recertification survey dated 7/29/24 - 8/07/24 documented the facility failed to ensure dishes were dry before storing. The facility Plan of Correction (POC) dated 8/08/24 documented a stop and dry sign was created and hung above the clean storage side of the dishwasher. The Registered Dietician or designee would complete weekly audits for sanitation and drying of equipment. An audit would be conducted for 12 weeks and then reviewed by the QAPI committee for compliance. The facility's current survey 6/23/25 to 6/26/25 resulted in deficient practices regarding the storage of wet dishes in the kitchen. Observation on 6/24/25 at…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-26 · 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 observation, record review, and staff interviews the facility failed to follow a Care Plan intervention for 1 out of 3 residents reviewed with weight loss. (Resident #1) The facility identified a census of 59 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] for Resident #1 indicated a Brief Interview for Mental Status (BIMS) score of 2 which indicates severe cognitive impairment. It further indicated diagnoses including: hypertension, non - Alzheimer's Dementia, and cerebrovascular accident. The MDS indicated Resident #1 required extensive assist from staff for transfers, bathing, dressing, and personal hygiene. Resident #1 was independent with eating. The MDS indicated Resident #1 had a weight loss. On 06/23/25 at 12:28 PM to 1:15 PM during a continuous observation Resident #1 ate her dessert and then got up per self and staff assisted back to her recliner in the main lounge area next to the dining area. The regular lunch had not been served yet. Resident drank a glass of milk per…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · 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

    Based on observation, policy review, manufacturer's directions for cleaning and disinfection, and staff interview, the facility failed to properly sanitize a blood glucose meter used for multiple residents (Residents #5, #7, and #21). The facility identified a census of 59 residents. Findings include: Observation of the 6/25/25 morning medication administration revealed the following: On 6/25/25 at 7:20 AM Staff D, Registered Nurse (RN) reported there is one blood glucose machine (Assurance Platinum meter) on each medication cart that is used for multiple residents. She voiced there are two residents that share the machine on the East hallway, Residents #5 and #21. Observation on 6/25/25 at 7:22 AM revealed Staff D entered Resident #5 room to perform a blood glucose check. She placed the blood glucose meter, cotton balls, lancet, and alcohol prep pads at the foot end of Resident #5 unmade bed. After applying gloves, she moved the blood glucose machine, alcohol pads, lancet, and cotton balls to the Resident's bedside table without a clean barrier underneath. Staff D pulled a…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-07 · 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, policy review, resident and staff interviews the facility failed to serve foods that was warm and palatable for 1 of 1 meal services observed. The facility reported a census of 47 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #32 identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS listed diagnoses of anemia, hypertension, hyperlipidemia, thyroid disorder, and dysphagia. During an interview on 7/29/24 at 10:52 AM Resident #32 reported the food is terrible and is not hot enough when the meal is served. Observation 07/30/24 at 11:35 AM dietary Staff A, cook wheeled the steam table to Unit I/Unit II dining area. Staff A, cook recorded food temperatures held in the warming pans of the steam table. The dietary supervisor and consultant dietitian were approximately 5 feet away from the steam table observing. The food temperatures revealed the following: a. Pureed fried rice - 127 degrees Fahrenheit…

    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 before2024-08-07 · 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, policy review, and staff interviews the facility failed to demonstrate proper food handling of utensils when serving, allowing dishes, steam table pans, and storage containers to air dry completely, and storing wet wiping cloths in an approved sanitizing solution. The facility reported a census of 47 residents. Findings include: During initial kitchen observation on 7/29/24 at 10:30 AM, observed Staff A, cook removing items from the clean dish rack and did not allow the items to air dry. An 8-inch plastic plate was stacked in a plastic tub near the steam table and 2 clear plastic storage containers (one approximately 6 inches in diameter and one approximately 8 inches in diameter) were stacked on top of other storage containers while still wet. During observation on 7/30/24 at approximately 11:20 AM, Staff A, cook was in the process of preparing pureed items. Staff A, cook had pureed broccoli and rinsed the equipment and placed in the dish rack and slid the dish rack into the dish machine. Staff A went to the hand washing sink, washed her hands, turned 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 · E2024-08-07 · tag F0919 — failed to provide a working call system — pattern
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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, policy review, and staff interview the facility call light system failed to alert staff of call light initiated to a central staff work area or directly to a staff member. The facility identified a census of 47 residents. Findings include: On 07/29/24 at 12:36 PM Resident #40 observed in her bathroom, room [ROOM NUMBER], on the toilet by herself, stated she put her call light on but no one came to answer it. The call light has a white and red bulb outside the door to notify the staff the resident had pushed the button. The light outside the room failed to light up even after the surveyor pushed the button in the bathroom. On 07/29/24 at 12:38 PM Staff J, Certified Nursing Assistant (CNA), assisted Resident #40 out of the bathroom she stated the call light is supposed to make a ringing noise at nurses station. This one does not make ringing noise and one other one so we have to make visual checks just for the bathroom due to the call light does not work. On 07/31/24 at 3:37 PM Staff D,…

    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
Show the remaining 10 citations
  • Potential for harm · D2024-08-07 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, family and staff interview, the facility failed to document the physician and family were notified of 2 of 2 changes in condition (Residents #23 after a fall with skull fracture and #49 after a significant amount of bloody urine returned after an indwelling catheter was inserted). The facility reported a census of 47 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #23 as cognitively impaired with a BIMS (Brief Interview for Mental Status) of 03 and had the following diagnoses: Coronary Artery Disease, Heart Failure, and Non-Alzheimer's Dementia. The MDS identified Resident #23 was dependent on staff for assistance with oral hygiene and personal hygiene and required substantial/maximal assistance with toileting and dressing. The MDS also identified Resident #23 had 2 falls with no injury and one fall with minor injury. On 11/3/23, the Care Plan identified Resident #23 at risk for falls related to Alzheimer's Disease and psychotropic…

    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 · D2024-08-07 · 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 observation, record review, and staff interviews, the facility failed to repair a bathroom light in one room (Resident #23) and door casings to 6 other rooms in Unit 2. The facility reported a census of 47 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #23 as cognitively impaired with a BIMS (Brief Interview for Mental Status) of 03 and had the following diagnoses: Coronary Artery Disease, Heart Failure, and Non-Alzheimer's Dementia. The MDS also identified Resident #23 was dependent on staff for assistance with oral hygiene and personal hygiene and required substantial/maximal assistance with toileting and dressing. The MDS also identified Resident #23 had 2 falls with no injury and one fall with minor injury. In an observation on 7/30/24 6:12 AM, Staff E, CNA and Staff O, CMA/CNA assisted resident to stand in his bathroom. Staff E tried to turn on the light switch, the light would not turn on. Both aides stood in the dark bathroom with the resident as he…

    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 · D2024-08-07 · 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 record review and staff interviews the facility failed to update a Care Plan to indicate the residents correct transfer status for one out of one Care Plan reviewed (Resident #22). The facility identified a census of 47 residents. Findings include: The MDS for Resident #22 dated 6/10/24, listed diagnoses of atrial fibrillation (irregular heartbeat), hypertension (high blood pressure), and diabetes mellitus (DM). The Brief interview for Mental Status (BIMS) reflected a score of 3, severely impaired cognition. The MDS reflected Resident #22 dependent on staff for transfers. Review of the Care Plan with intervention dated 6/4/24 revealed Resident #22 is dependent on 2 staff for Sara lift or Hoyer (mechanical lift) for transfers. The therapy recommendations dated 6/13/24 revealed assist times 2 staff with front wheeled walker. Staff to use assist times 2 with front wheeled walker wheelchair to follow for distance. The notes from weekly medicare meeting minutes dated 6/14/24 reflected to change Resident #22…

    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 · D2024-08-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, the facility failed to document 3 of 3 residents had been given showers twice a week. (Residents #6, #34, and #38). The facility reported a census of 47 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #6 as severely cognitively impaired with a BIMS (Brief Interview for Mental Status) of 03 and had the following diagnoses: Stroke, Coronary Artery Disease, and Hemiplegia (paralysis of one side of the body). The MDS also identified Resident #6 was dependent on staff for all activities of daily living and had a feeding tube. Observations of Resident #6 include the following: 7/30/24 at 7:08 AM Resident #6 sat up in her wheelchair wearing clean clothing and gripper socks, however, her hair stuck straight up and appeared greasy as if it had not been shampooed for a few days. 7/31/24 at 8:16 AM Resident #6 was asleep in bed without any clothing on, had a [NAME] Strap across her abdomen and covered with a sheet from her…

    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 · D2024-08-07 · 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, record review, family and staff interview, the facility failed to utilize proper transfer techniques for 1 of 3 residents observed for transfers (Resident #22) and failed to utilize the proper technique to push 2 of 2 residents observed in wheelchairs (Residents #23 and #27). The facility reported a census of 47 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #23 as cognitively impaired with a BIMS (Brief Interview for Mental Status) of 03 out of 15 and had the following diagnoses: Coronary Artery Disease, Heart Failure, and Non-Alzheimer's Dementia. The MDS also identified Resident #23 was dependent on staff for assistance with oral hygiene and personal hygiene and required substantial/maximal assistance with toileting and dressing. The MDS also identified Resident #23 had 2 falls with no injury and one fall with minor injury. On 11/3/23, the Care Plan identified Resident #23 at risk for falls related to Alzheimer's Disease and psychotropic…

    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 · D2024-08-07 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, the facility failed to ensure narcotics were properly secured for one of two medication carts reviewed and failed to properly dispose of an undated insulin pen for Resident #27. The facility reported a census of 47 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] identified Resident #27 as moderately cognitively impaired with a BIMS (Brief Interview for Mental Status) of 07 and had the following diagnoses: Non-Traumatic Brain Dysfunction, Atrial Fibrillation (an abnormal heart rhythm), and Coronary Artery Disease. The MDS also identified Resident #27 was dependent on staff for assistance with toileting, showers, dressing, personal hygiene, and transfers. The MDS also identified Resident #27 had a history of one fall without injury. In an observation on 7/30/24 7:40 AM, Staff I, LPN removed a Lantus insulin pen from the medication cart and verified the Lantus pen was not dated when opened. Staff I obtained two new pens of Lantus 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-07 · 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

    Based on observation, resident, family and staff interviews the facility failed to demonstrate proper hand washing technique while preparing and handling food. The facility also failed to utilize proper infection control techniques during an observation of one of two residents during incontinence care. (Resident #46) The facility census was 47. Findings include: 1. During continuous observation of the puree process on 7/30/24 from 11:06 AM to 11:40 AM, Staff A, cook washed her hands 6 times. Each time she would turn on the water, wash her hands, turn off the faucet with her wet left hand and use her right hand to turn the dial on the right side of the paper towel dispenser. When the paper towel was dispensed she would then dry her hands and toss the used paper towel in the trash. Staff A failed to follow facility Hand Washing Technique to shut the water off with a dry paper towel. During an interview on 7/30/24 with Staff B, dietary supervisor hand washing audits are completed. The last audit was completed on 7/11/24. During an interview on 08/01/24 Staff A stated when she washes…

    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 · E2023-08-24 · tag F0801 — pattern
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    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 document review, employee record review, and staff interview the facility failed to employ a full-time Dietician or qualified dietary manager. The facility identified a census of 40 residents. Findings include: During an interview on 8/21/23 at 10:07 a.m. the Dietary Supervisor reported she had not completed any training towards her certified dietary manager training. She had not gone for training as the facility was to be sold, then the buyer backed out and the facility was looking at closure. She reported they had just talked about getting her enrolled in classes, but that hadn't been done yet. She had been in the Dietary Supervisor role since March of 2023. On 8/22/23 at 1:20 p.m. the Dietary Supervisor reported she had taken some classes on CE solutions but CE solutions is not a nationally recognized training program. During an interview on 8/22/23 at 2:22 p.m. the Administrator reported the Dietary Supervisor had started in the position around the beginning of March 2020. Things were crazy busy…

    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 before2023-08-24 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, policy review, and staff interview the facility failed to maintain a sanitary kitchen, label food appropriately for storage, utilize good food handling/gloving to prevent potential cross contamination of food, failed to serve the Dietician approved menu, and failed to ensure food maintained appropriate temperature to prevent food borne illness. The facility identified a census of 40 residents. Findings include: A review of the 8/01/23 Resident Council Minutes documented one resident stated Friday's supper temperature was cool. During the Initial Pool Interviews on 8/21/23, Resident #30 reported she served as the Resident Council President and there are some issues with food temperatures, but not all the time. 1. During an initial kitchen tour on 8/21/23 at 9:50 a.m. the following observations were made: a. True refrigerator D had a large build up of a black fuzzy substance covering both refrigerator fans blowing down on the stored food. The bottom shelf of the refrigerator had food debris…

    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 · D2023-08-24 · 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 observation, clinical record review, policy review, and staff interview the facility failed to provide appropriate catheter treatment and services to prevent potential cross contamination that could lead to a urinary tract infection for 1 of 1 residents sampled (Resident #141). The facility identified a census of 40 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 8 indicating moderate cognitive loss. The MDS listed diagnoses of coronary artery disease, heart failure, hypertension, and diabetes mellitus. A Hospital History and Physical/Discharge/Consults Report dated 8/16/23 documented Resident #141 had significant bladder retention and urinary retention. The Impression and Plan noted placement of a Foley catheter with plans to keep the Foley in place for bladder obstruction. The Inpatient Discharge Instructions with a visit date of 8/16/23 documented the reason for admission had been post obstructive renal failure…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SHLOMO HOFFMAN — 10 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 →

RatingThis homeChain avg
Overall 2 of 52.1-0.1 vs chain
Health inspection 2 of 52.1-0.1 vs chain
Staffing 3 of 53.3-0.3 vs chain
Quality measures 3 of 52.9+0.1 vs chain
The other 9 homes this chain runs (chain average 2.1★, per CMS)

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

Owner / managerTypeRoleSince
PAVEL, ASHERIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2024
SHEINBEIN, JOSHUAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2024
SVARC, JONAHIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2023
STELLAR HEALTHCARE MGMT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2023
BYBEE, JERALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
CARR, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2019
HOFFMAN, JESSICAIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 01/20/2026
1015 JACKSON PROPCO LLCOrganizationADP OF THE SNFsince 04/01/2023
LTC CONSULTING SERVICES LLCOrganizationADP OF THE SNFsince 04/01/2023
MIDWEST SNF HOLDINGS LLCOrganizationADP OF THE SNFsince 04/01/2023
YY SEA FAMILY IRREVOCABLE TRUSTOrganizationADP OF THE SNFsince 04/01/2023
HOFFMAN, SHLOMOIndividualADP OF THE SNFsince 08/01/2024

CMS files one row per role, so the 21 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 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.

$3.1M
Net patient revenuemost recent cost report
+0.9%
Operating marginrevenue minus expenses
$420K
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 76%Medicare 2%Other / private 22%

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $420K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$291per resident / day
operating cost
$8,856per month
≈ monthly operating cost
$294per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.

Typical monthly cost in Iowa
$9,277/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,381/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165516. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-26, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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