Oskaloosa 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.

34.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 35 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

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

Weekend therapy: weekend therapy hours are 32% 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 83 beds and averages 79.9 residents a day — about 96% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.66 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 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 3.31 hrs/resident/day on weekends vs 3.80 on weekdays — 13% thinner on weekends. RN hours go from 0.32 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above 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

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · J2025-09-17 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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, policy review, and staff interview, the facility failed to carry out cardiopulmonary resuscitation(CPR) in accordance with the resident's wishes, and follow the physician's orders for 1 of 1 residents reviewed for cardiopulmonary resuscitation status(Resident #1). The facility failed to correctly identify that Resident #1 desired CPR related to discrepancies in code status listed in multiple locations and a staff member incorrectly reading the resident's chart. Approximately 7 minutes after Resident #1 was last seen alive, the Advanced Registered Nursing Practitioner(ARNP) issued an order to withhold CPR due to the facility staff's delays. The facility staff also lacked knowledge of how to locate the facility's crash cart. This failure resulted in Immediate Jeopardy(IJ) to the health, safety, and security of the resident. The facility reported a census of 76 residents.The State Agency informed the facility of the IJ on [DATE] at 3:35 p.m.The IJ began on [DATE], the day Resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-09-17 · 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 interviews, clinical record review, and facility policy review, the facility failed to carry out timely assessments and interventions after a resident complained of chest pain for 1 of 3 residents reviewed for a change in condition(Resident #9). The facility reported a census of 76 residents.Findings included:The Minimum Data Set(MDS) assessment tool, dated 6/8/25 listed diagnoses for Resident #9 which included hypertension(high blood pressure), nonrhematic aortic stenosis(a condition where the aortic valve, which controls blood flow from the heart to the body, becomes narrowed or obstructed), and weakness and listed her Brief Interview for Mental Status(BIMS) score as 12 out of 15, indicating moderately impaired cognition. The facility policy Clinical Change in Condition, dated 6/2015, directed staff to assess the resident's status when there was a change in condition and to contact the provider. Care Plan entries, dated 6/23/25, stated the resident had altered cardiovascular status related to high…

  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 before2026-06-11 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, resident interview and policy review, the facility failed to be respectful and provide care with dignity for 1 of 3 residents reviewed (Residents #2). The facility reported a census of 78 residents. Findings included:The Minimum Data Set (MDS) dated [DATE] identified Resident #2 (R2) with Brief Interview for Mental Status score of 15 of 15 indicating is intact cognition. Diagnosis included stroke affected one side. Resident #2 was coded for frequent pain and dependent, needed two or more to assist from chair to bed. The Care Plan revised on 6/9/25 for Resident #2 documented was completely dependent for transferring with the (redacted company name) stand lift and assistance of two staff. The Care Plan also directed to use caution during transfers and is at risk for pain, to anticipate needs. A Progress Note, titled, Incident Note dated 5/11/26 at 5:30PM (Late Entry 5/11/26 10:45AM) documented as follows; that Certified Nurse Aide CNA, Staff F filed a grievance on behalf of Resident #2…

  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 · D2026-06-11 · 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

  Based on clinical record review, staff interviews and policy review the facility failed to ensure 1 of 3 (Resident #1) residents reviewed for transfers was repositioned and kept clean and dry. Resident #1 sat for a prolonged time in a wheel chair without repositioning and with urine-soaked clothing. The facility reported a census of 78 residents. Findings included: The Minimum Data Set (MDS) assessment tool, dated 4/1/26 listed diagnoses for Resident #1 included medically complex conditions, cancer, hip fracture, diabetes, anxiety and depression. The MDS coded urine incontinency, always incontinent of bowel and dependent on transfer to chair bed or toilet. The Brief Interview for Mental Status (BIMS) assessment scored 14 of 15, reflected cognition intact. The Care Plan for Resident #1 initiated 11/17/22 revealed assistance needed for all transfers, assistance of two with a mechanical lift, to use a purple sling. A Progress Note, titled, Incident Note dated 6/8/26 at 3:00 PM for Resident #1 revealed a report was received by Registered Nurse, Staff D at 7:35 AM that Resident #1 was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, resident interview and policy/competency review, the facility failed to ensure safety precautions for 1 of 3 residents reviewed when used a mechanical lift was used to transferred from chair to bed (Resident #2), Two staff were required to assist the resident transfer when a mechanical lift is used for safety. The facility reported a census of 78 residents.Findings include:The Minimum Data Set, dated [DATE] identified Resident #2 with Brief Interview for Mental Status score of 15 of 15 indicated intact cognition. Diagnosis included stroke affected one side affected. The MDS coded Resident #2 had frequent pain and was dependent for two or more helpers for sit to stand, chair to bed or toilet transfers. The Care Plan focus initiated 6/9/25 for Resident #2 revealed completely dependent for transferring with use of (redacted company name) mechanical lift stand and assist of two staff. A Progress Noted, titled, Incident Report dated 5/11/26 5:30PM relayed grievance…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-15 · tag F0658 — failed to meet professional standards of care — pattern
  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 record review, staff interview, and facility policy review, the facility failed to provide services that met professional standards regarding following physician's treatment orders (Resident #4) and monitoring for adverse reactions to immunizations (Resident #1, #2, #3, #5, #6, #7, #9, #11, #13, #14) for 11 of 13 residents reviewed. The facility reported a census of 75 residents. Findings include:1. Review of Minimum Data Set (MDS) dated [DATE], revealed Resident #4's Brief interview for Mental Status (BIMS) of 14 indicating cognitively intact. Resident #4's diagnoses included, coronary artery disease, kidney failure, pneumonia, seizure disorder, malnutrition, anxiety, depression, chronic obstructive pulmonary disease (COPD), respiratory failure, and dysphagia (difficulty swallowing) requiring a feeding tube for nutrition. Review of Physicians Orders documented an order for Resident #4, percussion vest (wearable machine designed to break up and clear mucus from the lungs), apply everyday at bedtime,…

  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 · E2026-04-15 · tag F0760 — failed to prevent significant medication errors — pattern
  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 record review, staff interview, and facility policy the facility staff failed to administer medications correctly related to omission of medications, residents getting the wrong medications, and tube feeding not started timely, for five of five residents reviewed for physicians orders. (Residents #4, 12, 13,14, and 15). The facility reported a census of 75 residents. Findings include: 1. Review of Minimum Data Set (MDS) dated [DATE], revealed Resident #4's Brief interview for Mental Status (BIMS) of 14 indicating cognitively intact. Resident #4's diagnoses included, coronary artery disease, kidney failure, pneumonia, seizure disorder, malnutrition, anxiety, depression, chronic obstructive pulmonary disease (COPD), respiratory failure, and dysphagia (difficulty swallowing) requiring a feeding tube for nutrition. Review of Resident #4's January to March 2026 Medication Administration Records (MAR) failed to indicate the following scheduled medications had not been administered as ordered: 1. 1/14/26 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-15 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, interviews, and policy review the facility failed to report a resident to resident altercations involving (R#1) and failed to report allegation of abuse involving (R#5) to the State Agency. The facility reported a census of 75 residents. Findings include:1. The Quarterly Minimum Data Set(MDS) assessment for Resident #1 dated 3/25/26 listed diagnoses included dementia. The Brief Interview for Mental Status (BIMS) assessment scored 3 of 15, indicating severe cognitive deficits. The MDS assessment for Resident #3 dated 3/18/26 listed diagnoses included Alzheimer's disease, anxiety disorder and depression. The BIMS assessment scored 00 of 15 indicating severe cognitive deficits. The MDS assessment for Resident #5 dated 1/7/26 listed diagnosis included cancer, non-Alzheimer's, unspecified dementia with other behavioral disturbances. The BIMS assessment was not completed indicating severe cognitive deficits. A Statement, handwritten dated 1/7/26 signed by Certified Nurse's Aide, (CNA) Staff A documented Resident #5 smacked Resident #3 on the left arm.…

  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 · D2026-04-15 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and policy review, the facility failed to provide a thorough investigation into allegations of abuse for 1 of 1 residents (Resident #5) reviewed. The facility reported a census of 75 residents.Findings include:Review of Minimum Data Set (MDS) assessment dated [DATE] for Resident #5 indicated a Brief Interview for Mental Status (BIMS) was not completed, indicating severe cognitive deficiency. Listed diagnoses include, cancer, non-Alzheimer's dementia, and dementia with other behavioral disturbances. Review of Care Plan dated 3/30/26 documented Resident #5's need for assistance of one with dressing and personal hygiene, allowing sufficient time for dressing and undressing due to Resident #5's dementia with behavioral disturbances and confusion. Due to Resident #5's communication problems and anxiety, the Care Plan documented for staff to allow adequate time for Resident #5 to respond and do not rush. During an interview on 4/7/26 at 10:17 AM Staff D, RN revealed on…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-13 · 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 Record Review (EHR), staff interviews and facility policy review, the facility failed to assess, intervene, and monitor interventions per the facility's Bowel Regulatory Program for four of four residents (Resident #1, #2, #3, and #4) reviewed for increased risk of constipation. The facility reported a census of 82 residents. Findings include Review of facility provided Bowel Regulatory Program Policy stated the following:1. Constipation- individuals are considered constipated if bowel movement (BM) frequency is less than three times per week and/or if straining is experienced with more than 25% of bowel movements.2. A daily Bowel Movement Record must be kept for all dependent residents in order to track regularity and assess need for interventions. All CNAs should document whether or not the residents they provided care for had a BM during their shift by indicating the size (e.g. 0, sm, med, lg.) on the record in the space for the appropriate day. 3. It is the charge nurse's responsibility…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-17 · tag F0940 — failed to train staff — isolated
  Develop, implement, and/or maintain an effective training program for all new and existing staff members.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on personnel file review, the facility in-service attendance calendar, and staff interview, the facility failed to implement training for multiple topics for 6 of 6 staff reviewed (Staff B, M, N, O, P, Q). The facility reported a census of 76 residents.Findings included: An Employee Face Sheet listed the hire date for Staff B Licensed Practical Nurse(LPN) as 1/8/25. The facility's Hired List By Date listed the following hire dates:Staff O Certified Nursing Assistant(CNA) 4/16/25Staff P CNA 7/16/25Staff Q CNA 8/28/25The facility lacked documentation that new hires Staff B, Staff O, Staff P and Staff Q completed training in Quality Assurance and Performance Improvement (QAPI), compliance and ethics, and infection control upon hire and lacked documentation that non-new hires Staff M CNA and Staff N CNA completed training in QAPI and compliance and ethics on an annual basis.An undated, untitled facility document stated the facility training program was for all departments including new hires and existing staff. The facility Inservice Attendance calendar listed infection control as…

  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 · D2025-09-17 · tag F0944 — isolated
  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on personnel file review, the facility in-service attendance calendar, and staff interview, the facility failed to ensure staff completed training in Quality Assurance and Performance Improvement(QAPI) for 6 of 6 staff reviewed(Staff B,M, N, O, P, Q). The facility reported a census of 76 residents.Findings included: An Employee Face Sheet listed the hire date for Staff B Licensed Practical Nurse(LPN) as 1/8/25. The facility's Hired List By Date listed the following hire dates:Staff O Certified Nursing Assistant(CNA) 4/16/25Staff P CNA 7/16/25Staff Q CNA 8/28/25The facility lacked documentation that new hires Staff B, Staff O, Staff P and Staff Q and non-new hires Staff M and Staff N completed training in Quality Assurance and Performance Improvement(QAPI) upon hire/annually. An undated, untitled facility document stated the facility training program was for all departments including new hires and existing staff. The facility Inservice Attendance calendar did not list QAPI as a training topic.On 9/17/25 at 12:41 p.m., the DON stated she did not see any additional education in…

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

  Administration 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

$45,354 in federal fines across 1 penalty.

• $45,354 — penalty dated 2025-09-17

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

Who owns this facility

CMS files one row per role, so the 36 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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 $25K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA