Bethany Life

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

55.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 146 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 71.4% 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 56 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 0.24 therapist hours per resident per day in 2026Q1 — more than 31% 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.

Staffing

How full it usually is: this home is certified for 126 beds and averages 107.2 residents a day — about 85% occupied, or roughly 19 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.11 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.81 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.99 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 3.87 hrs/resident/day on weekends vs 4.20 on weekdays — 8% thinner on weekends. RN hours go from 0.85 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% 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

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 15 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Kcited before2024-04-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 video observation, interviews, policy, and record review, the facility failed to supervise a resident who needed cues to slow down while eating and provide adequate staff for supervision for 1 out of 5 residents reviewed (Resident #1). Due to the lack of supervision provided to Resident #1 at meals, he was able to eat his dessert very fast. As he started to choke on the dessert, the Certified Nurse Aide (CNA), passed out the meal to the other residents and didn't hear him choking. When the nurse arrived, she alerted the CNA to the situation and took action, due to the consistency of the dessert, the staff couldn't clear the resident's airway. This resulted in his death. This failure resulted in an Immediate Jeopardy situation to the health, safety, and security of the resident. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of March 25, 2024 on April 2, 2024 at 12:14 PM. The Facility Staff removed the Immediate Jeopardy on March 28, 2024 through the following…

  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 before2026-03-05 · 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

  Based on clinical record reviews, staff interviews, resident interview and policy review, the facility failed to provide adequate nursing supervision to prevent accident and injuries for 2 of 4 residents reviewed (Resident #12 and #50). 1. A - On 11/21/25 Resident #12 received a second degree burn from a hot pack which took almost 2 months to heal. 1. B - Resident #12 had an intercepted fall on 1/3/26 which resulted in a left foot injury. 2. On 2/11/26 Resident #50 had a fall due to a staff member letting go of the gait belt. The facility reported a census of 102 residents. Findings include: 1. The Minimum Data Set (MDS) assessment for Resident #12 dated 10/22/25 identified a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The MDS identified Resident #12 required substantial/maximal assistance with bed mobility and was dependent on staff for all transfers. The MDS documented ambulation did not occur. The MDS included diagnoses of moderate persistent asthma, COPD (chronic obstructive pulmonary disease) (a progressive, incurable lung disease…

  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 before2026-02-13 · 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 the Resident's Rights policy/procedure, facility incident report, resident, and staff interview the facility failed to treat a resident with respect and dignity in a manner that promoted maintenance or enhancement of his or her quality of life for 1 out of 3 residents reviewed (Resident #1). On 1/18/26 at 2:00 AM, Resident #1 requested not to be checked and changed when Staff A, Certified Nursing Assistant (CNA), came into their room. Staff A, did not grant this request and proceeded to check Resident #1 against their wishes. Staff A put their hand in between Resident #1's thighs to check to see if they soiled their brief. Following the situation, Resident #1 became fearful of Staff A, and caused Resident #1 to have trouble sleeping during the night. The facility corrected the concern on 1/30/26 prior to the start of the survey by completing the following:1/29/26: Suspended the staff involved in the situation.1/30/26: Interviewed Residents affected or likely to be affected.1/30/26: Audited employee…

  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 · Past Non-Compliance
• Actual harm · Gcited before2024-05-07 · 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, clinical record review, facility policy review, resident, and staff interviews, the facility failed to ensure one (1) of six (6) residents (Resident #6) received adequate supervision to protect against hazards in the environment. On 4/22/24, staff witnessed Resident #6 fall. As Resident #6 fell, the staff assisted her without the use of a gait belt to ambulate (walk) and transfer to the bathroom. Resident #6's fall required a transfer to the local emergency department (ED). The (ED) record revealed Resident #6 received fractures of the 1st, 2nd, 3rd, and 5th proximal phalanges (toes). The facility reported a census of 125 residents. Findings include: 1. Resident #6's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 11, indicating moderately impaired cognitive skills for decision making. Resident #6 required substantial/maximal assistance for toilet transfers and total dependence from staff for walking. The MDS included diagnosis…

  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 before2024-03-04 · 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, clinical record review, staff interviews and policy review, the facility failed to ensure each resident receives adequate supervision to prevent accidents for 1 of 2 residents reviewed for falls (Resident #103). The facility reported a census of 117 residents. Findings include: The Minimum Data Set (MDS) dated [DATE] documented Resident #103 had a Brief Interview for Mental Status (BIMS) of 4, indicating severe cognitive impairment. The MDS further documented the resident had diagnoses including fractures and other multiple trauma, hip fracture and non-Alzheimer's dementia. Review of medical records from a local Medical Center, dated 12/22/23 for Resident #103, under history of present illness, documented the resident had an unwitnessed fall on 12/22/23 at the facility which resulted in a left hip fracture. The Care Plan for Resident #103 at the time of the fall on 12/22/23, with initiation dates of 7/21/23 and 9/19/23, documented under the focus area for activities of daily living (ADL),…

  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 · D2026-03-05 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interviews, the facility failed to notify the Long-Term Care Ombudsman of discharge and/or transfer of residents as required for 3 of 3 residents reviewed (Residents #108, #10 and #106). The facility reported a census of 102 residents.Findings include:1. Resident #108's Minimum Data Set (MDS) assessment dated [DATE] indicated they discharged without a anticipate return on 1/20/26.Resident #108's clinical census listed a discharge on [DATE]. The clinical record lacked documentation of notification to the Long-Term Care (LTC) Ombudsman of Resident #108's discharge from the facility in January 2026 as required by federal regulation. 2. Review of the facility EHR for clinical MDS tracking revealed Resident #10 discharged from the facility on 12/27/25 with a return anticipated.Resident #10's Clinical Census reviewed 3/4/26 listed Resident #10 discharged on 12/27/25 from 12/29/25 under an unpaid hospital leave. The clinical record lacked documentation of notification to 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-05 · 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 interviews, and policy review, the facility failed to provide care and services according to accepted standards of clinical practice for 1 of 1 resident reviewed (Residents #102) for a medication error. Resident #102 received medications that were not prescribed to him. The medications were prescribed to Resident #63 who lived across the hallway. The facility reported a census of 102 residents.Findings include: Resident #102's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMs) score of 07, indicating moderately impaired cognition. The MDS identified Resident #102 required partial/moderate assistance with transfers. The MDS included diagnoses of anemia, hypertension (high blood pressure), atrial fibrillation (irregular heartbeat), and cerebral infarction (stroke). An Incident Report (IR) titled Medication Error dated 1/11/26 at 8:20 PM, documented Staff A, Registered Nurse (RN) was passing medications to multiple residents.…

  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 · D2026-03-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews and policy review, the facility failed to change tubing hooked to a nebulizer (medical device that converts liquid medication into a fine mist to treat respiratory conditions) for 1 of 1 residents reviewed (Resident #12). The facility reported a census of 102 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #12 dated 1/14/26 identified a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The MDS included diagnoses of moderate persistent asthma and COPD (chronic obstructive pulmonary disease) (a progressive, incurable lung disease that restricts airflow). The Care Plan initiated on 10/7/23 revealed Resident #12 has asthma related to COPD and used scheduled and as needed nebulizer and inhalers. The care plan directed staff to clean the nebulizer every night per facility cleaning protocol but did not address how often to change the nebulizer tubing and mask. The following Physician Orders pertain to nebulizer treatments for Resident #12:-Written on 11/26/25- Budesonide Inhalation (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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, and staff interviews, the facility failed to notify the Primary Care Physician of a fall in a timely manner, failed to follow up and obtain MRI (magnetic resonance imaging) results and communicate with the Physician who ordered the MRI for further orders/direction for 1 of 21 residents (Resident #12) reviewed. The facility reported a census of 102 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #12 dated 10/22/25 identified a Brief Interview for Mental Status (BIMS) score of 15, which indicated intact cognition. The MDS identified Resident #12 required substantial/maximal assistance with bed mobility and was dependent on staff for all transfers. The MDS documented ambulation did not occur. The MDS included diagnoses of moderate persistent asthma, COPD (chronic obstructive pulmonary disease) (a progressive, incurable lung disease that restricts airflow), spinal enthesopathy of thoracic and cervical region (painful condition involving inflammation or degeneration), congestive heart failure (heart cannot pump blood…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  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 review of the facility's Quality Assurance Performance Improvement (QAPI) plan, the facility's surveys within the last year, and staff interview, the facility failed to correct their own deficiencies for 1 of 1 area of concern. The facility reported a census of 102 residents. Findings include:The facility had the following concern identified at the current recertification survey that had been cited during a complaint survey in November of 2025 and during a complaint survey in December of 2025:Medication ErrorThe facility's Quality Assurance and Performance Improvement (QAPI) policy, dated 10/15/25, documented it is the policy of this facility to develop, implement, and maintain an effective, comprehensive, data-driven QAPI program that focuses on indicators of the outcomes of care and quality of life and addresses all the care and unique services the facility provides. The QAA Committee shall be interdisciplinary and shall develop and implement appropriate plans of action to correct identified quality deficiencies. The QAPI plan will address the following elements:Design…

  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 · Dcited before2026-01-15 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 observations, clinical record review, nursing competency, resident and staff interviews, the facility failed to ensure documentation reflected a resident left the facility unattended and returned with staff for 1 of 3 residents reviewed (Resident #1). The facility identified a census of 112 residents.Findings include:Resident #1's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 9, indicating moderately impaired cognition. Resident #1 could understand and be understood by others. They had no documented behaviors, no wandering issues or rejecting of cares. The MDS listed Resident #1 as independent with personal hygiene and ambulation with a 4 wheeled walker. The MDS included diagnoses of hypertension (high blood pressure), Alzheimer's, non-Alzheimer's dementia, cataracts (a clouding of your eyes making vision blurry, hazy or less colorful), glaucoma (eye disease that damages the optic nerve, leading to irreversible vision loss and potential…

  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 before2025-12-22 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility policy, and staff interview, the facility failed to follow physicians order for medication administration for which caused a resident not to receive their diuretic medication (medication to remove salt and water from your body) for 1 out of 4 residents. (Resident #1). The facility identified a census of 115 residents.Findings include:Resident #1's Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 10, indicating moderately impaired cognition. Resident #1 could understand and understood others with no behavior or mood issues. Resident #1 required supervision to partial assistance with all aspects of activities of daily living. The MDS included diagnoses of high blood pressure, congestive heart failure (poor function heart resulting in a back of fluids in the body), renal (kidney) and respiratory (lung) failure.The Care Plan initiated date 3/27/25, indicated Resident #1 had a self-care performance deficit related…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-20 · 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 resident's right policy/procedure, facility investigation and staff interview the facility failed to treat a resident with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life for 1 out of 4 residents reviewed (Resident #1). The facility identified a census of 120 residents. Findings include:Resident #1s Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 6 which indicated severe impaired cognitive decisions, usually understands and is understood by others and no behavior issues. The resident required staff dependence on toileting hygiene and frequently incontinent of bowel. The MDS included diagnoses of Cancer, hypertension, neurogenic bladder (when your brain nerves or spinal cord causes you to lose control of your bladder) and hemiplegia (a condition characterized by paralysis or severe weakness on one side of the body) of the left side.The Care Plan initiated dated 9/26/25,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, facility investigation, and review of policy and procedures, the facility failed to ensure all alleged violations involving mistreatment, neglect, or abuse of a resident and/or residents (Resident #1) were reported to the Department of Inspection and Appeals and Licensing (DIAL) within 2 hours. The facility reported a census of 120 residents.Resident #1's Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 6 which indicated severe impaired cognitive decisions, usually understands and is understood by others and no behavior issues. The resident required staff dependence on toileting hygiene and frequently incontinent of bowel. The MDS included diagnoses of Cancer, hypertension, neurogenic bladder (when your brain nerves or spinal cord causes you to lose control of your bladder) and hemiplegia (a condition characterized by paralysis or severe weakness on one side of the body) of the left side.The Care Plan…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-20 · 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 facility investigation, policy/procedures, and staff interviews the facility failed to provide a supportive and safe environment for Resident #1. On 10/8/25, the facility staff learned of a Certified Nurse Aide (CNA) being accused of slamming and making Resident #1 not feeling safe in the facility. After learning of this allegation of abuse, the facility staff told the CNA not to help Resident #1 but allowed them to work with other residents. The facility identified a census of 120 residents.Findings include:Resident #1's Minimum Data Set (MDS) assessment dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 6 which indicated severe impaired cognitive decisions, usually understands and is understood by others and no behavior issues. The resident required staff dependence on toileting hygiene and frequently incontinent of bowel. The MDS included diagnoses of Cancer, hypertension, neurogenic bladder (when your brain nerves or spinal cord causes you to lose control…

  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

“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

$52,329 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $10,628 — penalty dated 2026-02-13
• $41,701 — penalty dated 2024-03-04
• Medicare payment denial — starting 2024-03-28 for 47 days

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

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 10 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.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IA