Tripoli Nursing & Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 28 beds and averages 23.4 residents a day — about 84% occupied, or roughly 5 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 5.48 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.65 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 4.59 hrs/resident/day on weekends vs 5.84 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.64 to 1.00 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · D2025-07-23 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review and staff interview the facility failed to implement a soft palm grip cushion to the right hand or bilateral hand splints per Occupational Therapy (OT) recommendation to minimize the risk of contracture for 1 of 1 resident's sampled (Resident #21). The facility identified a census of 24 residents.Findings include:Resident #21's Annual Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 12 out of 15 which indicated intact cognition. The MDS documented Resident #21 with impaired functional mobility of both upper extremities and dependent upon staff for dressing. The MDS listed diagnoses of seizure disorder, unspecified injury of the head, limitations of activity due to disability and other reduced mobility. The MDS lacked documentation that Resident #21 rejected care.An OT Evaluation and Plan of Treatment dated 7/07/24 documented Resident #21 with impaired right upper extremity range of motion (ROM), and bilateral…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-23 · 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 facility record review, facility policy, personnel files, observation and staff interviews, the facility failed to handle and process soiled laundry to prevent cross transmission or the spread of infection in 1 laundry room observed. The facility reported a census of 24 residents.Findings Include:Observation on 7/23/25 at 10:49 AM revealed a 33-gallon covered empty bin with a label stating soiled linens go here. A pile of soiled soaker pads and bed linens were observed directly on the floor in front of a standard washing machine. Staff A, Laundry Services entered the laundry area from the clean side entrance and stood on top of the soiled linens and soaker pads. Staff A, stepped off the linens and explained soiled laundry comes into the laundry room in bags. Staff A verbalized she dons gloves, opens the bags of laundry, sorts the laundry and places the laundry in the standard washing machine or the commercial washing machine. Staff A verbalized what is left is placed on the floor in front of the commercial washing machine. Staff A reported this was her common practice.…

  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 · Dcited before2025-04-17 · 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

  Based on Resident rights policy/procedure review, resident 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 2 out of 4 resident reviewed. (Resident #1 and Resident #3). The facility identified a census of 26 residents. Findings include: 1. The Minimum Data Set (MDS) for Resident #1, with an assessment reference dated 3/19/25, documented diagnoses which included heart failure, hypertension, diabetes mellitus, and anxiety. The MDS revealed the resident with a Brief Interview for Mental Status (BIMS) score of 9 which indicated moderate memory impairments, is usually understood and understand by others and substantial to maximal assistance with toileting hygiene, and supervision to set up with personal hygiene and partial to moderate assistance with mobility. The MDS documented no behaviors. The Plan of Care with an initiated date 9/3/24, had a focus area, the resident is independent for meeting emotional, intellectual, physical and social needs, and resident has an…

  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 before2025-04-17 · 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 staff and resident 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 26 residents. Findings include: The Minimum Data Set (MDS) for Resident #1, with an assessment reference dated 3/19/24, documented diagnoses which included heart failure, hypertension, diabetes mellitus, and anxiety. The MDS revealed the resident with a Brief Interview for Mental Status (BIMS) score of 9 which indicated moderate memory impairments, is usually understood and understood by others, and substantial to maximal assistance with toileting hygiene, and supervision to set up with personal hygiene and partial to moderate assistance with mobility. The MDS documented no behaviors. The Plan of Care with an initiated date 9/3/24, had a focus area, the resident is independent for meeting emotional, intellectual,…

  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 · D2025-04-17 · 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 observation, resident and staff interview the facility failed to properly secure a resident in a wheelchair in the facility van which resulted in the resident tilting backwards in the van while going up a steep hill (Resident #2). The facility census was 26 residents. Finding include: The Minimum Data Set (MDS) for Resident #2, with an assessment reference dated 3/19/25, documented diagnoses which included heart failure, hypertension, diabetes mellitus, depression, and chronic pain. The MDS revealed the resident with a Brief Interview for Mental Status (BIMS) score of 15 which indicated no memory impairments, is able to be understood and understands others. The MDS documented the resident required supervision to touching assistance with activities of daily living and mobility. The Plan of Care with an initiated date 3/23/22 and revision dated 6/18/24, had a focus area, the resident has an activity of daily living self-care performance deficit related to history of right humerus fracture & chronic back pain. Interventions include: *Resident is a stand by assist with hallway…

  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 before2024-12-05 · 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 clinical record review, policy/procedure review, and staff interview the facility failed to treat residents with respect and dignity in a manner that promotes maintenance or enhancement of his or her quality of life for 2 out of 6 residents reviewed (Resident #5 and Resident #6). The facility identified a census of 24 residents. Findings include: 1. The Minimum Data Set (MDS) for Resident #5, with an assessment reference dated 8/12/24, documented diagnoses which included heart failure, hypertension, Non-Alzheimer's Dementia, and depression. The MDS revealed the resident with short and long term memory impairments, severely impaired decision making abilities, hallucinations, delusions, physical behaviors directed toward others, and behavioral symptoms not directed toward others, and dependent with activity of daily living. The Plan of Care with an initiated date 8/31/21, had a focus area of, The resident is dependent on staff for meeting emotional, intellectual, physical, and social needs related to…

  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 · D2024-12-05 · 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 clinical record review, resident and staff interview the facility failed to complete a two person transfer by giving the resident a one person bear hug transfer for 1 of 3 residents reviewed (Resident #9). The facility census was 24 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #9 had diagnoses which included seizure disorder, epilepsy, unspecified injury of the head, and limitations of activities due to disability. The MDS documented the resident with the ability to hear and understand what is heard and a Brief Interview for Mental Status (BIMS) score of 13 which indicated no impaired decision making abilities. The MDS assessment documented the resident required substantial/maximal assistance with transfer and wheelchair used for mobility. The MDS documented the resident had two falls with no injury and one fall with injury (except major). The Plan of Care with an initiated date 7/5/24, documented a focus area of the resident has an activity of daily…

  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 · E2024-08-15 · tag F0800 — pattern
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  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, staff interview, and process review, the facility failed to ensure 4 of 4 residents received a well-balanced diet that met their nutritional needs. The facility reported a census of 24 residents. Findings include: During an observation on 8/14/24 at 11:35 AM -12:00 PM of the puree process for carrots, spaghetti, and bread revealed the following: Staff B, Cook, needed to make four servings of pureed carrots, she started by scooping four, four ounce scoops into the food processor. Then added two scoops of thickener and poured in milk and began to puree the carrots. Staff B added another scoop of thickener to make the proper consistency, then transferred the pureed carrots to a steam table pan and placed it in the oven to heat to proper temperature. Staff B, indicated a four ounce scoop would be used for the correct portion. At 11:49 AM, Staff B, Cook, placed two slices of bread and two and a half, six ounce scoops of spaghetti into the food processor, added milk and three scoops of thickener…

  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 · E2024-08-15 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and policy review, the facility failed to serve food maintained at a safe and appetizing temperature. The facility reported a census of 24 residents. Findings include: On 8/12/24 at 12:16 PM, Dining observation revealed a pan of meatloaf sitting on top of the steam table, not inside the table where the heat is held. Review of food temperatures taken prior to serving indicated the meatloaf temperature of 177 degrees Fahrenheit (F). At 12:21 PM, after Staff C, Cook, served the last plate, meatloaf temperature was requested, revealing 64 degrees F. During Dinner observation on 8/14/24 at 6:25, after serving the last resident, Surveyor requested Staff C, Cook, temp pureed fish sticks in the steam table, revealing a temperature of 116 degrees F. Staff C acknowledged the food temperature needed to be above 135 degrees F. Interview with Staff A, Administrator on 8/15/24 at 8:59 AM, revealed hot foods should be held at 135 degrees F or above and cold foods at 41 degrees F or below. Review of facility provided document, Cooking and Hot Holding Food…

  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 · E2024-08-15 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, the facility failed to serve the appropriate diet for 1 of 5 residents with an order for mechanical soft/ground diet (Resident #23). The facility reported a census of 24 residents. Findings include: Review of Resident #23 Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #23 scored a 3 out of 15 on the Brief interview for Mental Status (BIMS) indicating severe cognitive impairment . The resident's diagnoses included seizure disorder, dysphagia, injury of head, limitation of activities due to disability, reduced mobility, and gastrostomy. Review of Resident #23 Care Plan dated 7/5/24 identified the resident required tube feedings (G-tube) related to swallowing problems and history of aspiration. Interventions included, resident prefers food intake by mouth and fluid intake by G-tube, Speech Therapy (ST) to evaluate and treat as ordered. Resident #23 is able to feed self with staff supervision. Review of a Facility Physician Signed ST order…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 33 rows in the source record cover these 27 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.

12 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.

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