Wapello Specialty Care

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 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 49 beds and averages 38.8 residents a day — about 79% occupied, or roughly 10 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.10 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.57 on weekdays — 15% thinner on weekends. RN hours go from 1.28 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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.

29 citations, most serious first. The 13 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · G2023-09-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, interview, record review, and the facility policy review the facility failed to implement interventions to prevent worsening of a Stage II pressure ulcer on the right heel for 1 of 3 residents reviewed for pressure ulcers (Resident #17). The facility reported a census of 38. Findings include: The Discharge Return Anticipated Minimum Data Set (MDS) dated [DATE] revealed Resident #17 with diagnoses of medically complex conditions and multiple sclerosis; three Stage 4 pressure ulcers present on admission and no unstageable pressure ulcers present. The Annual MDS assessment dated [DATE] revealed Resident #17 scored 15 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated cognition intact. The MDS revealed the resident required extensive assistance of 2 plus person physical assist with bed mobility and transfers. The MDS revealed diagnosis of progressive neurological condition and multiple sclerosis. The MDS revealed the resident had two Stage 4 pressure ulcers present 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-21 · 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 interviews, observations and record review the facility failed to transport a Resident safely in the shower chair and failed to determine the root cause analysis for two recent falls for 2 of 3 residents reviewed for accidents. (Resident #13 and Resident #34). The deficient practice resulted in a fractured fibula, increased pain and hospitalization. The facility reported a census of 38. Findings include: 1. The Quarterly Minimum Data Set (MDS) assessment for Resident #13 dated 08/18/2023 documented Resident #13 scored 15 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated cognitively intact. The MDS assessment documented Resident #13 completely dependent on staff when transported. The Care Plan Initiated 07/20/2023 documented; I am unable to transfer independently. The Care Plan initiated 03/11/2023 with a target date of 11/16/2023 documented the resident had a fractured left fibula. Per the Care Plan the following goals and interventions were initiated on 03/16/2023 and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure prompt follow up on urinalysis and culture and sensitivity results, failed to document effectiveness of antibiotics, failed to ensure a catheter drainage bag remained positioned off of the floor, and failed to promptly address decreased urinary output for a resident who had a Foley catheter for three of four residents reviewed for catheter and/urinary tract infections (Resident #19, Resident #93, Resident #143). The facility reported a census of 38 residents. Findings include: 1. The Quarterly Minimum Data Set (MDS) assessment for Resident #143 dated 9/21/22 revealed the resident scored 15 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Per this assessment, Resident #143 had an indwelling catheter. The Care Plan dated 10/1/22 documented, I have a chronic urinary tract infection which require prophylactic antibiotics. The Intervention dated 12/9/22 documented, give antibiotic therapy…

  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 · D2025-11-20 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record review, facility policy review and staff interview, the facility failed to use Enhanced Barrier Precautions (EBP) precautions during wound care in an effort to prevent the transfer of multidrug-resistant organisms (MDROs) for 1 of 1 residents (Resident #3) reviewed for EBP precautions. The facility reported a census of 41 residents. Findings include:The Minimum Data Set (MDS) for Resident #3, dated 10/15/25, documented a Brief Interview for Mental Status (BIMS) score of 14 of 15, indicating intact cognition. The resident diagnoses listed included medically complex conditions, hypertension, neurogenic bladder, obstructive uropathy. multidrug-resistant organism (MDRO), non-pressure chronic ulcer of buttock with fat layer exposed and a urinary tract infection (UTI, in the last 30 days). The MDS documented the resident had one or more unhealed pressure ulcers/injuries and had a indwelling catheter. The Care Plan, with a revision date 10/10/25, documented Resident #3 had a stage 3 pressure ulcer on her sacrum and further documented the resident 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, Food Code review, and facility policy review the facility failed to ensure foods were appropriately labeled and dated and failed to ensure meal service conducted in a sanitary manner for all residents who received food from the kitchen. The facility reported a census of 44 residents. Findings include: On 9/30/24 at approximately 10:20 AM during an initial tour of the kitchen, the following was observed: a. One package of cheddar cheese open and undated. b. Open smoked ham dated 9/22. c. One 5 pound container homestyle chicken salad dated 9/22. d. One bag of chicken fried steak in the reach in freezer with no date visible on the bag. Observation of the lunch meal service conducted on 10/1/24 revealed the following: a. On 10/1/24 at 11:28 AM Staff B, [NAME] picked up a key from the floor and then went back to preparing drinks. b. On 10/1/24 at 11:43 AM Staff B picked up an ice scoop that was present on top of the milk cooler and used it to fill drinks with ice. c. During the lunch meal service, the handwashing sink observed to be used to fill…

  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 · Dcited before2024-10-03 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, facility policy review and staff interviews the facility failed to update care plans to address one residents wandering, and to address another resident taking the property of others while wandering in the building for 2 of 2 residents (Resident #39 and Resident #6) reviewed for wandering. The facility reported a census of 44 residents. Findings include: 1. The Minimum Data Set (MDS) assessment, dated 8/16/24, for Resident #39 included a Brief Interview for Mental Status (BIMS) score 00 out of 15 indicating a severe cognitive impairment. The MDS revealed the resident displayed wandering behavior daily. The MDS documented the resident used a wheelchair and dependent with chair/bed to chair transfers. The MDS listed diagnoses included: non-Alzheimer's dementia, amnesic disorder due to known physiological condition, and delirium due to known physiological condition. The Care Plan did not included a Focus area or Interventions for wandering behavior. The Progress Notes…

  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 before2024-10-03 · 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

  Based on observation, interview, clinical record review, and facility policy review the facility failed to ensure medication was available and administered per physician order for one of six residents reviewed for medications (Resident #18). The facility reported a census of 44 residents. Findings include: Review of the Minimum Data Set (MDS) assessment, dated 7/4/24, for Resident #18 revealed the resident scored 12 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated moderately impaired cognition. Per this assessment, the resident did not take antipsychotic medication. Review of Resident #18's Care Plan dated 8/21/24 revealed, I have a psychosocial well-being problem (actual or potential) related to lack of acceptance to current condition, lack of motivation, social isolation. The Physician Order for Resident #18 dated 7/16/24 revealed, Aripiprazole Oral Tablet 10 MG (milligram), an antipsychotic medication, with instructions to give 1 tablet by mouth at bedtime related to Borderline Personality Disorder. Review of Resident #18's Progress Notes documented…

  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 before2024-10-03 · 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, facility policy review and staff interviews the facility failed to follow Care Plan fall risk interventions, leading to a fall for one of four residents (Resident #36) reviewed for falls. The facility reported a census of 44 residents. Findings include: The Minimum Data Set (MDS) assessment, dated 5/14/24, revealed Resident #36 scored a 15 out 15 on the Brief Interview for Mental Status (BIMS) exam, indicating intact cognition. The MDS listed an impairment on both lower extremities. The MDS assessed the resident needed maximal/substantial assistance with upper and lower body dressing, and dependent on staff for sit to stand transfers, and chair/bed to bed transfers. The MDS listed diagnoses included: heart failure, lack of coordination, and reduced mobility. The MDS assessment did not indicate the residents fall history prior to or since admission on [DATE]. The Care Plan Focus area, dated 3/5/24, addressed Activities of Daily Living (ADLs). Interventions included, in part:…

  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 before2024-10-03 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interview, and facility policy review the facility failed to ensure prompt treatment for a urinary tract infection (UTI) for one of two residents reviewed for UTI (Resident #30). The facility reported a census of 44 residents. Findings include: Review of Resident #30's Minimum Data Set (MDS) assessment revealed the resident scored 5 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated the resident was severely cognitively impaired. Review of the Care Plan dated 9/27/23 revealed, Activities of Daily Living (ADL's). The Intervention most recently revised 12/11/23 revealed, Toileting - I require no assist. The Physician Order dated 6/3/24 revealed, UA (urinalysis), reflex to culture one time only for urgency and burning until 06/03/2024 23:59 (11:59 PM). Review of Progress Notes for Resident #30 dated 6/3/24 and 6/4/24 revealed the following: a. 6/3/24 at 11:31 AM: Resident has been complaining of urgency with urination, can hardly make it to the bathroom. And burning with urination, note to physician, coming today to see…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, record review, and the facility policy, the facility failed to prevent abuse from occurring between residents for 3 of 7 residents reviewed for abuse (Resident #1, Resident #2, and Resident #7). The facility reported a census of 33 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 scored a 00 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated severely impaired cognition. The Care Plan revealed a focus area initiated on 11/13/23 for resident displayed socially inappropriate sexual behavior and displayed untargeted touching at others. The interventions dated 11/13/23 revealed Resident #1 would be seated in the dining room away from female resident alleged incident. The interventions dated 11/14/23 revealed Resident #1 would eat meals in the lobby with male residents. The interventions dated 11/17/23 revealed resident had 1:1 supervision and the 1:1 supervision could be removed when no longer warranted due 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-11 · 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 interview, record review, and the facility policy, the facility failed to report an allegation of abuse within 2 hours after the incident occurred for 3 of 7 residents reviewed for allegations of abuse (Resident #1, Resident #2, and Resident #7). The facility reported a census of 33 residents. Findings include: The Self Report revealed the following information: a. Submission Date 11/13/23 at 3:45 PM b. Approximate Date Time Occurred: 11/12/23 at 12:00 PM c. Location Occurred: Resident Dining Room d. Date Aware: 11/13/23 e. Incident Summary: Regional Services Clinical Director notified there was an alleged resident to resident incident in the dining room involving Resident #1 and Resident #7. The allegation was that Resident #1 touched Resident #7 right breast. Corrective Action Description: Internal investigation initiated. Local Law enforcement notified. Residents assessed no injuries. Responsible party/MD (Medical Director) notified of incident. Residents will be moved in the dining room as they were previously table mates. They are now assigned to different sides of 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-11 · 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 interviews, record review, and the facility policy, the facility failed to adequately supervise a resident after an allegation of abuse with another resident. This resulted in another occurrence with a resident to resident allegation of abuse for 2 of 7 residents reviewed for allegation of abuse (Resident #1 and Resident #2). The facility reported a census of 33 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 scored a 00 out of 15 on the Brief Interview for Mental Status (BIMS) exam, which indicated severely impaired cognition. The Care Plan revealed a focus area initiated on 11/13/23 for resident displayed socially inappropriate sexual behavior and displayed untargeted touching at others. The interventions dated 11/13/23 revealed Resident #1 would be seated in the dining room away from female resident alleged incident. The interventions dated 11/14/23 revealed Resident #1 would eat meals in the lobby with male residents. The interventions dated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-09-21 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure care plans were updated to reflect a resident's toe amputation surgery, discontinuation of as needed (PRN) Lorazepam medication, discontinuation of hospice services, discontinuation of a catheter, updated to include receipt of prophylactic antibiotic medication, and updated to include fall interventions for four of fourteen residents reviewed for care plans (Resident #1, Resident #24, Resident #25, Resident #34). The facility reported a census of 38 residents. Findings include: 1. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #24 scored 13 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated intact cognition. Review of the resident's Care Plan to address anti-anxiety medication use revealed the following intervention as part of the Care Plan: The Intervention dated 5/4/21 documented, I have prn Lorazepam that I may take if needed for comfort, please monitor my behaviors and…

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

  Resident Assessment and Care Planning 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. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2023-10-25 for 35 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.

Part of a chain

This home belongs to CARE INITIATIVES — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 24 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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 $340K paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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