Crestview 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.

40.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 65 beds and averages 47.5 residents a day — about 73% occupied, or roughly 18 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 3.67 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 2.29 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 3.27 hrs/resident/day on weekends vs 3.83 on weekdays — 15% thinner on weekends. RN hours go from 0.88 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 63% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

28 citations, most serious first. The 16 most serious are shown; the remaining 12 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-12-03 · 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

  Based on observation, staff interviews, clinical record review, and facility policy review, the facility failed to follow physician's orders for the treatment of a known facility acquired pressure ulcer and implement interventions to prevent a new pressure ulcer from developing for 1 of 2 resident (Resident #14) reviewed for pressure ulcers. Resident #14 admitted to the facility on Oct. 27, 2025, without pressure ulcers, and dependent on two staff assistance for bed mobility, transferring, and toileting assistance. Resident #14 assessed as at risk of the development of pressure ulcers. On Nov. 12, 2025, Resident #14 identified with a Stage 3 pressure ulcer on her sacrum. On Nov. 13, 2025, the primary care provider issued orders for wound treatments, an air mattress, and repositioning every 2 hours. During an observation on Nov. 19, 2025 at 8:45 AM, Resident #14 found to be without a dressing on the pressure ulcer, infection control techniques not utilized during wound care, physician orders not followed and the air mattress intervention not implemented. During a continual…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-12-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, clinical record review, and facility policy review, the facility failed to assess and follow physician treatment orders for non-pressure wound care for 2 of 3 residents (Resident #29 and Resident #2) reviewed for assessment and intervention. The facility reported a census of 58 residents. Findings include: 1. Review of the Minimum Data Set (MDS), dated [DATE], revealed Resident #29 admitted to the facility on Nov. 11, 2025. Resident #29 had a Brief Interview for Mental Status (BIMS) score of 14 out of 15, which indicated intact cognition. The list of diagnoses included peripheral vascular disease (a circulation disorder affecting blood vessels outside of the heart, can slow healing), traumatic compartment syndrome (swelling caused by an injury that can cause severe disproportionate pain) of the left lower extremity, diabetes mellitus type 2, and atrial fibrillation. The MDS indicated Resident #29 required substantial to maximal amount of staff assistance with lower body dressing,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-12-03 · 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 observations, staff interviews, clinical record review and facility policy review, the facility failed to use safe transfer techniques to prevent falls or injury for 3 of 4 residents (Resident #3, Resident #7, and Resident #50) reviewed for transfer techniques. Resident #3 experienced a fall out of a mechanical lift on 7/25/25, which resulted in a hematoma, sacral fracture and tibia fracture. The facility further failed to complete neurological assessments and check for range of motion of extremities, following a fall for 2 of 4 residents (Resident #7 and Resident #15) reviewed for accidents and hazards. The facility reported a census of 58 residents. Findings include:1. Reviewed the Minimum Data Set (MDS), dated [DATE], revealed Resident #3 had severely impaired skills for daily decision making, with problems in both short-term memory and long-term memory. The list of diagnoses included Alzheimer's disease, bipolar disease, hip fracture, and other fracture. The MDS indicated Resident #3 dependent 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 before2024-11-21 · 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, clinical record review, policy review and staff interview the facility failed to prevent the recurrence of a pressure ulcer for 1 of 2 residents reviewed (Resident #27). The facility reported a census of 54 residents. Findings include: The State Operations Manual Appendix PP -Guidance to Surveyors for Long Term Care Facilities, revised 8/08/24, provided the following information on the staging of pressure ulcers: Stage 1 Pressure Injury: Non-blanchable erythema of intact skin Intact skin with a localized area of non-blanchable erythema (redness). In darker skin tones, the PI may appear with persistent red, blue, or purple hues. The presence of blanchable erythema or changes in sensation, temperature, or firmness may precede visual changes. Color changes of intact skin may also indicate a deep tissue pressure injury. Stage 2 Pressure Ulcer: Partial-thickness skin loss with exposed dermis (middle layer of skin) Partial-thickness loss of skin with exposed dermis, presenting as a shallow open…

  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 · G2024-09-04 · 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 facility policy review, the facility failed to administer medication as the physician ordered for one of three residents reviewed. (Resident #2). Findings include: The MDS (Minimum Data Set) dated 6/25/2024 revealed Resident #2 had no cognitive impairment. The MDS dated [DATE] revealed the resident had mild cognitive impairment. The MDS reported the resident had diagnoses including acute congestive heart failure, chronic kidney disease stage III, atrial fibrillation, and pneumonia. The resident's Care Plan revealed the resident had altered respiratory status and used oxygen, initiated 6/19/2024. The Care Plan directed staff to administer medication/puffers as ordered. Monitor for effectiveness and side effects. Monitor for signs and symptoms of respiratory distress and report to physician as needed: increased respirations; decreased pulse oximetry; increased heart rate (tachycardia); restlessness; diaphoresis; headaches; lethargy; confusion; empty (coughing…

  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
• Actual harm · Gcited before2024-05-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, and facility document review, the facility failed to accurately assess resident conditions and implement appropriate interventions in a timely manner for 2 of 9 residents reviewed for accurate assessment. The facility failed to adequately assess and document a resident's worsening gastrointestinal illness symptoms that included stomach ache, abdominal tenderness and emesis that occurred over a 4 day period, failed to notify the medical provider of that resident's symptoms and seek treatment orders for 4 days, the resident required emergent medical treatment in the hospital emergency room (ER) and died within 6 hours of ER admission (Resident #10), failed to accurately assess and document a resident's worsening edema (swelling caused by fluid retention) and inability to urinate for 2 days that required hospitalization (Resident #8), and failed to correctly transcribe a physician's order for insulin for 1 of 3 residents reviewed (Resident #11) for 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
• Potential for harm · Ecited before2025-12-03 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and facility policy review, the facility failed to maintain a clean environment and resident equipment. The facility reported a census of 58 residents.Findings include:1. During an observation on 11/18/25 at 10:50 AM, a full body mechanical lift located in the 100 hallway had a brown colored smear on the left side of lift leg. On Nov. 19, 2025 at 12:32 PM, the brown smear remained on the mechanical lift leg. During an observation on 11/18/25 at 11:06 AM, a mechanical sit to stand lift on the 200 hallway, had the foot plate heavily soiled with various debris. On Nov. 19, 2025 at 12:35 PM, the debris remained on the foot plate of the sit to stand lift. During an observation on 11/18/25 at 8:50 AM, a high back wheelchair kept in the hallway, outside of room [ROOM NUMBER], had a yellow stained towel kept on the wheelchair seat. At 12:19 PM, the wheelchair remained in the hallway, outside of room [ROOM NUMBER] and the yellow stained towel rested on the seat. During an observation 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-03 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, facility policy review and staff interviews, the facility failed to provide enough qualified staff members to provide nursing and related services to meet the specific, individualized needs for 1 of 2 residents reviewed for sufficient staff (Resident #6). The facility reported a census of 58 residents. 1.The Minimum Data Set (MDS) Assessment for Resident #6 dated 6/13/25, reflected a Brief Interview for Mental Status (BIMS) of 9 out of 15, indicating moderate cognitive impairment. The MDS identified Resident #6 required moderate assistance for toileting, bathing and personal hygiene. Resident #6 is frequently incontinent and the resident is not on a toileting program. The Care Plan for Resident #6 dated 7/5/24, and revised on 7/15/25, revealed activities of daily (ADL) self-care deficit which required moderate assistance for bathing and partial assistance for personal hygiene. Review of ADL Self Care-Shower/Bath Sheet revealed Resident #6 did not receive a bath or shower from 11/14/25 through 11/30/25 a period of 17 days. During an interview 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-03 · tag F0880 — failed to prevent and control infections — pattern
  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 observations, staff interviews and facility policy review the facility failed to ensure the infection control practices of hand hygiene during the administration of insulin and wound care, and the use of Enhanced Barrier Precautions utilized as required to reduce the transition of multidrug resistant organisms during high contact resident care for 3 of 4 residents (Resident #2, Resident #14, and Resident #41) reviewed for infection control. The facility reported a census of 58 residents.Findings include: 1. During an observation on 11/25/2025 at 8:43 AM, Staff A, Licensed Practical Nurse (LPN) entered Resident#41's room and explained she needed to administer insulin pen and her Lantus. Nurse administered the Lantus into her left arm and administered the pen into the back of the right arm. Staff A failed to wear gloves as she administered the insulin to Resident#41. During an interview on 12/01/2025 at 12:32 PM, Staff G, Registered Nurse (RN) reported for insulin administration nursers are expected to wear gloves due to the risk of blood borne pathogens. During an interview…

  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 · D2025-12-03 · 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 observations, clinical record review, resident and staff interviews, and facility policy review, the facility failed to provide a respectful, dignified environment and care to 3 out of 10 residents reviewed (Residents #14, #16, and #44). The facility reported a census of 58 residents. Findings Include:1. The Minimum Data Set (MDS) Assessment for Resident #16 dated 9/26/25, revealed a Brief Interview for Mental Status (BIMS) of 15 out of 15, which indicated intact cognition. The MDS indicated Resident #16 dependent on staff for toileting, personal hygiene and meeting physical needs related to immobility. The Care Plan for Resident #16 dated 7/5/24, and revised on 7/15/25, identified resident required moderate assist, from two persons for toileting, EZ Stand lifts (brand name of a type of lift that assists a person from a sitting position to a standing position and then staff are able to push the resident in a safe manner to the desired location), upper and lower body dressing and resident is dependent on staff to assist and escort to activities. During an observation 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-03 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interviews and facility policy review the facility failed to obtain consent for an antipsychotic medication for one out of five residents reviewed for unnecessary medications (Resident#6). The facility reported a census of 58 residents. Findings include: The Minimum Data Set (MDS) assessment for Resident #6 dated 6/13/25, listed diagnoses of Non-Alzheimer's dementia, and depression. The MDS reflected a Brief Interview for Mental Status (BIMS) score of 9 out of 15, moderate cognitive impairment. The High-Risk Drug Classes: Use and Indication section lacked an antipsychotic medication used in the 7 day look back period. The MDS assessment for Residnet#6 dated 9/12/25, listed diagnoses of Non-Alzheimer's dementia, and depression. The MDS reflected a BIMS score of 11 out of 15, moderate cognitive impairment. The High-Risk Drug Classes: Use and Indication section reflected an antipsychotic medication with indication used in the 7 day look back period. The MDS revealed antipsychotics were received on a routine basis. The Care Plan for Resident #6…

  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 before2025-12-03 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review, and facility policy review, the facility failed to provide twice weekly bathing for 4 of 5 resident (R#6, R#29, R#43, and R#60) and failed to provide assistance with incontinence cares for 1 of 5 residents (Resident #15) reviewed for activities of daily living (ADLs). The facility reported a census of 58 residents. Findings include: 1. Review of the Minimum Data Set (MDS) assessment, dated 10/3/25, revealed that Resident #15 had a Brief Interview for Mental Status (BIMS) score of 3 out of 15, which indicated a severe cognitive impairment. The list of diagnoses included Non-Alzheimer's dementia, schizophrenia, and congestive heart failure. The MDS identified Resident #15 incontinent of bladder, and occasionally incontinent of bowels. Review of Resident #15's Care Plan, initiated on 1/19/24, revealed a Focus area to address activities of daily living (ADL's). Interventions included, in part: a. Mobility - independent with wheelchair. Date initiated:…

  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 · D2025-12-03 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, employee file review and facility policy review the facility failed to complete 3 out of 3 employee annual reviews. The facility reported a census of 58 residents. Findings include: Review of nursing employee files reviewed:a. The Annual Review for Staff C, Licensed Practical Nurse (LPN) listed a hire date of 3/11/2024. The unsigned Annual Review reflected no other reviews completed.b. The Annual Review for Staff D, Certified Nurse Aid (CNA) listed a hire date of 5/4/2023. The unsigned Annual Review reflected her last Annual Review completed on 5/22/2024.c. The Annual Review for Staff E, CNA listed a hire date of 6/22/2014. The unsigned Annual Review reflected her last Annual Review completed on 6/22/2024.During an interview on 12/03/2025 at 11:32 AM, the Administrator reported she has no further evaluations for Staff C, D and E. During an interview on 2/03/2025 at 3:05 PM, the Administrator stated she expected employee evaluations completed annually and as needed.The Performance Review policy undated directed to ensure that team members perform their jobs…

  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 · D2025-12-03 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews and facility policy review the facility failed to remove expired medication from 1 out of 2 medications carts and failed to check the medication refrigerator temperatures on 1 out of 2 refrigerators on a scheduled basis. The facility reported a census of 58 residents. Findings include: 1. During an observation on 11/25/2025 at 7:45AM Staff A, Licensed Practical Nurse (LPN) on the [NAME] wing found a Humalog insulin bottle dated 10/12/25 and the Lantus insulin dated 9/25 for Resident#41. Staff A looked in the cart for other opened insulin for Residnet#41 and failed to locate ant non expired insulin for Resident #41. Staff A reported she needed to replace the expired insulin. Staff A went and got the needed insulin from the emergency kit and dated them as she opened them. During an interview on 12/03/2025 at 12:13 PM, the Administrator reported they follow the manufacturer's guidelines on when medication expire. During an interview on 12/03/2025 at 12:51 PM, the Director of Nursing (DON) reported per the guide on the pharmacy sheet all insulins…

  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 · Ecited before2024-11-21 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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, resident and staff interviews, and facility policy review the facility failed to respond to call lights within 15 minutes for 4 of 4 residents reviewed (Res #6, #12, #50, #204) and the facility failed to staff according to the Facility Assessment for seven out of eleven days reviewed. The facility reported a census of 54 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE], included a Brief Interview for Mental Status (BIMS) for Resident #12. The BIMS resulted in a score of 14 out of 15 which indicated intact cognition. The MDS list of diagnoses included amputation, non-Alzheimer's dementia, and stroke. The MDS indicated the resident as dependent on staff to roll left and right, sit to lying, lying to sitting on side of the bed, chair/bed-to-chair transfer, and transfer to toilet toileting needs. During a continuous observation on 11/19/24 starting at 12:50 PM, Resident #12's turned on his call light. Staff A, Licensed Practical Nurse (LPN) turned off the call…

  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 · E2024-11-21 · 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, facility policy review and staff interviews the facility failed to use hand hygiene during a noon meal service in an attempt to prevent cross contamination of food. The facility reported a census of 54 residents. Findings include: The following observations occurred during the noon meal service on 11/19/24, starting at 11:46 AM: a. At 12:04 PM, Staff H, [NAME] after taking a pan of food out of the oven, wiped his right hand on the side of his shirt. b. At 12:05 PM, Staff G, [NAME] touched with her left hand while she walked into the dining room. Staff G then pushed a plate service cart into the kitchen. Without washing her hands, Staff G returned to the serving line. While Staff G stirred a mixture of lettuce and cheese, a portion of the mixture spilled out. Staff G caught the spilled mixture with her bare left hand and put it back in to the pan used for preparation. c. At 12:11 PM, Staff G put a serving ladle down, and wiped her left hand on her left knee. She then touched a cart, and without washing her hands returned to plating food. During the service,…

  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

$216,061 in federal fines across 3 penalties.

• $184,438 — penalty dated 2025-12-03
• $19,877 — penalty dated 2024-11-21
• $11,746 — penalty dated 2024-09-04

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 28 rows in the source record cover these 22 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 $598K paid to related parties — landlords or management companies under common ownership — equal to about 11% 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