Azria Health Winterset

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.

54.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 53.0 residents a day — about 82% occupied, or roughly 12 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 3.45 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 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 3.16 hrs/resident/day on weekends vs 3.57 on weekdays — 12% thinner on weekends. RN hours go from 0.45 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% 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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

• Actual harm · Gcited before2024-05-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interview, employee file review, and policy review the facility failed to ensure two staff present while using a mechanical lift for a resident transfer, and staff failed to ensure sling straps removed from a mechanical lift when transferred a resident from the wheelchair to the bed for one of three residents reviewed for falls (Resident #3). The facility reported a census of 51 residents. Findings include: The Annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 had diagnoses of cerebral palsy, deep vein thrombosis (DVT), and muscle weakness. The MDS indicated the resident had a Brief Interview for Mental Status (BIMS) score of 11 which indicated moderately impaired cognition. The MDS documented the resident required extensive assistance of two for bed mobility, and total dependence on two staff for transfers. The MDS indicated he had no falls. The MDS assessment dated [DATE] revealed the resident had a fall with an injury. The Care Plan revised…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-19 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, and policy review the facility failed to sanitize a mechanical lift during use between 4 residents. In addition, the facility failed to transport linen in a manner to prevent contamination. The facility reported a census of 50 residents. Findings include:1. During a continuous observation that began on 3/16/26 at 1:45 PM, Staff A, Certified Medication Aide (CMA), exited a semi-private resident room after using a mechanical lift to transfer one resident and stored it against the wall in the hallway. They didn't sanitize the mechanical lift after the resident's transfer.Staff B, Certified Nurse Aide (CNA), took the mechanical lift into another semi-private resident room with Staff A and transferred one resident into a chair. Staff A brought the mechanical lift out of the residents' room and placed it in the hallway. They failed to sanitize the mechanical lift sanitized before or after the resident's transfer.At 1:50 PM, Staff A and Staff C (CNA) took the mechanical lift into…

  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 before2026-03-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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 clinical record review, observation, staff interview, and policy review the facility failed to provide a homelike environment by not placing sheets on residents' beds for 2 of 5 residents (Resident #22 and #28) reviewed. The facility reported a census of 50 residents. Findings include:1. Resident #22's Minimum Data Set (MDS) assessment dated [DATE] revealed an admission date of 2/11/22 from a short-term general hospital stay. The MDS further indicated Resident #22 had diagnoses of stroke, non-Alzheimer's dementia, and hemiplegia (severe or complete paralysis on one side of the body).On 3/16/25 at 2:15 PM observed Resident #22 lying in bed without a sheet on the mattress. Resident #22 reported the facility did have a sheet, but just not on their bed.2. Review of Resident #28's MDS dated [DATE] revealed an admission date of 2/2/24 from a short-term general hospital stay. The MDS further indicated Resident #28 had diagnoses of pulmonary embolus (a sudden blockage in a lung artery), heart failure,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-19 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review, staff interview, guidance from the October 2025 Resident Assessment Instrument (RAI) 3.0 User's Manual, and facility policy review, the facility failed to accurately reflect the status of 1 of 2 sampled residents on hospice care in the Minimum Data Set (MDS) Assessment (Resident #35). The deficient practice created the potential for the resident to not receive appropriate treatment and services. The facility reported a census of 50 residents. Findings include:The MDS of Resident #35, dated 2/11/26 was a significant change in status assessment. The MDS identified a Brief Interview for Mental Status Score of 14, which indicated intact cognition. The MDS coded the resident's prognosis, at section J1400, that the resident did not have a condition or chronic disease that resulted in a life expectancy of less than 6 months (hospice care is generally for patients with a terminal prognosis of six months or less to live, as certified by a physician). The MDS recorded that the resident was not receiving Hospice care, at section O0110K1. The facility's MDS…

  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 before2026-03-19 · 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, clinical record review, staff interview, and policy review the facility failed to provide adequate oral care for 1 of 3 residents (Residents #9) reviewed. The facility reported a census of 50 residents. Findings include:Resident #9's Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 was dependent on staff for oral hygiene, eating, and toileting hygiene. The MDS further Resident #9 had diagnoses of non-traumatic brain dysfunction, cerebral palsy, seizure disorder, and severe intellectual disabilities. Review of Resident #9's Care Plan with a revision date of 2/28/26 revealed an intervention for Resident #9 reveal dependency on staff for assistance with brushing teeth. On 3/16/26 at 2:45 PM witnessed Resident #9 with heavy plaque build up on their teeth. On 3/17/26 at 1:30 PM noted Resident #9's toothbrush in the medicine cabinet in an unopened and unused plastic wrapper. On 3/17/26 at 2:09 PM Staff A, Certified Nursing Assistant (CNA), explained it is very difficult 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interview, and policy review, the facility failed to provide supplemental oxygen as ordered for 1 of 1 resident reviewed for respiratory care (Resident #48). The facility reported a census of 50 residents.Findings include:Resident #48's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. Resident #48 required setup assistance with eating, moderate assistance with showering, showering transfers, and lower body dressing, maximal assistance with footwear, and supervision with all other Activities of Daily Living (ADLs) and mobility. The MDS included diagnoses of anemia, chronic obstructive pulmonary disease (COPD), and syncope and collapse (temporary loss of consciousness caused by sudden drop in blood flow to the brain with rapid recovery). The MDS reflected she used supplemental oxygen within the 7-day lookback period.The Care Plan revised 11/26/25 directed staff 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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, policy review, resident, and staff interviews, the facility failed to provide non-pharmacologic pain management for 1 of 1 resident reviewed (Resident #7). The facility reported a census of 50 residents.Findings include:Resident #7's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Resident #7 required setup assistance with eating, moderate assistance with showering, showering transfers, and putting on footwear. The MDS listed she required supervision with all other Activities of Daily Living (ADLs) and mobility. The MDS included diagnoses of diabetes mellitus, heart failure, muscle wasting (when your muscles get smaller and weaker over time, often due to illness or not using them.), morbid obesity (excessive weight), and degenerative disc disease (condition in which spinal discs break down due to wear and tear causing chronic lower back pain). The MDS reflected she had…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0725 — failed to have enough nursing staff — isolated
  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 clinical record review, document review, resident interview, staff interview, and policy review the facility failed to provide an adequate amount of nursing staff to assure residents safety by not responding to call lights in a timely manner for 3 of 6 residents reviewed (Residents #15, #20, and #22). The facility reported a census of 50 residents.Findings include:1. Resident #15's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 11, indicating moderate cognitive impairment. The MDS listed Resident #15 as dependent on staff for assistance with sitting to standing, chair/bed-to-chair transfers, and toileting.Interview on 3/16/26 at 1:49 PM Resident #15 reported the call lights often took longer than 15 minutes. Resident #15 added she could read a clock, and that is how she can tell. 2. Resident #20's MDS dated [DATE] revealed a BIMS score of 15, indicating intact cognitive functioning. Resident #20 required moderate assistance with sitting to standing,…

  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 · Dcited before2026-03-19 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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 observation, interview, facility policy review, and United States (US) Food and Drug Administration (FDA) 2022 Food Code review, the facility failed to serve food in a manner that complied with safe food handling practices during one of two observed meal services. The facility reported a census of 50 residents. Findings include: Observation on 3/16/26 of the noon meal started at 12:26 p.m. in the facility's Main Dining Room revealed:At 12:40 p.m. Staff J, Certified Nurse Aide (CNA), served Resident #50 their meal in a divided plate. After they placed the food in front of Resident #50, they left the table to return to the kitchen.At 12:41 p.m. Staff J ran through the dining room from the kitchen and picked up the meal they served Resident #50 and removed it from in front of him. Staff J then served that same meal to Resident #45, who sat at another table in the dining room.At 12:49 p.m. when asked if she removed Resident #50's plate she served to them and served it to Resident #45, Staff J agreed she removed the plate after she served it and then re-served that same meal 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The Minimum Data Set (MDS) of Resident #35 dated 2/11/25 identified a Brief Interview for Mental Status (BIMS) score of 14, which indicated his cognition was intact. The MDS coded Resident #35 needed partial/moderate assistance to eat. The MDS listed Resident #35 as dependent on staff for hygiene tasks, dressing, transfers, to shower or bathe, and used a manual wheelchair. The MDS described Resident #35 as always incontinent of both bowel and bladder. The MDS included diagnoses of cerebral palsy, Cerebral palsy (CP) (a disorder of movement and posture caused by damage or abnormal brain development, usually before birth, resulting in varied impaired muscle control and coordination.), dysphagia (difficulty swallowing), diabetes mellitus, and cognitive communication deficit. The MDS failed to identify his terminal prognosis (J1400) and hospice care (O0110.K1).The Care Plan revised 3/5/26, identified the following Focuses:a. Resident #35 had an increased risk for limitations in his ability to perform Activities of Daily Living (ADL). The Interventions directed the following: i. Resident…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-10 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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, Electronic Health Records (EHR), Medication Administration Records-Treatment Administration Record (MAR-TAR), document review, policy review, and staff interview the facility failed to provide adequate sanitization to shower chair between residents, failed to provide influenza testing and communicate with public health during outbreak and failed to provide appropriate infection prevention practices during administration of medications to 2 of 7 residents reviewed (Resident #8, and #33), and contact with Resident#31 whom had a dressing. The facility reported a census of 50 residents. Findings include: 1. The Annual Minimum Data Set (MDS) dated [DATE] for Resident #31 documented a Brief Interview for Mental Status (BIMS) of 13 which indicated no cognitive impairment. Review of Resident #31's MAR - TAR a physician order to monitor scabbed areas to the left shin daily for wound care. Observation on 3/3/25 at 12:27 PM revealed Staff Q, Certified Nursing Assistant (CNA)/ Social Services entered…

  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

“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 2024-06-06 for 2 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 AZRIA HEALTH — 9 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 6 rows in the source record cover these 4 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 $527K 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. 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