Arcadia Care Auburn

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.

42.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 36 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 7.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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 70 beds and averages 55.3 residents a day — about 79% occupied, or roughly 15 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 2.77 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.66 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 2.43 hrs/resident/day on weekends vs 2.90 on weekdays — 16% thinner on weekends. RN hours go from 0.26 to 0.10 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

33 citations, most serious first. The 18 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Kcited beforedisputed · IDR2025-08-27 · 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 record review the Facility failed to ensure room temperatures were within the heat index/apparent temperature guidelines inside the facility and did not exceed 81 degrees Fahrenheit (F), the Facility failed to follow their Heat Emergency Policy as residents were not moved out of their rooms when temperatures were reached over 81 degrees for 4 of 4 residents (R1, R2, R3 and R11) reviewed for room temperatures in the sample of 16. This failure resulted in residents being left in rooms with the heat index indicating extreme caution to the residents. On 8/27/2025 at 9:55 AM, the Immediate Jeopardy/IJ was called with V1, Administrator. V2, Director of Nursing. and V17, Regional Director Operations The Immediate Jeopardy began on 8/7/2025 when resident room temperatures were not within the heat index/apparent temperature guidelines inside the facility and exceeded 81 degrees Fahrenheit (F), the Facility failed to follow their Heat Emergency Policy. The first abatement plan 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-06-11 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 and record review the facility failed to implement interventions, for R2 to prevent overdose of medication. Faculty was aware R2 had medications in her purse and previously had meds. R2 was being seen by a Psychiatry Nurse Practitioner. R2 had shown a decrease in Mental status and the Psychiatry Nurse Practitioner, nor the Physician was notified. Based on interviews and record review the facility failed to accurately assess, monitor, implement and provide services, for R2's Mental and Psychosocial wellbeing, due to R2 recently sustaining physical abuse, and having major depressive disorder and anxiety. This resulted in R2 overdosing on Xanax and Tylenol. Then being admitted to hospital and subsequently expiring. The Immediate Jeopardy began on 04/18/2024 when R2 was admitted to facility, with known history of spousal abuse, depression, and anxiety. V1, (Administrator), was notified of Immediate Jeopardy on 06/06/2024 at 8:16am. The surveyor confirmed by observation, interview, and record…

  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 before2024-06-11 · 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 and record review the facility failed to implement interventions, for R2 to prevent overdose of medication. Faculty was aware R2 had medication previously and that she had medications in her purse. R2 was being seen by a Psychiatry Nurse Practitioner. R2 had shown a decrease in Mental status and the Psychiatry Nurse Practitioner, nor the Physician was notified. This failure of not reporting or calling the Physician or Psychiatry Nurse Practitioner and R2 having meds in her purse, resulted in R2 overdosing, being sent to the Hospital and Expiring. R2 admit date to facility on 4/18/2024, with diagnoses of Parkinson's Disease, Encounter for Mental Health Services for Victim of Spousal or Partner abuse, Depression, unspecified, and Generalized Anxiety Disorder. R2's Hospital discharge prior to admit to facility, dated 4/12/2024, documents, Chief Complaint R2 Reportedly being battered by her husband, states, she was struck in the head multiple times, she also fell and hit her right ribs. 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
• Actual harm · G2024-02-09 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 and record review the facility failed to notify family/Power of Attorney (POA) of a fall and fully discuss residents declining medical condition with POA for POA to make decisions on resident's medical treatment options for one of three residents (R2) reviewed for notification in the sample of 8. This failure resulted in no discussion of possible Hospice treatment to address R2's overall decline in health and ongoing pain. Findings include: R2's Face Sheet, dated [DATE] documents admission date of [DATE] with diagnosis of end stage renal disease, malignant neoplasm of the kidney, peripheral vascular disease, acute and chronic respiratory failure. R2's Face Sheet documents R2 advance directives as CPR/ cardiopulmonary resuscitation. R2's Minimum Data Set, dated [DATE] documents that R2 is moderately cognitively impaired. R2's Hospital Record contain Power of Attorney (POA) document dated [DATE] naming V17, R2's family, as POA of health care. R2's Progress Note, dated [DATE] at 12:00 PM,…

  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
• Actual harm · Gcited before2024-02-09 · 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 interviews and record review the facility failed to provide vascular consult timely for one of three residents (R2) reviewed for quality of care in the sample of 8. This failure resulted in R2 experiencing a decrease in circulation to R2's lower extremities, increased pain, and discomfort in R2's lower extremities and hospitalization for septic shock related to decreased circulation and gangrene. Findings include: R2's face sheet, dated [DATE] documents admission date of [DATE] with diagnosis of end stage renal disease, malignant neoplasm of the kidney, peripheral vascular disease, acute and chronic respiratory failure. R2's Minimum Data Set (MDS), dated [DATE] documents that R2 is moderately cognitively impaired and is dependent for transfers. R2's admission Skin assessment dated [DATE] documents left great toenail missing with open wound present with no other skin issues noted to feet. On [DATE] at 10:00 AM, V7, Wound Nurse, stated that R2 was admitted on [DATE] after removal of right great toenail…

  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 · G2023-11-22 · 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 interview, observation and record review, the facility failed to provide a physician prescribed narcotic to relieve pain for 1 of 5 residents (R8) reviewed for pain in the sample of 8. This failure left R8 without moderate pain medication from 11/17/23 - 11/20/23 while in the facility for rehabilitation from a broken hip. Findings include: R8's admission Profile, print date of 11/21/23, documents R8 was admitted on [DATE] and discharged on 11/20/23 and had a diagnosis of Displaced Intertrochanteric Fracture of Right Femur. R8's Baseline Care plan, dated 11/17/23, documents that R8 does have pain related to a right hip fracture. R8's Physician Orders, dated November 2023, documents, Tylenol Extra Strength Oral Tablet 500 MG (milligram) (Acetaminophen) Give 2 tablet by mouth every 6 hours as needed for Mild-Moderate pain. Start date of 11/17/23. R8's Physician Orders, dated November 2023, documents, HYDROcodone-Acetaminophen Oral Tablet 5-325 MG (Hydrocodone-Acetaminophen) Give 1 tablet by mouth every 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-11-02 · 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 observation, interview and record review, the facility failed to provide care to promote healing and the prevent deterioration of Moisture Associated Dermatitis for 2 of 16 residents (R5, R26) reviewed for quality of care in the sample of 37. This failure resulted in the worsening of R26's Moisture Dermatitis. Findings include: 1.R26's admission Record, dated 10/31/22, documents, that R26 was admitted on [DATE] and has diagnoses of Urinary Tract Infection and Hemiplegia and Hemiparesis. R26's Minimum Data Set (MDS), dated [DATE], documents that R26 is severely cognitively impaired, requires extensive assistance of one staff member for bed mobility, transfer, toileting, and personal hygiene. This MDS also documents R26 is always incontinent of bowel and bladder. R26's Care Plan, dated 9/2/22, documents, I am risk for a skin impairment r/t (related to) aging / disease process, decreased mobility. Intervention: Keep skin clean and dry. Use lotion on dry skin. R26's Care Plan, dated 10/20/22, documents,…

  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 before2022-11-02 · 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 provide timely and complete incontinence and catheter care for 5 of 5 residents (R5, R8, R16, R26, R206) reviewed for incontinent care in the sample of 37. This failure resulted in R206 feeling demeaned and experiencing pain during incontinent care. Findings include: 1. R206's Care Plan, dated 10/19/2022, documents, The resident has an ADL (activities of daily living) self-care performance deficit It continues, TOILET USE: The resident requires (1) assist with toileting. Resident is incontinent of B&B (bowel & bladder) and wears briefs It also documents, I am at risk for a skin impairment r/t (related to) incontinence It continues, Keep skin clean and dry. Use lotion on dry skin. R206's Minimum Data Set (MDS), dated [DATE], documents that R206 is cognitively intact. It also documents that R206 is occasionally incontinent and of urine, frequently incontinent of bowel and requires extensive assistance of 1 staff with toileting. On 10/25/2022…

  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 · D2026-04-02 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 record review and interview the facility failed to administer the correct medication to 1 of 3 residents (R12) reviewed for medication errors in the sample of 3. Findings include:1 R12's face sheet, undated documents a diagnosis in part of Vascular Dementia severe with Anxiety, Acute and chronic respiratory failure with hypoxia, Pleural Effusion in other condition classified elsewhere, Chronic Obstructive Pulmonary Disease (COPD), essential hypertensionR12's Minimum Data Set (MDS) dated [DATE] documents a Behavioral Interview of Mental Status (BIMS) of 13 (cognitively intact). R12's care plan dated 2/16/26 documents R12 is receiving anti-psychotic medication related to delirium due to known physiology control and takes anti-anxiety medication related to anxiety disorder. R12's Medication Error Report dated 2/12/2026 at 00:00 documents R12 was administered Ativan 1milligram (mg) instead of Hydrocodone-Acetaminophen 7.5-325mg q 8 hours as ordered by physician. R12's medication error report documents 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-19 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  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 interview and record review, the facility failed to answer call lights and provide care in a timely manner for 2 (R1, R2) of 4 residents reviewed for resident rights in a sample of 4. 1.) R1's admission Record documents R1 was admitted to the facility on [DATE] and has a diagnosis of Epilepsy, Parkinson's Disease without Dyskinesia, Essential Tremor, Chronic Obstructive Pulmonary Disease, Fibromyalgia, Chronic Kidney Disease, Lack of Coordination, Generalized Anxiety Disorder, Hypothyroidism, and Major Depressive Disorder.R1's Minimum Data Set (MDS) dated [DATE] documents R1 is cognitively intact, is dependent on staff for toileting hygiene, showering/bating, and needs substantial/maximal assistance for personal hygiene.R1's Care Plan Date Initiated 6/27/2025 documents the resident has an Activities of Daily Living (ADL) self-care performance deficit related to epilepsy, tremors, Parkinson's, lack of coordination, muscle wasting and atrophy.On 11/19/2025 at 8:00 AM R1 stated she has had to wait over an…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-28 · 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 observation, interview and record review the facility failed to administer medication as ordered for 1 of 3 residents (R2) reviewed for medication in the sample of 5. Findings include: On 5/27/2025 at 8:50AM medication cup on R2's bedside table with medication in it. A Trelegy Ellipta aerosol powder breath activated inhaler and Fluticasone Propionate Nasal spray also sitting on bedside table. R2 asleep in chair. R2's Medication Administration Record (MAR) dated 5/1/2025-5/31/2025 documents R2 prescribed medications as Cetirizine 10 mg in morning Duloxetine 30mg, in morning, Esomeprazole Magnesium capsule delayed release 40 mg in morning, Ferrous sulfated ER 45mg in morning, Furosemide 40mg, 1 tablet in morning, Magnesium Oxide 400mg in morning, Omeprazole 20mg daily, Trelegy Ellipta inhalation aerosol powder breath activated 1 puff orally in the morning, Apixaban 5mg every morning, Doxycycline Monohydrate 100mg two times a day, Eliquis 5mg every morning, Fluticasone allergy relief nasal suspension 50 mcg (microgram) a spray each nostril two times a day, Gabapentin 300mg in…

  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 · Fcited before2025-05-09 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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 and interview the facility failed to provide comfortable temperatures in the dining room and visiting room. This failure has the potential to affect all 57 residents residing at the facility. Findings include: 1.R3's medical diagnosis sheet, print date of 5/9/25, documented R3 has diagnoses including type 2 diabetes mellitus, heart failure, fibromyalgia, dementia, and anemia. R3's Minimum Data Set (MDS), dated [DATE], documented R3 is moderately cognitively impaired although resident was alert and oriented at time of interview. On 5/9/25 at 9:24 AM R3 stated the facility was freezing the first day they shut the heat off, my room temperature is okay now, but the dining room is still cold. 2. R4's medical diagnosis sheet, print date of 5/9/25, documented R4 has diagnoses including chronic obstructive pulmonary disease, hypokalemia, atrial fibrillation, osteoarthritis, anxiety, hypertension, and morbid obesity. R4's MDS, dated [DATE], documented R4 is cognitively intact. On 5/9/25 at 9:33 AM R4…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-10 · 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 record review, the facility failed to provide hot water for resident use for 21 of 21 residents (R1, R2, R3, R7, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R23, R24, R25, R26) reviewed for safe/comfortable/homelike environment in a sample of 26. Findings include: 1. On 4/7/2025 at 10:30 AM, R1 stated that the hot water heater was still out on his hallway, and it's been a week since he got his last shower. R1 stated that he doesn't have hot water to wash his hands or face in the morning or after he uses the toilet. R1 also stated that was not provided nor offered a warm wet washcloth to clean his face or hands. On 4/7/2025 at 10:30 AM, R1's bathroom faucet was turned on and after a few minutes, the hot water was still cold. R1's Shower sheet, dated 3/23/2025, documented that there was cold water. R1's Minimum Data Set (MDS), dated [DATE] documented that his cognition was intact and that he required set up assistance for shower and bathing. R1's Care Plan,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-10 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to maintain a hot water heater to supply hot water to residents for 16 days for 21 of 21 resident (R1, R2, R3, R7, R9, R10, R11, R12, R13, R14, R15, R16, R17, R18, R19, R20, R21, R23, R24, R25, R26) reviewed for Physical Environment in a sample of 26. Findings include: 1. On 4/7/2025 at 10:30 AM, R1 stated that the hot water heater was still out on his hallway, and it's been a week since he got his last shower. R1 stated that he doesn't have hot water to wash his hands or face in the morning or after he uses the toilet. R1 also stated that was not provided nor offered a warm wet washcloth to clean his face or hands. On 4/7/2025 at 10:30 AM, R1's bathroom faucet was turned on and after a few minutes, the hot water was still cold. 2. On 4/7/2025 at 11:50 AM, R2's hot water from her bathroom faucet was cold to touch after running it several minutes. On 4/7/2025 at 1:15 PM, R2 stated that they have to take her down to the other hallway to get a shower because the water heater on their hall has been out for the past 3…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-11 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to have a system in place to monitor and track, infections in the facility for 5 of 5 (R3, R8, R47, R30, and R22) residents reviewed for antibiotic stewardship/ Infection control in a sample of 34. Findings include: 1. R3's Physician order sheet dated 8/19/2024 documents Fosfomycin Tromethamine Oral Packet 3 gram (GM). Give 3 gram by mouth one time only for Urinary Tract Infection (UTI) for one day. R3's Medication Administration Sheets (MARS) dated 8/1/2024 - 8/31/2024 documents Fosfomycin Tromethamine Oral Packet 3 GM. Give 3 gram by mouth one time only for Urinary Tract Infection for one day. Date of administration 8/19/2024. Facility's infection control log dated 8/19/2024 documents Fosfomycin, Urinary Tract Infection. No organism documented. R3's Nursing Notes dated 8/19/2024 at 1:40PM documents daughter called requesting R3 be placed on an antibiotic for UTI. Nurse Practitioner, NP, notified and ordered Fosfomycin 3 GM by mouth times one. Daughter called back and made aware. 2. R8's Physician order sheet 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-11 · 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 interview and record review, the facility failed to prevent resident to resident abuse for 3 of 5 residents (R24, R36, R109) reviewed for abuse in the sample of 34. Findings Include: R20's Face Sheet, undated, documents R20 has the following diagnoses: Anxiety Disorder, Depression and Unspecified Dementia with Behavioral Disturbance. R20's Minimum Data Set, MDS, dated [DATE], documents R20 has severe cognitive impairment and displays verbal, physical, and other behaviors. R20's Care Plan, dated 3/29/23, documents R20 has a behavior problem of becoming physically aggressive towards others, becoming aggressive when anxious becoming verbally aggressive and has a mood problem. R20's Progress Note, dated 7/16/24 at 4:40 PM, documents the following: R20 grabbed another resident (R109) by the right arm, shirt area. No signs of injury noted. The State Agency and local PD (Police Department) notified. The facility's Preliminary Report, dated 7/16/24, documents the following: R20 grabbed R109's shirt in the right…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-11 · 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

  Based on observation, interview, and record review the facility failed to provide surgical site care on 1 of 3 residents (R257), reviewed for quality of care in the sample of 34. Findings include: On 2/5/25 at 1:00 PM R257's left hip dressing, undated, was observed with the outer layer of the dressing torn away, exposing gray layer of dressing. R257's Face Sheet, undated, documents R257's medical diagnoses includes Orthopedic Aftercare, Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia, Hypothyroidism, Congestive Heart Failure and Chronic Kidney Disease. R257's Care Plan, dated 1/24/25, documents R257 is at risk for skin impairment with interventions to monitor/document location, size and treatment of skin injury. Report abnormalities, failure to heal, signs/symptoms of infection, maceration etc. to MD (Medical Doctor). R257's admission Assessment, dated 1/24/25, documents R257 is cognitively intact, alert to person, place, time, and situation. Left trochanter (hip) Incision line well-approximated with 24 staples. No redness or drainage…

  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 · D2024-11-08 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to administer anti-hypertensive/cardiac medications at safe intervals of time for 2 of 3 residents (R2, R3) reviewed for medications errors in the sample of 4. Findings include: 1-R2's Face Sheet documents R2 was admitted to the facility on [DATE] with diagnoses including cerebral infarction, stage 4 chronic kidney disease, congestive heart failure, and essential primary hypertension. R2's Physician Order dated 6/24/24 documents Carvedilol Oral Tablet, 25 milligram (mg) tablet, give one tablet by mouth two times daily for hypertension. R2's Medication Administration Audit Report for 11/4/24 documents R2 received 6:00 AM dose of Carvedilol at 11:32 AM and 4:00 PM dose at 3:52 PM. On 11/8/24 at 9:40 AM, V10, Licensed Practical Nurse (LPN), stated R2 did not get her medication until later in the day on 11/4/24 because she sleeps in late. V10 stated she did not communicate to the next nurse that it was given late. 2-R3's Face Sheet documents R3 was admitted…

  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

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$273,034 in federal fines across 4 penalties.

• $51,360 — penalty dated 2026-04-02
• $156,975 — penalty dated 2025-08-27
• $56,957 — penalty dated 2024-06-11
• $7,742 — penalty dated 2023-11-22

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 ARCADIA CARE — 25 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 29 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 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 $752K 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. 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 IL