Barry Healthcare & Sr Living

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.

40.8% 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 38 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 19.2% 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 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 76 beds and averages 58.6 residents a day — about 77% occupied, or roughly 17 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 3.14 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 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 2.90 hrs/resident/day on weekends vs 3.23 on weekdays — 10% thinner on weekends. RN hours go from 0.28 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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.

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · Gcited before2026-01-16 · 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 observation, interview and record review, the facility failed to implement and document new fall interventions after a fall for 1 (R50) of 4 residents who was assessed to be high fall risk upon admission to the facility. This failure resulted in R50 falling, sustaining a hematoma to her head and 2 rib fractures, and subsequently being transferred to the emergency room for treatment. Findings include:R50's Undated Face Sheet documents R50 was initially admitted to the facility on [DATE] with diagnosis of dementia and osteoarthritis.R50's Care Plan, dated 12/29/2024 and revised 11/24/2025 documents the resident is a high risk for falls R/T (related to) history of falls. The resident will not sustain serious injury through the review date. The resident will be free of falls through the review date.R50's Quarterly Minimum Data Set (MDS) dated [DATE] documents R50 was cognitively impaired, had a history of falls and uses a wheelchair.R50's Fall Risk Data Collection, dated 8/15/2025 documents she was high…

  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 · G2026-01-16 · 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 observation, interview and record review, the facility failed to assess one newly admitted resident 1 of 1 resident (R69) reviewed for pain management in the sample of 30. The facility also failed to administer PRN (as needed) pain medication and to get report from the previous facility. This failure resulted in a nonverbal resident (R69) yelling/screaming out for over 18 hours without being assessed for pain. A reasonable person who was yelling/screaming for hours would feel intense and overwhelming sensations of pain causing emotional distress. Findings include:R69's Previous Facility Documentation states she arrived at the facility with documented diagnosis including chronic pain and Lupus (an inflammatory disorder.) Physician's orders from previous facility included PRN (when needed) pain medication.R69's Unsigned and Handwritten Baseline Care Plan, dated 1/15/2026 documents R69 is dependent with bed mobility, locomotion, bathing, toileting, transfers, dressing and eating. No documentation that…

  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 · G2023-12-12 · 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 obtain Physician Orders for a change of condition for 1 of 15 residents (R150) reviewed for quality of care in the sample of 41. This failure resulted in R150 being delayed treatment for mouth sores, nausea, and a sore throat. Findings include: On 12/04/23 at 10:52 AM, R150 stated, They just put me on a new medicine, and it has been awful. I got canker sores all over my mouth. I couldn't figure out what was going on. On Friday (12/1/23) or Saturday (12/2/23) I told the nurses, and they looked in my mouth and said it was canker sores. Nothing from doctor yet but they are going to talk to him today. My throat is sore, and I have been very nauseous. It's a new medicine for arthritis. R150 is sitting in her room in her wheelchair. R150 appears to be in discomfort and is very pale. R150's Health Status Note, dated 12/3/2023 at 06:55 AM, documents, res (resident) noted to have canker sores to inner upper lip and inner bottom lip. c/o (complaint of) sore throat. nausea. vomiting. Vs (vital signs) - 186/76 (blood…

  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 · G2022-12-19 · 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 sexual abuse for 2 of 6 residents (R41, R206) reviewed for abuse in the sample of 23. This failure resulted in R41 being sexually fondled by R206 without her ability to consent and based upon a reasonable person approach this would have caused feelings of violation, anxiety, fear, humiliation, and anger. Findings include: R41's Resident Information Sheet documents R41 has diagnoses of unspecified dementia and anxiety disorder. R41's Minimum Data Set (MDS) dated [DATE] documents a Brief interview of mental status score of 00, which indicates severe cognitive impairment. R206's MDS dated [DATE] documents a brief interview of mental status score of 15, which indicates R206 is cognitively intact. R206's Care Plan Focus, with initiation date of 3/3/22, documents The resident has a behavior problem. The Care Plan Intervention, initiation date of 4/25/22, documented Resident has had multiple incidents of inappropriate touching of…

  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 · F2026-01-16 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the Facility failed to provide the services of a Registered Nurse (RN) for at least eight hours daily. This has the potential to affect all 56 residents living in the Facility.Findings include:The Facility's Daily Staffing Schedules were reviewed for 12/1/25 through 1/15/26. These schedules do not document a RN worked for at least eight hours on 12/6/25, 12/7/25, 12/14/25, 12/20/25, 12/21/25, 12/28/25, 1/3/26, 1/4/26, 1/11/26, or 1/14/26.On 1/13/25 at 10:00 AM, V1, Administrator, stated there are occasionally days without RN coverage in the building.On 1/15/26 at 10:04 AM, V1 stated the Facility does not have a policy regarding RN staffing and just follows the regulations.The Facility's Long Term Care Facility Application for Medicare and Medicaid (CMS 671) dated 1/13/26 documents there are 56 residents living in the Facility.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-16 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the Facility failed to track infectious organisms in the Facility for 1 of 1 residents (R53) reviewed for infection control in the sample of 30.Findings include: The Facility's Infection Control Log for October 2025 does not list a causative organism for R53's Urinary Tract infection (UTI). The Log documents R53 received the antibiotic Cipro. On 1/15/26 at 11:20 AM, V3, Infection Preventionist, stated R53's urine was not cultured, so the Facility does not know which infectious organism caused R53's UTI. On 1/16/26 at 9:53 AM, V1, Administrator, stated she expects the Facility to track infectious organisms in the Facility. The Facility's Surveillance for Infections Policy revised 4/2025 documents, The infection preventionist conducts ongoing surveillance for healthcare-associated infections (HAIs) and other epidemiologically significant infections that have substantial impact on potential resident outcomes and that may require transmission-based precautions and other preventative interventions.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-16 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 follow its antibiotic stewardship policy to help prevent antibiotic resistance for 1 of 1 resident (R53) reviewed for infection control in the sample of 30.Findings include:R53's Face Sheet documents R53 was admitted to the facility on [DATE] with diagnoses including dementia and congestive heart failure.The Facility's Infection Control Log for October 2025 does not list a causative organism for R53's Urinary Tract Infection (UTI) and documents R53 received the antibiotic Cipro.On 1/15/26 at 1:20 PM, V3, Infection Preventionist, stated the family requested the antibiotic and the physician ordered it, so no culture was ever obtained.R53's Revised McGeer Criteria for Infection Surveillance Checklist dated 10/24/25 documents UTI criteria was not met.R53's Physician Order dated 10/24/25 documents Cipro 250 mg (milligram) oral tablet, give one tablet by mouth two times a day for 7 days for UTI.R53's Medication Administration Record for October 2025…

  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 · E2025-03-04 · tag F0755 — failed to provide safe pharmacy services — pattern
  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 interview, observation, and record review the facility failed to administer medications per physician's orders for 4 of 4 residents (R1, R2, R3, R5) reviewed for pharmacy services in the sample of 15. Findings include: 1. R1's Face Sheet undated documents R1's admitting diagnoses as Paraplegia, Secondary Malignant Neoplasm of Bone, Unspecified Severe Protein-Calorie Malnutrition, Malignant Neoplasm of Prostate and Chronic Pain Syndrome. R1's Physician Order Summary (POS) dated February 2025 documents medications as Fentanyl Transdermal Patch 72 hours, 25 micrograms (mcg) /hr (Pain), Thiamine 100 milligrams (mg) Daily (low B1), Magnesium 400 milligrams Daily (supplement), Vitamin B6 Daily (supplement), Vitamin K2 100 mcg Daily (supplement), Vitamin B12 500 mcg Daily (vitamin), Oxycodone 10 mg every 6 hours as needed (pain), Potassium 10 Milliequivalent Daily (diuretic use), Senna Plus 50-8.6 mg twice a day (constipation), Lasix 20 mg Daily (edema), Eliquis 5 mg twice day (Deep Vein Thrombosis), Vitamin…

  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 before2023-12-12 · tag F0725 — failed to have enough nursing staff — widespread
  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 observation, interview and record review the facility failed to provide sufficient staffing to meet the needs of the residents at the facility by providing care and assistance for Activities of Daily Living. This failure has the potential to affect all 52 residents at the facility. Findings include: 1. On 12/4/23 at 10:30 AM, R29 had a very shaky voice and tears coming down her face during an interview related to staff On 12/04/23 10:27 AM, R29 stated, Our girls are good. It might take them a bit, but they are good. Agency staffing is horrible. They just don't care about us. They are here for a paycheck. Last week I had my light on and he came in and asked what I needed. I told him I had to go to the bathroom. He told me that I had an (incontinent brief) on and to just go in my brief. It will take agency staff over 30 minutes to answer a light. They just make me feel worthless. R29 stated that she did tell the nurses and they told her that she is ok. R29 stated that they walk around and talk on their…

  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 · F2023-12-12 · tag F0761 — failed to label and store drugs safely — widespread
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and record review, the facility failed to ensure medications are under direct supervision of nurse for 2 of 24 residents (R24, R45) reviewed for medication storage in the sample of 41. Findings include: 1. On 12/04/23 at 09:43 AM, V3, Licensed Practical Nurse (LPN) took a full medication up into R45's room. At 09:45 AM, V3 was observed leaving the room. On 12/04/23 at 09:48 AM, R45's room was entered. R45's bedside table had a medication cup full of pills on it. On 12/04/23 at 09:48 AM, R45 was questioned what pills those in the cup were. R45 stated, Well I woke up late. So, she (V3) just got them to me. 2. On 12/4/23 at 10:25 AM, R24 was standing next to her dresser in her room, and she had two 1-ounce medication cups sitting on her bedside table. One of the medication cups contained one tablet that R24 identified as her Tums, and the other cup contained several tablets and capsules. R24 stated, That is my morning medication that (V4, LPN) gave me a little while ago. I will take it sometime…

  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 · F2023-12-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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 and record review, the facility failed to securely seal, date and label refrigerated and frozen food. This failure has the ability to affect all 52 residents residing in the facility. Finding include: On 12/4/23 at 8:40 AM, the kitchen was entered. 1. The freezer had a pan covered in aluminum foil. The foil had holes in it, it was not labeled or dated as to what food and when the food was prepared. 2. The refrigerator had a pan of left-over roast beef that was dated 11/19/23, unknown if made date or expiration date. 3. The refrigerator had a large stainless pan that was covered with aluminum foil that was not labeled of what it was, when made or when it expires. On 12/4/23 at 9:00 AM, V11, Dietary Manager, stated that all foods should be labeled with expiration date, the date prepared, name of the food and all foods should be sealed tightly. At the time of exit the facility was unable to provide a facility policy on how to store refrigerated or frozen food items. The Long-Term Care Facility Application for Medicare and Medicaid dated 12/5/23,…

  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 · Fcited before2023-12-12 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation and record review, the facility failed to have a system in place to assess for efficacy of antibiotic use. This failure has the potential to affect all 52 residents living in the facility. Findings include: 1.On 12/11/23 at 2:00 PM, V2, Infection Preventionist, stated that she does not have enough time to devote to the infection control program as she once did so there are pieces missing in her infection control tracking. V2 stated, I really don't understand all of the infection control stuff. I used to have an infection control program on the computer that would generate all my tracking and infections but apparently it is not here anymore. On 12/11/23 at 3:10 PM, V6, Director of Nurses, was questioned if the facility has updated infection control and antibiotic stewardship policies, V6 stated, I just pulled off the policies from Medpass. 2. On 12/11/23 at 1:35 PM, V2 stated that if the nurse enters the antibiotic correctly when it is ordered the computer system will automatically generate a McGreer's report for a suspected urinary tract infection. V2…

  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 before2023-12-12 · 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 interview and record review, the facility failed to supervise to prevent injury while smoking and elopement for 2 of 17 residents (R46, R47) reviewed for supervision in the sample of 41. Finding include: 1. R46's admission Profile, dated 12/8/23, documents that R46 was admitted on [DATE] with a diagnosis of Dementia. R46's Minimum Data Set, (MDS), dated [DATE], documents that R46 is moderately cognitively impaired and independent with ambulation. R46's Elopement Assessment, dated 9/8/23, documents that R46 is a risk for elopement. R46's Health Status Note, dated 10/20/2023 at 3:36 PM, documents, resident was found walking on street near stop sign by property. resident was able to be redirected and brought back into facility by staff. (Resident monitoring device) bracelet replaced to ensure proper function. notified regional nurse of incident. On 12/7/23 at 1:20 PM, V1, Administrator, stated that R46 did not get to the stop sign on the side of the property. V1 said she made it to the one at the end of…

  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 · D2023-12-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure that residents maintain current level of urinary continency and receive timely treatment for urinary tract infections (UTI) for 2 of 3 residents (R44, R101) reviewed for continency and urinary tract infections in the sample of 41. Findings include: 1. On 12/11/23 at 1:50 PM, V2, Infection Preventionist, stated that R44 did not receive an order for antibiotics to treat a urinary tract infection for 3 days. V2 stated that 3 days to receive an antibiotic is too long. V2, stated, The nurses should have followed up with (V10) for orders. R44's Health Status Note, dated 12/2/2023 10:15 AM, documents, UA (urinalysis) culture results available--e. coli (Escherichia coli), faxed to (V10's) office. R44's Physician Orders, dated December 2023, documents, Macrobid Oral Capsule 100 MG (Nitrofurantoin Monohyd Macro). Give 1 capsule by mouth two times a day for UTI (urinary tract infection) for 5 Days. Start Date of 12/5/2023 09:00 AM. On 12/11/23 at 3:00 PM, V6, Director of Nurses, stated that the nurses should continue to reach…

  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

“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

$71,275 in federal fines across 2 penalties. 2 Medicare payment denials on record.

• $63,085 — penalty dated 2026-01-16
• $8,190 — penalty dated 2023-12-12
• Medicare payment denial — starting 2026-02-10 for 9 days
• Medicare payment denial — starting 2024-01-06 for 25 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 POINTE MANAGEMENT — 12 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

4 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 $536K paid to related parties — landlords or management companies under common ownership — equal to about 14% 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 IL