Symphony Maple Crest

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.

49.3% 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 80 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.6% 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 29 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 0.22 therapist hours per resident per day in 2026Q1 — more than 28% 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 86 beds and averages 68.8 residents a day — about 80% 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 2.85 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 1.61 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 2.57 hrs/resident/day on weekends vs 2.96 on weekdays — 13% thinner on weekends. RN hours go from 0.42 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% 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 unchanged from the previous inspection. 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.

43 citations, most serious first. The 16 most serious are shown; the remaining 27 are one tap away and print in full.

• Immediate jeopardy · Kcited before2026-05-26 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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

  Based on interview and record review the facility failed to ensure residents were protected from potential abuse when a non-staff individual, who was not screened, trained or authorized by the facility, was permitted to provide resident care including incontinence care, transfers and assisting residents to change clothes for 4 of 4 residents (R4, R5, R6, and R7) reviewed for abuse in the sample of 8.The Immediate Jeopardy began on 5/10/2026 when V5 (Non-Staff Individual) entered the building and began providing resident care.V1 (Administrator) was notified of Immediate Jeopardy on 5/26/2026 at 8:23 AM. This surveyor confirmed by interview and record review that Immediate Jeopardy was removed on 5/26/2026 but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training.The findings include:1. On 5/21/26 at 12:55 PM, R4 said that the other day, V4 (Certified Nursing Assistant- CNA) and another man that she had never seen before (V5-Non-Staff Individual) came into her room. R4 said that V4 said that it…

  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
• Immediate jeopardy · Kcited before2024-10-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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

  Based on observation, interview, and record review the facility failed to monitor temperatures of hot beverages prior to serving to residents, resulting in R1 sustaining full thickness (third degree) and partial thickness (second degree) burns to her thighs. This failure had the potential to affect 50 out of 75 residents residing in the facility that drink hot beverages and resulted in Immediate Jeopardy to their health and safety. The Immediate Jeopardy began on 9/15/24 when R1 sustained burns to her inner thighs from hot coffee. V1 Administrator was informed of the Immediate Jeopardy on 10/1/24 at 3:29 PM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 10/2/24 but compliance remains at a Level 2 because additional time is needed to evaluate the implementation and effectiveness of the in-service training. The findings include: The facility's Residents who drink hot liquids form dated 9/30/24 shows 50 out of 75 residents drink hot liquids. On 9/30/24 at 8:25 AM, residents were observed drinking coffee at the breakfast…

  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
• Immediate jeopardy · Jcited before2023-08-31 · 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 ensure that a resident with a history of wandering and elopement attempts and a diagnosis of Frontotemporal Neurocognitive Disorder did not leave the facility unsupervised. The facility failed to have a policy and procedure in place to account for all residents after the emergency exit door alarm sounded and no residents could be observed outside. This failure resulted in R1 eloping from the facility at 7:15 PM on [DATE] and was found at approximately 8:55 PM on [DATE] by V13 (CNA) in the rear parking lot of a local business over 800 feet from the facility. On [DATE], R1 was last seen by facility staff between 6:00 PM-6:30 PM. The door alarm sounded at approximately 7:15 PM. The facility began a search for R1 when they discovered R1 missing from her room between 8:00 PM and 8:30 PM. This applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 5. The Immediate Jeopardy began on [DATE] when R1 eloped from 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-09-25 · 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, interview and record review, the facility failed to ensure a resident was transferred out of bed in a timely manner and failed to provide incontinence care for a resident in a timely manner for 2 of 2 residents (R23, R57) reviewed for activities of daily living in the sample of 35.This failure resulted in R23 crying and voicing feelings of depression.The findings include:1. R23's admission Record, printed on 9/24/20245, showed she had diagnoses including, but not limited to major depressive disorder, mild cognitive impairment, dysphagia, and congestive heart failure. R23's recreational support care plan showed she is at the facility for long-term care and will attend meaningful activities that she chooses. The care plan showed R23 enjoys visiting with family and friends, enjoys reading books, listening to music, and is interested in participating in group activities. R23's care plans showed she has an ADL self-care deficit related to limited mobility, debility, and impaired balance. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-09-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to identify two areas of pressure until becoming unstageable. This failure resulted in one of the wounds requiring debridement and becoming a stage 4 pressure ulcer. This applies to one of three residents (R1) reviewed for pressure in the sample of three.The findings include:The facility face sheet shows R1 to have diagnoses to include Type 2 Diabetes Mellitus, peripheral vascular disease, stage three pressure ulcer of left buttock and stage four pressure ulcer of the right buttock. The facility assessment dated [DATE] shows R1 to be cognitively intact and requires moderate assistance with his personal hygiene. The Physician Order Record (MAR) shows an order dated 2/3/2025 for a skin check to be completed two times per week.The wound assessment details report dated 4/19/2025 shows a new area of pressure was identified to R1's left buttock measuring 4 by 2.25 by 0.25 centimeters (CM) and was listed as unstageable and facility acquired. A second wound…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-11-04 · 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 ensure residents were transferred in a safe manner for 2 of 3 residents (R1, R2) reviewed for safety in the sample of 5. This failure resulted in R1 sustaining a right femur fracture and R2 sustaining a laceration requiring 21 sutures. The findings include: 1. The facility's Incident Report dated [DATE] shows R1 is an [AGE] year old male resident who resides at the facility for long term care services since [DATE]. On [DATE], at approximately 5:30 PM, staff were assisting resident with bed linen change. Resident was sitting at the side of the bed and staff was going to stand him at bedside to adjust his pants when resident attempted to self transfer to the wheelchair. Resident's legs crossed causing him to fall to the floor onto his right side. Assessment completed with external rotation, shortening and deformity observed to upper right leg. Hospice, Power of Attorney, and Physician notified with orders to send to the emergency room for…

  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 · D2026-06-08 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 a resident was provided a shower or bed bath. This applies to 1 of 3 residents (R1) reviewed for showers in the sample of 3. The findings include:On 6/8/26 at 9:22 AM, V3 (R1's Family Member) said he visited R1 on the weekend of 5/23/26 to 5/25/26. V3 said R1's hair was dirty and matted, R1's fingernails were dirty, and R1 appeared unkempt. R1's shower task for the past 30 days shows R1 was not provided a shower, bath, or bed bath from 5/16/26 to 6/1/26. On 6/8/26 at 12:08 PM, V1 (Administrator) said staff should be providing or offering baths or showers at least twice weekly to residents. V1 said staff document that showers or baths are provided or offered under the tasks part of the electronic medical records system. V1 said that is the only place staff document providing showers or baths. The task also shows if the resident refused the bath or shower. Facility Shower; Bathing policy dated 7/2025 states, All residents will be offered a shower and/or a bed bath at least weekly unless a physician order to 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-26 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to prevent cross-contamination of soiled linens for 3 of 7 residents (R4, R5, and R7) reviewed for infection control in the sample of 7. The findings include:On 3/26/26 at 12:38 PM, V14 (a friend of R7) exited room [ROOM NUMBER] and informed this surveyor and V12 (Laundry and Housekeeping Manager) that there was stool on R7's bedding. V12 said she would inform staff that the bedding needed to be changed. At 12:51 PM, the soiled bedding from R7's bed was sitting directly on the floor with nothing under the soiled bedding.On 3/26/26 at 12:54 PM, during an interview with R5 (R7's roommate), R5 said staff usually put the dirty linen on the floor (pointing to the soiled bedding on the floor) and when they are done, they put them in a bag. V3 (CNA) entered the room. When asked if she put the bedding there, V3 said she had to go get a bag. She said she took the bedding off and realized there was not a bag to put them in, so she put them there and…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-25 · 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 — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to properly cool a pork roast after cooking. This has the potential to affect all residents in the building.The findings include:The facility's roster provided to surveyor on 9/23/25 showed 66 residents residing in the building.On 9/23/25 at 10:42AM, V4 (Dietary Manager) sliced the pork roast for the noon meal. V4 stated, We don't normally do cooling logs because we don't normally cook food ahead of time. I did not do a cooling log for this roast but I'm sure we did the correct process. I just took it out of the cooler to slice it and then I'll place it in the oven. If the correct process is not followed and documented, then residents could be at risk for foodborne illness.The facility's recipe for Tender Pork Roast showed, Potentially hazardous foods shall be cooled: a) from 135 degrees F to 70 degrees F within 2 hours. B) From 70 degrees F to 41 degrees F within 4 hours.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-25 · 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, interview, and record review, the facility failed to maintain a system for tracking infections, failed to wear personal protective equipment (PPE) into a contact isolation room for 1 resident (R68), failed to wear appropriate PPE for 3 residents (R11,R29,R58) on Enhanced Barrier Precautions, failed to perform hand hygiene and glove changes to prevent cross contamination during incontinence care for 1 resident (R57). These failures have the potential to affect all residents in the building. The findings include:1) The facility roster provided to surveyors on 9/23/25 showed 66 residents residing in the building. On 9/24/25 at 1:56PM, V2 (Director of Nursing/Infection Preventionist) stated, I only have some infection tracking from March 2025 that the previous IP (Infection Preventionist) did. I started in April of this year with my position, but I haven't tracked any infections. I'm going to be creating our infection control tracking but haven't had a chance to start it yet. I think there is a…

  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 · E2025-09-25 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  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 offer activities. This applies to 6 of 6 residents (R10,R15,R28,R44,R48,R66) reviewed for activities in the sample of 35.The findings include: On 9/23/2025 at 10:46 AM, R66 stated There are no activities on the weekend. R66 stated she enjoys some of the activities the facility provides, and she would enjoy activities on the weekend. R66 said she would like weekend activities because they give us something to do. It helps us to pass the time.On 9/25/2025 at 9:06 AM, V18 Activities stated R66 does enjoy attending some of the activities the facility provides.R66's 7/18/25 Minimum Data Set (MDS) showed she was cognitively intact.R66's 1/16/25 Activity Assessment showed, [R66] is a LTC (Long-term care) resident. She has expressed the desire to remain in her room for most of her day. Activities of [R66] choice include, watching her favorite tv shows, visiting with family, reading, doing word searches, arts and crafts, and food related activities. She sometimes comes to bingo, music programs, and the dine in club.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-25 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure dignity was maintained for 2 of 2 residents (R50, R47) reviewed for dignity in the sample of 35.The findings include:R50's admission Record, printed on 9/24/2025, showed she had diagnoses including, but not limited to, anxiety disorder, depression, memory deficit following cerebrovascular disease (stroke), protein-calorie malnutrition, chronic kidney disease stage 3, and Parkinson's disease. R50's facility assessment dated [DATE], showed she had severe cognitive impairment, range of motion impairment one-sided upper and lower extremities, and required substantial/maximal assist from staff for transfers. R50's care plans showed she was on hospice care due to a terminal condition. The care plan showed the goal was that R50 would receive emotional, physical, and spiritual support during the terminal phase of illness. Interventions in place were to approach in a calm manner and ensure a quiet environment for resident while offering…

  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 before2025-09-25 · 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 ensure wound care was provided in a manner to prevent cross contamination and failed to apply tubular compression stockings for a resident with swelling. This applies to 2 of 2 residents (R58, R61) reviewed for quality of care in the sample of 35.The findings include: 1. R58's admission Record (Face Sheet) showed diagnoses to include chronic venous ulcer of the left leg, stage 4 pressure ulcer of the buttock, and diabetes. On 9/23/25 at 10:31 AM, R58 was in his room. R58's cotton gauze dressing to his left leg extended from just below his knee to his foot. The dressing had a 4-inch circle of bloody drainage visible on the exterior of the dressing. On 9/23/2025 at 11:18 AM, V7 Licensed Practical Nurse (LPN) began preparations to change R58's left leg dressing. V7 used scissors to cut and remove part of R58's soiled dressing. V7 then set the scissors down on her clean tray of dressing supplies; V7 did not sanitize her scissors. After V7 removed R58's dressing, she changed her gloves; however, she did not…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident's pressure injury dressing was intact for 1 of 1 resident (R29) reviewed for pressure in the sample of 35. The findings include:On 9/23/25 at 1:57 PM, V12 Registered Nurse (RN) went into R29's room to change the dressing on the pressure injury to the resident's sacral area. V12 pulled R29's covers back and turned her on her side. R29's open sacral wound was not covered, and the dressing was barely attached at the bottom of the dressing. R29's dressing was soiled with drainage and an odor present. On 9/24/25 at 9:54 AM, V2 Director of Nursing (DON) stated staff should be monitoring the wound dressing to make sure it is intact. The Certified Nursing Assistant (CNA) should let the nurse know anytime a dressing becomes loose or is off so it can be reapplied. The CNA should let the nurse know if the dressing is soiled and needs to be changed. It is important for the dressing to remain in place to help with healing. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-25 · 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 observation, interview, and record review the facility failed to ensure a catheter tubing secure device was in place and did not clean the drainage spout on the catheter after emptying the drainage bag for 2 of 2 residents (R29 & R11) reviewed for catheters in the sample of 35. The findings include: 1. On 9/23/25 at 1:57 PM, V12 Registered Nurse (RN) was at R29's bedside to change the dressing to the resident's pressure ulcer on her sacrum. R29 had an indwelling urinary catheter with a lot of sediment in the tube and amber urine in drainage bag. The catheter tubing was hanging and pulling to the side; no secure device was in place. V12 stated they use a secure device on catheter tubing, and no one let her know that R29 did not have one in place. V12 stated the secure devices are used to prevent the catheter from getting pulled out. On 9/24/25 at 9:54 AM V2 Director of Nursing (DON) stated the facility has leg straps that are used for anyone with a foley. The straps should be in place. V2 stated the straps help stop the pulling and tugging of the tubing. The strap secures…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-25 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 medications at ordered times. There were 25 opportunities with 3 errors resulting in a 12% medication error rate.The findings include: R47's electronic face sheet printed on 9/24/25 showed R47 has diagnoses including but not limited to psychotic disorder with delusions, dementia without behaviors, anxiety disorder, and adjustment disorder.R47's medication administration record for September 2025 showed R47 receives Hydroxyzine 50mg at 8AM and 4PM, Seroquel 25mg at 8AM, 12PM, and 8PM, and Lorazepam 2mg at 8AM, 12PM, and 4PM.On 9/23/25 at 9:50AM, V5 (Licensed Practical Nurse) administered R47's Hydroxyzine 50mg, Seroquel 50mg, and Lorazepam 2mg. (1 hour and 50 minutes past the scheduled administration time).On 9/23/25 at 10:25AM, V5 stated there is no reason why she is administering medications late other than she is a newer nurse still trying to learn the process. During the medication observation, 2 other nurses were observed completed with their medication pass and available to assist V5. V5…

  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.

Fines & penalties

$409,524 in federal fines across 5 penalties. 2 Medicare payment denials on record.

• $195,340 — penalty dated 2026-05-26
• $36,517 — penalty dated 2025-09-16
• $39,683 — penalty dated 2024-11-04
• $127,785 — penalty dated 2024-10-02
• $10,199 — penalty dated 2023-08-31
• Medicare payment denial — starting 2025-10-10 for 36 days
• Medicare payment denial — starting 2024-11-29 for 12 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 SYMPHONY CARE NETWORK — 7 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

6 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 $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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