Symphony Northwoods

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.

43.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 97 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.0% 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 40 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 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 113 beds and averages 84.6 residents a day — about 75% occupied, or roughly 28 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 2.97 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.32 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.71 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 2.63 hrs/resident/day on weekends vs 3.11 on weekdays — 16% thinner on weekends. RN hours go from 0.36 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

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.

37 citations, most serious first. The 18 most serious are shown; the remaining 19 are one tap away and print in full.

• Actual harm · Gcited before2026-02-04 · 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 interview and record review, the facility failed to implement fall interventions to prevent and/or minimize injury due to falls for 1 of 6 residents (R1) reviewed for safety and supervision in the sample of 6. These failures resulted in R1 sustaining a fall resulting in multiple vertebral fractures which lead to his demise.The findings include:On [DATE] at 3:43 PM, V4, Licensed Practical Nurse (LPN), said R1 was a very high risk for falling. R1 was confused and he would just get up, but he wasn't really able to walk at that time. V4 said R1 just returned during her shift (on [DATE]) from the hospital after falling earlier. V4 said she could hear the thud at the nurse's station, and she automatically knew R1 fell again because he kept falling. V4 said R1 was face down on his stomach with blood around his head. V4 said R1 probably hit his head on the floor because he was not near any furniture. V4 said they had not put the fall mat down because R1 would trip over the mat; it would have put him at a higher…

  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 before2025-09-10 · 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 interview and record review the facility failed to assess, intervene and implement treatments in a timely manner for a resident (R2) found to have a new injury/bruising to her left shoulder which resulted in a delay in the diagnosis of and treatment of R2's left shoulder dislocation. This failure applies to 1 of 5 residents (R2) reviewed for the necessary care and services in the sample of 5.The findings include:A facility Incident report dated 9/6/25 showed on 9/5/25 at 4:20 AM, facility staff discovered new bruising to R2's left upper arm. The facility notified R2's hospice agency which subsequently ordered an X-ray of R2's left arm. An X-ray of R2's left arm was performed in the facility which showed R2's left shoulder was dislocated. The report showed R2 was sent to a local hospital on 9/6/25 for an evaluation of her shoulder dislocation. The report showed hospital recommended surgical intervention to reposition the shoulder; however, V8 (Power of Attorney/POA for R2) declined surgical intervention. R2's hospital records dated 9/6/25 showed a repeat X-ray of R2's left…

  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 before2025-09-10 · 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

  Based on observation, interview and record review the facility failed to care for a resident (R2) in a safe manner which resulted in R2 sustaining a left shoulder dislocation. The facility failed to ensure a resident (R2) was safely repositioned in bed, as directed per the resident's care plan. These failures apply to 1 of 5 residents (R2) reviewed for resident safety and supervision in the sample of 5.The findings include:A facility Incident report dated 9/6/25 showed on 9/5/25 at 4:20 AM, facility staff discovered new bruising to R2's left upper arm. The facility notified R2's hospice agency which subsequently ordered an X-ray of R2's left arm. An X-ray of R2's left arm was performed in the facility which showed R2's left shoulder was dislocated. The report showed R2 was sent to a local hospital on 9/6/25 for an evaluation of her shoulder dislocation. The report showed hospital recommended surgical intervention to reposition the shoulder; however, V8 (Power of Attorney/POA for R2) declined surgical intervention. R2's hospital records dated 9/6/25 showed a repeat X-ray of R2's left…

  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 before2025-07-21 · 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 put interventions in place after a resident fall to protect the resident from future falls. This failure resulted in R1 falling in his room and sustaining 4 fractured ribs on 5/27/25. This applies to 1 of 3 residents (R1) reviewed for fall interventions in the sample of 7. The findings include: R1's EMR (Electronic Medical Record) dated 5/21/25 states, Resident observed laying on the floor next to his bed on his right side. Resident tried to get self up from his bed and slid to the floor. No injuries noted, no pain or discomfort verbalized or demonstrated . Resident transferred back to bed .R1's Care Plan dated 12/17/24 states, Potential for falls, Resident at risk for injury from falls, history of falls. The intervention UA sent to rule out infection shows a date initiated as 5/23/2025. No other interventions were put in place to prevent R1 from falling after the fall on 5/21/25. An incident report dated 5/29/25 states, On 5/27/25 at approximately…

  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 before2025-01-02 · 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 ensure safe incontinence care for 1 of 3 residents (R1) reviewed for safety. This failure resulted in R1 rolling off the bed onto the floor and sustaining a cervical fracture, a left clavicle fracture, and laceration to her left eyebrow requiring 3 sutures. The findings include: R1's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include dysphagia, hyperlipidemia, Type 2 Diabetes, spondylosis without myelopathy, generalized anxiety, depression, and arthropathy. R1's facility assessment dated [DATE] showed she has severe cognitive impairment and requires substantial to maximum assist for bed mobility. R1's care plan initiated 6/5/23 showed, . Self care deficit, requires staff assist with ADLs (activities of daily living)related debility, weakness . Bed Mobility- extensive assist Toileting - extensive assist, incontinence care . On 1/2/25 at 11:00 AM, R1 was lying in her bed. R1 had a brace on her neck and 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to identify pressure injuries prior to a stage 3 for a resident at risk for pressure with a history of pressure (R1). This failure resulted in a delay in assessing and obtaining treatment orders to prevent pressure injuries from worsening for R1. The facility failed to ensure pressure interventions were in place for a resident with a left heel pressure injury (R72). This applies to 2 of 5 residents (R1, R72) reviewed for pressure injuries in the sample of 18. The findings include: 1.) R1's self -care deficit care plan initiated on 6/5/23 shows R1 requires extensive to total staff dependence with incontinence care, personal hygiene, bed mobility, and transferring. R1's skin integrity care plan initiated on 6/29/24 and revised on 9/27/24 shows she is at risk for impaired skin integrity due to cognitive impairment, immobility and nutrition. The care plan identified that R1 currently has pressure injuries to her left buttock, left hip and left shoulder. R1's Pressure Risk Assessment (Braden scale) completed on 8/12/24 by V12…

  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 before2024-10-23 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 notify the dietician in a timely manner of a resident with a significant weight loss of 8 lbs. (pounds) 6.2% in one month. This failure resulted in a delay in dietary interventions being implemented and an additional 3.4 lb. 2.81% weight loss in one week. This applies to 1 of 18 residents (R77) reviewed for weight loss in the sample of 18. The findings include: R77's face sheet shows she was admitted to the facility on [DATE] and has diagnoses including cognitive communication deficit, other disorders of the brain, need for assistance with personal cares, and dysphagia. R77's weight summary sheet shows she weighed 129.2 lbs. on 9/21/24 on 10/14/24 she weighed 121.2 lbs. which is an 8 lbs. 6.2% significant weight loss in 24 days. From 10/14/24 she weighed 121.2 lbs. and on 10/21/24 she weighed 117.8 lbs. which was an additional 3.4 lbs. 2.81% weight loss in 7 days. R77's Dietary Review note completed by V4 (Dietician) on 10/22/24 states, I was notified…

  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 before2024-06-03 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to identify and treat a pressure ulcer for a resident dependent on staff for care. This failure resulted in R1's pressure ulcer to his right heel not being identified until it was necrotic and unstageable on 3/18/24. This applies to 1 of 3 residents (R1) reviewed for pressure ulcers in the sample of 5. The findings include: R1's Face Sheet shows that he was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes, Atrial Fibrillation, Cellulitis of the Left Lower Limb, Lymphedema, Muscle Weakness, Acute Cystitis and Morbid Obesity. R1's Progress Notes dated 3/17/24 state, Necrotic tissue on bottom of Right heel surrounded by slough. Resident Unaware of wound. Wound care nurse notified. NP notified. POA updated. Foam boots applied. R1's Progress Notes dated 3/18/24 state, Resident was notified by staff regards new skin alteration to left heel, upon assessment noted unstageable to right heel, wound bed necrotic, no exudate noted, resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-14 · 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 ensure a process for monitoring cool-down and reheating temperatures for leftovers was implemented and failed to ensure opened foods were labeled and stored in a food-safe manner. This has the potential to effect all residents receiving food from the kitchen. The findings include: 1- Facility Data Sheet completed on 5/14/26, shows there are 88 residents residing in the facility. On 5/14/26 at 9:08 AM, a plastic food service container containing oatmeal from breakfast was sitting in the top shelf of the cooler. It was warm to the touch. A four inch, half size hotel pan containing scrambled eggs were also in the cooler covered with a steam table lid. The pan was warm to the touch. A six inch, half size hotel pan containing hard boiled eggs was also in the cooler covered with a steam table pan. The pan was warm to the touch.On 5/14/26 at 9:13 AM, V5 (Cook) said she started working at the facility approximately a month ago and didn't receive much training. V5 received multiple food safety certifications last year…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 ensure restorative services were provided for three of four residents (R1, R3, R4) reviewed for restorative services in the sample of four.The findings include:1. On February 18, 2026 at 9:30 AM, R1 was in his room sitting in his wheelchair. R1's walker was in the corner of his room. R1 said they cut me out of therapy. R1 said he can walk but needs to hold onto something. He said staff do not walk him, they are so busy, it's pitiful. R1 said he would like to be walked but the staff are too busy.On 2/18/26 at 10:09 AM, V4 (Certified Nursing Assistant/Previous Restorative Aide) said she was the restorative aide but stepped down about two weeks ago and now is working the floor. The floor CNAs should be doing the restorative program with the residents including walking. R1 is alert and oriented and is on a daily walking program.R1's Restorative Progress note dated 12/16/24 shows he is on a walking program twice a day. R1 will ambulate 25-50' feet using 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-01-07 · 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 ensure food was used or discarded by the use by date, failed to sanitize food preparation equipment, failed to take/record food temperatures prior to serving it, and failed to ensure individuals in the kitchen wear hair nets. These failures have the potential to affect all 81 residents residing in the facility.The findings include: The facility's CMS-671 dated 1/5/26 show the facility census is 81.On 1/5/26 during the kitchen tour beginning at 8:55 AM, the refrigerator in the facility kitchen had a container of apple sauce and a container of sliced apples both dated 12/3-12/9, a container of shredded cheddar cheese with a use by date of 1/3, and half a ham dated 12/28-1/3. V4, Dietary Manager, said the foods should have been used by the date on the container as they write the use by date on the containers. V4 said they are having Caribbean pork roast today as they had to swap it with yesterday's meal because they did not have the roasts yesterday.On 1/5/26 at 9:25 AM and throughout the kitchen tour, V9, Cook,…

  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 · F2026-01-07 · tag F0887 — widespread
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  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 employees were provided with education and offered the COVID-19 vaccine and failed to document their COVID-19 vaccination status. This failure has the potential to affect all 81 residents residing in the facility.The findings include:The facility's CMS-671 dated 1/5/26 show the facility census is 81.On 1/7/26 at 9:34 AM, V14, Infection Prevention Nurse, said they do not offer the COVID-19 vaccine to employees and do not keep a record of which employees have or have not received the COVID-19 vaccine(s).On 1/7/26 at 10:28 AM, V23, Restorative Certified Nursing Assistant (CNA), said she has worked in the facility for 13 years. V23 said the facility is not currently offering COVID-19 vaccines to employees. V23 said no one has asked her about her current COVID-19 vaccine status and she has not been given any education regarding the current COVID-19 vaccine.On 1/7/26 at 2:20 PM, V21, Registered Nurse (RN), said no one has designated areas they work; they go all over the building.On 1/7/26 at 2:22 PM, V11, Licensed…

  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 · E2026-01-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide a resident centered activity program with meaningful activities for residents with diagnoses of dementia. This applies to 4 of 18 residents (R92, R16, R35, R34) reviewed for activities in the sample of 18. The findings include:1. R92's EMR (Electronic Medical Record) shows she has a diagnosis of Alzheimer's Disease with Late Onset. R92 was admitted to the facility on [DATE] from another long-term care facility. On1/5/26 at 8:45AM R92 was in her room sitting next to her bed and then wheeled over to her roommate and was talking very sweetly to her roommate, who was also in bed. At 9:00AM V19 Certified Nursing Assistant (CNA) came to R92's room, brushed her hair and took her to the dining room saying to R92, It's almost lunch time. R92 was placed at a table in the dining room along with about 12 other residents. The television was on, playing an 1990's Western Drama. Most of the residents were asleep. V17 and V18 (Activity Aids) were…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-07 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure staff removed personal protective equipment (PPE) when exiting an isolation room and failed to securely wear a N95 mask by not placing both loops around their head. The facility failed to ensure staff washed their hands and wore the required PPE when entering an isolation room. This applies to 4 of 18 residents (R39, R74, R2 and R41) reviewed for infection control in the sample of 18. The findings include:1. R39's Order Summary Report printed on 01/06/26 showed an order for contact and droplet isolation for influenza. On 1/5/26 at 9:19 AM, hanging on the outside of R39's door was a contact and droplet isolation sign. The signs indicated to remove PPE before exiting the room. On 01/05/2026 at 9:19 AM, V11 (Licensed Practical Nurse - LPN) entered R39's room with the required PPE. V11 had on a N95 mask. There was no surgical mask over the top of the N95 mask. The N95 mask was not secure on V11's face as the top loop used to secure the mask was not in use. V11 administered R39 their medications. V11 exited…

  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 · D2026-01-07 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 ensure a resident had a PASARR Screening (Preadmission Screening and Resident Review) done after his initial PASARR Screening gave approval for only a 60-day admission to a nursing facility. This applies to 1 of 4 residents (R4) reviewed for PASARR Screenings in the sample of 18.The findings include: R4's EMR (Electronic Medical Record) shows that he was admitted to the facility on [DATE] from a Rehabilitation Hospital with diagnoses including Anoxic Brain Injury and Bipolar Disorder. R4's PASARR Screening dated 11/29/23 states, PASARR Level 1 Determination: Convalescence Categorical and Approval Period: 60 days. This same document also states, Your PASRR Level1 screening is complete. Your level 1 screen shows you may have a serious mental illness or intellectual/developmental disability (IDD). You meet criteria for Convalescent Care, and you may stay up to 60 calendar days in nursing facility without further PASRR assessment as long as you also require…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-07 · 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 an indwelling urinary catheter drainage bag was kept off the floor for 1 of 2 residents (R13) reviewed for indwelling urinary catheters in the sample of 18.The findings include:R13's Care Plan with a review date of 01/05/26 showed R13 had an indwelling urinary catheter and had a history of a urinary tract infection.On 01/05/26 at 8:58 AM, R13 was in bed. R13's indwelling urinary drainage bag was on the side of R13's bed. The bottom portion of the drainage bag was resting on the floor.On 01/06/26 at 8:38 AM, R13 was in bed. R13's indwelling urinary drainage bag was not hanging from anything and was resting flat on the floor. R13's bedside table wheels we running over the drainage bag.On 01/06/26 at 11:04 AM, V5 (Certified Nursing Assistant) said staff provide all indwelling urinary catheter care/management for R13. V5 said a drainage bag should not touch the floor to prevent contamination/infection.The facility's Indwelling Catheter Care and Maintenance policy with a review date of 03/2025 showed to keep…

  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 before2026-01-07 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 resident received fortified food for 1 of 5 residents (R64) reviewed for nutrition in the sample of 18.The findings include:R64's Physician Order Summary printed on 01/07/26 showed R64 was to get fortified food three times a day for poor oral intake. R64 was to receive super cereal at breakfast and fortified mashed potatoes at lunch and dinner. On 01/05/2026 at 11:47 AM, R64 was in his room. Sitting on the bedside table was a meal tray with a lid on top of the plate. R64 said he was getting ready to eat. R64 lifted the lid off his tray and there were no potatoes on his tray. R64 said he was supposed to get potatoes but did not get any. R64 added that not getting potatoes happens from time to time.On 01/06/2026 at 11:55 AM, V6 (Dietitian) said fortified mashed potatoes are used to help manage a resident's weight. Fortified potatoes are more than just regular potatoes. They are made with whole milk and protein powder. V6 added that R64 should have received fortified mashed potatoes.On 01/06/2026 at…

  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 · D2026-01-07 · 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

  Based on interview and record review the facility failed to ensure a blood pressure medication was administered according to order parameters for 10 of 31 days resulting in a significant medication error because of the frequency of the error. This applies to 1 of 18 residents (R24) reviewed for pharmacy services in the sample of 18.The findings include:R24's health care provider note dated 12/05/25 showed R24 had liver failure and was not a transplant candidate. The same note showed R24 had complications including hepatorenal syndrome, metabolic encephalopathy, and portal hypertension. R24's Order Summary Report printed on 01/07/26 showed an order for midodrine (a medication that increases blood pressure) to be given three times a day for portal hypertension. The order had a parameter to hold (not give) the medication if the systolic blood pressure was greater then 120 millimeters of mercury (mm Hg). R24's December 2025 Medication Administration Record (MAR) showed R24's systolic blood pressure was above 120 mm Hg and midodrine was checked off as given on the following days:…

  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

$118,435 in federal fines across 4 penalties. 2 Medicare payment denials on record.

• $77,855 — penalty dated 2026-01-07
• $14,407 — penalty dated 2025-09-10
• $12,048 — penalty dated 2025-01-02
• $14,125 — penalty dated 2024-10-23
• Medicare payment denial — starting 2026-02-25 for 2 days
• Medicare payment denial — starting 2024-06-21 for 3 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 $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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