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The Haven Of Bridgeport

900 East Corporation, Bridgeport, IL 62417 · For profit - Corporation · 99 certified beds · (618) 945-2091 Medicare & Medicaid certified

Call the home — (618) 945-2091 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0604) — cited Jul 20231 actual-harm citation1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2111 Lexington Ave · (618) 943-6202 · Call to confirm hours
Pharmacy
2610 W Haven Rd · (618) 943-5515 · Call to confirm hours
Grocery
2610 W Haven Rd · (618) 943-7551 · Call to confirm hours
Park
349 Park St · (618) 707-9835 · Typically dawn to dusk

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

Overall quality measures 2 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.4%13.4%15.4%better
Long-stay residents who lose too much weight6.2%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.9%0.9%better
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms43.8%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.9%3.1%3.3%worse
Long-stay residents whose ability to walk worsened10.5%14.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication26.4%18.3%18.9%worse
Long-stay residents given the seasonal flu vaccine82.9%91.8%95.3%worse
Long-stay residents with pressure ulcers5.5%4.8%4.7%worse
Long-stay residents with worsening bladder/bowel control38.5%20.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table9.3%21.7%17.1%better
Short-stay residents who newly got an antipsychotic medication6.4%2.2%1.4%worse
Short-stay residents given the seasonal flu vaccine26.2%63.1%79.4%worse
Short-stay residents rehospitalized after admission20.4%26.1%22.6%typical
Short-stay residents with an outpatient ER visit20.1%13.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.382.021.67worse
Long-stay outpatient ER visits per 1,000 resident days3.632.221.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

43.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.2%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
50.0%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 50.0% 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 36 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 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF43.2%CMS range 33.8–57.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 8.0–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge50.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge44.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge50.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified97.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened8.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 3.9–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.441.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.42
RN hours/ resident / day
0.62
LPN hours/ resident / day
1.55
Aide hours/ resident / day
2.59
Total nurse hours/ resident / day
0.27
RN hoursweekends
48.6%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 99 beds and averages 71.7 residents a day — about 72% occupied, or roughly 27 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 2.59 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.55 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 2.24 hrs/resident/day on weekends vs 2.73 on weekdays — 18% thinner on weekends. RN hours go from 0.49 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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

5
deficiencies at the latest standard inspection (2024-05-31)
4
at the previous standard inspection (2023-07-27)

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

ABCDEFGHIJKL

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.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · Gcited before2024-12-24 · 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 a resident was properly restrained while being transported in the facility van for 2 (R1 and R4) of 4 residents reviewed for accidents in a sample of 4. This failure resulted in R1 sustaining a laceration to her head requiring 14 staples and 8 sutures, a fracture to the second digit of the right foot, left nasal bone fracture with deviation of the septum, and bruising to the lower abdomen and upper thighs. Findings include: 1. R1's admission Record documented an admission date of 11/30/20 with diagnoses that included Parkinson's disease, difficulty in walking, unsteadiness on feet. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15, indicating R1 was cognitively intact. On 12/19/24 at 10:25 AM, R1 was sitting in a wheelchair and had bruising noted below both eyes and a pink scar on her forehead disappearing into her hair line. R1 said she was involved in an accident in 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 before2023-07-27 · 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 safely transfer and immediately report a fall for one (R22) of seven residents reviewed for risk of falls in the sample of 34. This failure resulted in R22 falling against the toilet during a one assist transfer and sustaining a rib fracture with resulting pain. This past noncompliance occurred between 6/17/23 and 7/12/23. Findings include: R22's Face Sheet documented an admission date of 6/10/23 and diagnoses including Alzheimer's Disease, Chronic Obstructive Pulmonary Disease, Diabetes Type 2, and Heart Failure. R22's 6/30/23 Care Plan dated documented a problem area, I am at risk for falls related to unsteady gait/balance, (and a) history of falls. R22's Fall Risk assessment dated [DATE] documented a score of 11, indicating that R22 is at risk for falls. R22's Minimum Data Set, dated [DATE] documented that R22 requires extensive assistance from at least two staff members for transfers and toileting. Nurses Notes documented 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 · Past Non-Compliance
  • Potential for harm · F2026-01-07 · 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 interview and record review the facility failed to ensure they had sufficient staff to meet the needs of the residents timely for 4 of 4 (R1, R2, R13, and R14) residents reviewed for staffing in the sample of 14. This has the potential to affect all 67 residents who currently reside at the facility.Findings Include:The facility Resident Matrix dated 1/5/2026 documents 67 residents currently reside at the facility.1. R2's admission Record with a print date of 1/6/26 documents R2 was admitted to the facility on [DATE] with diagnoses that includes morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis.R2's MDS (Minimum Data Set) dated 10/31/25 documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R2 is cognitively intact. This same MDS documents R2 is occasionally incontinent of bowel and bladder.R2's current Care Plan documents a Focus area of I am occasionally incontinent of bowel and bladder. Date Initiated: 11/01/2025. This Focus area includes interventions…

    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 · Ecited before2026-01-07 · tag F0550 — failed to protect resident dignity and rights — pattern
    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 interview and record review the facility failed to ensure call lights were answered timely for 4 of 4 (R1, R2, R13, and R14) residents reviewed for call lights in the sample of 14. Findings Include:1. R2's admission Record with a print date of 1/6/25 documents R2 was admitted to the facility on [DATE] with diagnoses that includes morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis.R2's MDS (Minimum Data Set) dated 10/31/25 documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R2 is cognitively intact. This same MDS documents R2 is occasionally incontinent of bowel and bladder.R2's current Care Plan documents a Focus area of I am occasionally incontinent of bowel and bladder. Date Initiated: 11/01/2025. This Focus area includes intervention of, .Ensure call light is within reach and answer promptly. Date Initiated: 11/01/2025.On 1/5/26 at 11:38 AM, R2 stated it sometimes takes a long time for facility staff to answer his call light. R2 stated he had waited…

    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 · D2026-01-07 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide appropriate sized incontinence briefs for 2 of 4 (R2 and R13) residents reviewed for accommodation of needs in the sample of 13.Findings Include: 1.R2's admission Record with a print date of 1/6/25 documents R2 was admitted to the facility on [DATE] with diagnoses that include morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis.R2's MDS (Minimum Data Set) dated 10/31/25 documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R2 is cognitively intact. This same MDS documents R2 is occasionally incontinent of bowel and bladder.R2's current Care Plan documents a Focus area of I am occasionally incontinent of bowel and bladder. Date Initiated: 11/01/2025. This Focus area includes interventions of, Apply barrier cream after each incontinent episode Date Initiated: 11/01/2025.Check and Change Q (every)2-3H (hours) and PRN (as needed). Date Initiated: 11/01/2025.On 1/5/26 at 11:38 AM, R2…

    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 · D2026-01-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure residents skin was free from moisture associated skin damage (MASD) for 2 of 3 (R2 and R3) residents reviewed for skin care in the sample of 14.Findings Include:Findings Include:1.R2's admission Record with a print date of 1/6/25 documents R2 was admitted to the facility on [DATE] with diagnoses that includes morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis.R2's MDS (Minimum Data Set) dated 10/31/25 documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R2 is cognitively intact. This same MDS documents R2 is occasionally incontinent of bowel and bladder.R2's current Care Plan documents a Focus area of I am occasionally incontinent of bowel and bladder. Date Initiated: 11/01/2025. This Focus area includes interventions of, Apply barrier cream after each incontinent episode Date Initiated: 11/01/2025.Check and Change Q (every)2-3H (hours) and PRN (as needed). Date Initiated:…

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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure incontinence care was provided using current standards of practice for 2 of 2 residents (R2 and R13) reviewed for incontinence care in the sample of 14.Findings Include:1. R2's admission Record with a print date of 1/6/25 documents R2 was admitted to the facility on [DATE] with diagnoses that includes morbid obesity, unsteadiness on feet, heart disease, and osteoarthritis.R2's MDS (Minimum Data Set) dated 10/31/25 documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R2 is cognitively intact. This same MDS documents R2 is occasionally incontinent of bowel and bladder.R2's current Care Plan documents a Focus area of I am occasionally incontinent of bowel and bladder. Date Initiated: 11/01/2025. This Focus area includes interventions of, Apply barrier cream after each incontinent episode Date Initiated: 11/01/2025.Check and Change Q (every)2-3H (hours) and PRN (as needed). Date Initiated: 11/01/2025.On…

    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 before2025-12-02 · 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 interview and record review the facility failed to ensure residents were free of falls during a mechanical lift transfer for 1 of 3 (R6) residents reviewed for falls in the sample of 19.This past non-compliance occurred between 10/1/25 and 10/8/2025.Findings Include:R6's admission Record with a print date of 11/29/25 documents R6 was admitted to the facility on [DATE] with diagnoses that include peripheral vascular disease, acquired absence of left leg, hypertension, anemia, history of falls, unsteadiness on feet, abnormal posture.R6's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status score of 09, indicating a moderate cognitive deficit. This same MDS documents R6 is dependent on staff for transfers.R6's current Care Plan documents a Focus area of I have an ADL (activities of daily living) self-care/mobility performance (functional abilities) deficit that may fluctuate with activity throughout the day right BKA (below knee amputation) with activity throughout the day…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2025-04-03 · 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

    Based on interview, observation and record review, the facility failed to answer call lights in a timely manner for 3 of 12 residents (R6, R7, R8) reviewed for call light response times in a sample of 12. Findings include: 1. On 3/31/2025 at 11:47am, R7 activated her call light and at 12:15pm, V2 (Director of Nursing) responded. On 3/31/2025 at 12:25pm, R7 who was alert to person, place and time stated staff do not answer the call lights very quickly and she frequently has to wait 25-30 minutes for her call light to be answered. R7 said it doesn't matter what time of day it is or who is working, call lights are not answered very quickly. R7 said the resident council brings up the call light issue, but nothing has changed. 2. On 3/31/2025 at 10:55am, R6 who was alert to person, place and time stated she usually has to wait about 30 minutes for her call light to be answered. R6 said resident's have complained in resident council about the call light response times. 3. On 3/31/2025 at 12:00pm, R8 who was alert to person, place and time stated staff do not answer her call light very…

    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 before2024-10-24 · 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 residents received timely assistance with toileting and showers for 2 (R1 and R4) of 4 residents reviewed for Activities of Daily Living (ADL's) in the sample of 10. Findings Include: 1. R4's admission Record with a print date of 10/23/24 documents R4 was admitted to the facility on [DATE] with diagnoses that include sepsis, polyosteoarthritis, malignant neoplasm, dysthymic disorder, hypertension, heart disease, atrial fibrillation, syncope and collapse. R4's MDS (Minimum Data Set) dated 10/16/24 documents a BIMS (Brief Interview for Mental Status) score of 13 which indicates R4 is cognitively intact. This same MDS documents R4 requires substantial/maximal assistance with toilet transfer and moving from a sitting to standing position. R4's current Care Plan documents a Focus Area of I have an ADL (Activities of Daily Living) self-care/mobility performance (functional abilities) deficit that may fluctuate with activity throughout 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 · Fcited before2024-05-31 · 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 properly label/cover food items and prevent cross contamination. This failure has the potential to affect all 67 residents residing in the facility. The Findings Include: On 5/28/24 at 10:00 AM, during the initial tour of the kitchen, the following items were found not to be labeled and/or covered in the refrigerators: drink pitchers not labeled, desert bowls that were covered but not labeled, shredded cheese not labeled, and salad not labeled. The cake was found to be uncovered on a tray and not labeled. During the initial kitchen tour, the bulk sugar container had a cup with no handle in the container. Other food debris that was brown in color was seen in a bulk sugar container, and the lid to sugar container was sticky and had dust and food substance stuck to it. On 5/28/24 at 11:00 AM, V12 (Cook) stated that she will correct these concerns as they have recently lost their dietary manager and they are working through that. The food storage policy dated 2020 documents .1. General storage guidelines to be…

    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 · D2024-05-31 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to refer a resident for a Level II Preadmission Screening and Resident Review (PASARR) for 3 (R40, R15 and R43) of 3 residents reviewed for PASARR's in the sample of 33. Findings Include: 1. R40's admission Record documents an admission date of 11/02/2021 and documents diagnoses including: Bipolar disorder, current episode mixed, unspecified, with diagnosis date of 5/25/22, Major Depressive Disorder, single episode unspecified, with diagnosis date 11/02/2021, and Unspecified Dementia with a diagnosis date of 11/02/2021. R40's current Level 1 PASARR dated 11/03/2021 documents long term care placement was appropriate. 2. R43's admission Record documents an admission date of 02/19/2019 and documents diagnoses including: Major Depressive Disorder recurrent, unspecified with diagnosis date of 04/21/2019, and Psychotic disorder with delusions due to known physiological condition with diagnosis date of 06/12/2019. R43's current Level I PASARR dated 05/10/2023 documents a diagnosis of Major Depression but did not include Psychotic…

    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
Show the remaining 8 citations
  • Potential for harm · Dcited before2024-05-31 · 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

    Based on interview and record review the facility failed to ensure dependent residents received timely assistance for toileting needs for 2 of 2 residents (R48 and R55) reviewed for Activities of Daily Living in the sample of 33. The findings include: 1. R48's admission Record documented an original admission date to the facility as 11/30/2022. R48 is documented with diagnoses including Parkinson's Disease, Blindness, one eye, Difficulty walking, Pain in right knee and unsteadiness on feet. R48's Minimum Data Set (MDS) with an Assessment Reference Date of 05/26/2024 documented a Brief Interview for Mental Status Score of 15, indicating R48 is cognitively intact. The same MDS documented in Section GG0130, toileting assistance is documented as substantial / maximal assistance. Section GG0170 also documented substantial / maximal assistance status for toileting transfers. Section H0300 documented R48 as being occasionally incontinent. R48's Plan of Care documented a focus area of ADL (Activities of Daily Living) Self Care / Mobility Performance Deficit with a date initiated as…

    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 before2024-05-31 · 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

    Based on interview and record review the facility failed to implement interventions to prevent falls with injuries for 1 of 1 (R169) residents reviewed for falls in a sample of 33. The Findings Include: R169's admission Record documents an admission date of 5/24/24. The admission record also includes the following diagnoses: unsteadiness on feet, abnormalities of gait and mobility, and lack of coordination. R169's admission MDS (Minimum Data Set) dated 5/27/24 documents that R169 has a BIMS (Brief Interview of Mental Status) score of 15, indicating that R169 is cognitively intact. This same MDS documents in Section GG that R169 needs supervision/touching assistance-helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently. R169's Care Plan under the focus area of I have an ADL (Activities of Daily Living) self-care/mobility performance (functional abilities) deficit that may fluctuate with activity throughout the day related to recent history of closed…

    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 before2024-05-31 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    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 therapeutic diets were provided as ordered for 1 of 2 residents (R18) reviewed for therapeutic diets in the sample of 33. The Findings Include: R18's admission Record documents an admission date of 01/30/2024. admission diagnoses listed include: Atrial Fibrillation, Atherosclerotic heart disease if native coronary artery, heart failure, and essential hypertension. R18's Physician's Order Sheet documents a dietary order of NAS (No Added Salt), regular texture, regular consistency dated 1/30/24. On 05/28/2024 at 11:57 A.M. R18 stated that she never receives the diet that is on the card. R18 stated that she always gets other foods not on the card. Tray diet card documents R18's diet as Heart Healthy. The tray card stated R18 should receive Meatballs with spiral noodles, Italian blend vegetables, garlic bread, beverage and butterscotch bars. At this time, R18 received Ravioli, Italian blend vegetables, garlic bread, and pudding. The facility Diet Spreadsheet documents on day 24, Tuesday (5/28/24), 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-07-27 · 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 properly sanitize dishware. This has the potential to affect all 61 residents residing in the facility. Findings include: On 07/23/23 at 11:30 AM, the chemical sanitizer level in the dish machine was checked by V13 (Dietary Aide) for chlorine sanitizer and did not register any sanitizer on the test strip. After looking at the container of sanitizer and seeing it was empty, V13 (Dietary Aide) stated, the container ran out last night (07/22/23). On 07/23/23 at 11:50 AM, a new container of sodium hypochlorite solution (chlorine) sanitizer was brought into the kitchen and utilized for the dish machine. V13 (Dietary Aide) had to purge the dish machine for approximately two minutes before the sanitizer was pulled from the sanitizer container to the output into the water of the dish machine, indicating there was no sanitizer in the line. On 07/23/23 at 1:00 PM, V7 (Dietary Manager) stated there should be sanitizer in the dish machine, they are working out new procedures with her being new and some of the staff being…

    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 · D2023-07-27 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 update restraint assessments and consents for one (R35) of one resident reviewed for restraints in the sample of 34. Findings include: On 07/23/23 at 10:20am, R35 was observed in his room sitting in a high back wheelchair wearing a lap belt. R35 was awake and alert but did not respond verbally. R35's Face Sheet documented an admission date of 1/18/19, and diagnoses including Personal History of Traumatic Brain Injury, Abnormal Posture, and Unspecified Behavioral Syndromes Associated with Physiological Disturbances and Physical Factors. R35's Care Plan dated 6/26/23 documented a problem area, I use physical restraints: wheelchair seat belt related to uncontrolled body movements. (I am) To wear seatbelt when up in the wheelchair for safety and positioning, with a corresponding intervention, Ensure valid consent on chart prior to initiating restraint. R35's Minimum Data Set, dated [DATE] documented that R35 has a Brief Interview for Mental…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-27 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the correct textured diet was provided to one (R9) of one resident reviewed for pureed diets in a sample of 34. This past non-compliance occurred on 06/26/23. R9's Diagnoses Sheet documents admission to this facility on 06/05/09 with a primary diagnosis of Alzheimer's dementia with hemiplegia, and an additional diagnosis of dysphagia dated 06/30/23. Her most recent Minimum Data Set (MDS) dated [DATE] indicates she is moderately cognitively impaired with a Brief Interview for Mental Status (BIMS) of 8. She is assessed to require set-up with supervision only for eating. R9's Care Plan dated 02/16/15 and updated most recently includes - (R9) has a swallowing problem r/t (related to) loss of food/liquids from mouth while eating. NAS (no added salt), mechanical soft pureed meat, honey thickened liquids, patient may have one sip of liquid from cup at a time, staff to supervise during all intake, 8 oz (ounce) of fortified milk with meals,…

    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 · Past Non-Compliance
  • Potential for harm · E2022-08-11 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 update and implement the Pneumococcal Immunization policy and failed to provide Pneumococcal Immunization in accordance with CDC (Centers for Disease Control and Prevention) recommendations for 14 of 15 residents (R7, R16, R17, R42, R13, R28, R35, R10, R31, R22, R26, R11, R5, R33) reviewed for Pneumococcal Immunizations in the sample of 35. Findings include: On 8/10/22 at 3:30 PM, V2 (Director of Nursing) stated she's aware that the Pneumonia vaccines have not been given and the information regarding the resident Pneumonia vaccines hasn't been done. V2 stated they concentrated on taking care of the Covid-19 vaccines and all the documentation associated with Covid-19. V2 also stated they hired V3 (Registered Nurse/Infection Preventionist), and she will be focusing on the Flu and Pneumonia education and vaccines. On 8/9/22 at 1:00 PM, R42 stated that no one talked to her about getting the pneumonia vaccine. R24's Minimum Data Set (MDS) dated [DATE]…

    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 · D2022-08-11 · 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 observation, interview and record review, the facility failed to ensure that there was no cross contamination during medication pass for 2 of 5 residents (R45, R49) reviewed for infection control in the sample of 35. On 8/9/22 at 8:30 AM, V4 (Licensed Practical Nurse) was observed administering medications to R45 and R49 and did not wash her hands or use alcohol gel between each resident. On 8/10/22 at 3:45 PM, V2 (Director of Nursing) stated she will in-service the nurses again on handwashing and infection control. V2 stated V4 has access to hand gel and should have used it between residents. The facility's undated Medications Administration Oral policy documents under Important Points: line #2 Hand washing is to be performed before beginning, and after each resident contact unless antibacterial agent is used.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to HAVEN HEALTHCARE — 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 →

RatingThis homeChain avg
Overall 2 of 51.1+0.9 vs chain
Health inspection 3 of 51.7+1.3 vs chain
Staffing 1 of 51.0≈ chain avg
Quality measures 2 of 51.7+0.3 vs chain
The other 6 homes this chain runs (chain average 1.1★, per CMS)

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

Owner / managerTypeRoleSince
ECAPITAL HEALTHCARE CORPOrganization5% OR GREATER SECURITY INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 03/01/2025
GLAT, DAVIDIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
CARR, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
FLICK, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
HAYNES, LORIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2025
KATZ, HAROLDIndividualTRUSTEE OF THE SNFsince 03/01/2025
ROTHNER, WILLIAMIndividualTRUSTEE OF THE SNFsince 03/01/2025
HAVEN HEALTHCARE LLCOrganizationADP OF THE SNFsince 03/01/2025
ISRAEL, LEVIIndividualADP OF THE SNFsince 03/01/2025

CMS files one row per role, so the 15 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$6.8M
Net patient revenuemost recent cost report
-8.0%
Operating marginrevenue minus expenses
$1.1M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 10%Medicare 15%Other / private 75%

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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

$323per resident / day
operating cost
$9,815per month
≈ monthly operating cost
$299per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 145918. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-05-31, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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