Fireside House Of Centralia

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.

44.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 124 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 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 0.53 therapist hours per resident per day in 2026Q1 — more than 84% 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 98 beds and averages 61.8 residents a day — about 63% occupied, or roughly 36 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.04 hrs/resident/day on weekends vs 3.69 on weekdays — 18% thinner on weekends. RN hours go from 0.64 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-05-28 · 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 ensure a cognitively impaired resident was adequately supervised to prevent her exiting the facility without staff knowledge for 1 (R1) of 3 residents reviewed for accidents and supervision in the sample of 3. This failure resulted in R1, who has a diagnosis of dementia and was already on 15-minute visual checks for previous exit seeking behavior, exiting the facility at an unknown time without staff knowledge or supervision, walking approximately 1.3 miles away from the facility and was found by two unknown teenage female citizens who took R1 to the local emergency room. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 5/15/2025 at approximately 7:45pm when R1 exited the facility and was found by two teenage girls approximately 1.3 miles from the facility. V1 (Administrator) was notified of the Immediate Jeopardy on 5/21/2025 at 4:30pm. The surveyor confirmed by observation, record review and interview that the immediacy was removed on 5/22/2025. Findings include: R1's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-10-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to protect a resident's right to be free from neglect when they failed identify a change in condition as emergent and to ensure a system was in place to obtain timely emergency transport for 1 of 3 (R1) residents reviewed for neglect in the sample of 9. This failure resulted in R1 not being transported to the hospital emergency room for an hour while experiencing worsening symptoms of sluggish dilated pupils, temperature of 95.7, difficulty with speech, slow response time, and facility staff were unable to obtain an oxygen saturation. R1 expired in the hospital emergency room and cause of death is documented as a massive gastrointestinal bleed. This failure has the potential to affect all 37 residents residing at the facility. These failures resulted in an Immediate Jeopardy, which was identified to have begun on 10/04/23 when the facility failed to ensure R1 received timely medical care when they failed to recognize an emergent situation and call 911…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-10-23 · 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 interview and record review the facility failed to identify a decline in condition as an emergent situation and ensure a system was in place to obtain timely emergency transport for 3 of 6 (R1, R8, and R9) residents reviewed for hospital transfers in the sample of 9. This failure resulted in R1 not being transported to the hospital emergency room for an hour while experiencing worsening symptoms of sluggish dilated pupils, temperature of 95.7, difficulty with speech, slow response time, and facility staff were unable to obtain an oxygen saturation. R1 expired in the hospital emergency room and cause of death is documented as a massive gastrointestinal bleed. This failure has the potential to affect all 37 residents residing at the facility. These failures resulted in an Immediate Jeopardy, which was identified to have begun on 10/04/23 when the facility failed to ensure R1 received timely medical care when they failed to recognize an emergent situation and call 911 after the ambulance provider they…

  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 before2024-02-29 · 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 keep a resident's environment free of accident hazards and failed to implement new interventions to reduce falls for 7 of 10 residents (R2, R3, R9, R41, R49, R51, R54) reviewed for falls in a sample of 40. This failure resulted in R2 falling out of bed on 11/29/2023 due to a loose bed enabler and suffering a fractured left acetabular medial wall, a fractured iliopubic junction fracture and a fractured pubic rami. Findings include: 1. According to R2's face sheet, R2 was admitted on [DATE] with diagnosis of Parkinson's, Muscle Weakness, Muscle wasting and Atrophy, Alzheimer's, Osteoporosis and Convulsions among others. R2's MDS (Minimum Data Set) assessment dated [DATE] documents R2 needs substantial assistance for dressing, showering and bed mobility. This same MDS documents R2 is dependent on staff for toileting and transferring. R2's MDS dated [DATE] documents R2 was assessed with the BIMS (Brief Interview for Mental Status) in which R2 scored 7 out…

  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 · F2026-02-20 · 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 that the food storage area was kept clean and swept and failed to ensure that policies and procedures were followed to prevent cross contamination. This failure has the potential to affect all 60 residents who reside in the facility. The Findings Include:On 02/17/2026 at 9:23 AM during the initial tour of the kitchen, the following items were observed:Dry storage room floor was littered with hair restraints, food crumbs, and spilled cereal.The lid on the cereal storage container for the corn flakes was broken not allowing it to have an air tight seal and potential for pests to enter and become stale.A handled scoop was found in the bulk flour bin.The ice machine interior flap had a pink substance found on it indicating that it needed sanitized.The brown sugar bowl on the serving steam table was open with a spoon in it and no staff present.On 2/17/26 at 11:00 AM, V4 (Cook) was observed preparing the pureed and mechanical soft food items. During this time, V4 opened the oven door, opened a drawer for…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-20 · tag F0808 — failed to follow doctor-ordered diets — pattern
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  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 resident diet orders were provided as ordered for 4 of 4 (R8, R22, R23, and R26) residents reviewed for diet order accuracy in a sample of 44.The Findings Include:R8's admission Profile documents an admission date of 7/30/24. This same document includes the following diagnoses: dementia, type 2 diabetes, and dysphagia. The Order Listing Report documents that R8's diet order is easy to chew texture and regular/thin liquids. R22's admission Profile documents an admission date of 10/7/25. This same document includes the following diagnoses: Type 2 diabetes, depression and hypertension. The Order Listing Report documents R22's diet order is regular diet, regular/thin liquids and double protein with all meals, no double entrée. R23's admission Profile documents an admission date of 5/23/24. This same document includes the following diagnoses: parkinsonism, pressure of the sacral region, and hypertension. The Order Listing Report documents R23's diet order as: Regular diet, regular/thin liquids, hand cut meat…

  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 · D2026-02-20 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to maintain the desirable water temperature in the facility shower for 1 (R26) of 5 residents reviewed for environment in a sample of 44.Findings include:R26's admission Record documented an admission date of 1/15/26 with diagnoses including major depressive disorder, need for assistance with personal care, muscle weakness, abnormalities of gait and mobility, lack of coordination. R26's 1/21/26 Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 15, indicating R26 was cognitively intact. On 2/17/26 at 2:08 PM, R26 said the facility shower's water temperature did not get hot enough for her liking.On 2/18/26 at 1:53 PM, a digital metal stemmed thermometer used for taking temperatures for this survey was checked for accuracy using the ice-point method and was accurate within +/- 2 degrees Fahrenheit (F).On 2/18/26 at 2:50 PM, the west hall's shower room's shower water temperature was 90.6 degrees F and the sink's water temperature was 94.8 degrees F.On 2/18/26 at 3:06 PM, V8…

  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 · D2026-02-20 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review the facility failed to ensure that significant change assessments were completed timely for 1 of 1 (R63) residents reviewed for significant changes in a sample of 44.The Findings Include:R63's admission Profile sheet documents an admission date of 7/2/2022. This same document includes the following diagnoses: Hemiplegia and Hemiparesis, Type 3 Diabetes and Dysphagia.R63's current physician order sheet shows that Hospice was started on 10/29/2025. R63 did not have a significant change Minimum Data Set Assessment completed at this time.A Minimum Data Set submission report documents that R63's target date for her significant change assessment was 11/4/2025 and was submitted on 2/16/2026. There is a message documenting that the assessment completed late: is more than 14 days after assessment reference date.On 2/19/26 at 2:00 PM, V2 (Director of Nursing) stated that she did not complete the significant change assessment for R63 at the time of the Hospice order. V2 stated that she will get started on submitting this.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review the facility failed to timely submit quarterly assessments for 1 of 1 (R45) residents reviewed for timely submission of assessments in a sample of 44.The Findings Include: R45's admission Record documents an admission date of 7/11/2024. This same document includes the following diagnoses: heart failure, anxiety disorder and chronic kidney disease.R45's quarterly Minimum Data Set (MDS) Assessment with a target due date of 1/13/2026 did not document that it was transmitted.A Final Validation Report documents that R45's MDS with a target date of 1/13/2026 was submitted on 2/19/2026 with a warning that the assessment was completed late due to being more than 14 days after the assessment reference date.On 2/19/2026 at 2:00 PM, V2 (Director of Nursing) stated that MDS was in progress and not completed and would work on getting that completed today and submitted.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review the facility failed to timely submit discharge assessments for 1 of 1 (R36) residents reviewed for discharge assessments in a sample of 44.The Findings Include:R36's admission Record documents an admission of 9/2/25. The same document includes the following diagnoses: Type 2 Diabetes, Hypertension, Cognitive Communication Deficit, and anemia.R36's discharge Minimum Data Set (MDS) Assessment documented it was completed but not submitted on 9/30/2025.A Final Validation Report documents that R36's discharge MDS with a target date of 9/30/2025 was transmitted on 2/19/2026 with the warning error: Record submitted late, the submission date is more than 14 days after the assessment reference date.On 2/19/2026 at 2:00 PM, V2 (Director of Nursing) confirmed that R36's discharge assessment had not been transmitted.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview the facility failed to provide assistive devices at meals as ordered for 3 of 3 residents (R3, R25 and R55) in a sample of 44 reviewed for assistive devices at meals. The Findings Include:R3's admission Profile documents an admission date of 11/24/25. This same document includes the following diagnoses: Type 2 Diabetes Mellitus, unspecified lack of coordination, and major depressive disorder. R3's diet listed on the Facility Order Listing Report is as follows: Regular texture, regular/thin liquids, 8 ounces of extra fluids and built-up silverware to assist while eating.R25's admission Profile documents an admission date of 8/6/25. This same document includes the following diagnoses: Major Depressive Disorder, Anxiety Disorder, and Alzheimer's Disease. R25's diet listed on the Facility Order Listing Report is as follows: easy to chew texture, regular/thin liquids and build up silverware and divided plate with all meals.R55's admission Profile documents an admission date of 8/14/25. This same document includes the following diagnoses:…

  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 · Dcited before2026-02-20 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow Enhanced Barrier Precaution (EBP) infection control precautions for 1 of 6 residents (R11) residents reviewed for infection control in the sample of 44.The findings include:R11's admission Record documented an admission Date of 8/4/25 and listed Diagnoses including Diabetes Type 2, Chronic Obstructive Pulmonary Disease, Hypertension, and Gastrostomy Status. R11's Minimum Data Set, dated [DATE] documented that R11 was receiving enteral feeding. R11's Care Plan dated 1/29/26 documented a problem area, (R11) On EBP due to gastrostomy tube.On 02/18/2026 at 10:50am, V7 (Licensed Practical Nurse) was observed administering G (Gastrostomy) Tube medications to R11. A sign on R11's door read: (EBP) Enhanced Barrier Precautions. Hanging on the door were PPE (Personal Protective Equipment) supplies including gowns, gloves, and N95 masks. After handwashing, V7 donned gloves, but no gown, and entered the room. Following the procedure, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to maintain a functioning call light system for 2 (R15 and R54) of 5 residents reviewed for environment in a sample of 44.Findings include:1. R15's admission Record documented an admission date of 3/3/25 with diagnoses including pneumonia, sepsis, and anemia. R15's 12/25/25 Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 11, indicating R15 was moderately cognitively impaired.On 2/17/26 at 11:11 AM, R15 and R54's room was observed to have a call light box on the wall with capped off wires with no cord call lights present. R15 was resting in bed with his eyes closed with an analog call bell sitting on his bedside table. On 2/17/26 at 1:57 PM, R15 was very hard of hearing and did not answer some questions appropriately. R15 was asked if he had a call light and R15 said no. R15 was asked what the analog call bell sitting on his bedside table was for and R15 said it was his bell, but he didn't really use it. R15's analog call bell was rung once, and staff did come to R15's room.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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-10 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure sufficient staff to meet the needs of the residents timely. This has the potential to affect all 54 residents currently residing at the facility. Findings Include: The Midnight Census Report dated 7/2/25 documents there are 54 residents residing at the facility. R8's admission Record with a print date of 7/9/25 documents R8 was admitted to the facility on [DATE] with diagnoses that include dementia, muscle weakness, and vision loss. R8's Minimum Data Set (MDS) dated [DATE] documents R8 has a BIMS score of 09, indicating a moderate cognitive deficit. This same MDS documents R8 is dependent on staff for transfers. R8's current Care Plan documents a Focus area of Risk for falls. This Focus area includes the intervention mechanical lift for transfers. There are no dates documented on this Care Plan. R8's Order Summary Report dated 7/9/25 includes the following physician order, Mechanical Lift for transfers every shift, with a start 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.

  Nursing and Physician Services 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

$72,182 in federal fines across 3 penalties.

• $10,564 — penalty dated 2025-05-28
• $18,238 — penalty dated 2024-02-29
• $43,380 — penalty dated 2023-10-23

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.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $398K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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