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Arc At Chillicothe

1028 Hillcrest Drive, Chillicothe, IL 61523 · For profit - Limited Liability company · 106 certified beds · (309) 274-2194 Medicare & Medicaid certified

Call the home — (309) 274-2194 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Mar 2026Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation
Insights

This home has serious findings on its record. Read them closely before you consider it.

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 an abuse, neglect, or exploitation citation (F0600), cited Mar 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (30) — 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)

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 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
525 S Sweetbriar Dr · (309) 274-2102 · Call to confirm hours
Pharmacy
603 S 4th St · (309) 274-6261 · Call to confirm hours
Grocery
Kroger0.1 mi
605 S 4th St · (309) 274-6281 · Call to confirm hours
Park
100 Park Blvd · (309) 274-3409 · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 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 improved from 2 to 4 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 rating4★
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 increased17.1%13.4%15.4%worse
Long-stay residents who lose too much weight12.4%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder1.5%0.9%0.9%worse
Long-stay residents with a urinary tract infection0.0%1.5%2.0%better
Long-stay residents with depressive symptoms72.7%54.2%6.5%worse 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 injury1.5%3.1%3.3%better
Long-stay residents whose ability to walk worsened39.3%14.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication20.7%18.3%18.9%typical
Long-stay residents given the seasonal flu vaccine98.5%91.8%95.3%typical
Long-stay residents with pressure ulcers1.8%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control26.7%20.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table4.9%21.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better
Short-stay residents given the seasonal flu vaccine79.6%63.1%79.4%typical
Short-stay residents rehospitalized after admission20.9%26.1%22.6%typical
Short-stay residents with an outpatient ER visit8.5%13.9%12.0%better
Long-stay hospitalizations per 1,000 resident days2.202.021.67worse
Long-stay outpatient ER visits per 1,000 resident days0.762.221.80better

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.

48.0% 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 237 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.0%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
67.2%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 67.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 125 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 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.

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 SNF48.0%CMS range 42.3–52.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 8.6–16.010.7%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 discharge67.2%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 discharge56.0%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 discharge67.2%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 identified61.1%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 setting91.8%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge97.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.6%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 worsened0.6%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 hospitalization5.9%CMS range 3.4–8.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 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

0.49
RN hours/ resident / day
0.52
LPN hours/ resident / day
1.82
Aide hours/ resident / day
2.84
Total nurse hours/ resident / day
0.44
RN hoursweekends
41.5%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 106 beds and averages 89.5 residents a day — about 84% occupied, or roughly 16 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 2.84 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 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 2.60 hrs/resident/day on weekends vs 2.93 on weekdays — 11% thinner on weekends. RN hours go from 0.51 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% 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

11
deficiencies at the latest standard inspection (2026-04-22)
3
at the previous standard inspection (2025-01-31)

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.

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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · Gcited before2026-04-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident with a risk for skin breakdown received accurate skin assessments to identify a newly acquired pressure injury, provide a pressure injury treatment and physician notification promptly and ensure interventions were implemented timely and followed to prevent further injury to an unstageable pressure ulcer for one of four residents (R28) reviewed for pressure ulcers in the sample of 35. This failure resulted in R28 returning from the hospital with an unstageable pressure injury and going five days without a wound treatment order, physician notification, or any wound assessments. Findings include:R28's Census sheet documents R28 is an [AGE] year-old female who admitted to the facility on [DATE].R28's Medical Diagnosis List documents Acute Respiratory Failure, Morbid Obesity, Heart Failure, Anxiety and Depression, Difficulty in Walking, Localized Edema, Acute Kidney Failure, and Osteoarthritis in both feet.R28's Minimum Data…

    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 · F2026-04-22 · tag F0585 — failed to handle grievances — widespread
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 readily available grievance forms and failed to post grievance/complaint procedures in a prominent location throughout the facility. This has the potential to affect all 89 residents residing in the facility. The facility's CMS (Centers for Medicare and Medicaid Services) Form 671 dated 4/20/26 and signed by V1 (Administrator), documents 89 residents reside within the facility.On 4/21/2026 at 10:37 AM R15, R27, R37, R84, and R87 all stated they have never been shown how to fill out a grievance, where the grievance forms are located, how to fill one out anonymously, or who the grievance official is to turn the forms into.On 4/21/26 at 11:00 AM a tour was conducted with V1/Administrator asking V1 to show where the grievance forms are located for the residents and where prominent locations(s) are for the grievance procedure in the building. V1 could not locate the grievance forms herself and thought they may be located at each nurse's desk but was unable to locate them at this time. V1 stated, I am not…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-04-22 · tag F0628 — widespread
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Record Review and Interview, the facility failed to ensure residents and/or resident families are provided with a written notice of transfer when being transferred to the hospital. This failure has the potential to affect all 89 residents residing in the facility.Findings include:On 4/20/26 at 11:00 AM, R13 stated she has been sent back and forth to the hospital multiple times for numerous reasons, while in the facility.R13's current electronic medical record documents, R13, was most recently transferred out of the facility to the hospital on 1/4/26 and again on 2/28/26. This same medical record does not document that written notice of transfer was provided to the resident at the time of transfer.On 4/22/26 at 10:58 AM, V2 (Director of Nursing) confirmed that R13 does not have any written notices of transfer, with a reason for why R13 was being sent to the hospital. V2 stated, We (facility) do not have a formal transfer form that is provided to the residents or their families. We notify the resident's family via telephone, but we do not have a form with the reason 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-04-22 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to offer bedtime snacks to six of six residents (R15, R27, R37, R84, and R87) reviewed for bedtime snacks in the sample of 35.Findings include:R15, R27, R37, R84, and R87 electronic health records do not contain documentation of R17, R18, R27, R30, R38, and R52 being offered or receiving bedtime snacks.On 4/21/26 at 10:45 AM R15, R27, R37, R84, and R87 were in the resident council meeting. R15, R27, R37, R84, and R87 all stated they are not offered bedtime snacks and would like them to have offered them.On 4/21/26 at 2:05 PM V12/Certified Nursing Assistant stated, I have worked at the facility since October 2025. I do not go around and offer snacks at bedtime to all residents who can have them. They can ask for one and we would get them for them, but we don't go around and offer them.On 4/22/26 at 10:58 AM V2/Director of Nursing stated Dietary staff provide a drawer of snacks located at each nurse's station where a resident can ask for a snack.On 4/22/26 at V3/Dietary Manager stated that a dietary aide is scheduled to…

    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 · D2026-04-22 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 report allegations of staff to resident mental abuse and neglect to the facility's abuse coordinator and the state agency for three of four residents (R13, R39, R72) reviewed for abuse in the sample of 35.Findings include: 1. R13's current Care Plan, dated 3/26/26, document R13 has a self-care deficit and requires assistance of one staff member for bed mobility and two staff members for transfers. This same care plan documents a plan initiated on 12/19/24 (R13) is at a high risk for abuse/neglect as noted from abuse screening related to depression. On 4/20/26 at 11:00 AM, R13 was sitting in her wheelchair in common area of the facility. R13 stated about three weeks ago she had an incident with a CNA (Certified Nursing Assistant) being mean to her and she felt like after she complained that the whole crew of staff was upset with her. R13 stated she cannot remember the CNA's name, but she knows it was in the afternoon time. R13 stated I asked her to help me get up and she refused to help. She said No. It hurt my…

    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 · D2026-04-22 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Observation, Interview and Record review, the facility failed to ensure an abuse investigation was conducted and residents were protected from alleged perpetrators of mental abuse and neglect for three of four residents (R13, R39, R72) reviewed for abuse in the sample of 35.Findings include:1. R13's current Care Plan, dated 3/26/26, document R13 has a self-care deficit and requires assistance of one staff member for bed mobility and two staff members for transfers. This same care plan documents a plan last updated on 6/12/25: (R13) is at a high risk for abuse/neglect as noted from abuse screening related to depression. On 4/20/26 at 11:00 AM, R13 was sitting in her wheelchair in common area of the facility. R13 stated about three weeks ago she had an incident with a CNA (Certified Nursing Assistant) being mean to her and she felt like after she complained that the whole crew of staff was upset with her. R13 stated she cannot remember the CNA's name, but she knows it was in the afternoon time. R13 stated, I asked her to help me get up and she refused to help. She said, No.…

    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 · D2026-04-22 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 residents Minnimum Data Set (MDS) assessments were completed accurately to reflect insulin usage for one of 24 residents (R2) reviewed for MDS accuracy in the sample of 35.Findings include:On 4/20/26 at 1:55 PM, R2 was sitting in her room watching television. R2 stated she does have a diagnosis of Diabetes, but she is able to control it with oral medication. R2 stated she does not have to take insulin injections.R2's Physician Order sheet, dated 12/26/25 through 4/22/26 and includes current and discontinued medications, does not document R2 is prescribed an insulin category medication.R2's MDS assessments dated 1/2/26, 1/22/26 and 3/16/26 all document that R2 received one insulin administration in the last seven days.On 4/22/26 at 11:10 AM, V18 (Licensed Practical Nurse/ MDS coordinator) confirmed that R2's MDS assessments have been coded for insulin, and that R2 does not receive insulin. V18 stated, It was marked due to her order for Trulicity (injectable glucagon-like peptide-1 (GLP-1)) which is a…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident's fingernails were kept clean and trimmed for one of one resident (R60) reviewed for ADLs (Activities of Daily Living) in the sample of 35.Findings include:R60's admission Record documents R60 is a [AGE] year-old female who admitted to the facility on [DATE], with the following but not limited to, diagnoses: Senile Degeneration of Brain, Age-Related Osteoporosis, Frontotemporal Neurocognitive Disorder, Hypertension, Chronic Kidney Disease, Dementia, and Major Depressive Disorder.R60's MDS (Minimum Data Set) Assessment, dated 2/25/26, documents R60 is severely cognitively impaired and receives hospice services.R60's current Care Plan documents R60 requires assistance of one staff assistance with personal hygiene.On 4/20/26 at 11:32 AM R60 was sitting in the dining room in her wheelchair at a table. All R31's fingernails were long (past fingertips), jagged, and had brown debris underneath. On 4/20/26 at 11:35 AM V4/CNA…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to implement a range of motion program for two of two residents (R7 and R14), with known functional limitations, in a sample of 35. 1. R7's facility admission record documents that R7 was admitted to the facility on [DATE] with the following diagnoses: Relapsing-Remitting Multiple Sclerosis, Paraplegia, Muscle Wasting and Atrophy. R7's current Physician Order Sheet, dated April 2026 includes the following physician orders: No Weight Bearing to the right lower extremity; Ankle brace to the right ankle. R7's current Restorative Assessment, dated 2/9/26 documents R7 requires staff assistance for all activities of daily living, would benefit from a range of motion program, has a functional limitation in the bilateral upper and lower extremities and has paralysis in the bilateral upper and lower extremities. R7's current Minimum Data Set Assessment, dated 2/9/26 documents R7 is alert and oriented with a brief interview for mental status as a 13 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 · Dcited before2026-04-22 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 check gastric tube feeding residual prior to administering an enteral feeding for two of two residents (R9 and R34) reviewed for gastric tube feedings in a sample of 35.Findings include:1. R9's current Physician Order Sheet, dated April 2026, includes the following diagnoses: Dysphagia Following Cerebral Infarction; Gastrostomy Status and the following physician orders: Check tube placement before feeding, flush(ng) and meds (medications). R9's current care plan includes the following interventions: Check for tube placement and gastric contents/residual volume per facility protocol and record. On 4/21/2026 at 8:42 A.M., V8/Registered Nurse (RN) prepared to administer medications for R9. V8/RN applied a gown and gloves and entered R9's room. V8/RN connected a 60 CC (Cubic centimeter) syringe to R9's gastronomy tube, and without checking tube placement, flushed R9's gastrostomy tube with 30 cc's of water, added pre- mixed medications and administered 325 cc's of a prescribed formula, followed by 50 cc's of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-22 · 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

    Based on observation, interview, and record review, the facility failed to don the required personal protective equipment during high-contact care for two of five residents (R11 and R34) reviewed for infection control in a sample of 35.Findings include: 1.R34's current Physician Order Sheet documents EBP, enhanced barrier precautions. On 4/20/26 at 10:00am, V13, Licensed Practical Nurse, washed her hands and applied gloves. V13 opened the cap on the gastrotomy tube and flushed it with 30ml (Milliliter) of water. V13 then poured 60ml at a time of ordered enteral feeding to equal 240ml. V13 did not apply personal protective equipment before administering R34's enteral feeding. On 4/22/26 at 8:50am, V13 verified that R34 is on enhanced barrier precautions because of his gastrostomy tube. V13 stated that she did not put on a gown prior to administering R34's enteral feeding. On 4/22/26 at 11:30am, V17, Infection Preventionist, stated that the appropriate personal protective equipment is to be donned before any high-contact care. 2. R11's current Care Plan, dated 8/6/25, documents, (R11)…

    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
Show the remaining 19 citations
  • Potential for harm · D2026-03-04 · 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

    Based on interview, and record review, the facility failed to prevent abuse for two (R7 and R8) of three residents reviewed for abuse in a sample of eight.Findings include:Facility Initial abuse investigation, dated 2/11/26, for R7 and R8 documents the following: On 2/11/2026 at approximately 2:40pm notified of alleged Resident to Resident Contact: Residents separated immediately.Facility Final abuse investigation, dated 2/12/26, documents the following: (R7) stated, I did not like the conversation (R8) was having with another resident; (R8) gave me the finger and said mind your own business. (R8) then used his open hand and made physical contact on her stomach area and (R7) made physical contact with (R7) on his chest area with her left hand. Two staff members overheard the argument in dining room and immediately separated the two of them.Facility interviews dated 2/11/26 documents the following: V11/visitor stated V11 saw R7 trying to hit R8. Both were yelling back and forth. R8 tried hitting/hit R7, and R7 started hitting R8 again. R7 kept leaning forward trying to reach for R8;…

    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 · D2025-10-14 · 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 record review and interview the facility failed to ensure the resident's environment was free of hazards to prevent falls for one of three residents (R1) reviewed for accidents in the sample of five.Findings include:R1's Progress Notes dated 8/16/25 at 12:29 PM and signed by V5 (RN/Registered Nurse) documents, Per (V6/CNA/Certified Nursing Assistant), (V6) tripped in (R1's) room on the air mattress cord and fell, tipping (R1's) wheelchair over. (R1) fell out of her (high back padded wheelchair) and hit her head on the (mechanical lift) machine. (R1) noted to have a small amount of blood present to the right side of (R1's) head. Area cleansed (and) bleeding stopped. PRN (as needed) Dilaudid and Xanax administered. (V3/R1's Power of Attorney/POA) left voicemail to call facility. On call nurse and hospice notified. (V4/R1's Physician) notified. Neuro (Neurological) checks initiated.R1's IDT (Inter-Disciplinary Team) Fall Follow-Up Progress Note dated 8/18/25 at 3:06 PM documents, IDT met regarding recent fall (8/16/25). (R1) was tipped out of wheelchair by (CNA/V6). Root…

    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 · D2025-02-11 · tag F0773 — isolated
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    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 laboratory testing was completed as ordered for 1 of 1 residents reviewed for medical testing in the sample of 5. The findings include: R1's admission record documents he was admitted to the facility on [DATE] with a primary diagnosis of acute respiratory failure with hypoxia (low levels of oxygen). The 1/23/25 follow up visit by V12 (Nurse Practitioner), shows R1 was to have stat lab work, and continue the antibiotic for pneumonia. The order summary sheet shows the lab order was placed in the computer to be completed on 1/24/25. R1 had no labs on record. Progress notes were reviewed and show no documented labs being drawn. On 2/11/25 at 9:53 AM, V3 (R1's daughter) said when R1 was admitted he had been complaining of a cough and sore throat. She said the symptoms were reported to nursing, and obtained an x-ray and he was diagnosed with pneumonia. V3 said she was advised R1 was to have labs done on 1/24/25. When she asked the nurse…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-11 · tag F0777 — isolated
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    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 diagnostic testing results were reported and reviewed in a timely manner for 1 of 1 residents reviewed for medical testing in the sample of 5. The findings include: R1's admission record documents he was admitted to the facility on [DATE] with a primary diagnosis of acute respiratory failure with hypoxia (low levels of oxygen). The 1/17/25 resident care and screening assessment documents R1 to have moderate cognitive impairment. On 1/13/25, V12 (Nurse Practitioner-NP) ordered R1 to have a repeat chest x-ray with a diagnosis of history of bilateral pleural effusions (fluid in the lung tissues). The order was noted by nursing two days later 1/15/25. The x-ray results of the 1/15/25 chest x-ray show right basilar opacity. Correlate clinically for atelectasis (collapse of a lung or section of a lung), chronic scarring, edema, and/or pneumonia. The 1/15/25 x-ray report shows it was reported on 1/15/25 at 9:24 AM, however, the report with orders shows…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-01-31 · 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 ensure the staff completely covered hair in a sanitary manner while in the kitchen; and failed to ensure a chemical product was not stored in an unlocked lower cabinet in the dining room. These failures have the potential to affect 89 of the 90 residents who consume food in the facility (R75 was nothing by mouth/NPO). Findings include: The facility's Dietary-Staff Hygiene/Hair Nets Policy dated 9/2023 documents: Guidelines: 2.D. Hairnets or coverings shall be worn at all times in the Dietary Department and applied appropriately to keep hair from contacting exposed food, clean utensils and single-service/use items if unwrapped. The facility's Housekeeping Chemical Use Procedures Policy dated 11/1/12 documents: A. Chemical Use Rules 1. All chemicals must be in users line of sight at all times or stored in a locked cabinet or room. On 1/28/25 at 9:15am, V12 Dietary Manager was noted in the facility kitchen with dietary staff. V12's bangs at the front of her head were not covered. V12 stated, My hair slipped 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-31 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and interview the facility failed to secure a controlled substance medication in a double-locked location for one of one resident (R74) reviewed for medication storage. Findings include: The facility's Medication Storage policy dated 10/2024 documents, Controlled Substances Storage: 2. After receiving controlled substances and adding to inventory, Facility should ensure Schedule II-V substances are immediately placed into a secured storage area (i.e., a safe, self-locked cabinet, or locked room, .and double-locked inside a medication cart or locked box in locked medication room). On 1/30/25 at 11:55am, a plastic bag containing medications labeled with R74's name, included a medication bottle labeled Lorazepam 0.5mg/milligrams tablets, was in an unlocked cabinet in the facility's South Hall Medication Room. Lorazepam is a Schedule IV, controlled substance prescribed for anxiety. V2 DON/Director of Nursing stated the medication bottles in the bag were (R74's) medications from home. V2 stated, They should have been sent home with family when 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to apply the correct treatment to a wound for one (R6) of three residents reviewed for wounds in a sample list of seven. Findings include: R6's Care Plan initiated 5/6/2024 includes the following diagnoses: Wedge Compression Fracture of Unspecified Lumbar Vertebra, Alzheimer's Disease, Difficulty In Walking, Symptoms And Signs Involving The Musculoskeletal System, and Protein-Calorie Malnutrition. R6's Pressure Ulcer Risk assessment dated [DATE] documents R6 is at moderate risk for skin breakdown. R6's Wound assessment dated [DATE] documents R6 has a facility acquired stage 4 pressure ulcer to the left buttock. R6's physician's order dated 8/12/24 written by V13 (R6's Physician) documents to cleanse the wound to the left buttock, pat dry, apply calcium alginate, and cover with an abdominal (ABD) pad every day and as needed. The Facility's Medication Administration Policy effective 03/2024 states in section II bullet one: Medications must 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to obtain a urinalysis in a timely manner for one of three residents (R1) reviewed for urinary tract infections in the sample of seven. Findings Include: R1's Medical Diagnoses list dated 6/18/2024 documents Acute Kidney Failure, Type 2 Diabetes Mellitus with Hyperglycemia, Difficulty in Walking, and Lack of Coordination. R1's Physician Order written by V13 (R1's physician) dated 6/28/24 documents an order for a urinalysis. R1's Lab Services Urine Microbiology Results dated 7/5/24 document R1's urine was collected on 7/2/23 at 6:45 PM and was sent to the lab on 7/3/24 at 11:24 AM. R1's urine's microbiology results detected Escherichia coli Extended Spectrum Beta-Lactamase (ESBL) 50-100,000 colonies per milliliter. On 8/21/24 at 2:00 PM, V2 Director of Nursing confirmed R1 had received a physician order for a urinalysis. V2 stated V13 ordered a urinalysis to be completed on 6/28/24 at 7:24 AM and staff should have collected and sent the urine sample to the lab the same day or next day at the latest. V2 stated staff should not…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to perform hand hygiene and cleanse buttocks wound during wound care for one of three residents (R1) reviewed for wound care in a sample of three. Findings include: The facility's Dressing Change-(Clean/Non Sterile) policy, revised 11/2022, documents to wash hands, then prepare/open any necessary supplies and place on top of a clean barrier. This form documents to apply gloves, in the event that personal contamination is anticipated, personal protective equipment, such as gown or mask should be worn. Remove the soiled dressing and place in a plastic trash bag. Remove soiled gloves and place in the trash bag. Then wash hands, or if hands are not visibly soiled, and alcohol based hand gel may be used to decontaminate the hands. Apply clean gloves. Clean area/wound with solution specified in treatment order. Apply prescribed ointment and/or dressing per doctor order. R1's current POS, Physician Order Sheet, documents to cleanse R1's gluteal fold and buttocks, pat dry, apply Santyl (debridement ointment) to the upper…

    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 · F2024-02-07 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to offer palatable meals. This failure has the potential to affect 80 residents residing in the facility. Findings include: The facility's Week at a Glance Menu documents lunch for Sunday 2/4/24 is oven fried chicken, baked sweet potato with butter and brown sugar, roasted cauliflower and peach dump cake. Monday 2/5/24 documents lunch is Lasagna, tossed salad/dressing, fruit fluff, garlic bread. Tuesday 2/5/24 is baked turkey crunch, rice pilaf, vegetable medley and bread pudding. On 2/4/24 at 12:15pm, R10 stated he was finished eating. R10 had two pieces of oven fried chicken on his plate. R10 pulled the breading off the chicken and attempted to pull the meat off the bone. R10 stated the chicken was over cooked. The meat R10 pulled off the chicken bone was stringy and very dry. On 2/4/24 at 12:30pm, R16 stated he could not eat his chicken, because it was burnt. R16 had two pieces of chicken on his plate, untouched. R16 ate the rest of the meal. On 2/4/24 at 12:35pm, R18 stated the chicken was over cooked. There…

    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 before2024-02-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to perform hand hygiene and change gloves during meal service. This has the potential to affect 80 residents residing in the facility. Findings include: The facility's Proper Hand Washing and Glove Use policy, dated 2020, documents that employees will wash hands before and after handling foods, after touching any part of the uniform, face, or hair, and before and after working with an individual resident. Gloves are to be changed any time hand washing would be required. This includes when leaving the kitchen for a break or go to another location in the building; after handling potentially hazardous food; or if gloves become contaminated by touching the face, hair, uniform, or other non-food contact surface, such as door handles and equipment. Staff should be reminded that gloves become contaminated just as hands do and should be changed often. When in doubt, remove gloves and wash hands again. On 02/05/24 at 12:00pm, V4, Dietary Aide/Cook grabbed a plate with her left hand then dished up the Lasagna, then grabbed…

    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 before2024-02-07 · 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 observation, interview and record review, the facility failed to provide residents with scheduled showers for two of two residents (R28, R323) reviewed for hygiene in the sample of 42. Findings include: The facilities Bathing/Shower and Tub Bath policy, dated 8/2023, documents Purpose: To ensure resident's cleanliness to maintain proper hygiene and dignity. Guidelines: A shower, tub bath or bed/sponge bath will be offered according to resident's preference, no less than once per week or according to the resident's preferred frequency and as needed or requested. 1. On 2/5/24 at 1:03 PM, R28 was in his room sitting in a wheelchair. R28 had a strong stale urine like smell. R28's current care plan, dated 12/5/23, documents, The resident has an ADL (activities of daily living) self-care performance deficit related to recent cerebral infarction resulting in right sided weakness and contracture of right arm, require max assist with daily care needs. The resident requires assist of two staff members with bathing/showering. The facility's (undated) South Hall Shower Sheet documents…

    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 before2024-02-07 · 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

    Based on observation interview and record review the facility failed to maintain aseptic technique during wound care for one of one resident (R274) reviewed for wound care in a sample of 42. Findings include: The facility Dressing Change-(Clean/Non-Sterile)-Sample Guidelines, effective 08/2023, documents to wash hands, apply gloves. Remove soiled dressing and place in plastic trash bag. Remove soiled gloves and place in trash bag. Wash hands or if hands are not visibly soiled, and alcohol-based hand gel may be used to decontaminate the hands. If at a point during the dressing change hands become visibly soiled, hands must be washed instead of using hand gel to disinfect. Apply clean gloves. Clean area/wound with solution specified in treatment order. Apply prescribed ointment and/or dressing per doctor order. Follow manufactures recommendations for application of dressing/ointments/creme's/moisturizers, etc In the event more than one wound is present, each wound site is considered a separate treatment. A new pair of non-sterile gloves will be used for the cleansing of each site, 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 before2024-02-07 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a range of motion program was in place for a resident with functional limitations in range of motion for one of four residents (R64) reviewed for range of motion in the sample of 42. Findings include: The facility's Restorative Nursing Program policy (revised 01/2019) documents the following: A maintenance program is established based on the resident specific needs for the program. A care plan is then initiated. A functional maintenance program may include range of motion provided during routine daily care such as dressing, grooming/hygiene, eating, transfers, etc. Range of Motion programs may include Active Assistive Range of Motion, Active Range of Motion or Passive Range of Motion. R64's Annual Minimum Data Set Assessment (dated [DATE]), Section GG 'Functional Limitation in Range of Motion,' documents R64 has impairment on both sides of her upper and lower extremities. This same section also documents the following: R64 is…

    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 before2024-02-07 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure a urinary catheter drainage bag was in a privacy bag and secured to prevent contact with the floor for one of one resident (R274) reviewed for urinary catheters in a sample of 42. Findings include: The facility's Urinary Catheter Care policy, dated 08/2023, documents to establish guidelines to reduce the risk of or prevent infections in resident with an indwelling catheter. This form documents the urinary drainage bags and tubing shall be positioned to prevent either from touching the floor directly. May place the drainage bag and excess tubing in a secondary vinyl bag or other similar device to prevent primary contact with floor or other surfaces. On 2/4/24 at 9:45am, R274 was in bed, sleeping. R274's uncovered urinary drainage bag was hanging on the lower aspect of the bed frame, with the drainage bag touching the floor. At 1:20pm, R274's urinary drainage bag remained in the same position. R274's urinary drainage bag was not in a privacy bag. 02/05/24 11:15am, R274's urinary drainage bag was again…

    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 before2024-02-07 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, facility staff failed to administer feeding tube flushes as required for one of one resident (R175) reviewed for feeding tubes in a sample of 42. FINDINGS INCLUDE: The facility policy, Medication Administration- Gastrostomy, dated (reviewed) 08/2000 directs staff, (Nurses) may administer medications through a (feeding) tube as allowed, after demonstrating competency. Administer medication: Use liquid preparations whenever possible. If more than one medication is being given at a dosing time, administer each medication separately, flushing the tube with approximately 10 ML (milliliters) of tepid water between medications, or enough to clear the tubing. R175's current Physician Order Sheet includes the following physician Orders: Guaifenesin Oral Liquid 100 MG (milligrams)/5 ML (milliliters) Give 10 ml via feeding tube four times a day; Hydralazine 100 MG Give 1 tablet via feeding tube every 8 hours; Famotidine 20 MG Give 1 tablet via feeding tube every morning and at bedtime; Sennosides Oral Syrup 8.8 MG/5 ML Give 10 ml via feeding…

    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 · D2024-02-07 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide ongoing communication with the dialysis center and failed to develop a complete comprehensive care plan for one of one resident (R177) reviewed for dialysis, in a sample of 42. FINDINGS INCLUDE: The (undated) facility policy, Care of the Resident Receiving Hemodialysis, directs staff, Monitoring Procedures: Medications as ordered per physician- Notify Nephrologist of changes; Monitor dialysis site (every) shift and (upon) return from Dialysis, for bleeding or redness; Daily weights; Full set vitals per physician order; Lab (Laboratory) monitoring per physician orders; Do not access dialysis site or tamper with dressing without Dialysis Center consent; Follow dietary and fluid restrictions per order- Consult Dietician; Change of conditions to be notified to Dialysis Center/Nephrologist. Communications with Dialysis Center: The (Director of Nurses) will be designee for emergencies for Dialysis Center communication; Facility will use…

    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 · D2024-02-07 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 document an appropriate medical indication for the use of an Antipsychotic medication for one resident (R36) and failed to identify and monitor for target behaviors that warrant the use of an Antipsychotic medication for two of three residents (R36 and R39) reviewed for psychotropic medications in the sample of 42. Findings include: The facility's Psychotropic Medication-Gradual Dose Reduction Policy (Revised 02/2018) documents, Purpose: To ensure that residents are not given psychotropic drugs unless psychotropic drug therapy is necessary to treat a specific or suspected condition as per current standards of practice and are prescribed at the lowest dose therapeutic to treat such conditions. 1. R36's current Physician's Orders document the following medication orders: Venlafaxine Oral Capsule Extended Release (Antidepressant) 150 mg (milligrams) give one capsule by mouth in the morning related to Depression; and Aripiprazole Oral Tablet (Antipsychotic) 5 mg give one tablet by mouth in the morning related to…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2025-01-31 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    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 the facility's annual State Survey Results were readily and easily accessible to residents for review. This failure has the potential to affect all 90 residents residing at the facility. Findings include: The facility's Resident Rights Policy, dated 1/30/24 documents: Policy Statement: Staff shall treat all residents with kindness, respect, and dignity. 1. Federal and state laws guarantee certain basic rights to all residents of the (facility) community. These rights include the resident's right to: H. Be supported by the (facility) community in exercising their rights; M. Exercise rights not delegated to a legal representative; and W. Examine survey results. The facility's State Survey Results Binder was located in a cabinet drawer in the front foyer. The access to the front foyer was through double glass doors that were not wheelchair accessible; an electronic code was used by staff to open the glass doors to enter into the front foyer, which led to another set of glass doors to exit. Staff stated…

    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

“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 ARCADIA CARE — 25 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 51.3+0.7 vs chain
Health inspection 3 of 51.7+1.3 vs chain
Staffing 1 of 51.3-0.3 vs chain
Quality measures 4 of 53.1+0.9 vs chain
The other 24 homes this chain runs (chain average 1.3★, 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
DAVID A BERKOWITZ DELTA TRUSTOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 07/01/2023
JOSHUA HOFFMAN TRUSTOrganizationDIRECT OWNERSHIP INTERESTsince 07/01/2023
YOSEF MEYSTEL DELTA TRUSTOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 07/01/2023
GOLDFARB, BRIANIndividualDIRECT OWNERSHIP INTERESTsince 07/01/2023
SEITLER, DOVIDIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2021
BROOKS, KENDELIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 07/01/2023
SERRANO, AMYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
ARCADIA CARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/29/2025
INGALSBE, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
MCCLURE, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
SPECTOR, JENNIFERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
TUROFSKY, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
URNIKIS, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
WILHELM, NAFTALIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2023
BERKOWITZ, DAVIDIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
MEYSTEL, YOSEFIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 07/15/2025
1028 HILLCREST DR, LLCOrganizationADP OF THE SNFsince 04/02/2025
APERION CARE EXEC HOLDINGS LLCOrganizationADP OF THE SNFsince 07/01/2023
CURIS SERVICES LLCOrganizationADP OF THE SNFsince 07/01/2023
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEEOrganizationADP OF THE SNFsince 07/01/2023
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEEOrganizationADP OF THE SNFsince 07/01/2023

CMS files one row per role, so the 35 rows in the source record cover these 21 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.

9 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.

$4.8M
Net patient revenuemost recent cost report
-0.3%
Operating marginrevenue minus expenses
$626K
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 17%Medicare 16%Other / private 66%

This home reported $626K paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$328per resident / day
operating cost
$9,974per month
≈ monthly operating cost
$327per 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 145058. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-22, 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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