Dekalb County Rehab & Nursing

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.

46.7% 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 132 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.7% 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 105 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 190 beds and averages 117.2 residents a day — about 62% occupied, or roughly 73 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 4.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.52 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.89 is at or above 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 4.19 hrs/resident/day on weekends vs 5.01 on weekdays — 16% thinner on weekends. RN hours go from 1.65 to 1.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are 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.

23 citations, most serious first. The 14 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · Kcited before2023-09-13 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review facility, failed to ensure sure staff doffed PPE (personal protective equipment) in a manner to prevent cross-contamination after caring for COVID-19 positive residents; failed to ensure residents were not exposed to staff exhibiting symptoms of COVID-19; failed to implement transmission-based precautions for residents exhibiting symptoms of COVID-19; failed to have a system in place to accurately track/trend resident and staff exposures to COVID-19 during a facility outbreak; failed to have an effective system in place to test staff and residents for COVID-19 during a facility outbreak; and failed to ensure COVID negative residents were not exposed to COVID positive residents. These failures resulted in a facility outbreak of COVID-19 which, as of 9/11/23, included twenty-eight positive residents and fourteen positive staff. Three of the twenty-eight residents were hospitalized for COVID. These failures have the potential to affect all 72 residents residing in…

  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
• Actual harm · Gcited before2026-06-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to have fall prevention interventions in place for one of three residents (R1) reviewed for safety in the sample of three. This failure resulted in R1 experiencing a fall and injury which required eight staples to the top of his head. The findings include:R1's Face Sheet shows he was admitted to the facility on [DATE], with diagnoses including dementia, malnutrition, repeated falls, need for assistance with personal care, cognitive communication deficit, unsteadiness on feet, weakness, low back pain, anxiety disorder, and unspecified visual disturbance.R1's Care Plan initiated on April 28, 2026, shows R1 has a VERY HIGH RISK for falls & has impaired safety related to his cognition secondary to Dementia w/ Anxiety, history of repeated falls & some w/ major injury, weakness, impulsiveness, vision/hearing problems & unsteadiness on feet. R1 has an extensive history of falls at home & a prior facility, including fall with a major injury where R1 sustained a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ambulate residents with the assistance of a gait belt to ensure residents were ambulated in a safe manner. This failure applies to 2 of 4 residents (R1, R2) in the sample of 4 reviewed for safety and supervision. This failure resulted in R1 falling while ambulating with staff, resulting in R1 fracturing her left femur (upper leg) and requiring hospitalization. The findings include: 1. The facility's Witnessed Fall incident report, dated 1/10/24, showed R1 was walking in her room, with the use of her walker and with V7, Certified Nursing Assistant (CNA), present, when R1's knees buckled and R1 fell to the floor. The report showed R1's left leg got caught under a bedside dresser during the fall. R1 complained of pain to her left leg. 911 was called. R1 was transferred to a local hospital via ambulance. R1's hospital records, dated 1/11/24-1/15/24, were reviewed. The records showed R1 was admitted to the hospital with a diagnosis of a displaced distal…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-02-23 · 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 serve liquids at a safe temperature to prevent burns, and failed to supervise residents at risk for burns and with poor safety awareness for 3 of 9 residents (R9, R32, R33) reviewed for safety and supervision in the sample of 23. These failures resulted in R32 sustaining a partial thickness burn to his right foot. The findings include: 1. R32's face sheet showed a [AGE] year-old male with diagnosis of hemiplegia and hemiparesis following a subarachnoid hemorrhage affecting the right dominant side, major depressive disorder, history of malignant neoplasm of bladder and hypertension. R32's 8/24/22 incident report showed staff noted a wound to his right dorsal foot and the resident stated he spilled coffee on his foot yesterday. The right foot had a 6 centimeter (cm) X 3 cm blister and a 2.5 cm X 2.5 cm X less than 0.1 cm wound. The report showed the interventions initiated was blank. R32's 8/24/22 progress note showed resident has new wounds on right…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to complete the cooling process for a turkey roast. This applies to all residents in the facility. The findings include: The Center for Medicare and Medicaid form 671 dated 4/1/25 shows there are 109 residents in the facility. On 4/1/2025 at 10:20 AM, V6 Dietary Manager said a turkey roast was being cooked today to serve tomorrow. V6 said a cooling log would be completed for this. When asked for a copy of the cooling log, V6 could not find the cooling binder in the kitchen and went into her office and returned with a copy of a blank cool down label sticker sheet. At 1:00PM on 4/1/25 the turkey roast was observed in the refrigerator covered with foil and dated 4/1/25. V6 pulled the roast from the refrigerator and checked its temperature and at 1:15 PM ( 2 1/2 hours after removed from the oven) the temperature was 100 degrees Fahrenheit (F). V6 was not sure what time the roast was placed in the refrigerator to cool and was not aware of who even…

  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 before2025-04-03 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to perform hand hygiene during lunch service and failed to follow its hand hygiene policy and procedure. This deficiency affected all 37 residents reviewed for infection control currently residing in the memory care unit and has the potential to affect all 109 residents currently residing in the facility. Findings include: On 04/01/2025, upon entering the facility, surveyors were provided with a resident daily census dated 04/01/2025 that documented 37 residents in the CVS (country view square) memory care unit. Centers for Medicare and Medicaid Services form 671 dated 04/01/2025 documented 109 residents currently residing at the facility. On 04/01/2025 at 12:30 PM, during lunch service, V11 (Activities) was walking throughout the larger dining room/activity room on this unit, going table to table and removing dirty plates, cups, and silverware from resident dining tables. V11 also removed several soiled clothing protectors from the tables that she was holding close to her body and were touching her clothes. V11…

  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 · Dcited before2025-04-03 · 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 the interview and record review, the facility failed to ensure the Safety of a resident while pushing their wheelchair for one of 6 residents (R40) reviewed for Safety in the sample of 24. The findings include: R40's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include paroxysmal atrial fibrillation, lymphedema, bilateral primary osteoarthritis of bilateral knees, polyneuropathy, and age-related osteoporosis. R40's facility assessment dated [DATE] showed she has no cognitive impairment. On 4/02/25 at 9:18 AM, R40 said she was recuperating from a fall. R40 said, I was negligent in some ways, and so were they. The girl got fired because of it. We have a rule about footrests. If you don't have foot pedals on, they are not allowed to push you . I was coming back to my room after an activity, I was maneuvering myself. The activity gal said, 'Let me give you a push' . It was a rush, rush, rush because they had to punch out before 4:30, so they didn't have overtime. She…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that an indwelling catheter tube remained off the floor for one of two residents (R18) reviewed for catheters in the sample of 24. The findings include: R18's face sheet printed on 4/3/25 showed diagnoses including but not limited to left-side hemiparesis following a stroke, below-the-knee amputation, peripheral vascular disease, aphasia (difficulty talking), and neuromuscular dysfunction of the bladder. R18's facility assessment dated [DATE] showed no cognitive impairment and the use of a urinary catheter. The same evaluation showed no behaviors. R18's April 2025 physician order report showed an order starting on 3/30/25 for 750 milligrams of Levofloxacin (an antibiotic) daily to treat pneumonia and a urinary tract infection for seven days. On 4/1/25 at 12:24 PM, R18 was in her wheelchair while seated at the lunch table in the group dining room. R18's catheter tubing was fully resting on the floor during the entire meal. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, and record review, the facility failed to ensure accurate monthly weights were obtained for 1 of 3 residents (R51); and failed to document accurate meal intakes and/or offer alternative meal options for 1 (R83) reviewed for nutrition in the sample of 24. Findings include: 1. R51's face sheet indicated resident admitted to facility on 10/07/2022 and has a past medical history not limited to: dementia, cognitive communication deficit, dysphagia (oral phase), anxiety, and need for assistance with personal care. R51's minimum data set section K dated 01/01/2025 documented weight loss of more than 5% or more in the last month or loss of 10% or more in the last 6 months. R51's active orders as of 04/03/2025 showed the following: 120 cubic centimeters (cc) of [high calorie nutrition] two times a day for weight loss and monthly weight monitoring. R51's care plan last revised on 04/03/2025 documented: lives on CVS unit; have maintained my weight last 3 months, current weight is 116…

  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 · D2025-04-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 oxygen was administered at the physician prescribed rate for 1 of 1 resident (R32) reviewed for oxygen in the sample of 24. The findings include: R32's face sheet printed on 4/3/25 showed diagnoses including but not limited to Parkinsonism, hypertension, dementia, and depression. R32's facility assessment dated [DATE] showed staff assistance needed for all ADLs (activities of daily living). R32's April 2025 physician order summary report showed an order start dated 3/22/24 for oxygen to be administered at 1 liter per minute via nasal cannula to maintain oxygen saturation levels at greater than 90%. The order stated PLEASE WEAN AS TOLERATED every shift for hypoxia. On 4/1/25 at 11:01 AM, R32 was in bed and asleep. R32 was wearing her oxygen and the meter showed it was being administered at a rate of 3 liters per minute. At 12:40 PM, R32 was in bed asleep and the oxygen was still running at a rate of 3 liters. On 4/2/25 at 9:51 AM,…

  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 · D2025-04-03 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure occupational services were provided for 1 of 1 resident (R39) reviewed for therapy services in the sample of 24. The findings include: R39's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include Type 2 Diabetes, congestive heart failure, Chronic Obstructive Pulmonary Disease, chronic respiratory failure with hypoxia, emphysema, obstructive sleep apnea, hypertension, chronic kidney disease, hypothyroidism, hyperlipidemia, osteoarthritis left hand, and trigger finger. R39's facility assessment dated [DATE] showed she had moderate cognitive impairment and has upper extremity impairment in range of motion. R1's Progress Notes from her 3/12/25 Orthopaedic Surgery visit showed, . Referral to Specialty: Occupational Therapy . On 4/02/25 at 9:50 AM, R39 said, I'm supposed to start therapy for my hand. I had a lump that was removed and now for some reason these two fingers and my thumb feel like they are…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure a resident (R2) was transferred safely and in a manner to prevent a resident fall. The facility failed to ensure care-planned, fall interventions were in place for a resident (R2) with a recent fall. The facility failed to ensure a resident (R3) was supervised while being toileted which contributed to a resident fall. These failures apply to 2 of 3 residents (R2, R3) reviewed for safety and supervision in the sample of 3. The findings include: 1. R2's Incident Note dated 12/25/24 showed, CNA (certified nursing assistant) notified me that resident had fallen while being transferred from wheelchair to sit stand (stand mechanical lift). CNA's said resident seem very nervous and anxious and would not stay still. When I arrived to resident room, I saw him on the floor on his side shaking and nervous . Resident is nonverbal so I couldn't ask if he was in pain . During assessment, I noticed resident has long red abrasion on the middle 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 · Fcited before2024-03-06 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to handle and store three bulk bin scoops in a sanitary manner. This has the potential to effect all residents in the facility. The findings include: The CMS 671, dated 3/3/24, shows there are 105 residents residing in the facility. On 3/3/24 at 09:13 AM, the bulk bin of white rice in the dry storage room had a scoop inside the bin, lying on top of the white rice. On 3/3/24 at 11:21 AM, a bulk container of brown sugar outside of the Oak dining room kitchenette had a purple handle ice cream scoop inside the container, lying on top of the brown sugar. On 3/4/24 at 10:17 AM, the bulk bin of flour underneath the food prep counter had a scoop in the bin, resting on top of the flour. On 3/4/24 at 10:30 AM, V12 (Food Service Director) said, They (the kitchen staff) know scoops should not be on top of food ingredients. This can increase the risk of cross contamination and bacterial growth.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-03-06 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to provide feeding assistance in a dignified manner for four of 21 residents (R42, R55, R58, R84) reviewed for dignity in the sample of 21. The findings include: On 3/4/24 at 11:56 AM, V4, V5, and V6, CNAs (Certified Nursing Assistants), were feeding R42, R55, R58, and R84 their lunch meals while standing up. There was an empty chair at R58 and R84's table, and an empty chair at R42 and R55's table. On 3/5/24 at 10:52 AM, V8, RN (Registered Nurse) said staff should sit and feed resident for dignity concerns. At 11:14 AM, V6, CNA, said staff should sit down to feed residents, because if staff stand up to feed residents, then it is a dignity issue. The facility's Resident Care Philosophy policy, reviewed March 2006, shows, A Philosophy of care is based upon a basic belief and respect for the dignity and worth of the individual. Each resident will be treated with compassion and will experience vitality to the extent individually possible.

  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.

Fines & penalties

$140,423 in federal fines across 2 penalties.

• $16,692 — penalty dated 2024-01-24
• $123,731 — penalty dated 2023-09-13

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 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

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