Fairfield Senior Living & Rehabilitation LLC

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.

38.9% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 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 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 104 beds and averages 49.8 residents a day — about 48% occupied, or roughly 54 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.05 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.01 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 2.92 hrs/resident/day on weekends vs 3.10 on weekdays — 6% thinner on weekends. RN hours go from 0.76 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 fewer than at the previous inspection — improving. 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.

45 citations, most serious first. The 18 most serious are shown; the remaining 27 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-08-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to supervise a known elopement risk resident and complete wander guard tests to ensure a wander guard was working for 1 of 5 residents (R1) reviewed for supervision in a sample of 5. This failure resulted in R1 eloping from the facility, falling down three steps onto asphalt in R1's wheelchair, and sustaining a laceration to the head requiring sutures. The Immediate Jeopardy began on 6/18/24 at approximately 2:00 AM when R1 was unable to be located by facility staff and was found to have eloped from the facility and had fallen down three steps in R1's wheelchair. V1 (Administrator), V7 (Regional Clinical Director), and V8 (Vice President of Operations) were notified of the Immediate Jeopardy on 7/31/24 at 2:40 PM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed, and the deficient practice corrected, on 6/20/24, prior to the start of the survey and was therefore past noncompliance. Findings include: 1. R1's face sheet documented an admission date 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 · Past Non-Compliance
• Actual harm · G2026-04-28 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review the facility failed to ensure residents were free of significant medication errors for 1 (R1) of 3 residents reviewed for medication administration in the sample of 6. This failure resulted in R1 not receiving his seizure medication as ordered for 5 days resulting in R1 experiencing a seizure that lasted 10 minutes and an emergency department visit.This past non-compliance occurred between 04/07/2026 and 04/13/2026.Findings Include:R1's admission Record documented an admission date to the facility of 03/14/2024 with diagnoses including chronic obstructive pulmonary disease, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side, type 2 diabetes mellitus, alcoholic cirrhosis of liver, chronic pancreatitis, hypothyroidism, hyperlipidemia, and epilepsy.R1's MDS (Minimum Data Set) dated 03/13/2026 documented R1 had a BIMS (Brief Interview for Mental Status) score of 12 indicating R1 has moderate cognitive impairment.R1's Order Summary Report with a print date of 04/23/2026 documented an order for R1 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 · Past Non-Compliance
• Actual harm · Gcited before2024-09-20 · 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 provide a safe mechanical lift transfer for 1 of 1 resident (R1) reviewed for falls in a sample of 12. This failure resulted in R1 becoming scared she would fall and anxious during the transfer and becoming afraid of of future mechanical lift transfers. Findings include: R1's Face Sheet documented an admission Date of 7/6/23 and listed Diagnoses including Chronic Obstructive Pulmonary Disorder, Diabetes Type 2, and Anxiety disorder. R1's Care Plan dated 8/20/24 documented problem areas,I have an ADL (Activities of Daily Living) self-care/ mobility performance (functional abilities) deficit, and, I use anti anxiety medications. R1's Minimum Data Set, dated [DATE] documented that R1 has minimal deficits in cognition and is totally dependent on staff for transfers. On 9/17/24 at 10:55am, R1 was alert and oriented to person, place, and time. R1 stated that on the morning of 9/16/24, V4, Certified Nursing Assistant, was getting her out of bed and ready 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-08-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to identify and evaluate potential hazards/risks and implement interventions to ensure safe transfers via mechanical lifts for 1 (R1) of 3 residents reviewed for accident hazards and injuries of unknown origin in the sample of 6. This failure resulted in R1 sustaining injuries of bruising to the tops of both feet and a hematoma under the nail of the right great toe. Findings include: R1's Face Sheet documented an initial admission date of 7/23/20 with diagnoses that included unsteadiness of feet, lack of coordination, abnormalities of gait and mobility, adult failure to thrive, and cerebrovascular disease. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 12, indicating R1 had moderate cognitive impairment. On 8/23/24 at 1:00 PM, R1's right great toenail was black with blood under the nail. R1's feet had greenish yellow bruising to the tops of both feet measuring approximately 3 inches x…

  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 · G2024-05-28 · 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 observation, interview and record review, the facility failed to provide additional nourishment as ordered in the form of nutritional supplements and fortified foods for five (R50, R31, R36, R44, and R45) of 12 residents reviewed for nutrition in a sample of 38. This failure resulted in R50 experiencing a significant weight loss of 17.5% in 3 months, and R31 experiencing a significant weight loss of 6.68% in 1 month or 8.58% in 3 months. Findings Include: 1. R50's Transfer/Discharge report documents an admission date of 01/26/24 with diagnoses including: Alcohol abuse with alcohol induced mood disorder, Alcohol Dependence with alcohol induced persisting dementia, Cognitive Communication Deficit, Unspecified Dementia, Wernicke's Encephalopathy, Chronic Obstructive Pulmonary Disease (COPD), and Mood Affective Disorder. R50's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) score of 04, indicating severe cognitive impairment. R50's MDS section GG documents eating…

  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 before2024-04-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to implement planned fall interventions to prevent falls for 1 (R1) of 5 residents reviewed for falls in a sample of 5. This failure resulted in R1 falling, fracturing his right hip and undergoing surgical repair of the fractured hip on 4/2/2024. This past non-compliance occurred from 3/31/2024 to 4/1/2024. Findings included: Per R1's EHR (electronic health record) R1 was admitted to this facility on 11/7/2024 with diagnoses of Alzheimer's, Chronic Atrial Fibrillation, Weakness and Insomnia. Per R1's MDS (Minimum Data Set) dated 1/23/24 under section C, R1 was assessed with a BIMS (Brief Interview for Mental Status) in which R1 scored 3 out of 15 total, indicating R1 has severe cognitive impairment. This same MDS under section GG, documents R1 as needing substantial/maximum assistance from staff for all transferring activities and uses a wheelchair for locomotion about the facility. A Fall Risk Assessment for R1, dated 4/1/2024, documents R1 is a high risk for falls. R1's care plan (initiation date of 11/30/23)…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2024-02-20 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management 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 interview and record review, the facility failed to administer regularly scheduled ordered pain medication for 1 (R1) of 5 residents reviewed for pain management. This failure resulted in R1 experiencing loss of sleep and significant pain to R1's shoulders, back, and knees due to missing R1's 2/5/24 pm dose of her regularly scheduled pain medication. This past noncompliance occurred between 2/05/2024 - 2/09/2024. Findings: R1's face sheet documents an admission to the facility on 4/19/2023 with diagnoses of Chronic Kidney disease, Stage 3 Unspecified, Malignant neoplasm of uterus, part unspecified, other intervertebral disc degeneration, lumbar region, unspecified osteoarthritis, unspecified site, other sleep apnea. R1's Minimum Data Set (MDS) dated [DATE], documents R1 has a Brief Interview for Mental Status (BIMS) score of 13, indicating she is cognitively intact. R1's MDS Section J, Pain Management, documents she has a scheduled pain medication regimen. R1's Care Plan documents a Focus of: R1 has…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2023-09-20 · 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 complete weekly skin assessments, implement interventions to reduce pressure, and complete readmission assessments to identify any skin changes for 1 of 3 residents (R1) reviewed for being at risk for pressure injury in the sample of 3. This failure resulted in R1 developing pressure wounds. Findings include: 1. R1's face sheet documented an admission date of 6/15/23 and diagnoses including: chronic kidney disease, hypertension, dementia, hyperkalemia. R1's 9/15/23 Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 6, indicating severe cognitive impairment. R1's 9/15/23 MDS documented R1 required extensive two person assist with bed mobility, transfer, locomotion, dressing, and personal hygiene. R1's 7/3/23 Braden Observation documented a score of 18, indicating R1 was at risk for pressure wounds. R1's 9/15/23 Skin & Wound Evaluation documented a deep tissue injury related to pressure that was in-house…

  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 before2026-04-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to implement appropriate interventions and supervision required to prevent an elopement for 1 (R2) of 3 residents reviewed for accidents in the sample of 6.The Findings Include:R2's admission Record documents an admission date to the facility of 12/01/2023 with diagnoses including Alzheimer's Disease, unspecified dementia, type 2 diabetes mellitus, chronic kidney disease, insomnia, and conductive hearing loss. R2's MDS (Minimum Data Set) with a date of 02/13/2026 documented Section C0100- Should Brief Interview for Mental Status be conducted? 0 was coded indicating that R2 is rarely / never understood and the assessment should not be completed. Section E-Behaviors documents under Wandering-Presence and Frequency documents the behavior was not exhibited. Section GG of the same MDS documents that R2 is independent for sit to lying, lying to sitting, sit to stand, walk 10 feet, walk 50 feet with two turns and walk 150 feet.R2's current Care Plan has a focus…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to document and report a fall for 1 (R1) of 3 residents reviewed for accidents in the sample of 4.The past noncompliance occurred between [DATE] and [DATE].The Findings Include:R1's admission record dated [DATE] documented that R1 was admitted to the facility on [DATE] with diagnoses that include Parkinson's Disease without Dyskinesia, depression, sleep apnea, benign prostatic hyperplasia, essential hypertension, hypothyroidism, hyperlipidemia, and unspecified dementia.R1's MDS (Minimum Data Set) quarterly assessment dated [DATE] documented R1 has a BIMS (Brief Interview for Mental Status) score of 08 indicating R1 has moderate cognitive impairment. R1's Care Plan documents a focus area of Fall Risk - at risk for falls related to unsteady gait, interventions include: [DATE]- offer to assist resident bed when appears to be tired,[DATE] - all regular socks removed from room, gripper socks to be used as resident complies, [DATE] - bolster mattress will 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 · Past Non-Compliance
• Potential for harm · F2025-07-25 · tag F0761 — failed to label and store drugs safely — widespread
  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 observation, interview, and record review the facility failed to ensure medications were properly stored at appropriate temperatures and lock medication cart. This failure has the potential to affect all 47 residents residing in the facility. Findings Include:On 7/23/25 at 11:40 AM, V8 (Licensed Practical Nurse/LPN) was observed administering insulin to R10. V8 gathered her supplies from the medication cart, left the cart unlocked, and entered R10's room. The cart was out of V8's visual control during the administration of the insulin. No observations were made of residents or staff near the unlocked cart.A list of ambulatory residents living at the facility dated 7/25/25 documented a total of 8 ambulatory residents.On 7/24/25 at 3:20 PM, V2 (DON) stated she re-educated V8 about the importance of keeping the medication cart locked when out of the nurses visual control.The facility's Storage of Medications Policy dated April 2007 documented, #7.Compartments (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts, and boxes) containing drugs and…

  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 · Fcited before2025-07-25 · 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 dish machine was effectively sanitizing dishes to prevent cross contamination. This has the potential to affect all 47 residents residing in the facility. The Findings Include:On 7/22/25 at 9:00 AM, during the initial kitchen observation, the dish machine was being used to wash dishes. V6 (Dietary Aide) was asked to check the sanitizer level in the dish machine at this time. V6 was unable to get the test strip to register a sanitizer level, so V7 (Dietary Manager) got a new set of test strips to check the level. V7 was unable to get a level of sanitizer to register on the new strips and instructed V6 to begin washing dishes in the 3-compartment sink. On 7/22/25 at 11:00 AM, V7 stated that they are to check the sanitizer level 3 times a day prior to washing each meals dirty dishes. V7 stated it should be checked before breakfast, lunch and dinner dishes to ensure it is properly sanitizing the dishes.The dish machine sanitizer log was provided on 7/22/25 at 11:00 AM, and no level was recorded for…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-07-25 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 and interview the facility failed to ensure the building had effective pest control for flies an gnats. This has the potential to affect all 47 residents residing in the facility. Findings Include: 1.On 7/22/25 on 9:00 AM, during the initial tour of the kitchen, the dish machine area had gnats and flies observed near the drain and the garbage disposal. At this same time, a wet towel was seen under the garbage disposal and crumbs and food debris were visible under the dish machine table as well. A this time, V4 (Dietary Aide) stated that the gnats and flies can get really bad down there if the floor is not kept clean and dry. V4 stated that they do pour bleach down the drain sometimes to help reduce the number of flies/gnats that accumulate down there. On 7/22/25 at 9:30 AM, the delivery door outside the kitchen entrance was observed to have a gap at the bottom as well as in the middle where the double doors meet, and the outside was visible through these gaps. These gaps leave a potential…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-25 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to ensure that resident wheelchairs are cleaned and free of dirt and debris for 2 (R28 and R38) of 2 residents reviewed for clean equipment in a sample of 31. The Findings Include:On 7/23/25 at 10:00 AM, R38 was observed in his room sitting in his wheelchair. R38 was noted to be alert and oriented. The cushion of R38's wheelchair and the seat of the chair had a dried white substance and several crumbs from food dried in the same place. R38's handles were also dirty from where he had self propelled and dust and dirt were observed on the outside of his seat as well. R38 stated he thought the white substance may have been from his drinks spilling. R38 stated that he was unaware of the last time his chair was cleaned.On 7/23/25 at 10:30 AM, R28 was observed sitting in the common area by the nurse's station watching television. R28 was noted to be alert and oriented. R28's wheelchair had dust and dried food debris/crumbs on the seat and on the outside of the seat near the self-propelled wheels. R28 stated that he was unaware of 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-25 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide a nutritional supplement in accordance with physician orders for one (R31) of three residents reviewed for dining in the sample of 31.Findings include:R31's admission Record documented an admission Date of 10/30/24 and included diagnoses of Vascular Dementia, Severe, with Agitation. R31's Minimum Data Set (MDS) assessment dated [DATE] documented that R31 has severe deficits in cognition. R31's Care Plan dated 5/8/25 documented a problem area of, I am at nutritional risk of weight loss related to poor intakes, secondary to Dementia, with a corresponding intervention, Supplements/alternates per order.R31's Current Orders documented a 5/22/25 diet order for regular texture, regular liquid consistency, add fortified pudding at lunch.On 07/22/2025 at 12:23 PM, lunch service was observed in the facility's dining room. R31, who was alert and oriented only to herself, received a regular texture lunch tray. The diet card specified the tray…

  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 · D2025-02-14 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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 call light was in working order for 1 (R8) of 3 residents reviewed for resident call system in a sample of 12. Findings Include: R8's Face Sheet documented an admission date of 12/05/2024 with diagnoses that included weakness, unsteadiness on feet, unspecified abnormalities of gait and mobility, a unilateral primary osteoarthritis to right knee and personal history of transient ischemic attack. R8's Minimum Data Set (MDS) dated [DATE], documented under Cognitive Patterns a Brief Interview for Mental Status (BIMS) score of 13, indicating R8 is cognitively intact. Under Functional Abilities for Self Care, the MDS documented that R8 requires staff assistance for toileting hygiene, showering/bathing, and dressing. R8's current Care Plan documented a Focus Area of I have a self care deficit r/t (related to) osteoarthritis in right knee and weakness with a Goal of Assistance will be provided to meet needs. On 2/14/24 at 11:00…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-20 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 interview and record review, the facility failed to provide showers and timely assistance with showers and incontinence care for five of twelve residents (R1, R2, R3, R6, R7) reviewed for ADL (Activities of Daily Living) care in the sample of twelve. Findings include: 1. R1's Face Sheet documented an admission Date of 7/6/23 and listed Diagnoses including Chronic Obstructive Pulmonary Disease (COPD), Diabetes Type 2, and Morbid Obesity. R1's Current Care Plan a problem area, I have an ADL self-care/ mobility performance (functional abilities) deficit, with a corresponding intervention, Shower/Bathe self: I take a shower/bath (and) my usual performance is dependent on staff. The same Care Plan documented a problem area, I have a potential for impairment to skin integrity related to decreased mobility, (and)incontinence, with a corresponding intervention, Keep skin clean and dry. R1's Minimum Data Set, dated [DATE] documented that R1 is totally dependent on staff for bathing/showering and toileting and 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 · Ecited before2024-09-20 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide direct care staff in adequate numbers to ensure safe and timely resident care. This has the ability to affect all 34 residents living on the [NAME] and Daisy/Tulip halls. Findings include: A Resident Council Meeting note dated 9/12/24 documented, New business: Nursing-hard to find (staff) when needing assistance. A Room Roster dated 9/14/24 documented a total of 34 residents living on the [NAME] and Daisy/Tulip halls. A Daily Staff Schedule for Friday 8/31/24 documented one nurse and two CNAs (Certified Nursing Assistants) working the [NAME] and Daisy/Tulip halls on the 6am to 6pm shift. A Daily Staff Schedule for Sunday 9/15/24 documented one nurse and one CNA working the [NAME] and Daisy/Tulip halls on the 6pm to 6am shift. A Daily Staff Schedule for Monday 9/16/24 documented one nurse and 3 CNAs working the [NAME] and Daisy/Tulip halls on the 6am to 6pm shift. On 9/17/24 at 9:55am, R3 was alert and oriented to person, place and time. R3 stated night shift (6pm to 6am) is especially short staffed because call…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$126,045 in federal fines across 8 penalties. 2 Medicare payment denials on record.

• $15,935 — penalty dated 2026-04-28
• $16,065 — penalty dated 2024-05-28
• $16,065 — penalty dated 2024-05-28
• $16,065 — penalty dated 2024-05-28
• $16,801 — penalty dated 2024-05-28
• $14,050 — penalty dated 2024-04-09
• $14,050 — penalty dated 2024-02-20
• $17,014 — penalty dated 2023-09-20
• Medicare payment denial — starting 2024-06-25 for 94 days
• Medicare payment denial — starting 2023-10-13 for 19 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to WLC MANAGEMENT FIRM — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 8 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.

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.

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL