Shawnee Senior Living

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.9% 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 71 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.2% 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 44 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 0.17 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 159 beds and averages 99.7 residents a day — about 63% occupied, or roughly 59 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 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 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 2.69 hrs/resident/day on weekends vs 3.52 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.64 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% 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 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.

52 citations, most serious first. The 22 most serious are shown; the remaining 30 are one tap away and print in full.

• Immediate jeopardy · Jcited 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 3. R259s Face sheet documents an admission date of 07/30/24, with diagnoses of unspecified dementia severe with agitation, altered mental status, anxiety disorder, unspecified osteoarthritis, benign prostatic hyperplasia with lower urinary tract symptoms, insomnia, acute cystitis with hematuria and atherosclerotic heart disease of native coronary artery without angina pectoris. R259's Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 00, which indicates severely impaired cognition. This MDS also documented R259 was dependent with eating, oral hygiene, toileting, and dependent with transfers. Under Fall History, R259's MDS documented on Admission/Entry or Reentry: R529 has had a fall within the last month. R259's Care plan, dated 07/31/24, documents a focus area of, '(R259) is at risk for falls related to: confusion, deconditioning, incontinence, psychotropic drug use, unaware of safety needs, dementia with agitation.' Interventions for this focus area include:…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-07-24 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Failures at this level require more than one Deficient Practice Statement. A. Based on observation, interview, and record review, the facility failed to ensure a resident was free from neglect when they failed to accurately assess, treat, and prevent a significant decline in condition for 1 (R1) of 3 residents reviewed for neglect in the sample of 24. This failure resulted in R1, who has a history of confusion with infections, experiencing altered mental status and refusing overall care after being diagnosed with a urinary tract infection. R1's refusals of care additionally led to R1 developing a Stage 3 pressure ulcer, an unstageable pressure ulcer with sepsis secondary to skin and soft tissue infection, subsequently requiring an 11-day hospitalization for IV antibiotic therapy. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 6/19/2024 when R1 was readmitted to the facility from a hospitalization. R1 was on a physician ordered treatment for urinary tract infection, yet 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-07-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents assessed as being at risk for elopement were supervised, interventions to prevent elopement were implemented, and incidents of elopement were thoroughly investigated for 1 of 3 (R16) residents reviewed for accidents and supervision in the sample of 24. This failure resulted in R16, who had a history of elopement and was assessed as being at risk of elopement, exiting the facility and walking approximately two tenths of a mile down a busy road without staff supervision. This failure resulted in an Immediate Jeopardy, which was identified to have begun on 6/13/24 when R16 was identified to be at risk for elopement and the facility did not implement interventions to prevent elopements. On 6/16/24, R16 attempted to exit the facility and while facility staff were looking for an elopement bracelet to put on R16, R16 left the facility and was located approximately 25 yards from the facility. R16 again exited the facility on…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-01-20 · 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 identify severe weight loss of three residents and failed to provide needed interventions to prevent further weight loss for 3 of 3 residents (R1, R3 and R7) reviewed for weight loss in a sample of 7. This failure resulted in R1, R3 and R7 experiencing severe weight loss.Findings include:1.R1's admission record documents an admission date of 6/27/2024 and includes diagnoses of Chronic Systolic Heart Failure, Dysphagia, Emphysema, Chronic Respiratory Failure, Type 2 Diabetes Mellitus, Essential Hypertension, Anxiety, Dementia, Depression and Atrial Fibrillation. R1's Minimum Data Set (MDS) dated [DATE] includes a Brief Interview for Mental Status (BIMS) score of 5 suggesting severe cognition impairment. R1's section GG documents R1 requires supervision or touching assistance with eating. R1's Care Plan documents R1 is at risk for nutrition/hydration issues related to Insulin Dependent Diabetes Mellitus, Chronic Obstructive Pulmonary Disease…

  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 before2025-10-22 · 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 safely transfer a resident with a mechanical lifting device for 1 of 3 (R1) residents reviewed for accidents in a sample of 3. This failure resulted in R1 sustaining an impacted fracture of the right humeral neck.This past noncompliance occurred from 10/10/25 to 10/16/25.Findings include:R1's admission Record documents an admission date of 1/29/21, with diagnoses including unspecified sequelae of cerebral infarction, hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side, unspecified fracture of upper end of right humerus, initial encounter for closed fracture, muscle wasting and atrophy, not elsewhere classified, other lack of coordination.R1's Minimum Data Set (MDS) dated [DATE], documents a Brief Interview for Mental Status (BIMS) of 9, indicating R1 is moderately cognitively impaired. Section GG-Functional Abilities documents that R1 is Dependent - Helper does ALL of the effort. Resident does…

  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 · Gcited before2025-07-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from physical abuse for 2 of 4 residents (R1, R2) reviewed for abuse in the sample of 4. This failure resulted in R1 stabbing R2 in the back multiple times with an ink pen and both R1 and R2 being sent to the emergency room for evaluations. This past noncompliance occurred between 7/11/25 and 7/12/25.The findings include:R1's admission Record documented an admission Date of 5/30/24 and listed diagnoses including Unspecified Dementia, Major Depressive Disorder, and Anxiety Disorder. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Inventory for Mental Status (BIMS) Score of 8, indicating R1 has moderate deficits in cognition. R1's Care Plan dated 6/9/25 documented a problem area, (R1) has been the recipient and aggressor of verbal and physical aggression related to dementia, and continual reorganization of personal belongings and environment.R2's admission Record documented an admission Date of 6/26/24 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2024-08-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from verbal/mental and physical abuse for 1 of 2 (R45) residents reviewed for abuse in the sample of 51. This failure would cause a reasonable person to experience feelings of fear, anxiety, and insecurity while living in their home. Findings Include: R45's admission Record, with a print date of 8/20/24, documents R45 was admitted to the facility on [DATE], with diagnoses that include diabetes, dysphagia, osteoarthritis, brief psychotic disorder, delusional disorder, mild cognitive impairment, and depression. R45's MDS (Minimum Data Set), dated 8/20/24, documents R45 has a BIMS (Brief Interview for Mental Status) score of 10, which indicates a moderate cognitive impairment. R45's current Care Plan documents a Focus Area of, Resident is considered at risk for abuse/neglect (per assessment) due to anxiety, dependent on others, pain, displays behaviors, psychiatric hx (history). Date Initiated: 09/16/2021. The interventions…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-08-29 · 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, observation, and record review, the facility failed to provide medications and treatments as ordered by a physician, failed to document reassessments, and evaluate residents for advanced treatment needs for 3 (R63, R68, R100 ) of 3 residents reviewed for quality of care in a sample of 51. This failure resulted in R63 missing medication for approximately 30 days, suffering shortness of breath, and being admitted to the hospital for three days. Findings include: 1. R63's Face sheet documents an admission date of 03/07/24, with diagnoses including: chronic obstructive pulmonary disease (COPD), non-st elevation myocardial infarction, essential hypertension, dementia, anxiety disorder, atrial fibrillation, and type 2 diabetes mellitus. R63's current Care plan includes a focus area of: R63 has COPD r/t (related to) smoking: with an intervention dated: 07/01/24 of: give aerosol or bronchodilators as ordered. Monitor/document any side effects and effectiveness. R63's Order summery sheet, dated…

  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 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 nutritional supplements, monitor weights, and implement interventions for 2 (R53 and R100) of 8 residents reviewed for nutrition in a sample of 51. This failure resulted in R53, who only weighed 76 pounds and had a recent 23% weight loss in 6 months, not receiving the ordered nutritional supplements to be able to maintain a healthy weight. Findings include: 1. R53's Face Sheet documents R53 is a female resident with diagnoses including: unspecified dementia unspecified severity with mood disturbance, anemia, chronic embolism and thrombosis of unspecified axillary vein, essential hypertension, underweight, tremor, cognitive communication deficit, acute embolism and thrombosis of unspecified deep veins of left lower extremity, acute embolism and thrombosis of right subclavian vein, and portal vein thrombosis. R53's Minimum Data Sheet (MDS), dated 05/2024, documents no BIMS (Brief Interview for Mental Status) was conducted due 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-07-24 · 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 identify, treat, and prevent the development of pressure ulcers for 1 of 3 residents (R1) reviewed for pressure ulcers in the sample of 24. This failure resulted in R1 developing a Stage 3 wound and an Unstageable wound to bilateral buttocks. Findings include: R1's admission Record documents R1 was admitted to the facility on [DATE]. R1's Physician's Order Sheet (POS), dated 7/2024, documents diagnoses including angina pectoris, heart failure, GERD (Gastroesophageal Reflux Disease), unspecified dementia, unspecified severity with other behavioral disturbances, atrial fibrillation, type 2 diabetes mellitus, paranoid schizophrenia, chronic kidney disease stage 4, hypothyroidism, chronic peripheral disease, gout, and COPD (Chronic Obstructive Pulmonary Disease). R1's MDS (Minimum Data Set), dated 4/10/2024, documents a BIMS (Brief Interview for Mental Status) score of 15, which indicates R1 is cognitively intact. The same MDS section GG…

  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 before2024-06-28 · 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 prevent an accident for 1 (R2) of 3 residents reviewed for accidents in the sample of 9. This failure resulted in R2 receiving a 2 cm (centieter) laceration to the right side of the forehead and being sent to the emergency room requiring 2 sutures. Findings Include: R2's admission Record documents R2 was admitted to the facility on [DATE], and is [AGE] years old. R2's admission Record documents diagnoses including but not limited to Diagnoses: Transient cerebral ischemic attack, unspecified, vascular dementia, unspecified severity, with other behavioral disturbance, other idiopathic peripheral autonomic neuropathy, chronic pain syndrome, unspecified glaucoma, unspecified macular degeneration, legal blindness, fibromyalgia, chronic pulmonary embolism, long term (current) use of anticoagulants, abnormal posture, weakness, and history of falling. R2's Minimum Data Set (MDS), with Assessment Reference date of 3/25/24, documents a Brief Interview for Mental…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-05-22 · 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 ensure thorough assessments for changes in condition were provided and documented (R1 and R8), and failed to identify, assess and treat wounds (R1) for 2 of 3 residents reviewed for quality of care in a sample of 21. These failures resulted in both R1 and R8 experiencing discomfort due to a delay in treatment. R1 experienced prolonged respiratory distress resulting in R1's transport to the local hospital, and R8 required transport to the local hospital with subsequent hospital stay for altered mental status, Urinary Tract Infection with hematuria, and acute pulmonary edema. Findings Include: 1. R1's Facility admission record documents an admission date of 04/19/2024, with diagnoses that include Chronic Obstructive Pulmonary Disease, unspecified cirrhosis of the liver, Heart failure, hypertension, Nonalcoholic steatohepatitis (NASH), chronic kidney disease, and Psoriasis. R1's MDS (Minimum Data Set), dated 05/06/2024, documents a BIMS (Brief Interview…

  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 before2026-01-08 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide the identified level of supervision and assistance required to prevent PICA behaviors for one of three residents (R4) reviewed for supervision in the sample of 11. Findings include:R4's admission record documents an admission date of 10/31/19 with the following diagnoses in part; Brief psychotic disorder, other specified eating disorder, delusional disorders and depression.R4's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) of 3, indicating R4 is severely cognitively impaired. In section E-Behavior, R4 is coded to have other behavioral symptoms not directed towards others occurring 1 to 3 days. In section I-Active Diagnoses, R4 is coded to have malnutrition and a psychotic disorder (other than Schizophrenia).R4's current care plan documents a focus area of (R4) is at risk for psychosocial issues related to communication issues, impaired cognitive functioning due to dementia, behaviors such as physical…

  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 before2026-01-08 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 provide person-centered interdisciplinary behavioral health services and appropriate supervision to 1 of 3 residents (R4) reviewed for behavioral health services in the sample of 11. Findings include:R4's admission record documents an admission date of 10/31/19 with the following diagnoses in part; Brief psychotic disorder, other specified eating disorder, delusional disorders and depression.R4's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) of 3, indicating R4 is severely cognitively impaired. In section E-Behavior, R4 is coded to have other behavioral symptoms not directed towards others occurring 1 to 3 days. In section I-Active Diagnoses, R4 is coded to have malnutrition and a psychotic disorder (other than Schizophrenia.R4's current care plan documents a focus area of (R4) is at risk for psychosocial issues related to communication issues, impaired cognitive functioning due to dementia, behaviors such 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 · E2025-12-03 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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 sink located in the kitchenette of the resident's dining room was maintained and in good repair. This has the ability to affect all 98 residents residing in the facility. Findings Include:On 12/2/2025 at 11:22 AM, the sink area of the kitchenette was observed to have a copious amount of black substance to the bottom shelf and to both sides of the sink cabinet wall, with multiple dead gnats on the bottom drawer face. The bottom shelf was also noted to be broken. Black substance was also sporadically noted in areas around the ceiling vent located above the refrigerator in this same area. On 12/2/2025 at 11:23 AM, V8 (Maintenance Director) stated he had been notified by the kitchen staff about 2-3 weeks ago regarding the sink area located in the kitchenette. V8 stated the same black substance was noted to the area at that time, but he had been busy with the remodeling of the facility, and had not had time to remove the sink. V8 stated the sink will need to be removed completely and replaced. V8…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-16 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to investigate a bruise of unknown origin as potential physical abuse for 1 of 4 residents (R1) reviewed for abuse in the sample of 4.R1's Face Sheet documented an admission Date of 5/30/24 and listed diagnoses including Unspecified Dementia, Major Depressive Disorder, and Anxiety Disorder. R1's Minimum Data Set (MDS) dated [DATE] documented a Brief Inventory for Mental Status (BIMS) Score of 8, indicating R1 has moderate deficits in cognition. R1's Care Plan dated 6/9/25 documented a problem area, (R1) has been the recipient and aggressor of verbal and physical aggression related to dementia, and continual reorganization of personal belongings and environment.R2's Face Sheet documented an admission Date of 6/26/24 and documented diagnoses including Epilepsy and Cerebral Palsy. R1's MDS dated [DATE] documented a BIMS score of 13, indicating R2 has minimal deficits in cognition. R2's Care Plan dated 5/21/25 documented a problem area, (R2) 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-12 · tag F0755 — failed to provide safe pharmacy services — widespread
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, observation, and record review the facility failed to dispose of expired medications. This has the potential to affect all 91 residents living in the facility. Findings include: The Long-Term Care Facility Application for Medicare & Medicaid (CMS 671) dated 6/9/25, documents there are 91 residents living in the facility. 1. R61's admission Record documents an admission date of 10/27/2022 with diagnoses including in part type 1 diabetes, heart failure, and chronic pain syndrome. R61's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview of Mental Status (BIMS) of 12 indicating moderately impaired cognition. R61's Order Summary Report documents Zofran Oral Tablet 4 MG (Ondansetron HCl) Give 1 tablet by mouth every 8 hours as needed for nausea with a start date of 12/26/2023. On 06/11/25 at 3:01 PM, there was an expired card of Ondansetron 4 mg for R61 found in the medication cart. Medication card had 26 pills left in it and the medication card documented an expiration 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-12 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 and interview the facility failed to ensure proper hand hygiene was performed before assisting dependent residents with eating and while serving residents glasses for 4 of 8 residents (R10, R58, R72, and R88) observed for dining in a sample of 51. Findings include: On 06/10/25 at 12:30PM, V7 (Certified Nurse Assistant/CNA) was noted to be assisting R88 with eating. V7 used her right hand and would pick up R88's spoon and give him a few bites. V7 then put down R88's spoon she then touched her face then both of her hands and then she picked up R58's spoon with her right hand and started to give R58 a couple of bites of her food. V7 then put down R58's spoon and then picked up R88's spoon and started assisting R88 with several bites. No hand hygiene was observed at anytime during this observation. 1. R88's admission record dated 06/12/25, documents an admission date of 04/01/25 with diagnoses in part of critical illness myopathy, chronic motor or vocal disorder, gastro-esophageal reflux disease…

  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 before2025-01-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 provide safe transfers with mechanical lifts, implement interventions for falls, and follow facility policy to complete assessments and investigations post resident fall for 4 (R1, R2, R3, and R6) of 6 residents reviewed for accidents int the sample of 6. Findings include: 1. R1's admission Record documented an admission date of 11/13/24 with diagnoses that included: muscle weakness, chronic pain syndrome, morbid obesity, osteoarthritis of left and right knees. R1's Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 11/20/24 documented a Brief Interview for Mental Status (BIMS) score of 15, indicating R1 was cognitively intact. R1's MDS also documented R1 was dependent on staff for transferring. On 1/15/25 at 9:48 AM, R1 said he had fallen out of the sit to stand mechanical lift twice. R1 said the first fall happened when a Certified Nursing Assistant (CNA) was transporting R1 to the shower room from R1's room. R1 said he told…

  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 before2024-08-29 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure staffing in adequate numbers to meet the needs of the residents. This failure has the potential to affect all 99 residents who currently reside at the facility. Findings Include: The facility untitled resident roster, dated 8/11/24, documents 99 residents currently reside at the facility. 1.R21's Face sheet, dated 08/22/24, documents an admission date of 03/30/3023 with diagnoses of unspecified dementia, type 2 diabetes mellitus, hypothyroidism, depression, anxiety, history of falling, weakness, muscle wasting, and atrophy. R21's Minimum Data Set (MDS), dated [DATE], documents in Section C a Brief Interview for Mental Status (BIMS) score of 10, which indicated moderately impaired cognition. Section GG documents partial/moderate assistance with toileting and transfers. R21's Care Plan, dated 06/06/24, with a Focus area of, (R21) requires assist with ADL's (Activities of Daily Living) r/t (related to) activity intolerance, dementia,…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-29 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to promote dignity for while eating, recieving care, and waiting for care for 4 of 6 residents (R30, R53, R68, R259) reviewed for dignity in a sample of 51. Findings include: 1. R53's face sheet documents an admission date of 05/2/2023, which includes the following diagnoses of unspecified dementia, tremor, contracture of left hand, and weakness. R53's MDS (Minimum Data Set), dated 07/25/2024, documents a BIMS (Brief Interview for Mental Status) was not completed because R53 is rarely/never understood. Section GG-Functional Abilities and Goals documents R53 is dependent on staff for eating. R53's care plan documents she requires assist with all Activities of daily Living (ADL's) related to: Dementia, tremors and impaired mobility. She is dependent for eating. On 08/12/2024 at 12:43 PM, V23 (Certified Nurse's Assistant\CNA) and V27 (CNA) were observed to be standing while feeding R53 and other residents during lunch. On 08/13/2024 at 12:32 PM, V23 (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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-29 · 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 observation, interview, and record review, the facility failed to provide support for residents who require assistance completing Activities of Daily Living, including personal hygiene and eating assistance for 7 out of 11 residents (R2, R16, R30, R49, R63, R68, R74) reviewed for Activities of Daily Living assistance in the sample of 51. Findings include: 1. R2's Face sheet documents an admission date of 08/04/2024, which includes the following diagnoses: sepsis, unspecified intracranial injury with loss of consciousness, unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, muscle weakness, and abnormal posture. R2's MDS (Minimum Data Set), dated 07/25/2024, documents a BIMS (Brief Interview for Mental Status) was not completed. Section GG-Functional Abilities and Goals documents R2 is dependent for oral hygiene, toileting hygiene, showering, bathing, dressing, and personal hygiene. R2's current Care plan documents the following focus area: R2 has an…

  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

“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

$325,933 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $92,820 — penalty dated 2026-01-20
• $12,425 — penalty dated 2025-10-22
• $220,688 — penalty dated 2024-06-28
• Medicare payment denial — starting 2026-02-13 for 13 days
• Medicare payment denial — starting 2024-07-26 for 49 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.

Who owns this facility

4 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.

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $753K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IL