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Alden Estates Cts Of Huntley

12140 Regency Parkway, Huntley, IL 60142 · For profit - Corporation · 170 certified beds · (847) 961-7500 Medicare & Medicaid certified

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3 immediate-jeopardy citations1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$183,372 in federal fines
Insights

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

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • inspectors cited 3 immediate-jeopardy problems — the most serious level
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $183,372 in federal fines (most recent 2026-02-10)
  • its independent health-inspection rating is low (2/5)
  • about 31% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
12151 Regency Pkwy · (847) 515-2200 · Call to confirm hours
Pharmacy
Walgreens0.4 mi
12000 Princeton Dr · (224) 569-6518 · Call to confirm hours
Grocery
Aldi0.2 mi
12300 Princeton Dr · (855) 955-2534 · Call to confirm hours
Park
Del Webb Blvd · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased4.2%13.4%15.4%better
Long-stay residents who lose too much weight5.1%6.3%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%0.9%0.9%better
Long-stay residents with a urinary tract infection0.7%1.5%2.0%better
Long-stay residents with depressive symptoms3.9%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.5%3.1%3.3%typical
Long-stay residents whose ability to walk worsened9.2%14.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication27.2%18.3%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%91.8%95.3%typical
Long-stay residents with pressure ulcers1.0%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control24.4%20.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table11.8%21.7%17.1%better
Short-stay residents who newly got an antipsychotic medication2.2%2.2%1.4%worse
Short-stay residents given the seasonal flu vaccine75.7%63.1%79.4%typical
Short-stay residents rehospitalized after admission31.3%26.1%22.6%worse
Short-stay residents with an outpatient ER visit17.9%13.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.882.021.67worse
Long-stay outpatient ER visits per 1,000 resident days2.892.221.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

55.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 660 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.7%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
83.1%U.S. median 56.6%
Met the expected recovery
0.35U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 83.1% 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 142 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF55.7%CMS range 51.5–60.151.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 8.7–13.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge83.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge71.8%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge54.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified41.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting43.7%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge82.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.1%CMS range 4.2–8.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.221.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.98
RN hours/ resident / day
0.57
LPN hours/ resident / day
2.07
Aide hours/ resident / day
3.61
Total nurse hours/ resident / day
0.72
RN hoursweekends
43.0%
Total nursing turnover
36.8%
RN turnover

How full it usually is: this home is certified for 170 beds and averages 150.4 residents a day — about 88% occupied, or roughly 20 beds typically open. It runs fairly full. 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 3.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.98 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.24 hrs/resident/day on weekends vs 3.76 on weekdays — 14% thinner on weekends. RN hours go from 1.08 to 0.72 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

1
deficiencies at the latest standard inspection (2026-04-08)
6
at the previous standard inspection (2025-03-06)

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.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 16 most serious are shown; the remaining 13 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2024-10-17 · 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 1:1 supervision for a resident (R2) during mealtimes after R2 experienced a choking episode. This failure resulted in R2 experiencing a second choking episode with cyanosis, low oxygen levels, and hospitalization. R2 expired in the local hospital on [DATE] from complications of aspiration pneumonia and choking on food. This applies to 1 of 3 residents reviewed for safety and supervision in the sample of 8. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 9/19/24 when R2 experienced a choking episode and R2's nurse practitioner ordered for R2 to have 1:1 supervision until he was evaluated by speech therapy. V1 (Administrator) was notified of the Immediate Jeopardy on 10/16/24 at 1:30PM. While the immediacy was removed on 10/17/24, noncompliance remains at a Level Two due to additional time needed to evaluate the implementation and effectiveness of the in-service training. The findings include: R2's electronic face…

    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 · J2024-10-17 · 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 interview and record review, facility staff failed to implement physician's orders for a resident's (R2's) downgraded diet to mechanical soft, resulting in R2 experiencing a second choking episode. R2 expired in the local hospital on [DATE] from complications of aspiration pneumonia and choking on food. This applies to 1 of 3 residents reviewed for specialized diets in the sample of 8. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 9/19/24 when R2 experienced a choking episode and R2's nurse practitioner ordered for R2 to receive a mechanical soft diet until he was evaluated by speech therapy. V1 (Administrator) was notified of the Immediate Jeopardy on 10/16/24 at 1:30PM. While the immediacy was removed on 10/17/24, noncompliance remains at a Level Two due to additional time needed to evaluate the implementation and effectiveness of the in-service training. The findings include: R2's electronic face sheet printed on 10/16/24 showed R2 has diagnoses including but not…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Lcited before2024-10-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
    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 hot liquids were safely served; failed to ensure a process was in place for service of hot liquids; and failed to identify safe hot liquid temperature. These failures resulted in R1 sustaining a first degree burn to his left forearm and a second degree burn to his left inner thigh. These failures have the potential to affect all residents residing in the facility. The Immediate Jeopardy started on 9/20/24 at 8:36 PM when R1 sustained burns to his left forearm and left inner thigh from spilled coffee. V1 (Administrator) was notified of the Immediate Jeopardy on 10/2/24 at 3:54 PM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on 10/2/24, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-services and the process changes. The findings include: The facility Data Sheet dated 10/1/24 showed there…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2026-02-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure a resident was free of significant medication errors for 1 of 3 residents (R1) reviewed for medication errors in the sample of 8. This failure resulted in R1 experiencing iatrogenic hypotension which required hospitalization from 2/2/26 through 2/9/26.The surveyor confirmed by observation, interview and record review that the deficient practice occurred on 2/2/26 and was corrected on 2/2/26 prior to the start of this survey, and was therefore Past Noncompliance.The findings include:R1's face sheet showed she was a [AGE] year-old female, admitted to the facility on [DATE] with diagnoses to include cellulitis of right lower limb, cellulitis of left lower limb, sepsis, anemia in chronic kidney disease, hypertensive heart and chronic kidney disease, acute pulmonary edema, paroxysmal atrial fibrillation, chronic congestive heart failure, and venous insufficiency. R1's admission Assessment showed she was alert to person and time. R1's Initial Nursing…

    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 before2024-07-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to stop providing ADL-Activity of Daily Living care to prevent a fall when a resident exhibited known dementia related behaviors on a memory care unit for 1 of 5 residents (R1) reviewed for falls in the sample of 5. This resulted in R1 fracturing her left hip and losing the ability to ambulate independently. The findings include: On 07/22/2024 at 11:50AM, R1 was lying in bed. R1 was calling out and complaining of pain. R1's current Care Plan on 07/22/2024 shows, multiple diagnosis including Wandering Diseases, Dementia, Behavioral Disturbance, Parkinson's, Anxiety Disorder, and Alzheimer's. On 07/22/24 at 11:58AM, V7 RN-Registered Nurse said, R1 was in the wheelchair with family this morning. R1 started crying, complaining of left hip pain, she then requested to go back to bed. R1 transfers with extensive one person assists. R1 is using a wheelchair that the staff must propel. Prior to R1's fall she was able to ambulate with a walker. R1 only…

    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 before2024-04-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident was safely positioned in a wheeled recliner for one of 28 residents (R82) reviewed for safety in the sample of 28. This failure contributed to R82 falling out of the wheeled recliner and obtaining a subdural hematoma. The findings include: R82's admission Record shows she was admitted to the facility on [DATE] with diagnoses including traumatic subdural hemorrhage, dementia, major depressive disorder, and generalized anxiety disorder. R82's Fall Risk assessment dated [DATE] shows R82 is at risk for falling. R82's Care Plan initiated November 29, 2023 shows she is at risk for falls. Interventions include audio monitoring to prevent unassisted transfers, provide an environment clear of clutter. R82's Psychiatry Note dated April 16, 2024 at 9:16 AM, shows staff reporting increased agitation and behaviors. R82 was seen in her wheelchair after eating lunch and is unfocused and very restless. The facility's Occurrence Report dated April 16,…

    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 before2026-06-12 · tag F0755 — failed to provide safe pharmacy services — isolated
    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 and record review, the facility failed to administer a resident's (R1) medications as ordered by a physician for 1 of 3 residents reviewed for physician's orders in the sample of 5. The findings include:R1's electronic face sheet dated 6/12/26 showed R1 has diagnoses including but not limited to displaced fracture of right lower leg, subluxation of right ankle joint, type 2 diabetes, asthma, morbid obesity, muscle weakness, obstructive sleep apnea, hypertension, and osteoporosis. R1's facility assessment dated [DATE] showed R1 has no cognitive impairment. R1's care plan dated 2/24/26 showed, (R1) has the potential for pain .administer pain strategies according to MAR/TAR (Medication Administration Record/Treatment Administration Record). On 6/12/26 at 11:37AM, R1 stated, Several times I would have increased pain and wonder why and it was because I didn't have my pain medication. I didn't understand why I had to ask for it when I was always having to ask for it so it should have just been…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-12 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident (R1) was free from a significant medication error. This applies to 1 of 3 residents reviewed for physician's orders in the sample of 5. The findings include:R1's electronic face sheet dated 6/12/26 showed R1 has diagnoses including but not limited to displaced fracture of right lower leg, subluxation of right ankle joint, type 2 diabetes, asthma, morbid obesity, muscle weakness, obstructive sleep apnea, hypertension, and osteoporosis. R1's facility assessment dated [DATE] showed R1 has no cognitive impairment. R1's care plan dated 2/25/26 showed, (R1) has the potential for hypo/hyperglycemic reactions secondary to diagnosis of diabetes mellitus .administer medications for diabetes mellitus as ordered . R1's medication administration record for March 2026 showed R1 receives Insulin Glargine 20 units every evening at 8PM. R1's medication administration record for 3/9/26 showed R1's Insulin Glargine 20 units was not given due to Not…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-08 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident's wheelchair was maintained for one of 32 residents (R147) reviewed for accommodations of needs in the sample of 32.The findings include:R147's Face Sheet shows she was admitted to the facility on [DATE] with diagnoses including cachexia, history of falling, unsteadiness on feet, difficulty in walking, and muscle weakness.R147's Minimum Data Set, dated [DATE] shows she was cognitively intact.On April 6, 2026 at 9:49 AM, R147 said, This wheelchair is dangerous. It won't lock. R147 demonstrated by placing her wheelchair locks on while she was sitting in it, then made a forward movement while sitting in her wheelchair and the wheels became unlocked automatically. R147 said she asked to go back to her original wheelchair. R147 said she was concerned with the brakes on her wheelchair and trying to get up since the wheelchair unlocks. R147 said she asked staff who could fix her wheelchair. R147 said she talked with maintenance.…

    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 · E2025-07-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure residents oxygen equipment was changed and labeled for 4 of 5 residents (R6, R7, R12, R19) reviewed for oxygen use in the sample of 23. The findings include: On 7/21/25 at 9AM, R6 was in bed with oxygen via nasal cannula connected to an oxygen concentrator. R6's oxygen tubing was not dated. V12 (License Practical Nurse-LPN) said oxygen tubing should be labelled and dated to know when they will be changed. R6's July Physician orders shows Oxygen per nasal cannula 2-5 liters per minute continuous related to COPD (Chronic Obstructive Pulmonary Disease). Oxygen Tubing - Change monthly night shift and as needed. 2. On 7/21/25 at 8:45 AM, R7 was in bed with oxygen via nasal cannula connected to a concentrator. R7's oxygen tubing was not dated. V15 Certified Nursing Assistant-CNA who was at bedside said she does not know who changes and dates/label the oxygen tubing, maybe the nurses. R7's July Physician orders shows Oxygen per nasal cannula 2-4 liters per minute continuous. Oxygen Tubing - Change monthly…

    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 · E2025-07-22 · tag F0761 — failed to label and store drugs safely — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure insulin pens were labeled and dated when opened and disposed of when expired, and failed to ensure the medication refrigerator temperature was checked twice a day for 4 of 4 residents (R11, R14, R22 and R23) reviewed for medication storage in the sample of 23. The findings include: On [DATE] at 8:55 AM the 3rd floor medication cart for residents in rooms 3117-3128 was checked with this surveyor and V10 (Licensed Practical Nurse/LPN). Inside the cart was an open Novolog insulin pen labeled as belonging to R14. There was a sticker on the outside of the insulin pen to write the open and expiration dates on but those were blank. Inside the same medication cart was a Novolog insulin pen belonging to R11 the expiration date on the pen was listed as [DATE]. On [DATE] at 8:58 AM, V10 said insulin pens should be dated when they are open and have an expiration date of 28 days. V10 said someone must have opened the insulin pen for R14 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 · Dcited before2025-07-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility failed to ensure staff were wearing the right personal protective equipment to follow enhance barrier (EBP) precautions to 1 of 3 residents (R6) reviewed for EBP in the sample of 23. The findings include:R6's electronic face sheet show R6 has diagnoses of benign prostatic hyperplesia, retention of urine, and suprapubic catheter. R6's Physician Order Sheet dated 7/25 documents EBP For Device Care or Use of Urinary Catheter. On 7/21/25 at 9AM, a sign outside R6's room show EBP: wear gown and gloves for a high contact resident care activities V11 (Certified Nursing Assistant-CNA) was with R6 providing morning care, incontinence care/hygiene and changing R6's incontinent brief. V11 (CNA) was only wearing gloves and was not wearing a gown. V12 (License Practical Nurse (LPN) was with this surveyor. V12 said R6 was on EBP due to R6 having a suprapubic catheter. Staff including V11 (CNA) should be wearing gown and gloves when providing care to R6. Wearing the right PPE can prevent the spread of infection or cross contamination.…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-30 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to notify a resident and a resident's primary care physician (PCP) of missed medication doses for 1 of 4 residents (R1) reviewed for notification in the sample of 4. The findings include: R1's admission Record showed R1 is an eighty-two-year-old male resident originally admitted to the facility with diagnoses which include: peripheral vascular disease and a history of pulmonary embolism (blood clot in lungs). R1's March 2025 Medication Administration Record (MAR) showed from March 24 through March 27,2025, R1 did not receive their Warfarin (blood thinner) doses. The MAR showed no order for Warfarin in R1's record for March 24th through March 27th. The MAR showed R1 had an order placed on 3/28/25 with a new order for Warfarin 3mg to give 1 tablet at bedtime related to personal history of pulmonary embolism. On 4/30/25 at 10:05 AM, R1 stated they knew they were on a blood thinner. R1 stated he did not remember anyone telling him he missed any of his medication doses. On 4/30/25 at 10:20 AM, V4 R1's PCP (Primary Care Physician)…

    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 · Dcited before2025-04-30 · tag F0755 — failed to provide safe pharmacy services — isolated
    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

    Based on interview and record review the facility failed to ensure a physician ordered medication was continued for a resident with a history of pulmonary embolisms. This applies to 1 of 4 residents (R1) reviewed for pharmacy services in the sample of 4. The findings include: R1's admission Record showed R1 is an eighty-two-year-old male resident originally admitted to the facility with diagnoses which include: peripheral vascular disease and a history of pulmonary embolism (blood clot in lungs). R1's Progress notes dated 3/24/25 at 5:58 PM showed V9 Licensed Practical Nurse (LPN) related the blood thinner lab result (PT/INR) to V4 R1's Primary Care Physician (PCP), and received an order to continue R1's blood thinner (Warfarin) at 3 milligrams (mg). R1's Progress Notes dated 3/28/25 at 7:47 PM showed V9 entered an order for Warfarin 3mg. The order was entered 4 days later. R1's March 2025 Medication Administration Record (MAR) showed no order for Warfarin at 3mg was entered on 3/24/25. R1's MAR showed R1 missed 4 doses of Warfarin from 3/24/25 through 3/27/25. R1's MAR showed 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-30 · 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 a resident was free from a significant medication error by missing doses of a blood thinner (Warfarin) which applies to 1 of 4 residents (R1) reviewed for significant medication error in a sample of 4. The findings include: R1's admission Record showed R1 is an eighty-two-year-old male resident originally admitted to the facility with diagnoses which include: peripheral vascular disease and a history of pulmonary embolism (blood clot in lungs). R1's March 2025 Warfarin Worksheet showed on 3/24/25 V4 R1's Primary Care Physician was notified of R1's Protime results and an order to continue the order for Warfarin 3 milligrams (mg) was given. R1's March 2025 Medication Administration Record (MAR) showed no order for Warfarin 3mg was entered on 3/24/25. R1's MAR showed R1 missed 4 doses of Warfarin from 3/24/25 through 3/27/25. R1's MAR showed the next order for Warfarin was entered on 3/28/25 for the same dosage of 3mg. On 3/30/25 at 9:30 AM, V6 LPN stated Warfarin needs to have lab draws to monitor if it is therapeutic…

    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 · Ecited before2025-03-06 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — 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 video posted to a staff member's personal social media account did not include identifiable resident images and the facility failed to ensure residents at a dining table were served at approximately the same time. This failure applies to five residents R77, R24, R25, R62 and R120 reviewed for resident rights on the total sample list of 29. The findings include: 1. R77's admission Record (Face Sheet) documents an admission date of 3/10/2020 with diagnoses including senile degeneration of the brain, anxiety, and depression. R77's 2/13/25 Quarterly Minimum Data Set (MDS) showed he had moderate cognitive impairment with a Brief Interview for Mental Status (BIMS) score of 9 out of 15. On 3/6/25 at 11:08 AM, V15 Memory Care Executive Director confirmed that V23 Memory Care Director posted a video of a code blue drill to his personal social media account. V15 stated that while the video was intended to feature V23, it also depicted R77.…

    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
Show the remaining 13 citations
  • Potential for harm · E2025-03-06 · 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

    Based on observation, interview, and record review the facility failed to ensure food preparation was completed in a manner to prevent cross contamination. This applies to 15 of 15 residents (R4, R14, R79, R119, R36, R61, R5, R97, R52, R449, R3, R107, R82, R70, R240) reviewed for cross contamination in the sample of 29. The findings include: On 3/6/25 at 1:00 PM, the facility provided a list of residents on a pureed diet which included R4, R14, R79, R119, R36, R61, R5, R97, R52, R449, R3, R107, R82, R70, and R240. On 3/4/25 at 10:40 AM, V5 (Executive Chef) was preparing the pureed foods for service. V5 placed a glove on his right hand and scooped servings of meatballs into a container to take to the blender. V5 took the container of meatballs to the blender and used his gloved hand to scoop the meatballs into the blender. V5 removed the glove from his right hand. No hand hygiene was completed. V5 completed the puree process pushing the buttons on the blender, touching the containers, the lid to the blender, and the handles of the utensils. V5 then scooped the servings of pureed…

    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 · D2025-03-06 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 follow professional standards of practice for the administration of oxygen for 1 of 5 residents (R38) reviewed for respiratory care in the sample of 29. The findings include: R38's electronic face sheet printed on 3/6/25 showed R38 has diagnoses including but not limited to acute respiratory failure with hypoxia, sepsis, chronic diastolic congestive heart failure, and dysphagia. R38's physician's orders dated 2/20/25 showed, Oxygen per nasal cannula at 2-4 liters per minute continuous. R38's care plan dated 12/30/24 showed, (R38) requires oxygen therapy .administer oxygen per physician's orders. On 3/4/25 at 9:53AM, V9 and V10 (Certified Nursing Assistants-CNA's) provided personal cares to R38. Upon completion of personal cares, V10 applied oxygen via nasal cannula at 4L to R38. V9 and V10 stated the CNAs are allowed to administer oxygen and it is not a physician's order. V10 stated the CNAs are able to look in their task list to see what liter flow the residents are supposed to be on. On 3/6/25 at 10:15AM,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-06 · 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 observation, interview, and record review, the facility failed to obtain daily weights for a resident (R38) with congestive heart failure, failed to assess and perform dressing changes for a resident with a surgical wound (R242), failed to provide skin care for a resident with reddened skin (R86). These failures apply to 3 of 4 residents reviewed for quality of care in the sample of 29. The findings include: 1. R38's electronic face sheet printed on 3/6/25 showed R38 has diagnoses including but not limited to acute respiratory failure with hypoxia, sepsis, chronic diastolic congestive heart failure, and dysphagia. R38's physician's orders dated 2/21/25 showed, Daily weight notify physician if patient gains more than 5lbs (pounds) in a week. R38's care plan dated 2/21/25 showed, (R38) has a diagnosis of CHF (Congestive heart failure), has potential for impaired gas exchange, edema, and respiratory distress .(R38) utilizes diuretic to manage edema and is therefore with a potential for dehydration .monitor…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure R74's indwelling urinary drainage bag was maintained in a manner to prevent contamination and kept below the level of the bladder for 1 of 2 residents (R74) reviewed for catheters in the sample of 29. The findings include: On 3/4/25 at 10:10 AM, R74 was sitting in a motorized wheelchair in her room. R74's catheter tubing was visible an had cloudy, yellow urine present with sediment. R74 had a dignity cover on her drainage bag that covered the top half of the drainage bag. The lower half of the drainage bag was visible and laying on her [NAME] rest behind her feet. R74 stated the drainage bag slips out the bottom all of the time. Discussed the drainage bag laying on her foot rests and R74 stated no one ever told her that it should not be there or explained anything related to infection control. R74 stated she wished there was a way to keep the drainage bag completely covered. R74 stated the drainage bag was on her foot rest because…

    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 before2025-03-06 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to perform a dressing change for a resident with a surgical incision in a manner to prevent cross-contamination, and failed to ensure enhanced barrier precaution (EBP) signage was on or near the doorway to a resident's room for a resident with an IV (intravenous) midline for to two of two residents (R242 and R130) reviewed for infection control in the sample of 29. The findings include: 1. R242's admission Record, printed by the facility on 3/6/25, showed she had diagnoses including, but not limited to, displaced intertrochanteric fracture of right femur with subsequent encounter for closed fracture with routine healing (right hip fracture and surgical procedure to repair), anxiety disorder, muscle weakness, presence of left artificial knee joint, primary osteoarthritis, and glaucoma. The admission Record showed no diagnosis of dementia, Alzheimer's disease, or other cognitive dysfunction. R242's initial Nursing assessment dated [DATE] showed…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-03 · 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

    Based on observation, interview, and record review the facility failed to ensure measurements were obtained and tracked for a resident with burns from spilled coffee for 1 of 3 residents (R1) reviewed for quality of care in the sample of 11. The findings include: On 10/1/24 at 11:33 AM, R1 was sitting on the toilet. R1 was wearing a long-sleeved shirt, but was exposed from the waist down. V8 (Wound Care Nurse) and V17 (CNA) assisted him to a standing position. R1's left inner thigh had a dark red area, the size of an irregularly shaped baseball. The skin was peeling and there were open areas. V8 said R1 had a change to his wound today and she had ordered a Wound Care Consult. V8 said coffee was spilled on R1 and he had redness to his left forearm and left inner thigh. V8 said R1's forearm had healed, but his thigh wound was worsening. R1 said the server guy spilled coffee on the table and it went on me and burned me. R1 stated, It wasn't my fault, I can't move that fast any more and boy did it hurt. My arm doesn't hurt anymore, but his leg does. R1's dressing came off during the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-26 · tag F0755 — failed to provide safe pharmacy services — isolated
    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 and record review the facility failed to ensure a physician ordered medicated cream was applied for 1 of 3 residents (R2) reviewed for medications in the sample of 5. The findings include: R2's face sheet showed he was admitted to the facility on [DATE] with diagnoses to include metabolic encephalopathy, absence epileptic syndrome, Type 2 Diabetes, paraplegia, and morbid obesity. R2's facility assessment dated [DATE] showed he has no cognitive impairment. R2's September 2024 eMAR (electronic Medication Administration Record) showed Nystatin Cream was documented as see other progress notes on 9/17/24, 9/19/24, and 9/20/24. R2's Progress Note dated 9/20/24 at 10:19 PM, showed, . Nystatin External Cream . Apply to BILATERAL BUTTOCKS topically every shift for SKIN CONDITION . on order R2's Progress Note dated 9/18/2024 at 12:24 AM showed, . Nystatin External Cream . Apply to BILATERAL BUTTOCKS topically every shift for SKIN CONDITION . in process to be delivered R2's Progress Note dated 9/19/24 at…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-26 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure proper PPE (Personal Protective Equipment) was worn into a COVID positive resident's room for 2 of 3 residents (R6, R7) reviewed for transmission based precautions in the sample of 7. The findings include: The facility's infection control log for COVID positive residents showed R6 and R7 tested positive for COVID on 9/20/24 and were put on Transmission Based Precautions for COVID. R6 and R7's room had signage posted for Transmission Based Precautions and a sign with a large red X on the door. On 9/25/24 at 2:40 PM, R1 said she has concerns with infection control at the facility because there is an outbreak on their floor and the staff are not all wearing masks. R1 said some of the nurses do not wear masks and the dietary staff are not usually wearing masks. R1 said she is immunocompromised due to chemotherapy and feels the staff are not clear on what precautions should be in place because they are not consistent. On 9/25/24 at 12:04 PM, R3 said she had been diagnosed with COVID a couple of weeks ago 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-24 · tag F0550 — failed to protect resident dignity and rights — isolated
    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

    Based on observation, interview, and record review the facility failed to maintain a resident's dignity by not assisting the resident to the bathroom prior to the resident becoming incontinent of stool for 1 of 28 residents (R287) reviewed for dignity in the sample of 28. The findings include: R287's progress notes dated 4/22/24 described R287 as being alert, oriented, understood and followed commands. The same notes indicated R287 had a fall at home resulting in a fractured hip. On 04/22/24 at 9:20 AM, when entering R287's room there was a noticeable smell of stool. R287 was sitting in bed. R287 said this morning (4/22/24) she put her call light on at 8:15 AM because she needed help from staff to go to the bathroom. R287 said she had to have a bowel movement. R287 said she did not get help to go to the bathroom until 8:50 AM. R287 said by the time staff helped her to the bathroom it was too late and she had an accident of stool. R287 said it was .embarrassing . R287 said she normally was continent of stool but wears an adult incontinence brief for occasional urinary incontinence.…

    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 · Dcited before2024-04-24 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to accommodate a resident's need for an alternative call light for 1 of 28 residents (R285) reviewed for accommodation of needs in the sample of 28. The findings include: R285's face sheet showed R285 admitted to the facility on [DATE]. The face sheet indicated R285 was a [AGE] year old female with the diagnoses of osteoarthritis and chronic gout. R285's Functional Abilities and Goals admission assessment done on 4/22/24 showed R285 had range of motion impairments to her upper extremities because of discomfort. The assessment also showed R285 had a contracture to her left hand. R285's progress notes dated 4/20/24 showed R285 was alert and oriented. On 4/22/24 at 9:40 AM, R285 was in bed. R285 had a regular call light lying in bed next to her. There was no alternative call light. R286 (R285's roommate) was sitting in a wheelchair next to R285's bed. R285 said she struggles to push the button for her call light because of her hand strength.…

    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 · Dcited before2024-04-24 · 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 obtain daily weights on residents with orders for daily weights with congestive heart failure (CHF) for two of 28 residents (R93, R59) reviewed for quality of care. The finding include: 1. R93's admission Record shows he was admitted to the facility on [DATE] with diagnoses including acute respiratory failure with hypoxia, lymphedema, Parkinson's disease, dementia, and acute on chronic diastolic congestive heart failure. R93's Care Plan initiated October 12, 2023 shows weigh monthly and as otherwise ordered by physician. V22's Nurse Practitioner Progress Note date April 4, 2024 shows, Follow up cardiology. Nursing tells me he was hospitalized for acute hypoxemia respiratory failure from March 9, 2024-March 12, 2024, at which time he also has a new diagnosis of CHF. Daily weights ordered, trending down. Late entry: BLE (Bilateral lower extremity edema) daily weights ordered X 4 weeks (total), trending down. V17's MD (Medical Doctor) note dated April 5,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-24 · tag F0755 — failed to provide safe pharmacy services — isolated
    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

    Based on observation, interview and record review the facility failed to ensure a resident's medication was administered as ordered an not left at the bedside for 1 of 28 residents (R189) reviewed for medications in the sample of 28. The findings include: On 4/22/24 at 10:14 AM, R189 had a medication cup sitting on his bedside table with medication in the cup. R189 said that he did not know what the medication was or how long it had been on his bedside table. On 4/22/24 at 10:14 AM, V18 (Registered Nurse) said that the medication looked like R189's Carbidopa-Levodopa. V18 said that she is not sure when they medication was supposed to be administered because she gave him his morning medications in the dining room. On 4/24/24 at 8:36 AM, V19 (Licensed Practical Nurse) said that medications should never be left at the bedside. V19 said that if they are left at the bedside, you can not ensure that the resident took them. V19 said that they could get lost, dropped or not taken. R189's April Medication Administration Record shows that he receives: Carbidopa-Levodopa ER 25-100 mg-three…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-24 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to change gloves and perform hand hygiene in a manner to prevent cross contamination for two of 28 residents (R3, R109) reviewed for infection control in the sample of 28. The findings include: 1. R3's Care Plan initiated November 23, 2020 shows R3 experiences functional bowel and bladder incontinence. On April 22, 2024 at 10:13 AM, V3 CNA (Certified Nursing Assistant) provided incontinence care to R3. V3 wiped R3's front peri area. There was stool noted to the wet wipe when V3 wiped R3's front peri area. V3 helped R3 to turn onto her side and touched R3's body and gown. V3 then wiped R3's buttocks area. V3 did not change her gloves or perform hand hygiene when going from dirty to clean surfaces. 2. R109 's Care Plan shows R109 is incontinent of both bowel and bladder. On April 23, 2024 at 11:29 AM, V3 and V4 CNAs (Certified Nursing Assistants) provided incontinence care to R109. There was urine noted in R109's incontinence brief. V3 wiped R109's front peri area, touched R109's body to help her turn and placed a…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$183,372 in federal fines across 3 penalties.

  • $15,935 — penalty dated 2026-02-10
  • $157,404 — penalty dated 2024-09-26
  • $10,033 — penalty dated 2024-07-23

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

Part of a chain

This home belongs to THE ALDEN NETWORK — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.9-0.9 vs chain
Health inspection 2 of 53.0-1.0 vs chain
Staffing 3 of 52.1+0.9 vs chain
Quality measures 3 of 53.6-0.6 vs chain
The other 26 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Alden Debes Rehab & HccRockford, IL 1 of 5Alden Estates of Countryside, IncJefferson, WI 1 of 5Alden Lakeland Rehab & HccChicago, IL 1 of 5Alden Long Grove Rehab &hc CtrLong Grove, IL 1 of 5Alden Park StrathmoorRockford, IL 1 of 5Alden Terrace Of McHenry RehabMcHenry, IL 1 of 5Alden Town Manor Rehab & HccCicero, IL 1 of 5Princeton Rehab & HccChicago, IL 2 of 5Alden Estates Of Orland ParkOrland Park, IL 2 of 5Heather Health Care CenterHarvey, IL 2 of 5Wentworth Rehab & HccChicago, IL 3 of 5Alden Estates Of NapervilleNaperville, IL 3 of 5Alden Lincoln Rehab & H C CtrChicago, IL 3 of 5Alden Meadow Park HccClinton, WI 3 of 5Alden Of WaterfordAurora, IL 4 of 5Alden Courts Of ShorewoodShorewood, IL 4 of 5Alden Courts Of WaterfordAurora, IL 4 of 5Alden Des Plaines Rehab & HcDes Plaines, IL 4 of 5Alden Estates Of BarringtonBarrington, IL 4 of 5Alden Estates Of NorthmoorChicago, IL 4 of 5Alden North Shore Rehab & HccSkokie, IL 5 of 5Alden Estates Of EvanstonEvanston, IL 5 of 5Alden Estates Of ShorewoodShorewood, IL 5 of 5Alden Estates Of SkokieSkokie, IL 5 of 5Alden Poplar Creek Rehab & HccHoffman Estates, IL 5 of 5Alden Valley Ridge Rehab & HccBloomingdale, IL

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

Who owns this facility

Owner / managerTypeRoleShareSince
THE ALDEN GROUP, LTD.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 02/05/2013
AUDRA ELISCO GRANTOR TR DATED 11/02/2004Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST21%since 03/01/2018
LAUREN MAGNUSSON GRANTOR TR DATED 11/02/2004Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST21%since 02/28/2018
RANDI SCHULLO GRANTOR TR DATED 11/02/2004Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST21%since 02/28/2018
ELISCO, ARINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2013
ELISCO, CHARLESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2013
MAGNUSSON, GARRETTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2013
MAGNUSSON, PAIGEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2013
SCHULLO, JOSEPHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2013
SCHULLO, NICOLEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 07/01/2013
MIDCAP FUNDING IV TRUSTOrganization5% OR GREATER SECURITY INTERESTsince 07/01/2018
AKERMAN, ANNETTEIndividualCONTRACTED MANAGING EMPLOYEEsince 06/01/2018
KROLL, STEVENIndividualCONTRACTED MANAGING EMPLOYEEsince 06/01/2018
MARTINEZ, LYCELIndividualW-2 MANAGING EMPLOYEEsince 06/01/2018
RICKMAN, EMILYIndividualW-2 MANAGING EMPLOYEEsince 06/01/2018
CARL, JOANIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 02/06/2013
SCHLOSSBERG, FLOYDIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 02/05/2013
SCHULLO, RANDIIndividualCORPORATE OFFICERsince 02/06/2013
ALDEN MANAGEMENT SERVICES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2018

CMS files one row per role, so the 21 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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.

$18.4M
Net patient revenuemost recent cost report
-9.5%
Operating marginrevenue minus expenses
$6.2M
Related-party expense31% of expenses
Who pays — share of resident-days
Medicaid 34%Medicare 34%Other / private 32%

This home reported $6.2M paid to related parties — landlords or management companies under common ownership — equal to about 31% 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

$464per resident / day
operating cost
$14,100per month
≈ monthly operating cost
$424per day
avg. revenue, all payers

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

What families pay in IL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 146186. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-08, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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