Franciscan Village

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.

55.2% 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 441 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 28.9% 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 232 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 33% 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 127 beds and averages 98.1 residents a day — about 77% occupied, or roughly 29 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.41 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.64 hrs/resident/day on weekends vs 4.37 on weekdays — 17% thinner on weekends. RN hours go from 1.59 to 0.96 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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

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

• Actual harm · Gcited before2026-04-13 · 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 provided adequate assistance during bed mobility to prevent injury. This failure resulted in R1 requiring hospitalization for treatment of a femur fracture. This applies to 1 of 3 residents reviewed for skin impairments in the sample of 5.The findings include:R1's EMR (Electronic Medical Record) showed R1 was admitted to the facility on [DATE], with multiple diagnoses including chronic kidney disease, morbid obesity, right hip osteoarthritis, dementia, and fracture of right fibula. The EMR continued to show R1 was transferred to the local hospital on March 27, 2026, and had not returned to the facility. R1's MDS (Minimum Data Set) dated January 13, 2026, showed R1 had moderate cognitive impairment. The MDS continued to show R1 required supervision from facility staffing with eating, R1 was dependent on facility staff for transfers to and from a bed to a chair and required substantial assistance from facility staff for rolling side…

  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 before2025-08-21 · 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 safe transfer mobility for a resident who is dependent on staff for transfer assistance. This failure resulted to R118 falling from her wheelchair and sustaining fracture injury. In addition, the facility also failed to follow recommended transfer assistance and appropriate use of assistive devices for residents who are identified as high-risk for falls. This applies to 4 of 4 residents (R10, R43, R52, R118) reviewed for accidents and supervision in the sample of 19.The findings include:1. R118’s face sheet showed that R118 was admitted to the facility on [DATE], with diagnosis that included urinary tract infection, toxic encephalopathy, personal history of transient ischemic attack with cerebral infarction, cognitive communication deficit, rheumatoid arthritis, unsteadiness on feet, and lack of coordination. R118’s Minimum Data Set, dated [DATE] showed R118 had lower extremity impairment on the left side and is dependent on staff…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-08-09 · 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

  Based on observation, interview, and record review, the facility failed to obtain monthly weights/reweights and recognize significant weight loss for a resident. This failure resulted in R82's weight loss not being recognized until R82 sustained a 12.47% weight loss in 90 days. This applies to 1 resident (R82) reviewed for weight loss in a sample of 34 residents. The findings include: On 8/6/24 at 11:57 AM, R82 said she does not like the facility food. R82 said the food is bland and I don't eat much because the food doesn't look good. R82 said she doesn't like her meat chopped up. R82 said she weighed 150 pounds when she was admitted a year ago and the last time they weighed her she was 120 pounds. R82 said she does not receive any supplements. No supplements were seen in R82's room. R82's Face sheet shows an initial admission date of 8/19/23. R82's POS (Physician Order Sheet) shows order dated 12/22/23 for monthly weights, an order dated 10/24/23 for general diet mechanical soft texture, thin liquid consistency, and does not show a hospice order. V2's (DON's) weight change note…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview and record review, the facility failed to prepare food, clean dishes and store pots and pans in sanitary conditions. This applies to all 97 residents that receive food prepared in the facility kitchen. The findings include:Facility's CMS Application Form for Medicare/Medicaid dated August 18, 2025, showed that the facility census was 97 residents. Facility provided information that there are no residents on NPO (nothing by mouth) status.On August 18, 2025, at 9:25 AM, during the initial tour of the kitchen the following observations were made: The food processor had orange colored debris on the inside of the lid. V10 (Cook) stated that the food processor is used to prepare mechanically soft foods. The shelving under the prep area that stored silver foil and clear wrap, pan liners, sandwich bags and other miscellaneous items had food particles and dust and grime. The deep fryer was noted with oil that had blackened substance and food remnants in deep frying area with food debris and spills on sides of the oven near fryer. Under the stoves there was…

  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 · E2025-08-21 · tag F0755 — failed to provide safe pharmacy services — pattern
  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 that their controlled substance medications were completely sealed in their packaging. This applies to 7 of 7 residents (R8, R10, R35, R44, R50, R60, R65) reviewed for medication storage in the sample of 19. The findings include: On August 19, 2025, from 3:40 PM to 4:20 PM medication room and cart observations were conducted from the 3rd floor to the first floor of the facility with V13, V14, and V15 (All Nurses). The following were observed: 1. R35's Lorazepam 0.5 mg (milligram) number18 tablet's packaging was broken and was taped over.2. R50's Lorazepam 0.5 mg number 27 tablet's packaging was broken and was taped over.3. R10's Triazolam 0.25 mg number 1 and 5 tablets' packaging were broken and taped over.4. R60's Hydrocodone/APAP 5-325 mg number 20 tablet's packaging was broken and taped over.5. R65's Tramadol 50 mg number 12's tablet's packaging was broken and was taped over.6. R44's Lorazepam 0.5 mg number 16 tablet's packaging was broken and was taped over.7. R8's Oxycodone HCL 5mg number 29…

  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 · E2025-08-21 · tag F0800 — pattern
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to provide fortified foods for residents that had a recommendation for the same. This applies to 6 of 6 residents (R18, R35, R45, R64, R78, R95) reviewed for fortified foods in the sample of 19. The findings include: On August 19, 2025, starting at 11:44 AM, the meal service was observed in the 2nd floor dining room with V7 (Server) at the steam table. R18 and R95's meal tickets showed 'fortified pudding', and they did not receive the same. R78's meal ticket showed 'magic cup', and she did not receive the same. On August 19, 2025, starting at 12:21 PM, the meal service was observed in the 3rd floor dining room with V8 (Server) at the steam table. R35, R45 and R64's meal ticket showed 'fortified pudding', and they did not receive the same. On August 20, 2025, at 11:31 AM, V17 (Registered Dietitian) stated that she when she makes a recommendation for fortified foods, she uses the kitchen platform for the facility meal tickets to enter her recommendations. V17 stated that the fortified foods will not appear on 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-21 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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 menu spreadsheets to serve portions for main entree for residents receiving mechanical soft diets. This applies to 4 of 4 residents (R73, R96, R117 and R119) reviewed for dining in the sample of 19. The findings include:Diet menu spread sheet for Tuesday (week 2) included 4 oz (ounce) portion of Bacon Wrapped Beef. The same menu spreadsheet showed to use #8 scoop of ground chopped beef steak with gravy for dental soft (mechanical soft) diets. Facility color coded scoop size equivalents showed that #8 (gray scoop) =4 oz and #12 (green scoop) =3 oz. On August 19, 2025, at 11:34 AM, the meal service was observed in the facility kitchen with V16 (Server) at the steam table. V16 used a #12 green colored scoop to serve the ground chopped beef steak and R73, R96, R117 and R119 received the same. On August 20, at 12:03 PM, V17 (Registered Dietitian) stated that V16 should have used the scoop as shown on the menu as the scoop is utilized to serve the correct portions to meet the appropriate calories 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-21 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 diet guidance for mechanical soft diets.This applies to 6 of 6 residents (R20, R23, R47, R52 and R84) reviewed for mechanical soft diets in the sample of 19.The findings include:On August 19, 2025, at 10:00 AM, the meal service was observed in the 2nd floor dining room with V7 (Server) at the steam table. R23, R47, R52 and R84 received a serving of corn. These residents diet orders on meal tickets showed Dental Soft (Mechanical Soft) and they had circled soft and chopped green beans as a vegetable option. R20 also received a cup (4 oz/portion) of chopped fruit that included chunks of raw pineapple. On August 20, 2025, at 11:50 AM, V17 (Dietitian) stated that residents on mechanical soft diets are allowed chopped canned fruits only and soft, cooked vegetables. On August 19, 2025, at 11:59 AM and 12:32 PM, V6 (Assistant Director of Dining Services) stated that if the green beans were circled, these residents should have received the same. V6 added that pineapple chunks are not served on mechanical soft…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide assistance to residents requiring staff assistance with ADLs (Activities of Daily Living).This applies to 2 of 3 residents (R22 and R117) reviewed for ADL care in the sample of 19.The findings include: 1. R22's EMR (Electronic Medical Record) showed R22 was admitted to the facility on [DATE], with diagnoses that included Parkinson's without dyskinesia and dysphagia (difficulty swallowing), oropharyngeal phase. R22's MDS (Minimum Data Set) dated June 10, 2025, showed R22 was cognitively intact and required set-up or touching assistance. R22's Physician Progress note dated July 18, 2025, showed, [R22] having difficulty feeding himself with Parkinson's so staff will now feed him. R22's care plan showed R22 had a self-care performance and functional mobility deficit related to Parkinson's disease and dementia. R22 had inadequate oral intake related to disliking diet texture and decreased appetite.interventions included, provide dining…

  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 before2025-08-21 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews the facility failed to assess and provide interventions for a resident exhibiting pain during care.This failure applies to 1 of 3 (R117) reviewed for pain management from a total sample of 19The findings include: R117 is a [AGE] year-old female with a history of Dementia, Leg Fracture, Neuropathy, and Pain in Left Hip who was admitted to the facility 08/11/2025. R117's admission progress note dated 08/11/2025 documents she was admitted from the Hospital with a diagnosis of Left femur (thigh bone) fracture and post fracture surgical care; Feels pain when turning. R117's practitioner progress note dated 08/13/2025 documents she was seen on 08/13/2025 with chief complaints including mobility dysfunction secondary to fall, left proximal femur (thigh bone) fracture, and pain. R117 was admitted to the facility for skilled nursing and rehab and asked to be seen by primary team to optimize therapy and for pain control; she complained of left hip pain with movement.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
• Potential for harm · Dcited before2025-08-21 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 physician orders for medication administration. There were 28 medication opportunities with 2 errors resulting in 7.14% error rate. This applies to 1 of 6 residents (R100) reviewed for medication pass in the sample of 19. The findings include: On August 19, 2025, at 9:28 AM, V4 (Nurse) administered medications to R100 including Metoprolol Succinate ER (Extended Release) 50 mg tablet. V4 crushed the Metoprolol ER and gave it to R100. During medication reconciliation and review of Medication Administration Record (MAR), it was observed that R100 has an order of Polyethylene Glycol 3350 17 Grams Powder for Oral Solution (Miralax). V4 did not administered this medication. On August 19, 2025, at 11:09 AM, V4 stated that whatever medications that was observed that she administered for the morning were the only medications R100 has. On August 20, 2025, at 9:30 AM, V2 (Director of Nursing/DON) stated that staff must follow physician order when administering medications. Give medications according to the time…

  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 before2025-08-21 · 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 follow standard infection control practices related to hand hygiene and gloving during provisions of activities of daily living (ADL) care. This applies to 3 of 4 residents (R36, R43, R52), reviewed for infection control in the sample of 19. The findings include: 1. On August 19, 2025, at 12:59 PM, V19 (Certified Nursing Assistant/CNA) assisted R52 in the bathroom for toileting. After R52 finished voiding, V19 assisted R52 to stand up and proceeded to provide peri care. V19 cleaned R43 from front to back of the perineum, applied new incontinence brief, and pulled R52's pants back on while wearing same soiled gloves.2. On August 19, 2025, at 1:31 PM, V21 (CNA) provided incontinence care to R43 who had a bowel movement. R21 removed pants and soiled incontinence brief, cleaned R43 from front to back, applied barrier cream, and applied new incontinence brief, while wearing same gloves all throughout the care. Then V21 removed his gloves and without hand hygiene continued to straighten R43's beddings and adjusted…

  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 · Fcited before2024-08-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to discard expired food items from the dry storage and failed to properly store food items in the freezer by building ice on food packages, the walk-in freezer door side, and the floor. This applies to all 98 residents consuming food from the kitchen. The Findings Include: On 8/6/24 at 9:42 AM, during an initial kitchen tour with the dietary manager (V5), the kitchen dry storage was observed with one-quarter of 32-ounce (oz) peanuts expired on 7/24/24, one pound of opened Pistachio bag expired on 7/25/24, an opened almond bag with two pounds of almonds expired on 7/25/24, and an unopened white chocolate designer dessert sauce 16 oz expired on 11/2021. On 8/6/24 at 9:45 AM, V5 stated, Everyone, especially the stock person, is responsible for checking for expired food items, which should be discarded. On 8/6/24 at 9:50 AM, the freezer was observed with 2.5 pounds (lbs) of provolone cheese, opened but without a date or label. On 8/6/24 at 9:52 AM, V5 added, Opened food items should have a date/label. I will throw…

  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

“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

$44,220 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $21,960 — penalty dated 2026-04-13
• $22,260 — penalty dated 2025-08-21
• Medicare payment denial — starting 2024-08-30 for 20 days

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

Part of a chain

This home belongs to FRANCISCAN COMMUNITIES — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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