Radford Green

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.

71.8% 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 777 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.4% 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 414 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 0.98 therapist hours per resident per day in 2026Q1 — more than 97% 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.

Staffing

How full it usually is: this home is certified for 84 beds and averages 79.9 residents a day — about 95% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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 5.41 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.39 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.02 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.08 hrs/resident/day on weekends vs 5.55 on weekdays — 8% thinner on weekends. RN hours go from 1.46 to 1.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

28 citations, most serious first. The 17 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · G2026-04-15 · 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 timely incontinence care for residents who require extensive assistance with activities of daily living for 2 of 18 residents (R4 and R42) reviewed for activities of daily living in the sample of 18. This failure resulted in R4 developing MASD (Moisture Associated Skin Damage) with open wounds to the sacral area. The findings include: 1.R4's Minimum Data Set assessment dated [DATE] shows that his cognition is severely impaired, is always incontinent of urine and stool and is dependent on staff for toileting and personal hygiene. On 4/13/26 at 10:44 AM, V16 (Certified Nursing Assistant/CNA) went in to provide incontinence care to R4. R4's incontinence brief was saturated and the sheet underneath R4 was wet. R4's buttock was reddened and had multiple open wounds present. V16 said that R4 was last changed with the help of the night shift around 6:45-7:00 AM. On 4/14/26 at 2:06 PM, V17 (CNA) said that all incontinent residents should be…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-03-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident's safety while providing cares which applies to 1 of 4 residents (R1) reviewed for safety in a sample of 4. This failure resulted in R1 falling out of bed and receiving a fracture.The findings include:R1's admission Record printed on 3/30/26 showed R1 was readmitted to the facility on [DATE] with diagnoses which include hemiplegia and hemiparesis affecting the right dominant side, multiple neoplasm sites, lack of coordination, and abnormalities of gait and mobility.R1's Minimum Data Set, dated [DATE] showed R1 has a cognitive deficit and needs partial to substantial assistance with activities of daily living (ADLs) of self-care. These areas of self-care include turning in bed, showering/bathing, toileting, dressing, and personal hygiene.The facility's Final Incident Report dated 3/8/26 Showed on 3/4/26 R1 was receiving incontinent care, turned to R1's right side away from the caregiver, and fell out of the bed. This…

  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 before2025-02-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure resident coffee was served at a safe temperature. This failure resulted in R57 receiving second degree burns to her right arm. The facility also failed to ensure fall preventative measures were in place for a resident. This applies to 2 of 6 residents (R57 & R28) reviewed for safety and supervision in the sample of 34. The findings include: 1. The Nurse's Notes for R57 showed, 1/6/25 at 12:19 AM - This writer was called to resident's room by CNA (Certified Nursing Assistant). Resident had spilled coffee on right arm. Right arm noted to have 2 reddened area with shiny skin, no blisters noted. Right forearm open area 3 cm (centimeters) x 2 cm, right elbow 5 cm x 8 cm. Cool water applied to right arm. DON (Director of Nursing) and supervisor made aware. Spoke with .physician assistant. New orders given and endorsed. Tylenol given for pain. Dressing applied per order/change daily. 1/6/25 at 12:23 AM - Dressing clean, dry, and intact.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-08-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure a resident (R1) was assessed in a timely manner after being lowered to the ground during a mechanical lift transfer on 7/26/24 at 5:30 AM which resulted in a left hip fracture. The facility failed to notify the physician in a timely manner and provide ongoing nursing assessments from the time of the incident on 7/26/24 at 5:30 AM through 8/1/24 when R1 was transported to the emergency department for evaluation and treatment of a left hip fracture. These failures resulted in R1 not receiving required medical evaluations and treatment after being lowered to the ground when she was falling from a mechanical lift on 7/26/24. This applies to one of three residents (R1) reviewed for injury in the sample of three. The findings include: The facility face sheet for R1 shows diagnoses to include fibromyalgia, Atrial Fibrillation, congestive heart failure and dementia. The facility assessment dated [DATE] shows R1 to have severe cognitive impairment 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-08-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to safely transfer a resident using a mechanical lift. This failure resulted on R1 sustaining a femur fracture requiring surgery. This applies to one of three residents reviewed for safety in the sample of three. The findings include: The facility face sheet for R1 shows diagnoses to include fibromyalgia, Atrial Fibrillation, congestive heart failure and dementia. The facility assessment dated [DATE] shows R1 to have severe cognitive impairment and required maximum staff assistance with bed mobility and transfers. The final report dated 7/31/24 for a bruise of unknown origin shows upon further investigation it was discovered that the resident was being transferred by a sit to stand lift for a shower. During the transfer, R1 became agitated and began to come out of the sit to stand sling. The report shows this staff lowered the resident to the floor. The sling caused pressure to the left shoulder which developed into a bruise. An additional follow-up, post…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-05-13 · 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 supervise a cognitively impaired resident (R1) while being toileted which resulted in R1 falling off the toilet and requiring emergent transport to a local hospital where she was admitted with diagnosis of a basal ganglia hemorrhage (brain bleed) and a frontal scalp hematoma. This failure applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 3. The findings include: R1's admission nursing note dated 4/26/24 showed R1 was admitted to the facility with a diagnosis of CVA (cerebrovascular accident/stroke) which resulted in weakness to R1's right arm and right leg. R1 was nonverbal due to her stroke. The note showed, Per POA (power of attorney), patient is a fall risk and will attempt to get out of bed. R1's nursing note dated 4/27/24 showed facility staff found R1 attempting to get out of bed without assistance. R1's care plan dated 4/26/24 showed R1 was at risk for falls due to her impaired cognition, poor safety awareness,…

  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 · G2024-03-13 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to administer a resident's post-surgical pain medication as ordered for 1 of 7 residents (R326) reviewed for pain management in the sample of 18. This failure resulted in R326 experiencing severe pain overnight (approximately 7-10 hours) on 3/8/24-3/9/24. The findings include: R326's Face Sheet shows R326 has admitting diagnoses including fusion of spine in the lumbar region, encounter for surgical aftercare following surgery on the nervous system, presence of other vascular implants and grafts, spondylolisthesis in the lumbar region, spinal stenosis in the lumbosacral region, and low back pain. R326's hospital discharge paperwork dated 3/8/24 shows that R326 had an order for Oxycodone (narcotic analgesic) 5 mg every 4 hours for pain management. R326 last received 10 milligrams (mg) of Oxycodone at 5:15 PM on 3/8/24, before being discharged from the hospital. R326's Face sheet shows that R326 was admitted to the facility at 7:10 PM on 3/8/24. On 3/12/24 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-15 · tag F0640 — pattern
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  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 discharge MDS (Minimum Data Set) assessments were completed for discharged residents. This applies to 4 of 4 residents (R29, R54, R81, R83) reviewed for resident assessments in the sample of 18. The findings include: 1.R29's face sheet shows she was admitted to the facility on [DATE] and discharged on 12/28/25. On 4/15/26, R29's MDS shows her discharge assessment was not completed (greater than 100 days). 2. R54's face sheet shows she was admitted to the facility on [DATE] and discharged on 03/16/26. 3. R81's face sheet shows she was admitted to the facility on [DATE] and discharged on 3/20/26. 4. R83's face sheet shows she was admitted to the facility on [DATE] and discharged on 3/20/26. The facility's MDS report provided on 4/15/26, shows R54, R81, R83's discharge assessments were not completed/submitted within 14 days of discharge. On 4/15/26 at 10:05 AM, V10 (MDS Nurse) said the facility has certified 84 beds. If there are more residents…

  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 · Ecited before2026-04-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to identify, assess and implement treatment after a resident developed a stage two pressure ulcer, failed to ensure pressure ulcer prevention interventions were in place and failed to ensure low air loss mattresses were functioning and set to the appropriate settings for 4 of 7 residents (R1, R4, R11 and R42) reviewed for pressure ulcers in the sample of 18. The findings include: 1.On 4/13/26 at 2:58 PM, V16, (Certified Nursing Assistant/CNA) and V17 (CNA) went provided incontinence care to R42. R42 had an open wound on her coccyx. There was no dressing present on the wound or in the incontinence brief. On 4/14/26 at 2:00 PM, V21 (Registered Nurse) and V9 (Clinical Nurse Manager) went into R42's room to do a skin check. R42 still had the open wound to her coccyx with no dressing in place. V21 stated, That must be new because it was not there earlier. This surveyor notified V21 that it was there on 4/13/26. V21 stated, No one told me about it. There was no documentation regarding R42's coccyx wound from when it 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-15 · 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 the menu during the noon meal for residents on a pureed diet. This applies to 5 of 5 residents (R11, R23, R42, R91 and R6) reviewed for dietary services in the sample of 18. The findings include: On 4/13/26 at 10:55 AM, V5 (Cook) prepared the pureed meal using the food processor including bean soup, BBQ chicken, cowboy beans, pea onion salad and coffee cake. On 4/13/26 at 12:38 PM, the lunch service began on the second floor. Staff came to the serving window and verbally requested a resident's tray (pureed/regular). V5 was plating and serving the meals. The puree residents were served BBQ chicken, cowboy beans and mashed potatoes. The puree soup was not served to all the puree residents. The puree pea salad and coffee cake were not served. The puree pea salad and puree coffee cake were sitting on the prep table behind the serving table with plastic wrap in place during the noon meal service. At 1:37 PM, V4 (Dietary Manager) said the puree meal should receive what's on the menu including puree soup, BBQ…

  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 · E2026-04-15 · 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 ensure the puree noon meal was a smooth consistency for residents on a pureed diet. This applies to 5 of 5 residents (R11, R23, R42, R91 and R6) reviewed for therapeutic diets in the sample of 18. The findings include: On 4/13/26 at 10:55 AM, V5 (Cook) prepared the noon puree meal adding cubed chicken adding eight ladles of BBQ sauce, one ladle of hot water and unmeasured amount of thickener in the food processor and blended. V5 then placed the puree BBQ chicken in the steam pan it appeared thick and lumpy. V5 then pureed the cowboy beans in the food processor and added unmeasured amount of thickener. On 4/13/26 at 11:44 AM, V5 said the puree consistency should be smooth like pudding. If you add too much thickener, it will be thick. On 4/13/26 at 1:50 PM, this surveyor sampled the puree meal including the pureed BBQ chicken and cowboy beans. Both items appeared lumpy on the plate. The puree BBQ chicken and cowboy beans were not a smooth consistency. Small gritty pieces that required chewing were present. 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-15 · 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 ensure daily weights were performed as order for residents with congestive heart failure and failed to perform and document a wound assessment for a resident with a new wound. This applies to 3 of 18 residents (R4, R13 and R108) reviewed for quality of care in the sample of 18.The findings include:1.On 4/13/26 at 2:22 PM, R4 had a dressing on his upper back dated 4/13/26. R4's Nursing Notes dated 4/8/26 shows, Resident noted to have a small open area to midback. Cleaned with NS (normal saline), patted dry, covered with clean and dry dressing. Resident denies pain to area. The facility was unable to provide any additional wound assessment documentation for R4's back wound that provided characteristics of the wound and measurements. R4's Wound Evaluation and Management Summary dated 4/15/26 shows that R4 has a non-pressure wound of his left upper back measuring 0.6 centimeters (cm) x 0.6 cm x 0.1 cm with moderate serous exudate. On 4/14/26 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-15 · 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 interview and record review the facility failed to ensure a resident was assessed by a dietician after a significant weight loss for 1 of 3 residents (R11) reviewed for weight loss in the sample of 18. The findings include: R11's face sheet shows she has diagnoses including Alzheimer's Disease with early onset and dysphagia. R11's current Care Plan shows she is dependent on staff for feeding assistance, she is at risk for nutritional deficit and should be seen by the dietician. The Care Plan also shows R11 has transitioned to hospice care. R11's weight summary shows she weighed 89.4 pounds (lbs.) on 1/28/26 and on 2/22/26 she weighed 83.0 lbs. which is a 6.4 lb. 7.16% weight loss in less than 1 one month.On 3/1/26 R11 weighed 87.6 lbs. and on 3/7/26 she weighed 76.2 lbs. which is a 11.4 lb. 13.01% weight loss in one week. On 4/14/26 and 4/15/26 all dietary notes and assessments for the past 6 months for R11 were requested. The facility provided dietary progress notes completed by V15 (Registered Dietician) which shows R11 was assessed on 10/24/25 and the next…

  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 · D2026-04-15 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 head of bed was elevated while tube feeding was being administered for 1 of 3 residents (R4) reviewed for tube feeding management in the sample of 18.The findings include:On 4/13/26 at 10:44 AM, V16, (Certified Nursing Assistant/CNA) went into R4's room to provide incontinence care. R4 had tube feeding running. V16 lowered R4's head of the bed to a flat position. V16 then started incontinence care. At 10:49 AM, V16 left the room to get help with care and left R4's head of the bed lowered. At 11:04 AM, V16 returned to the room and continued providing incontinence care with the head of the bed still in the flat position and the tube feeding still running.On 4/14/26 at 2:06 PM, V17 (CNA) said that if a resident is getting tube feeding, the head of the bed should always be elevated. V17 said that if the head of the bed needs to be lowered to provide care, the CNA should notify the nurse so they can stop the feeding while the care is being provided. R4's Current Care Plan shows that he requires…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-15 · 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 ensure the required Personal Protective Equipment (PPE) was worn when providing care to residents on Enhanced Barrier Precautions (EBP) and failed to handle oxygen tubing in a manner to prevent cross contamination for 3 of 18 residents (R24, R4, R107) reviewed for infection control in the sample of 18. The findings include: 1. R24's face sheet shows she has diagnoses including dementia and dysphagia. R24's active Care Plan shows she is incontinent of both bowel and bladder and is dependent on staff for care. R24 has a pressure injury to her coccyx which requires wound care, and is on Enhanced Barrier Precautions due to having a wound. On 4/13/26 at 9:35 AM, there was a sign posted on R24's door indicating that providers and staff must wear gloves and gowns for high contact resident care including dressing, changing linen, providing hygiene and changing briefs. There was a plastic bin outside of R24's doorway that had PPE supplies inside…

  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 · D2025-05-01 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 was free from misappropriation of funds. This applies to 1 of 3 residents (R1) reviewed for misappropriation of funds in the sample of 13. The findings include: The facility's reported incident: Misappropriation of Funds report dated March 7, 2025, shows, On 3/3/2025, R1 reported to the night nurse, during early morning rounds, that his (name of card) credit card was stolen The same report shows, both R1 and V24 (R1's son) were interviewed. The son (V24) stated that his father texted him early Saturday morning (3/1/25) to inform him that the credit card was missing. Resident (R1) told the son that he could not sleep so he was checking his accounts. The resident noticed that there was a charge on his (name of card) for $57.28. He immediately canceled the credit card and called (name of card) to inquire about the charge. The credit card company told him that the card was used for a purchase at a local liquor store in northern Illinois on 2/28/25. (Name of card) was unable to give a time the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-20 · 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 interview and record review the facility failed to ensure food temperatures were monitored for meals prior to service for all 76 residents residing in the facility. The findings include: The CMS (Centers for Medicare and Medicaid services) form 671, dated 2/18/25, documents 76 residents reside in the facility. On 2/18/25 at 10:00 AM, V7 (Dining Director) said the food temperatures are initially taken by the dietary aide in the kitchen. The food is then sent up to the 2nd and 3rd floors to be placed on a steam table and then plated directly before giving to the residents. V7 said the temperatures are logged into the book on each of the pantry log books and the temps are transferred to the main logbook. Each of the food items should have 2 temperature readings, one is done in the kitchen, and the second temperature from the pantry. The temperature monitoring sheets were reviewed for the week of 2/2/25 to 2/8/25 for the 2nd and 3rd floor pantries. The 2nd floor readings show on 2/2/25 only 1 temperature for dinner, 2/6/25 no dinner temperatures, 2/7/25 lunch 1 temperature, no…

  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

$206,689 in federal fines across 5 penalties. 2 Medicare payment denials on record.

• $19,635 — penalty dated 2026-03-31
• $118,260 — penalty dated 2026-03-31
• $38,353 — penalty dated 2025-02-20
• $21,450 — penalty dated 2024-08-09
• $8,991 — penalty dated 2024-03-28
• Medicare payment denial — starting 2026-04-18 for 68 days
• Medicare payment denial — starting 2025-03-14 for 10 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 LIFE CARE SERVICES — 43 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 32 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

19 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.

This home reported $1.5M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IL