Elevate Care Regency

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.

50.2% 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 185 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 43.6% 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 78 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 254 beds and averages 170.5 residents a day — about 67% occupied, or roughly 84 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 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 3.30 hrs/resident/day on weekends vs 3.86 on weekdays — 15% thinner on weekends. RN hours go from 0.78 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

30 citations, most serious first. The 17 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-02-05 · 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 provide necessary respiratory care and monitoring for a ventilator-dependent resident by failing to assess and respond to ventilator alarms and failing to ensure the resident's ventilator circuit and closed suction system were intact and functioning. These deficiencies affect one (R1) of four residents in the sample of nine reviewed for quality of care. These failures resulted in R1 not receiving ventilation and being found unresponsive, requiring emergency medical intervention; and expired. These failures resulted in Immediate Jeopardy. The Immediate Jeopardy was identified on [DATE] when R1 was found unresponsive, pale and disconnected from ventilator. V1 (Administrator), V2 (Director of Nursing) and V3 (Assistant Director of Nursing) were notified of the Immediate Jeopardy on [DATE] at 10:31 AM. The survey team confirmed by observation, interviews and record reviews that Immediate Jeopardy was removed on [DATE], but noncompliance remains at Level…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited beforedisputed · IIDR2025-12-18 · 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 that a resident received care and services in accordance with professional standards of practice to promptly intervene, monitor, and escalate treatment for severe hypoglycemia for a resident. This failure applied to one (R1) of three residents reviewed for nursing care and resulted in R1 experiencing prolonged hypoglycemia of over two hours with decreased responsiveness, requiring emergent hospital transfer. R1 subsequently expired at the hospital the same day.This failure was identified as an Immediate Jeopardy. The Immediate Jeopardy began on November 18, 2025. V1 (Administrator) was notified of the Immediate Jeopardy on December 17, 2025 at 1:07PM. The surveyor confirmed by observation, interview, and record review that the Immediate Jeopardy was removed on December 18, 2025, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the removal plan. Findings include:R1 was 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-04-11 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to document accurate meal intakes, offer alternative meal options, and notify the physician or nurse practitioner of significant weight loss. Additionally, the facility failed to implement the dietitian ' s recommendations and follow the physician ' s orders to increase Remeron for weight management. This deficient practice affected two of the seven residents (R62 and R103) reviewed for nutrition and unplanned weight loss prevention. As a result, Resident R62 experienced a 10% unplanned weight loss over a six-month period. Findings include: On 4/8/25 at 12:10 PM, R62 was observed in dining room for lunch meal. Staff were observed setting up R62's tray. R62 was observed replacing the cover on plate and self propelling wheelchair out of dining room. On 4/8/25 at 12:15 PM, R62 was observed self propelling wheelchair into dining room. R62 lifted the cover over plate then replaced cover and left dining room. Staff were observed removing R62's…

  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 before2024-10-13 · 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 observations, interviews, and record reviews, the facility failed to effectively supervise and ensure one resident was seated properly in wheelchair with feet on footrests or elevated off floor prior to transporting. This affected one of three residents' (R1) reviewed for safety. This failure resulted in R1 falling from the wheelchair sustaining a laceration to forehead requiring seven sutures and a left patella fracture. Findings include: On 10/12/24 from 11:20 AM until 12:40 PM R1 was observed sitting in wheelchair in the dining room. R1 was observed sitting with back against wheelchair back and holding a doll. R1 was able to feed self once her meal was set up for her. R1 was not observed shifting weight, leaning forward in wheelchair, or making any sudden movements. On 10/12/24 at 12:40 PM, V3 CNA (certified nurse aide) was observed transporting R1 to R1's room. R1's room is directly across from the nurses' station. V3 and V4 CNA were observed transferring R1 from wheelchair to bed. R1's wheelchair…

  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 before2023-10-26 · 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 have effective interventions in place to keep a resident free from fall related injury for a resident with a history of falls. This failure applied to one (R6) of one resident reviewed for accidents and supervision and resulted in R6 experiencing four falls in four months and sustaining a laceration to the head requiring three staples and a subdural hematoma. Findings include: R6 is an [AGE] year-old male who has multiple diagnoses including but not limited to the following: difficulty in walking, altered mental status, need for assistance with personal care, muscle weakness, frontotemporal neurocognitive disorder, unsteadiness on feet, abnormalities of gait and mobility, failure to thrive, and dementia. Per fall report and progress notes for R6 dated 7/8/23, shows resident had an unwitnessed fall while ambulating in his room. R6 was noted to have a laceration to the back of the head and was sent to the hospital where he returned to the facility with…

  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 before2022-10-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent a resident who is fully dependent on staff for care from developing facility acquired pressure ulcers. This failure applied to one (R111) of six residents reviewed for pressure ulcers and resulted in R111 developing three facility acquired pressure ulcers; an unstageable wound to the left buttock, a stage IV wound on the left hip, and a stage IV to the sacrum. Findings include: R111 is a [AGE] year old female who was originally admitted to the facility on [DATE] with multiple diagnoses including: type II diabetes mellitus, dementia, depression, psychosis, hyperlipidemia, hypertension, hemiplegia, urinary incontinence, stage IV pressure ulcer of left hip, unstageable pressure ulcer of right ankle, stage IV pressure ulcer of sacral region, cerebral infarction, contracture of muscle, weakness, anemia, acute kidney failure, need for assistance with personal care, and dysphagia. MDS (Minimum Data Set) Annual assessment dated [DATE]…

  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 · G2022-10-12 · 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 observation, interview, and record review, the facility failed to perform an initial pain screening and comprehensive pain assessment upon readmission for a resident (R57) who is at risk for pain; failed to ensure an ongoing pain management program was implemented for a resident (R57) who required treatment and care that was not reflected in resident's individualized comprehensive care plan; failed to follow their facility policy and procedure for pain management. This failure has caused R57's pain level to remain consistently high without successful interventions by the facility. Findings include: On 10/09/2022 at 10:53 AM, surveyor heard yelling out while making observations on the third floor. At 10:55 AM, entered R57's room and observed resident lying in bed, sling loosely in place to left upper arm, and visibly experiencing pain. While weeping and holding her left upper arm, R57 said that she broke her arm and it hurts so much. R57 said, taking pain medicine but it is not enough. R57 said she last…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-11 · 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 ensure low air loss mattress devices were on the correct weights setting for residents who are at risk in developing pressure ulcers. This failure has the potential to affect four (R28, R92, R116 and R168) out of four residents reviewed for pressure ulcer care in a final sample of 55 residents. Findings include: On 4/8/25 at 10:45AM, observed R92 in bed, on low air loss mattress set to normal pressure below 80. Setting confirmed with V4 (LPN). Record reviewed R92 weight record dated 3/10/25 is 105.6 lbs. On 4/8/25 at 10:47AM, observed R116 in bed, on low air loss mattress set to normal pressure between 210 to 250. Setting confirmed with V4 (LPN). Record reviewed R116 weight record dated 3/10/25 is 113.9 lbs. On 4/8/25 at 10:50AM, observed R28 in bed, on low air loss mattress is power off. Mattress deflated. Confirmed with V4 (LPN) that the low air loss mattress is deflated. V4 checked and tried to turn on, observed it is unplugged. V4 plugged the low air loss mattress and turned the power on. Low pressure…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to effectively supervise one resident on a thickened liquid diet from drinking a cup of thin liquids from another resident's meal tray for a resident assessed with mild to moderate risk for aspiration. This failure affected one resident (91) out of three reviewed for mechanically altered diets in a sample of 55. Based on observation, interview and record review, the facility failed to present a smoking policy that included the safe use and how the facility would supervise residents using electronic smoking materials and failed to complete quarterly smoking assessments. This affected four of four residents (R111, R61, R8, and R161) reviewed for smoking safety and supervision. Findings include: On 4/8/25 at 12:05 PM, staff was observed pouring thin liquid juice container, 120ml (milliliters) into a cup for R165 and placing the cup on her tray. 04/08/25 at 12:05 PM R91 was observed taking a cup filled with thin liquids off another resident's…

  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 before2025-04-11 · 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 follow their Call Light policy. The facility failed to place the call light within reach for one resident (R40) of three residents reviewed for call light accessibility in a total sample of 55 residents. Findings include: On 4/8/25 at 1040AM observed R40 in bed, watching television. Mouth piece/puffer call light not within reach. Head of bed elevated and the puffer call light was above the head of bed, above her head and on right side facing the door area. R40 stated she cannot reach the call light because it is not close to her mouth. R40 unable to reach the call light, noted to have limited range of motion on her right arm. On 4/8/25 at 1043AM, confirmed with V5 (CNA). V5 Stated that staff usually placed R40's call light closer to her mouth. R40 is not able to reach and use her call light at this moment because of its placement. I will reposition her and place the puffer call light closer to R40. R40's Joint Mobility assessment dated…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-11 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to follow its comprehensive care plans policy and accurately assess and revise care plans as changes in the residents' conditions dictate for three residents (R46, R49, and R91) out of three reviewed for care plans in a sample of 55. Findings include: On 4/9/25 at 12:00 PM, R49 was observed to have an electronic monitoring device on her left wrist. On 4/10/25 at 1:05 PM, V20 (MDS (minimum data set) coordinator) stated that this facility changed computer systems in October 2024. V20 stated that all care plans in the residents' current electronic medical record are up-to-date. V20 stated that care plans are important so that everyone is on the same page with the resident's care. V20 stated that a resident's care plan is updated when there is a change in resident's condition. V20 stated that care plans are reviewed quarterly, annually, and upon admission to this facility. V20 stated that care plans are reviewed with MDS. V20 stated that V20 is responsible for entering any new diagnosis that is identified. V20…

  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 · D2025-04-11 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  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 follow their radiology or other diagnostic ordering policy by not following physician orders to obtaining an x-ray for one resident (R60) for one of one reviewed radiology services. Findings include: R60 admitted to the facility on [DATE] with a diagnosis of anemia, type II diabetes, pain in left and right shoulder R60's nurse practitioner progress note dated 3/28/25 documents: history of shingles, neuropathy and neuropathic pain / left shoulder pain. patient wants another left shoulder x-ray done. One was done in the past and showed shoulder dislocation and patient refused to have it corrected. Will repeat x-ray. R60's physician order dated 3/28/25 document left shoulder x-ray. On 4/10/25 at 10:29AM, V12 (Nurse practitioner) said she ordered x-ray for R60 due to complaints of pain. V12 said she would expect the x-ray to be completed within a few days and was unaware the x-ray was not completed until after the surveyor requested the results on 4/8/25.…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-11 · 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 observations, interviews, and record reviews, the facility failed to follow its the posted infection control signage and don appropriate PPE (personal protective equipment) prior to entering one resident's room that is on enhanced barrier precautions and performing blood draw This affected one of one resident (R105) reviewed for infection control in a sample of 55. Findings include: On 4/9/25 at 9:45 AM, signage noting enhanced barrier precautions was noted on entry door to R105's room. On 4/9/25 at 9:45 AM, V8 (outside laboratory staff) was observed in R105's room on the left side of R105's bed leaning over R105 to draw blood from R105's right hand. V8 was not wearing gloves or gown while performing direct resident care. On 4/9/25 at 2:30 PM, V9 IP nurse (infection prevention nurse) stated that staff are expected to don gown and gloves prior to performing direct resident care for residents on enhanced barrier precautions. V9 stated that the outside laboratory staff are aware of this facility's infection control policy and are expected to follow it. V9 stated that V9 spoke…

  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 · D2025-01-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to prevent and protect a resident from resident-to-resident physical abuse. This failure applied to two of two (R1, R2) residents reviewed for abuse. Findings include: Facility reported incident (FRI) dated 10/11/2024 documents: R1 reported to the nurse that R2 slapped her in the face. R1 was noted to have a scratch to the left side of face. R1's face sheet dated 01/08/2025 documents that R1 is a [AGE] year-old female admitted to the facility on [DATE] with diagnosis history of Hypertensive heart disease, dyslipidemia, gastroesophageal reflux disease, chronic obstructive pulmonary disease, chronic kidney disease and depression. R1's Minimum Data Set (MDS) dated [DATE] documents that R1 has a Brief Interview for Mental Status (BIMS) score of 9 (moderate cognitive impairment). 1/06/2025 at 12:05 PM V9 (Licensed Practical Nurse/LPN) said that R1 does have behaviors during her shift and speaks the same language as R1 and able to communicate well. R1 is alert…

  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 · E2024-05-24 · 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

  Based on observation, interview, and record review, the facility failed to a) properly date opened eyedrops for two residents (R81, R14); b) properly discard insulin on expiration date for three residents (R97, R44, R185); and failed to properly secure one medication cart. These failures were found on four of five medication carts reviewed. Findings include: On 5/21/24 at 9:32 AM, observed 5th floor 2nd medication cart in front of the nursing station, not locked. The two nurses on duty were sitting behind the nursing station, V5 (Licensed Practical Nurse) and V6 (Licensed Practical Nurse), no other nursing staff were at the cart. Reviewed the 5th floor 2nd medication cart with V5 and observed Insulin Lispro Injection vial labeled opened 4/12/24, expire 5/9/24 for R97. V5 stated the medication cart should not have been left unlocked. Someone would have easy access to it. The medication cart has medicines, narcotics, insulins, and syringes inside. If a resident accessed the contents in the cart, they could be harmful to the resident. This is the dementia unit. The insulin is expired…

  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 before2024-05-24 · 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 store and label food items in accordance with professional standards for food service safety. This failure has the potential to affect 180 residents that eat food from the kitchen. Findings include: On 05/21/24 at 9:27 AM, surveyor conducted kitchen observation with V4 (Food Service Supervisor). On 05/21/2024 at 9:36 AM observations in the walk-in freezer: -more than a liter of frozen corn stored in large plastic bag not labeled or dated -large bag of frozen fries not labeled or dated 05/21/24 9:36 AM, V4 stated that he cannot lie about it, it should be labeled and dated. Facility census report dated 05/21/2024 documents there are 197 residents. Facility document not dated documents list of 17 residents who have order for nothing by mouth (NPO). Facility document titled Storage of Frozen Foods dated 2017, documents in part: If taken out of original container, food is tightly wrapped and labeled with the name of the item and the use by date .Opened products that have not been properly sealed and dated are…

  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 · D2024-05-24 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain a resident's dignity during lunch dining for one (R67) resident in a total sample of 35 residents. Findings include: On 05/21/2024 at 12:01 PM, surveyor located on the 5th floor of the facility and observes meal carts arrive in the dining room. 5th floor of facility is identified as a locked memory care unit. On 05/21/2024 at 12:27PM, surveyor observes R67 sitting at a table inside the 5th floor dining room. Surveyor observes V8 (Certified Nursing Assistant/CNA) standing over R67 while V8 fed R67 her lunch meal. On 05/21/2024, surveyor observes multiple other staff members sitting down while feeding residents in the dining room. Surveyor only observes V8 standing to feed a resident, no other staff members are observed standing to feed residents their meal. On 05/23/2024 at 12:07 PM, surveyor located on the 5th floor of the facility in the dining room. On 05/23/2024 at 12:08PM, surveyor observes R67 sitting at a table inside the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$344,195 in federal fines across 4 penalties.

• $16,435 — penalty dated 2026-02-05
• $276,125 — penalty dated 2025-12-18
• $25,625 — penalty dated 2025-04-11
• $26,010 — penalty dated 2023-10-26

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 ELEVATE CARE — 14 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 14 rows in the source record cover these 12 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.

This home reported $5.7M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IL