Berkeley Nursing & Rehab Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 44% 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 72 beds and averages 60.4 residents a day — about 84% occupied, or roughly 12 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 2.53 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.49 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.28 hrs/resident/day on weekends vs 2.63 on weekdays — 13% thinner on weekends. RN hours go from 0.66 to 0.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

35 citations, most serious first. The 14 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · Gcited before2025-04-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow their change in condition policy by not calling advance life support services (911) for two hours after R48 who was found with an altered mental status and verbally unresponsive. This failure resulted in R48 immediate intubation by emergency medical service and mechanical ventilation for 1 of 1 residents reviewed for change in condition. Findings Include: R48 has the diagnosis of Atrial Fibrillation, Lack of coordination, abnormalities of gait and mobility, need for assistance with personal care and Adult Failure to Thrive. R48's physician order summary dated 2/7/25 documents: Rivaroxaban (antithrombotic/prevent blood clots) fifteen milligrams given by mouth at bedtime for atrial fibrillation. Medication administration record dated 2/1/25-2/28/25 and 3/1/25 documents: R48 received Rivaroxaban as prescribed. Fall risk review dated 2/28/25 documents: R48 was at high risk for falls. Is resident receiving a medication that affects awareness, judgement or safety (e.g. anti-anxiety, antibiotics, anticoagulants) yes.…

  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 · G2024-09-06 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and records review, the facility failed to notify the physician of a resident's decrease in blood pressure and decrease in oxygen saturation causing a further decline in condition. This affected one of three residents (R1) reviewed for notification of an acute change in condition. This failure resulted in R1 being sent to the hospital thirteen hours later emergently in respiratory distress, going in to cardiac arrest while in the emergency department, and expiring. Findings Include: R1 is a [AGE] year old with the following diagnosis: quadriplegia, encounter for gastrostomy, and acute respiratory failure. A Nursing note dated [DATE] at 11:32AM documents in the morning, R1 was noted resting in bed and left eye opened to name being called. At 11:20AM, V3 (Former Nurse) found R1 diaphoretic with cool/clammy skin, respiratory rate of 60 breaths per minute, and a heart rate of 96 beats per minute. A blood pressure was unable to be detected and the oxygen level was 85%. Lung sounds were coarse to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-06 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to conduct a comprehensive assessment of a resident after experiencing a decrease in blood pressure and oxygen level and failed to reassess vital signs later in the shift. This affected one of three residents (R1) reviewed for comprehensive nursing assessments. This failure resulted in R1 being sent to the hospital in respiratory distress, going into cardiac arrest in the emergency room, and expiring. Findings Include: R1 is a [AGE] year old with the following diagnosis: quadriplegia, encounter for gastrostomy, and acute respiratory failure. A Nursing note dated [DATE] at 11:32AM documents in the morning, R1 was noted resting in bed and left eye opened to name being called. At 11:20AM, V3 (Former Nurse) found R1 diaphoretic with cool/clammy skin, respiratory rate of 60 breaths per minute, and a heart rate of 96 beats per minute. A blood pressure was unable to be detected and the oxygen level was 85%. Lung sounds were coarse to the upper airway. 911 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
• Actual harm · G2023-05-26 · 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

  Based on observation, interview, and record review, the facility failed to implement effective pain management for one resident's (R139) with severe pain of one resident reviewed for pain in a sample of 12. This failure resulted in R139 becoming extremely anxious in anticipation of pain, crying and saying she wanted to die because the pain was so bad. Findings include: On 05/23/23 at 8:30 AM R139 was observed lying in bed, soft spoken, and V16 (LPN) at bedside. V16 asked how R139 was doing and R139 states her neck hurts. V16 states oh your neck is still hurting. V16 then leaves the room without asking R139 her pain level. R139's chin is to her chest and the resident looks uncomfortable. Surveyor asked R139's pain level from 1-10. R139 states her pain level is 9/10. R139 states the nurse gave her extra strength acetaminophen medication. R139 states she is waiting for it to work, and states she has been in pain since she had a stent/surgery. On 05/23/23 10:30 AM R139 states pain is still 7/10. R139 states she only had the extra strength acetaminophen earlier and nothing else. 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 · D2026-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents are free from verbal abuse for one of three residents (R1) reviewed for abuse. Findings include:R1 is an [AGE] year-old male who was readmitted in the facility on 05/02/2024 with diagnoses of not limited to rhabdomylosis, dementia and schizoaffective disorder. R1's Brief Interview for Mental Status (BIMS) done on 04/02/2026 indicated R1 has BIMS score of 15 which indicated R1 is cognitively intact.On 04/30/2026 at 9:54AM during interview, R1 stated that V3 (Former Certified Nursing Assistant/CNA) was always mad at R1. R1 stated that whatever R1 says, V3 turns it against R1.On 04/30/2026 at 11:24AM during phone interview with V3, V3 stated that R1 had been calling her with racial slurs every time R1 sees her. V3 stated that she already talked to V5 (Registered Nurse/RN), V8 (RN) and V9 (Licensed Practical Nurse/LPN) about it, and she was always told to ignore R1. V3 stated that on the day of the incident, she was passing by R1 carrying…

  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 before2025-04-04 · 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 follow the Food Safety and Sanitation Policy by dietary staff using gloved hand to directly scoop a piece of cornbread after handling multiple food ladles, and dietary staff observed without beard covering for their exposed beards, and by not ensuring a bag of frozen peaches and open bottle of dried parsley was labeled with a made/open date and expiration date. This failure has the potential to affect all 48 residents in the facility on oral diets. Findings include: On 4-1-25 at 12:05 PM, surveyor observed V5 (Cook) plating lunch meals in the main dining room. Surveyor observed V5 wearing gloves and handling different food ladles, grabbing Styrofoam plates, and scooping cornbread with his gloved hand that touched multiple surfaces. V5 did not change his gloves or sanitize his hands when grabbing plates or cornbread. On 4-2-25 at 9:49 AM, V4 (Dietary Manger) said staff should change their gloves after touching multiple surfaces to prevent cross contamination. On 4-3-25 at 8:44 AM, V5 (Cook) said staff should…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-04 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  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 a resident with dignity during mealtime. This affected one of three residents (R5) reviewed for dignity. Findings Include: R5 has a diagnosis of Hemiplegia and visual loss. Minimal data set section G (functional abilities) dated 1/10/25 documents: eating - R5 requires partial/moderate assistance. Helper does less than half the effort. Care plan revised on 1/15/25 documents: R5 required extensive assistance times one staff participation to eat. On 4/1/25 at 12:31PM, R5 observed in the main dining room, being fed by V8 (Certified Nursing Assistant/CNA). V8 told R5, she has to feed R5 like baby. On 4/2/25 at 1:09PM, V2 (Director of Nursing/DON) said, staff should not tell any resident they have to feed them like a baby, it is not appropriated, it takes away their dignity. Staff should tell the resident to let me assist you. On 4/3/25 at 1:49pm, V8 (CNA) said, she should have not told R5 she was going to feed him like a baby. V8 said, she spends so much time taking care of the residents, they become like…

  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 · D2025-04-04 · 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

  Based on observation, interview and record review, the facility failed to provide an appropriate call light and accessibility to a call light for one resident who was identified with self-care deficits. This affected one of three residents (R22) reviewed for call light accessibility. Findings Include: R22 has a diagnosis of Quadriplegia. Minimal Data Set section C (cognitive pattern) dated 3/20/25 documents: a score of fifteen which indicates R22 is cognitively intact. Section GG (functional abilities) documents: impairment on both sides for upper and lower extremities. Dependent on staff. Care plan initiated 9/29/2020 documents: R22 has activities of daily living self-care performance deficit related contractures bilateral upper/lower extremities, Quadriplegia. On 4/1/25 at 12:02pm, R22 who was assessed to be alert and oriented to person, place and time, was observed in bed with the call light string hanging from the wall onto the night stand. R22 could not reach the call light/string. R22 said, he was quadriplegic. R22 said, he cannot use the call string. R22 said, he has to wait…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-04 · 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

  Based on observation, interview and record review, the facility failed to provide incontinence care at least every two hours. This affected one of three residents (R5) reviewed for incontinence care. Finding Including: R5 has a diagnosis of Hemiplegia. Minimal data set section G (functional abilities) dated 1/10/25 documents: Toileting hygiene: dependent. Section H (bladder and Bowel) documents: Urinary Continence: R5 was always incontinent. Care plan initiated 4/2/22 documents: R5 is incontinent of bladder and bowel function related to impaired mobility, weakness and other co-morbidities secondary to diagnosis of: hemiplegia, affecting left non-dominant side. Goal: staff will assist with toileting throughout the day. On 4/1/25 at 1:09pm, R5 was observed sitting in his wheelchair with wet soiled pants in his peri-area/between his legs. R17 (R5's roommate) who was assessed to be alert and oriented to person, place and time said, R5 was provide incontinence care around 9:30am this morning. A clock displaying the correct time was observed on the wall in the middle of R5/R17's bed area.…

  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 before2025-04-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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 physician orders by not applying splint or braces for three residents (R5, R11 and R19) out of three residents reviewed for restoratives services. Findings include: 1. R19 was admitted to the facility on [DATE] with a diagnosis of hemiplegia affecting the left side. R19's brief interview for mental status score dated 3/5/25 documents a score of 15/15 which indicates cognitively intact. R19's physician order dated 6/10/24 documents: apply splint/brace to left upper extremities for 4-6 hours as tolerated. May remove during ADL care. R19's care plan dated 6/4/19 documents: R19 requires the use of splint to left hand/left knee related to diagnosis of hemiplegia/hemiparesis, contraction to left hand/left knee following Cerebral Vascular Accident, (CVA) affecting left dominant side. Interventions include: Splint to be on for at least 4-6 hours daily as tolerated. May remove when up to wheelchair per request. Help apply Splint to help…

  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 · F2024-06-28 · tag F0575 — widespread
  Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
  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 display in a public and accessible location, the [NAME] and [NAME] Retaliation Hotline poster informing residents of their right to explore or decline community transition, and their right to be free from retaliation. The facility also failed to submit a monthly list of voluntary and involuntary discharge residents to the [NAME] and [NAME] program. This failure has the potential to affect all 42-residents residing in the facility. Findings Include: On 6/26/24 at 11:00am, the first-floor bulletin board observation was conducted with surveyor, V1 (Administrator) and V3(Admissions) for the [NAME] and [NAME] Retaliation poster. All parties verified that there was no visible poster of the mentioned advocacy group in the facility. On 6/26/24 at 11:30am, the dining and activity rooms were observed. There was no signage of [NAME] and [NAME] poster posted in these rooms. On 6/26/24 at 12:30pm V1 (Administrator), V3(Admissions) and V8 (Social…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-28 · 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

  Based on observation, interview, and record review the facility failed to follow the Wound Care Plan by not implementing effective interventions to prevent further alteration in skin integrity. This failure affected 1 resident (R44) of 3 residents reviewed for wounds in a total sample of 15. Findings Include: On 6-25-24 at 8:03 AM, R44 was noted laying on a low air loss mattress with the mattress setting at static. On 6-27-24 at 11:00 AM, R44 was noted laying on a low air loss mattress with mattress set at static and verified with V11 (Assistant Director of Nursing/ADON). On 6-27-24 at 11:00 AM, V11 (ADON) said the low air loss mattress helps with wound healing by alternating pressure relief. V11 said the alternating pressure setting is based on the resident's weight. V11 said static setting is when all chambers are full and there is no alternating pressure relief for the resident. V11 said it is the nurse's responsibility to check the settings on the air mattress. On 6-27-24 at 11:28 AM, V2 (Director of Nursing) said the low air loss mattress can promote wound healing by…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-28 · tag F0761 — failed to label and store drugs safely — isolated
  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 follow the Medication Policy by not labeling medication bottles with the opened date. This failure affected 3 residents (R24, R34, and R18) of 15 residents reviewed for medications. Findings Include: On 6-26-24 at 1:10 PM surveyor found R24's Ketoconazole Shampoo 2%, R34's levocarnitine Oral Solution, and R18's liquid Ondansetron were opened without any opened date on the label. On 6-26-24 at 1:13 PM, V10 (Licensed Practical Nurse/LPN) said the opened date is important because staff can tell when it expires and how long the medication can last. V10 said the opened date lets staff know when to discard. On 6-26-24 at 1:45 PM, V9 (LPN) said when accessing medications she would label with the opened date and note the expiration date. On 6-26-24 at 9:00 AM, V2 (Director of Nursing) said nurses are responsible for labeling medication with the opened date. V2 said the opened date of medications is important to determine how long the medication can be used. V2 said the nurses will also honor the medication expiration…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-22 · 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

  Based on observation, interview, and record review, the facility failed to ensure pressure ulcer treatments and/or prevention interventions were implemented and/or completed, as ordered, for 3 of 3 residents (R3, R6, and R8) reviewed for wounds in the sample of 13. The findings include: 1. On 3/22/24 at 9:54 AM, R8 was lying in bed on a regular mattress. No low air loss mattress was in place for R8. R8 said staff turn her when they change her pamper, but was not sure how often she is changed. R8 said she has a wound to her bottom, but doesn't know if there is a dressing. On 3/22/24 at 10:11 AM, R8 said, Tell them to come change me. On 3/22/24 at 10:05 AM, V4, Licensed Practical Nurse (LPN), said R8 has a pressure ulcer to her sacrum and R8's wound care is ordered daily on the night shift, and as needed, if it becomes soiled or removed. V4 said she rounds with the wound care physician each week. V4 assisted R8 to turn to her left side. R8 had a dressing in place to her sacrum which was dated 3/21/24 (the day prior to this investigation). V4 said she needs to change R8's dressing…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$230,332 in federal fines across 22 penalties. 1 Medicare payment denial on record.

• $83,717 — penalty dated 2025-04-04
• $34,420 — penalty dated 2024-06-28
• $4,938 — penalty dated 2024-02-20
• $4,938 — penalty dated 2024-02-12
• $14,814 — penalty dated 2024-01-22
• $4,938 — penalty dated 2024-01-08
• $4,587 — penalty dated 2024-01-02
• $13,762 — penalty dated 2023-12-11
• $4,587 — penalty dated 2023-11-20
• $4,587 — penalty dated 2023-11-13
• $4,587 — penalty dated 2023-11-06
• $4,587 — penalty dated 2023-10-30
• $4,587 — penalty dated 2023-10-23
• $4,587 — penalty dated 2023-10-17
• $4,587 — penalty dated 2023-10-10
• $4,587 — penalty dated 2023-10-02
• $4,587 — penalty dated 2023-09-25
• $4,587 — penalty dated 2023-09-18
• $4,587 — penalty dated 2023-09-11
• $4,587 — penalty dated 2023-09-05
• $4,587 — penalty dated 2023-08-28
• $4,587 — penalty dated 2023-08-21
• Medicare payment denial — starting 2025-05-03 for 16 days

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

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

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

About 93% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $705K paid to related parties — landlords or management companies under common ownership — equal to about 12% 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