Good Samaritan Home

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.

48.9% 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 122 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.0% 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 100 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 0.22 therapist hours per resident per day in 2025Q4 — more than 27% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 14% — 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 203 beds and averages 95.0 residents a day — about 47% occupied, or roughly 108 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 5.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.08 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.05 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 4.22 hrs/resident/day on weekends vs 4.70 on weekdays — 10% thinner on weekends. RN hours go from 1.15 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% 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.

25 citations, most serious first. The 14 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-08-19 · 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

  Based on observation, interview, and record review, the facility failed to respond immediately to a sounding exit door alarm, failed to adequately supervise a known wandering resident (R8), failed to re-assess R8 as high risk for elopement once R8 started to exit seek, failed to develop and implement interventions and plan of care to address R8's exit-seeking behaviors after R8 attempted to exit seek, and failed investigate and report R8's elopement thoroughly for one of three residents (R8) reviewed for elopement in the sample of 41. These failures resulted in R8, a severely cognitively impaired resident with the diagnosis of Dementia, eloping from the facility approximately 70 feet from the facility, falling, and being found on the curb next to the road, after attempting to exit the building earlier that evening on 6-7-23. These failures resulted in an Immediate Jeopardy. While the immediacy was removed on 8-19-23, the facility remains out of compliance at a severity Level II as the facility continues to investigate R8's elopement on June 7, 2023, and provide a final report 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-02-25 · 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 implement an initial care plan on admission to prevent pressure ulcers, failed to implement pressure relieving interventions to prevent the development of pressure ulcers, failed to initiate a pressure ulcer care plan as soon as a pressure ulcer was identified, and failed to obtain a treatment as soon as a pressure ulcer was identified for one resident of four residents (R79) reviewed for pressure ulcers in the sample of 37. These failures resulted in R79 developing two stage two facility acquired pressure ulcers.Findings include:The Skin Care Protocol: Prevention and Treatment policy dated 2/14/2025 documents The facility will ensure that a resident who enters the facility without pressure injury does not develop a pressure injury unless the individual's clinical condition demonstrates that the pressure injury was unavoidable. The facility will further ensure that a resident having pressure injury receives necessary treatment and services…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-02-25 · 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 provide a resident with adequate supervision and assistance with footwear to prevent a fall and conduct a thorough investigation with staff interviews after a resident suffered a fall with fracture for one of two residents (R7). This failure resulted in R7's footwear being worn unsafely, and R7 suffering an unwitnessed fall, experiencing swelling and pain in her right wrist and resulting in a distal radius bone fracture requiring cast application.Findings include:The facility's Program for Reduction of Falls Risk policy, dated 4/9/25, documents As part of the program for the prevention of falls, all newly admitted residents and those residents experiencing a change in function will be assessed for the risk of falls. The care plan will indicate that the resident is at risk for falls and provide interventions for fall prevention. Purpose: to enable staff to recognize those residents who have been found to be at increased risk for falls,…

  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 · G2025-09-19 · 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 record review, the facility failed to ensure a resident was provided timely provider notifications to ensure medical intervention was received with an acute change in condition for one of four residents (R1) reviewed for change in condition in the sample of four. This failure resulted in R1 experiencing a delay in evaluation and treatment while experiencing an acute ischemic stroke.Findings include:The facility's Change in Resident Condition Policy, dated 10/8/24, documents, Standard: The attending physician, resident representative, and RCC (Resident Care Coordinator) will be notified of any change in the condition of a resident. Policy: A significant change in a resident's condition must be relayed to the physician, resident, representative, RCC, and DON (Director of Nursing) or ADON (Assistant Director of Nursing) timely. Procedure: 2. Any significant change in a resident's condition must be immediately relayed by phone to the attending physician and the resident representative. In…

  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 · Fcited before2026-02-25 · 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 and interview, the facility failed to ensure that the dishwashing machine was effectively sanitizing dishes. This failure have the potential to affect all 91 residents in the facility. Findings include: The facility's CMS (Centers for Medicare and Medicaid Services) Form 671 dated 2/24/26 and signed by V2/Director of Nursing documents 91 residents reside within the facility.The facility's Pot/Pan Machine and Dish Machine Supervisor Policy, documents Policy: It is the policy of the food service department that the department supervisor or designees will check the temperature of the dish machine and pot and pan machine during the breakfast, noon, and evening meals. The acceptable temperature of the manifold is 160 degrees Fahrenheit. Heat stickers will be used to ensure that the dish machine and pot and pan machine are reaching acceptable temperatures. A sticker will be collected and logged once per meal. The sticker will turn black when the final rinse is at the proper temperature. If the sticker does not turn black, this should be noted, and the service company…

  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 · D2026-02-25 · 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 abuse for two of four residents (R16 and R41) reviewed for abuse in a sample of 37.Findings include:The facility's Abuse Prevention Program Policy, dated 6/19/21, documents Policy: This facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, corporal punishment, involuntary seclusion, exploitation, and any physician or chemical restraints not required to treat the resident's symptoms. This facility therefore prohibits mistreatment, neglect, or abuse of its residents, and has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to ensure that the facility is doing all that is within its control to prevent occurrences of mistreatment, neglect, or abuse of our residents. Definitions: the following definitions are based on federal and state laws, regulations, and interpretive guidelines. Abuse: Abuse means any physical or mental injury…

  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 · D2026-02-25 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 document an appropriate diagnosis and target behaviors to warrant the use of antipsychotic medications, failed to implement behavioral interventions prior to increasing an antipsychotic medication dose, and failed to perform antipsychotic assessments for two of four residents (R10 and R52) reviewed for chemical restraints in the sample of 37.Findings include: The facility's Medication Monitoring Psychotropic Drug Management Program Policy dated 3/11/19 documents, Psychotropic drugs refer to drugs which are used for anti-psychotic, anti-depressant, anti-manic, sedative-hypnotic and/or anti-anxiety purposes and which are intended to control mood, mental status, or behavior of the resident. Residents taking psychotropic drugs will have a specific diagnosis/condition for use of this drug noted on the Accumulative Diagnosis list. The specific behavior that warrants the use of this drug will be documented on the Care Plan, and Behavior…

  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 · Dcited before2026-02-25 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report a bruise of unknown origin to the facility's abuse coordinator and the state agency and report an allegation of misappropriation of jewelry to the state agency for two of four residents (R82, R84) reviewed for abuse in the sample of 37.Findings include:The facility's Abuse Prevention Program policy, dated 6/19/21, documents The facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, corporal punishment, involuntary seclusion, exploitation, and any physical or chemical restraints not required to treat the resident's symptoms. The facility therefore prohibits mistreatment, neglect, or abuse of its residents, and has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of mistreatment, neglect or abuse of our residents. This will be done 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-25 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 complete an abuse investigation for an injury of unknown origin and misappropriation of jewelry for two of four residents (R82, R84) reviewed for abuse in the sample of 37.Findings include: The facility's Abuse Prevention Program policy, dated 6/19/21, documents The facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, corporal punishment, involuntary seclusion, exploitation, and any physical or chemical restraints not required to treat the resident's symptoms. The facility therefore prohibits mistreatment, neglect, or abuse of its residents, and has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of mistreatment, neglect or abuse of our residents. This will be done by: Identifying occurrences and patterns of potential mistreatment; immediately…

  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 · D2026-02-25 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to submit a discharge MDS (Minimum Data Set) Assessment after residents were discharged from the facility for two of two residents (R40 and R90) reviewed for Accuracy of Assessments in the sample of 37.Findings include:The Minimum Data Set Policy undated documents, Policy: Assessments are conducted in accordance with criteria and timeframes established in the Resident Assessment Instrument User Manual. Assessments include but are not limited to admission Assessment, Annual Assessment, Significant Change in Status Assessment, Significant Correction, Discharge Assessment, and Re-entry. Completed assessments are maintained in the resident's active medical record. All MDS assessments and discharge records ae completed and electronically encoded into the facility's MDS information system and transmitted to CMS (Centers for Medicare and Medicaid Services) Assessment Submission and Processing system in accordance with current regulation governing the transmission of MDS data.1.R40's Progress Notes document R40 passed away while in…

  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 · D2026-02-25 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 received a new PASRR (Pre-admission Screen and Resident Review) Level I screening and referral for Level II evaluation following a significant change in condition, including the addition of a psychiatric diagnosis and initiation of psychotropic medication, for one (R10) of three residents reviewed for PASRR compliance in the sample list of 37. Findings include: R10's PASRR (Pre-admission Screening and Resident Review) Level I Screen Outcome dated 11/22/24 documented that a disability was not present because: There is no evidence of a PASRR condition of an intellectual/developmental disability or a serious behavioral health condition. If changes occur or new information refutes these findings, a new screen must be submitted.R10's Physician Order dated 1/2/25 documented an order for Seroquel 25 milligrams (mg) one time daily for Vascular Dementia with Psychotic Disturbance.R10's Physician Orders dated 6/6/25 documented an order for Seroquel 12.5 mg at noon daily for Delusions and Agitation.On 2/25/2026 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to revise and update the comprehensive care plan to reflect significant changes in condition, including the addition of new psychiatric diagnoses, initiation of psychotropic medication, identification of target behaviors, and implementation of non-pharmacological interventions for one (R10) of five residents reviewed in a sample of 37.Findings include:The facility's undated Resident Care Planning Policy documents each resident has a Resident Care Plan that is current, individualized, and consistent with the medical regimen. Following Interdisciplinary Care conferences, occurring within 21 days after admission, and every 90 days thereafter, the nurse coordinates the Resident Care Plan for all disciplines by updating goals and actions that were discussed. Between Interdisciplinary Conferences, each discipline adds activities to the Resident Care Plan when initiated and discontinues activities when completed.On 2/24/26 at 9:45 AM, R10 was observed sitting in his wheelchair self-propelling in the hallway by 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to properly store a nebulizer mask and implement a care plan for oxygen/nebulizer use for one of one resident (R1) reviewed for oxygen in the sample of 37.Findings include:The Nebulizer Medication Administration policy dated 2/4/2020 documents Nebulizer therapy aids bronchial hygiene by restoring and maintaining mucus blanket continuity; hydrating dried, retained secretions; promoting expectoration of secretions and humidifying inspired oxygen; and delivering medications. Cleaning and Maintenance; 5. Store tubing and nebulizer equipment in storage bag between uses.The Initial Care Plan policy dated 5/23/2022 documents The initial care plan will be used to communicate the resident care needs on admission. This form will be completed and placed in the care plan book until the admission care plan is developed following completion of the MDS (Minimum Data Set Assessment) and care plan meeting.The Resident Care Planning policy dated 3/21/19…

  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 · D2026-02-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a multidose vial of lidocaine and multidose insulin pen were labeled with resident identifiers and labeled when opening for two of 19 residents (R1 and R11) reviewed for medication storage and labeling in the sample of 37.Findings include:The facility's Storage of Medications Policy (undated) documents, All centrally stored prescription medications must be labeled and maintained in compliance with applicable state and federal laws. Each label must include the resident's name, the medication name, strength, and quantity. Insulin will be stored in the refrigerator in the medication room or in the medication cart if refrigerator is not required. Each vial is marked with date the medication was opened.R11's current Physician Order Report documents, Start Date 1/2/26 Insulin Lispro 100 units/ml (milliliter) per sliding scale every day before meals and at bedtime for the diagnoses of Type II Diabetes Mellitus.On 2/23/26 at 9:20 AM 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.

  Pharmacy Service 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

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2026-03-26 for 18 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 33 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

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