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Manor Court Of Rochelle

2203 Flagg Road, Rochelle, IL 61068 · Non profit - Corporation · 92 certified beds · (815) 562-9800 Medicare & Medicaid certified

Call the home — (815) 562-9800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
3 actual-harm citations$14,407 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has 3 actual-harm citations
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,407 in federal fines (most recent 2025-07-24)
  • its facility-reported quality-measure rating is low (1/5)
  • nursing-staff turnover (57%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
234 May Mart Dr · (815) 201-8894 · Call to confirm hours
Pharmacy
1080 N 7th St · (815) 562-6473 · Call to confirm hours
Grocery
1109 N 3rd St · (757) 349-3143 · Call to confirm hours
Park
9490 E Flagg Rd · (626) 330-5503 · Typically dawn to dusk
Place of worship
10158 E Hickory Ridge Dr · (815) 562-2004

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

Overall quality measures 1 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased37.0%13.4%15.4%worse
Long-stay residents who lose too much weight9.7%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder2.6%0.9%0.9%worse
Long-stay residents with a urinary tract infection3.1%1.5%2.0%worse
Long-stay residents with depressive symptoms8.0%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury9.8%3.1%3.3%worse
Long-stay residents whose ability to walk worsened18.8%14.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication13.8%18.3%18.9%better
Long-stay residents given the seasonal flu vaccine86.8%91.8%95.3%typical
Long-stay residents with pressure ulcers4.3%4.8%4.7%typical
Long-stay residents with worsening bladder/bowel control26.9%20.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table31.1%21.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.8%2.2%1.4%worse
Short-stay residents given the seasonal flu vaccine36.1%63.1%79.4%worse
Short-stay residents rehospitalized after admission29.6%26.1%22.6%worse
Short-stay residents with an outpatient ER visit31.9%13.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.362.021.67worse
Long-stay outpatient ER visits per 1,000 resident days5.282.221.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

61.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 134 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.2%U.S. median 51.5%
Got home and stayed home
9.9%U.S. median 10.7%
Went back to hospital
50.9%U.S. median 56.6%
Met the expected recovery
0.23U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 50.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 53 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 0.23 therapist hours per resident per day in 2026Q1 — more than 29% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF61.2%CMS range 53.5–66.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 6.9–12.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge50.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge54.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge37.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified43.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 4.0–9.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.991.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.10
RN hours/ resident / day
0.37
LPN hours/ resident / day
3.26
Aide hours/ resident / day
4.73
Total nurse hours/ resident / day
0.78
RN hoursweekends
57.1%
Total nursing turnover
76.0%
RN turnover

How full it usually is: this home is certified for 92 beds and averages 73.2 residents a day — about 80% occupied, or roughly 19 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.10 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.26 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 4.44 hrs/resident/day on weekends vs 4.84 on weekdays — 8% thinner on weekends. RN hours go from 1.23 to 0.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above 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

3
deficiencies at the latest standard inspection (2026-05-13)
8
at the previous standard inspection (2025-03-05)

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.

ABCDEFGHIJKL

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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

  • Actual harm · Gcited before2025-07-24 · 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 monitor post fall neurological checks, failed to notify the physician of an unwitnessed fall and failed to follow care plan interventions for one resident (R3) of three residents reviewed for falls in the sample of three.This Failure resulted in R3 sustaining a left hip fracture from an unwitnessed fall in the unit dining room at 3am in the morning.Findings include:Physician Order Report Summary indicates R3 was admitted to the facility 11/29/23 with diagnoses that include Anxiety, Arthritis, Severe Dementia with Agitation, and Insomnia.Comprehensive Cognitive assessment dated [DATE] indicates R3 is severely cognitively impaired.On 7/24/25 at 1:05pm R3 was observed sitting in a wheelchair during a church group activity. R3's head was down and appeared to be sleeping.On 7/24/25 at 1:10pm V4, RN (Registered Nurse) stated prior to R3's fall, R3 ambulated slow and steady with her walker, rarely using a wheelchair.Nurse Note dated 7/1/25 at…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2025-07-24 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to monitor post fall pain and failed to notify the physician of complaints of post fall pain for one resident (R3) of three residents reviewed for falls in the sample of three.This failure resulted in a lack of pain management post fall for 5 hours after R3 sustained a left hip fracture.Based on interview and record review the facility failed to monitor post fall pain and failed to notify the physician of complaints of post fall pain for one resident (R3) of three residents reviewed for falls in the sample of three. This failure resulted in a lack of pain management post fall for 5 hours after R3 sustained a left hip fracture.Findings include:Physician Order Report Summary indicates R3 was admitted to the facility 11/29/23 with diagnoses that include Anxiety, Arthritis, Severe Dementia with Agitation and Insomnia.Comprehensive Cognitive assessment dated [DATE] indicates R3 is severely cognitively impaired.Nurse Note dated 7/3/25 at 5:58pm as documented 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
  • Actual harm · Gcited before2025-05-20 · 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 identify a resident with a change in condition resulting in a delay in treatment from 5-11-2025 to 5-12-2025. This applies to 1 of 3 (R1) residents reviewed for quality of care in the sample of 3. This failure resulted in R1 needing to be hospitalized for removal of a denture appliance under anesthesia. The findings include: R1's current Resident Face Sheet shows R1 is a [AGE] year-old male resident with a medical history of Parkinson's, tremor, and vascular dementia with mild behavioral disturbance admitted to the facility on [DATE]. On 5/19/2025 at 2:36PM, V4 Certified Nursing Assistant (CNA) said he took care of [R1] on 5/9/2025 into the morning of 5/10/2025. V4 said he did assist [R1] with oral care and placed [R1's] dentures in this mouth that morning, noting they fit well. V4 said [R1] does require assistance with his dentures as he has Parkinson's and has tremors. On 5/19/2025 at 10:14AM and 1:47PM, V5 CNA said she was working with [R1] on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents incontinence briefs were changed in a timely manner for 1 of 19 residents (R67) reviewed for activities of daily living (ADLs) in the sample of 19.The findings include:On 5/11/26 at 11:02 AM, R67 was sitting in his high back wheelchair next to the nurse's station. R67's pants were wet from his crotch area extending down his left leg.On 5/11/26 at 11:21 AM, Surveyor asked V5, (Certified Nursing Assistant-CNA), when R67 was last changed. V5 said R67 was last changed when they got him up around 9:00 AM to 9:30 AM. Surveyor told V5 R67 was wet and V5 said she would check R67. V5 proceeded to leave the unit and returned a few minutes later walking with another resident.On 5/11/26 at 11:41 AM, R67 was still sitting at the nurses' station with wet pants.On 5/11/26 at 12:02 PM, V7, (CNA), wheeled R67 down to his room to change him. At 12:05 PM V5 entered R67's room with the mechanical lift. As V5 and V7 raised R67 from his…

    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 · D2026-05-13 · 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

    Based on observation, interview, and record review, the facility failed to ensure appropriate treatment and services were provided to prevent further decrease in range of motion (ROM), mobility, and function for 1 of 3 residents (R9) reviewed for restorative care in the sample of 19. The findings include:On 5/11/26 at 9:48 AM V5 and V6, (Certified Nursing Assistants-CNAs) were providing incontinence care for R9. V6 said she does not believe R9 is on a restorative program. V5 said R9 is very contracted. R9 was unable to assist in his care at all, he was completely dependent on the CNAs to move him, including the use of a mechanical lift to transfer him, and provide hygiene. R9's legs were both bent at the knees and could not be straightened.On 5/12/26 at 11:54 AM, V8, (Restorative Aid), said when a resident is admitted , therapy evaluates them and gives restorative a treatment plan. V8 said there is no restorative nurse, she either goes to V2, (Director of Nursing-DON), or V10, (Director of Rehab/Physical Therapy Aid) for any restorative concerns. On 5/12/26 at 12:16 PM V2, (DON),…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-13 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure staff changed gloves and completed hand hygiene during incontinence care for 1 of 19 residents (R9) reviewed for infection control in the sample of 19.The findings include:On 5/11/26 at 9:48 AM, V5 and V6, (Certified Nursing Assistants-CNAs) were providing incontinence care for R9. Using gloved hands, V5 wiped stool from R9's bottom as she removed his incontinence brief. V5 continued to wipe stool with a washcloth. Without changing her gloves or performing hand hygiene, V5 wiped R9's penis and frontal peri area.On 5/12/26 at 1:01 PM, V4, (Infection Prevention Nurse), said during incontinence care, staff should wash their hands, provide dirty care, then change their gloves and perform hand hygiene, then don clean gloves before moving to a clean area. V4 said the purpose is to ensure germs/pathogens are not transferred to places you don't want them.The facility's Standard Precautions Policy (revised 08/09) shows the objective is to prevent the spread of infectious agents among residents and healthcare…

    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 · Dcited before2026-04-21 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure a physician ordered medication was administered as prescribed and failed to document medication administration for 1 of 1 resident (R1) reviewed for medication administration in the sample of 5. The findings include: 1. R1's face sheet printed on 4/21/26 showed diagnoses including but not limited to multiple sclerosis, seizures, dementia without behaviors, and generalized anxiety disorder. R1's facility assessment dated [DATE] showed moderate cognitive impairment.R1's April 2026 physician order report showed an order for alprazolam 0.25 milligrams to be given once an evening at 9:00 PM (antianxiety medication).R2's April 2026 physician order report showed an order for alprazolam 0.5 milligrams to be given once a day at bedtime 9:30 PM. On 4/21/26 at 11:15 AM, V4 (Registered Nurse) stated he accidentally gave R1 the wrong dose of alprazolam on the evening shift of 4/15/26. V4 said he gave R1 double the amount she should have received. V4 said he…

    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 · D2026-03-20 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide timely incontinence care and ensure a resident's urinary drainage bag was not touching the floor for 2 of 6 residents (R2 & R4) reviewed for incontinence care and catheters in the sample of 9.The findings include:1. On 3/19/26 at 9:27 AM, V7 Certified Nursing Assistant - CNA, V6 CNA, V4 Shift Coordinator came to R2's room to make the bed and transfer R2 from his padded wheelchair to his bed. V7 and V4 used a mechanical lift to transfer R2 from his padded wheelchair to his bed. The back of R2's pants were soaked in the buttock area and down his legs. The pad and sling in his padded wheelchair were wet. V6 told V7 and V4 that they would need a new pad for his chair. V6 said the pad in his chair and the sling that was on top of the pad were wet. V7 and V4 removed R2's soaked pants and incontinence brief. R2 had a large, reddened area to his right buttock.On 3/19/26 at 2:08 PM, V2 Director of Nursing - DON stated staff are to round on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-20 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure enhanced barrier precautions - EBP were in place when handling residents' indwelling urinary catheters for 2 of 3 residents (R4 & R7) reviewed for infection control in the sample of 9.The findings include:1. On 3/19/26 at 8:01 AM, R4 was sitting in her wheelchair at the dining room table. R4 had an indwelling urinary catheter drainage bag under her chair with no cover/dignity bag on it. The drainage bag was touching the floor. At 8:34 AM, V10 Registered Nurse - RN went over to R4 and pulled her wheelchair away from the table and pushed her across the dining room floor to the hall. V10 was stopped and asked if she noticed the bag was dragging on the floor. V10 stated she didn't and then looked under the wheelchair. V10 said there should be a bag covering the drainage bag and the drainage bag should not be touching the floor for infection control. V10 tried to place the drainage bag up more so it wasn't on the floor. V6 Certified Nursing Assistant - CNA came over to help her with the drainage bag. V10 and…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-20 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to address the loss of a resident's denture and formulate a plan for replacement. This applies to 1 of 3 (R1) in the sample of 3 reviewed for denture care. The findings include: On 5/20/2025 at 11:13AM, V9 Social Services Director said [R1's] upper denture was reported missing on 4/13/2025. V9 said she investigated the missing dentures on 4/14/2025 and they were unable to find the missing upper denture for [R1]. V9 said when residents are admitted to the facility it is explained to them the facility is not liable for missing or lost items unless the facility is liable. V9 said she was unaware if the facility was going to pay for the lost dentures or not. On 5/20/2025 at 10:15AM, V2 Director of Nursing (DON) said [R1] requires assistance with oral care and would not be responsible for them himself. V2 said staff should report missing dentures. The facility failed to provide documentation of any conversation with [R1's] family regarding the lost dentures and replacement/payment agreement prior to the initiation of the survey 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 · F2025-05-14 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 adequate staffing to meet the needs of the residents. This failure has the potential to affect all 76 residents residing in the facility. The findings include: The facility completed entrance form titled Facility Data Sheet and the Resident Roster shows the facility census on 5/14/25 was 76. On 5/14/25 at 8:36 AM, V4 CNA (Certified Nursing Assistant) said generally for the Liberty Lane unit which has 27 residents on it they have only 2-3 CNA's for the whole unit. V4 said the unit has a lot of heavy care residents including mechanical lifts. V4 said when staffing is low sometimes showers are missed, and residents have to wait longer because they have to prioritize who they get to first and can lay down. On 5/14/25 at 8:48 AM, V5 and V6 both CNA's said the Liberty Lane unit is a very heavy patient care unit of the facility and they are 13 residents requiring mechanical lifts on that unit. V6 said, When we have only two CNA's that is a big problem…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-14 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    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 interview and record review the facility failed to ensure showers were provided for 5 of 8 residents (R1, R2, R3, R10, R11) reviewed for Activities of Daily Living (ADL's) in the sample of 11. The findings include: On 5/14/25 9:10 AM, R2 said, I am supposed to get two showers a week on Mondays and Thursdays and that doesn't always happen. Last Monday I asked about my shower and the CNA's (Certified Nursing Assistants) just looked at each other and didn't say a word. R2 said she keeps track of what happens at the facility by writing things down, so she has the correct days and times to reference to. On 5/14/25 at 8:36 AM, V4 (CNA) said when the facility is not staffed well enough there are times that they cannot get to residents to get the showers done. On 5/14/25 at 11:21 AM, V8 (CNA Coordinator) said residents should get showers twice a week. If a shower is missed or a resident refused, they should attempt again on the next shift or next day. V8 said if a shower is refused it should be documented in a shower sheet. On 5/14/25 at 1:54 PM, V10 (CNA) said the facility was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-14 · 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 provide supervision for a resident who was a fall risk, resulting in subsequent falls. This applies to 1 of 3 (R1) residents in the sample of 11 reviewed for falls. The findings include: R1's Resident Face Sheet printed on 5/14/2025 lists the resident as an [AGE] year-old male with medical diagnoses of unspecified dementia, severe, with anxiety and altered mental status admitted on [DATE]. On 5/14/2025 at 12:08PM, V3 Registered Nurse (RN) said she was working on 5/9/2025 with (R1). V3 said a family member came to get her to report a resident had fallen. V3 said (R1) was found in his room on the floor next to his bed. V3 said (R1) stated he was trying to go to the bathroom and had hit his head when he fell. V3 said he did have a small bump on the right side of his head. V3 said (R1) should not have been left in his room unsupervised because of his fall history. V3 said (R1) was sent out to the hospital and returned the same day and all tests were…

    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
Show the remaining 18 citations
  • Potential for harm · E2025-03-05 · tag F0636 — pattern
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to complete resident comprehensive assessments in a timely manner. This applies to 4 of 4 residents (R1, R21, R26 and R177) reviewed for comprehensive assessments in the sample of 18. The finding include: On 3/4/25 R1's Minimum Data Set (MDS) Assessment Tracking shows that R1's Comprehensive Assessment was due to be completed on 1/25/25. It is listed as In Process. On 3/4/25 R21's Minimum Data Set Assessment Tracking shows that R21's Comprehensive Assessment was due to be completed on 12/11/24. It is listed as In Process. On 3/4/25 R26's Minimum Data Set Assessment Tracking shows that R26's Comprehensive Assessment was due to be completed on 12/11/24. It is listed as In Process. On 3/4/25 R177's Minimum Data Set Assessment Tracking shows that R125's first admission Comprehensive Assessment was due to be completed on 1/18/25. It is listed as In Process. On 3/44/25 at 12:31 PM V2 (Interim Director of Nursing (DON)/MDS Coordinator) stated, Last week I think I sent out 2 emails that had 10+ people that showed that my part 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-05 · tag F0637 — pattern
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to complete resident significant change assessments in a timely manner. This applies to 4 of 4 residents (R24, R25, R48 and R49) reviewed for significant change assessments in the sample of 18. The finding include: On 3/4/25 R24's Minimum Data Set (MDS) Assessment Tracking shows that R24's Significant Change Assessment was due to be completed on 1/30/25. It is listed as In Process. On 3/4/25 R25's Minimum Data Set Assessment Tracking shows that R25's Significant Change Assessment was due to be completed on 1/29/25. It is listed as In Process. On 3/4/25 R48's Minimum Data Set Assessment Tracking shows that R48's Significant Change Assessment was due to be completed on 1/22/25 . It is listed as In Process. On 3/4/25 R49's Minimum Data Set Assessment Tracking shows that R49's Significant Change Assessment was due to be completed on 2/20/25. It is listed as In Process. On 3/44/25 at 12:31 PM V2 (Interim Director of Nursing (DON)/MDS Coordinator) stated, Last week I think I sent out 2 emails that had 10+ people that showed that my…

    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 · E2025-03-05 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to complete resident quarterly assessments in a timely manner. This applies to 4 of 4 residents (R17, R50, R58 and R224) reviewed for quarterly assessments in the sample of 18. The finding include: On 3/4/25 R17's Minimum Data Set (MDS) Assessment Tracking shows that R17's Quarterly Assessment was due to be completed on 1/1/25. It is listed as In Process. On 3/4/25 R50's Minimum Data Set Assessment Tracking shows that R50's Quarterly Assessment was due to be completed on 1/8/25. It is listed as In Process. On 3/4/25 R58's Minimum Data Set Assessment Tracking shows that R58's Comprehensive Assessment was due to be completed on 1/15/25. It is listed as In Process. On 3/4/25 R224's Minimum Data Set Assessment Tracking shows that R224's Quarterly Comprehensive Assessment was due to be completed on 1/15/25. It is listed as In Process. On 3/44/25 at 12:31 PM V2 (Interim Director of Nursing (DON)/MDS Coordinator) stated, Last week I think I sent out 2 emails that had 10+ people that showed that my part was completed. They were…

    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 · Dcited before2025-03-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to provide incontinence care/toileting to a resident that required staff assistance for toileting for 1 of 18 residents (R65) reviewed for activities of daily living (ADLs) in the sample of 18. The findings include: R65's resident assessment dated [DATE] showed R65 required maximum staff assistance for toileting and transfers. R65 had a history of incontinence. The assessment showed R65 was cognitively impaired. On 3/3/25 at 9:17 AM, R65 was seated in a wheelchair in his room. A strong smell of urine was noted in R65's room. At 9:19 AM, V8 and V9 Certified Nursing Assistants (CNA) transferred R65 from his wheelchair to the toilet. The inner left groin and left buttock areas of R65's sweatpants appeared wet with urine. V9 CNA removed R65's brief and stated, Wow, that's (R65's brief) heavy. R65's brief was saturated with urine and a moderate amount of soft stool. R65's buttocks appeared red. V9 CNA looked at R65's pants and stated, These 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-05 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure the narcotic reconciliation count was accurate. This applies to 1 of 1 (R274) in the sample of 18 reviewed for narcotics. The findings include: On 3/4/2025 at 8:15AM, the narcotic count was checked for the medication cart with V10 Licensed Practical Nurse (LPN). V10 pulled up R274's narcotic count sheet on their computerized charting. R274s' Tramadol 50mg card was selected. R274 had two Tramadol 50mg cards, one with 30 tablets and the second one had 19 tablets for a total of 49. V10 said the count was off this morning because a nurse forgot to sign out a medication. V10 said [R274] has scheduled Tramadol 50mg three times per day. V10 said she notified [V2 Director of Nursing] this regarding the count being off. On 3/4/2025 at 12:24AM, V2 Director of Nursing (DON) said she was made aware the count was off. V2 said she did investigate why the count was off. V2 said [V10] didn't sign out the Tramadol dose that was given during the 7:00AM - 10:00AM on 3/3/2025, which caused the count to be off. V2 said…

    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 · D2025-03-05 · 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 — the official record, unedited, may be distressing

    Based on observation, interview and record review the facility failed to label an insulin pen with an opened date. This applies to 1 of 1 (R49) in the sample of 18 reviewed for insulin. The findings include: On 3/4/2025 at 8:00AM, R49's Humalog insulin pen was in the medication cart with no opened date, while checking the medication cart on the unit. V10 Licensed Practical Nurse (LPN) said the insulin pen should be dated when opened. On 3/4/2025 at 12:24PM, V2 Director of Nursing (DON) said insulin pens should be dated when opened. R49's Physician Order Report dated 2/3/2025 - 3/3/2025 shows an order for Humalog KwikPen Insulin (insulin lispro) started on 9/22/2025. The facility provided Insulin Administration Procedure revised 02/04 states, . Date insulin vials when opened. Loss of potency may occur when the bottle has been in use >30 days.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-05 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to ensure puree diet textures were smooth. This applies to 3 of 3 residents (R9, R176, R51) for puree diets in the sample of 18. The findings include: The facility's lunch menu for March 3, 2025 shows, Swiss steak with gravy, mashed potatoes and gravy, whole kernel corn, peanut frosted chocolate cake, beverage. The spreadsheet for the lunch meal shows, the same meal except creamed corn instead of whole kernel corn for pureed diets. On March 3, 2025 at 11:10 AM, V4 cook pureed Swiss steak for the noon meal. He pureed it until he thought it was pureed enough. He stated, It's gritty and I don't know how to get rid of the grittiness and plated the Swiss steak. The Swiss steak had small chunks of meat in it and the texture was not smooth. After the Swiss steak was pureed, V5 cook pureed the creamed corn for the noon meal. She pureed it some and stated, it's hard to puree and plated it. The creamed corn had hulls in it and was not smooth. On March 3, 2025 at 1:20 PM, V3 Dietary Manager stated, the puree at the noon meal…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to implement and follow Enhanced Barrier Precautions (EBP) for 3 of 18 residents (R19, R12, R8) reviewed for infection control in the sample of 18. The findings include: 1. R19's care plan dated 1/7/25 showed R19 is on enhanced barrier precautions due to her wounds on her left calf and mid back . Staff will be provided with appropriate PPE (personal protective equipment) to provide (R19's) care . R19's wound care note dated 2/28/25 showed R19 had a cancerous wound to her right lower back area measuring 2.3 cm (centimeters) x 2.2 cm x 0.2 cm. On 3/3/25 at 9:10 AM, an EBP sign hung on the door to R19's room. R19 was seated on the side of her bed. A large, square gauze dressing was noted to R19's right lower back area. On 3/3/25 at 9:35 AM, V7 Registered Nurse (RN) donned gloves, but no protective gown. V7 then entered R19's room. As R19 laid on her bed, V7 RN removed the dressing from the wound on R19's back. V7 RN provided wound care and…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-04 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure neurological assessments were performed after an unwitnessed fall for 1 of 3 residents (R1) reviewed for falls in the sample of 3. The findings include: R1's face sheet printed on 2/4/25 showed diagnoses including but not limited to right lower leg amputation, dementia, and urinary retention. R1's facility assessment dated [DATE] showed no severe cognitive impairment and requires staff supervision or touching assistance with toileting. The facility Serious Injury Incident Report dated 2/3/25 showed R1 was found on the bathroom floor the morning of 2/2/25. R1 was bleeding on the forehead, was sent to the local hospital, and received sutures. On 2/4/25 at 9:35 AM, R1 was lying on his bed and his daughter (V7) was present. R1 had a bandage on his right forehead and dark bruising on top of each of his hands. R1 had a right-side prosthetic (mechanic leg attachment) and an indwelling catheter. R1 stated he got up by himself and went 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
  • Potential for harm · Dcited before2024-12-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure resident safety by not implementing fall interventions for 1 of 3 residents (R2) reviewed for safety in the sample of 4. The findings include: On 12/11/24 at 10:55 AM, R2 was sitting in her wheelchair at the bedside. R2 had a golf ball size, scabbed over hematoma on her forehead above her left eye that was dark purple with yellowing edges. Under R2's left eye was yellow bruising. R2 had a brace on her left wrist and her hand, and fingers were purple. R2 said she was on the toilet in the bathroom and tried to wipe and fell on the floor. R2 said no one was in the bathroom when it happened. R2 said they sent her to the hospital, and she did not break anything or need stitches. R2 said they told her all the bruising was from the blood thinner she was on. R2 said this was the second time she fell in the bathroom. On 12/11/24 at 10:42 AM, V3 Certified Nursing Assistant (CNA) said R2 fell in the bathroom recently. The CNA had stepped out…

    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 before2024-09-30 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure physician prescribed medication was obtained and administered for 1 of 3 residents (R1) reviewed for pharmacy services in the sample of 5. The findings include: R1's face sheet shows he was admitted to the facility on [DATE] with diagnoses including: adult failure to thrive, urinary retention, unspecified dementia, and protein calorie malnutrition. R1's nursing progress notes show he was sent to a local emergency room on 9/11/24 for increased weakness, confusion and having amber colored urine in his indwelling Foley catheter. Nursing progress notes show R1 returned from the hospital on 9/12/24 at 2:30 PM and was diagnosed with a urinary tract infection (UTI). R1's 9/12/24 After Visit Summary from a local community hospital shows his discharge medications to include levofloxacin (Levaquin) (an antibiotic) 500 mg. (milligrams) to be taken daily for 5 days for a UTI. R1's Physician Order Report for 9/1/24-9/26/24 shows an order for R1 to begin…

    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 · D2024-09-16 · 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

    Based on interview and record reviewed the facility failed to notify a resident's Power of Attorney (POA) after the resident left the facility. This applies to 1 of 3 (R1) residents reviewed for notification. The findings include: On 9/16/2024 at 9:18AM, V3 Registered Nurse (RN) said on 9/10/2024 at 6:30PM [R1] wanted to leave the facility to go back home. V3 said [R1] left the facility AMA (Against Medical Advice) and was advised by staff to remain in the facility. V3 said [R1] left the facility with V4 (R1's Significant Other) in V4's car, who also brought [R1] to the facility from the hospital. V3 said she did not contact V5 (R1's Power of Attorney - POA) after R1 left the facility. V3 said she would normally contact the POA if a resident leaves the facility but did not in this case. On 9/16/2024 at 9:56AM, V2 DON (Director of Nursing) said facility staff notify the Power of Attorney (POA) when a resident leaves the facility. On 9/16/2024 at 9:03AM, V6 RN said when a resident discharges the physician, DON, and POA are notified of a resident's discharge. On 9/16/2024 at 10:38AM,…

    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 · F2024-02-15 · 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 ensure food temperatures on steam tables were 135 degrees Fahrenheit or above prior to serving, failed to ensure the dish machine temperature for the wash cycle reached the appropriate temperature, failed to ensure staff documented the dish machine temperatures on the daily logs, and failed to ensure dietary staff were knowledgeable regarding how to properly test the dish machine to ensure the proper temperatures were obtained for sanitation. This has the potential to affect all the residents in the facility. The findings include: The CMS 671 form dated 2/13/24 showed 68 residents resided in the facility. The facility's Order Report by Category documents, printed by the facility on 2/14/24, showed all the residents in the facility take food by mouth. On 2/13/24 at 12:03 PM, V16 (Dietary Aide) took the temperatures of the food on the steam table on the 200-unit, prior to serving. The temperature of the meatloaf was taken five times prior to serving. The meatloaf temperatures were as follows: 119.1 degrees…

    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 · Fcited before2024-02-15 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to perform testing on day 5 of an outbreak of Covid-19 in the facility and failed to report a covid-19 positive case to the local health department. This has the potential to affect all the residents in the facility. The findings include: The CMS form 671 dated 2/13/24 showed 68 residents resided in the facility. On 2/13/24 at 8:30 AM, a sign on the front entrance indicated that the facility had a positive covid case in the building. On 2/14/24 at 1:54 PM, V2 (Director of Nursing-DON) and V11 (the facility's Infection Preventionist) said they are both doing Infection Preventionist duties, until V11 gets fully trained in the position, as V11 has only been in the facility for a couple of weeks. V2 said V12 (Certified Nursing Assistant-CNA) tested positive for Covid-19 on 2/6/24. V2 said V12 had tons of symptoms. V2 said she thinks all the residents and staff on the unit the CNA worked on (the memory lane unit) were tested on [DATE]. V2 said…

    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 · Dcited before2024-02-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to provide wound care as ordered and failed to follow physician orders regarding high blood sugar readings. This applies to 2 of 2 residents (R2 & R31) reviewed for quality of care in the sample of 19. The findings include: 1. R2's Face Sheet showed a current admission date of 3/22/23 with diagnoses to include chronic ulcer of the left lateral (side) foot, stroke, and weakness. On 2/14/24 at 1:24 PM, R2's left lateral wound was covered with a 4 inch by 4 inch adhesive bordered dressing. On 2/14/24 at 1:24 PM, V17 Registered Nurse (RN) removed the dressing and the skin directly beneath the bordered adhesive dressing was red and inflamed. The dressing was dated 2/11/24. On 2/14/24 at 1:35 PM, V17 stated the date on the dressing was the date that it was changed. V17 stated, based on the appearance of R2's skin under the bordered dressing, it seemed as if the dressing had not been changed since 2/11/24 (3 days prior). V17 said, in addition to the dressing not being changed daily, the dressing she removed was not 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-15 · 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 Physician ordered interventions. This applies to two of four residents (R11 and R42) reviewed for pressure injuries in the sample of 19. The findings include: 1. The facility face sheet for R11 shows a diagnosis of pressure ulcer of the sacral region. The facility assessment dated [DATE] shows R11 to be cognitively intact and requires moderate assistance with activities of daily living. The care plan dated 7/17/22, shows R11 was admitted to the facility with a stage 4 pressure ulcer to her sacrum. The interventions show a low air mattress on her bed and to change her wound dressing as ordered by Physician or wound nurse. The Physician orders dated February 2024 shows R11 is to have an air loss mattress to her bed and her sacral dressing wound care is to be completed daily. The wound Physician notes dated 2/9/24 shows the dressing is to be changed three times a week by the staff nurses, and a low air loss mattress is to be on R11'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 before2024-02-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure fall interventions were in place (R48) and failed to provide a safe transfer (R49) for 2 of 2 residents reviewed for safety in the sample of 19. The findings include: 1. R48's face sheet printed on 2/15/24 showed diagnoses including but not limited to early onset Alzheimer's disease, dementia with agitation, osteoarthritis of the knee, amnesia, anxiety, and repeated falls. R48's facility assessment dated [DATE] showed moderate cognitive impairment. The same assessment showed partial/moderate staff assistance required for bed mobility, sit to stand positioning, and transfers. The last six months of the facility's fall log showed R48 had five falls. The falls occurred in R48's room when he was attempting to self-transfer or rolling himself out of bed. R48's care plan showed a focus area related to risk for falls start dated 4/5/23. Interventions included: Place mats on floor next to bed and keep bed in low position and Dysem…

    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 · D2024-02-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to implement physician ordered weight loss interventions for a resident with weight loss. This applies to 1 of 4 residents (R35) reviewed for weight loss in the sample of 19. The findings include: R35's Face Sheet showed a current admission date of 5/11/21 with diagnoses to include abnormal weight loss, dementia, depression, and nausea. R35's 12/29/23 dietitian note showed, she weighed 108 pounds. The note showed, .considered underweight for age per BMI (body mass index) of 20. Wt. (weight) loss of 6 percent in 1 month and 14 percent in 6 months noted . The note showed she was on a liquid nutritional supplement drink twice a day. The note showed a recommendation to increase the supplement to three times a day. R35's 1/16/24 dietitian note showed R35 weighed 107 pounds, .weight loss of 10% in 6 months . The note showed R35 was still ordered the nutritional supplement drink twice daily. The note showed, [R35] continues to lose wt. Recommend review for increasing [nutritional drink] to TID (three times daily) . R35's Request for…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$14,407 in federal fines across 1 penalty.

  • $14,407 — penalty dated 2025-07-24

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 RESIDENTIAL ALTERNATIVES OF ILLINOIS — 7 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 →

RatingThis homeChain avg
Overall 3 of 53.0≈ chain avg
Health inspection 4 of 53.3+0.7 vs chain
Staffing 4 of 53.1+0.9 vs chain
Quality measures 1 of 52.1-1.1 vs chain
The other 6 homes this chain runs (chain average 3.0★, per CMS)

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

Owner / managerTypeRoleShareSince
RESIDENTIAL ALTERNATIVES OF ILLINOIS INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 08/17/2020
HOLT, PEGGYIndividualW-2 MANAGING EMPLOYEEsince 08/17/2020
KEMPINERS, WILLIAMIndividualCORPORATE DIRECTORsince 08/17/2020
KNIERY, JOHNIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 08/17/2020
MCMAHAN, BENJAMINIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 08/17/2020
SHAW, JEFFREYIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 08/17/2020
WILSON, RONALDIndividualCORPORATE OFFICERsince 09/18/2020

CMS files one row per role, so the 10 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$7.1M
Net patient revenuemost recent cost report
-17.7%
Operating marginrevenue minus expenses
$70K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 34%Medicare 12%Other / private 54%

This home reported $70K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$371per resident / day
operating cost
$11,284per month
≈ monthly operating cost
$315per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 146193. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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