Alpine Fireside Health Center

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.

42.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 177 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% 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 96 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 0.81 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 66 beds and averages 34.3 residents a day — about 52% occupied, or roughly 32 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 4.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.18 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 4.49 hrs/resident/day on weekends vs 4.83 on weekdays — 7% thinner on weekends. RN hours go from 0.95 to 0.74 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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.

22 citations, most serious first. The 13 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2026-01-05 · 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 prevention interventions were in place for a resident with a history of falls for 1 of 3 residents (R1) reviewed for falls in the sample of 6. This failure resulted in R1 falling and sustaining a right hip fracture and right knee fracture.The findings include:R1's Progress Note dated 12/23/25 shows Approximately 1:30 AM, R1 alarm was sounding and Certified Nursing Assistant (CNA) observed R1 on floor, lying on right side. R1 complained of pain to right hip during range of motion. R1 is alert and oriented to self, has a history of falls, and has diagnosis Alzheimer's ad Dementia. R1 has poor safety awareness, has impaired decision making and requires frequent redirection from staff.R1's Emergency Department Provider Note dated 12/23/25 shows R1 presents to the Emergency Department following a fall at the skilled nursing facility. The patient has sustained a right intertrochanteric (hip) fracture. She also sustained a right…

  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 before2025-12-07 · 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 identify a pressure wound before developing into an unstageable pressure injury for one (R1). The facility also failed to prevent the development of three facility acquired State 2 pressure ulcers and one facility acquired unstageable pressure ulcer, a Stage 2 pressure ulcer worsening to unstageable, prevent cross contamination during dressing changes and apply pressure reduction devices for one (R2). This failure applies to two of three residents (R1 & R2) reviewed for pressure on the total sample of three. The findings include:1. The Physician Orders for August 2025 for R1 showed he was admitted to the facility on [DATE]. The facility's Body Check Form dated 8/14/25 for R1 documented R1 did not have a pressure injury to his coccyx.A Note dated 8/26/25 at 10:27 PM for R1 documented, R1 has a wound to the coccyx. It was covered with a dressing. Will notify power of attorney - POA tomorrow and do documentation. Initiated treatment to clean…

  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 before2025-01-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure resident coffee was served at a safe temperature for 1 of 4 residents (R1) reviewed for safety and supervision in the sample of four. This failure resulted in R1 sustaining second degree burns to her thigh and calf. The findings include: The facility's incident report dated 12/31/24 showed R1 spilled coffee on herself on a Sunday (12/29/24). The report showed the physician and nurse practitioner had been notified. The report was completed by V3 (Director of Nurses). R1's undated record of admission form showed an admission date of 12/13/24 and a discharge date of 12/30/24. R1's facility assessment dated [DATE] showed diagnoses including but not limited to fracture of the right femur, hypertension, anemia, and osteoporosis. The same assessment showed severe cognitive impairment and staff supervision or touch assistance required for eating. On 1/9/25 at 4:32 PM, V8 (CNA-Certified Nurse Aide) stated he was assigned to R1 the afternoon…

  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 · D2026-03-31 · 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 ensure a resident's pain medication was administered for pain control. This applies to 1 of 5 residents (R1) reviewed for pain in the sample of 5. The findings include: R1's face sheet shows she was re-admitted to the facility on [DATE] following right femur fracture repair. R1's diagnosis includes peripheral vascular disease, Alzheimer's disease late onset, dementia unspecified, falls, diabetes, and osteoarthritis. R1's Physician Orders dated December 2025 shows orders including oxycodone (opioid) 5mg (milligrams) every 4 hours as needed for moderate or severe pain. R1's nurses notes dated 12/27/25 at 1:38 PM documents behaviors yelling/screaming. Pain severe pain interventions include scheduled pain medication administrated and as needed medication administration. R1's Medication Administration Record (M.A.R.) dated December 2025 shows there was no pain medication administered at 1:38 PM for R1's pain. R1's M.A.R. shows acetaminophen 325 mg was given…

  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 · D2026-01-21 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure a resident was free from misappropriation of monies. This applies to 1 of 3 residents (R2) reviewed for misappropriation in the sample of 8. The findings include:On 1/20/26 at 11:55 AM, R2 stated, she wanted to get her hair done but wasn't sure what day the hairdresser would be in. She asked her son to bring her some money so she could pay for her hair to be done. He brought the money in and put it in her purse in the bottom drawer of a dresser in her room. A day or two later, she went to get the money out of her purse and found the money was gone. She told her son the money was gone and asked him to bring her more so she could get her hair done. On 1/20/26 at 1:02 PM, V14 R2's son stated, his mom had asked him to bring $90.00 on Tuesday (1/6/26) because she wanted to get a hair cut and perm. Her hair appointment was scheduled for Thursday morning (1/8/26). He brought the money to her that evening and put it in her purse in the bottom drawer of a…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-21 · 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

  Based on interview and record review the facility failed to thoroughly investigate an allegation of misappropriation of a resident's monies. This applies to 1 of 3 residents (R2) reviewed for misappropriation in the sample of 8. The findings include:On 1/20/26 at 11:55 AM, R2 stated, she had money stolen from the facility. The facility's reported incident report (no date) shows, R2 had money missing from her room. The same report continues to show, Several staff of varying departments and across all shifts were interviewed. No reports of questionable behavior reported. Cameras reviewed between the time Resident's son reportedly provided the $90.00 and the time of initial report. All staff that entered the room were assigned to the Resident. The times that each staff entered the room are appropriate for each staff's assigned responsibility. Staff that entered the room were interviewed, no concerns were identified. On 1/21/26 facility surveillance video footage from 1/6/26 starting at approximately 4:30 PM to 1/8/26 at approximately 8:30 AM was viewed with V16 Dietary Manager/IT 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-21 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure a resident with the diagnosis of dementia and known aggressive behaviors was cared for in a manner to prevent injury. This applies to 1 of 3 residents (R1) reviewed for dementia in the sample of 8. The findings include:R1's electronic medical records list his diagnoses to include: vascular dementia, major depressive disorder, cerebrovascular disease, chronic kidney disease, chronic obstructive pulmonary disease and benign prostatic hypertension. On 1/20/26 at 10:15 AM, R1 was sitting up in a reclining wheelchair in his room. He had a yellow, green and purple bruise under his right eye. A small red spot on the upper left side of his lip with some faint bruising to his chin. The spot appeared as if it was scabbed over and the scab recently fell off. R1 was very confused and incoherent. V3 R1's wife was in the room with R1. She stated, R1 got the bruising about a week prior. She had visited him on a Friday evening (1/9/26) and the facility called on 1/11/26 saying they found R1 with bruising to his right…

  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 · D2025-12-10 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 bed hold notices were provided for 2 residents (R1, R38) and failed to notify the ombudsman of resident transfers and discharges for 3 of 3 residents (R1, R38, R40) reviewed for discharge requirements in the sample of 12. The findings include: R38's face sheet and transfer packet shows he was transferred from the facility to the hospital on [DATE]. R38 did not return to the facility he was discharged to another placement. There is no bed hold or documentation in his electronic medical record (EMR) that one was provided on transfer or during hospitalization to R38 or to his representative. There is no documentation in the EMR that V14 (Ombudsman) was notified of his transfer or discharge. R40's face sheet and discharge summary shows he was a planned discharge from the facility on [DATE]. There is no documentation showing V14 was notified of his discharge. R1's facesheet and transfer packet shows she was transferred from the facility to the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · 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 Activities of Daily Living (ADL) care was provided timely for a resident that requires assistance for one of 12 residents (R32) reviewed for ADL care in the sample of 12.The findings include:R32's Record of admission shows she was admitted to the facility on [DATE].R32's Physician Orders show she was admitted to the facility with diagnoses including anorexia, polyarthritis, excoriation disorder, difficulty walking, and paranoid schizophrenia.On December 8, 2025, at 11:20 AM, V9 Certified Nursing Assistant (CNA) stood R32 up via the mechanical stand lift. There was a large wet circle to the back of R32's pants. V9 placed R32 onto the toilet and removed R32's incontinence brief. R32 had a thick disposable incontinence pad plus an incontinence brief on. Both the pad and the brief were saturated with urine. There was a strong urine smell. V9 said that R32 has an incontinence pad and incontinence brief on because R32 is a heavy wetter.…

  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 before2025-12-10 · 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 ensure pressure relieving interventions were in place for a resident with a pressure injury for one of two residents (R3) reviewed for pressure injuries in the sample of 12.The findings include:R3's Record of admission shows she was admitted to the facility on [DATE]. R3's Diagnoses Report shows she was admitted with diagnoses including sepsis, urinary tract infection, dementia, and pressure injury of sacral region.R3's Potential for skin breakdown assessment dated [DATE], shows she is a high risk for pressure injuries. R3 has an air mattress.R3's Physician Orders dated December 1, 2025-December 31, 2025, shows orders for waffle boots while in bed.R3's Care plan dated December 9, 2025, shows, Encourage resident to float heels while in bed and air mattress in bed.R3's Weekly Wound Assessment and Summary dated December 5, 2025, shows she has two stage 4 pressure injuries to her sacrum. These assessments show that R3 uses a low air loss…

  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 before2025-12-10 · 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 supervise a resident with a high risk of falls and a history of falls for 1 of 12 residents (R2) reviewed for safety and supervision in the sample of 12.The findings include:R2's Record of admission shows she was admitted to the facility June 7, 2024. R2's Client Diagnosis Report shows she has diagnoses including depression, dysphagia, major depressive disorder, urinary tract infection, dementia, and nondisplaced fracture of lateral malleolus.R2's Fall Incidences shows that she fell five times in the last four months. R2's Fall Risk assessment dated [DATE], shows she is at risk for falls.R2's Care Plan effective October 30, 2025, shows R2 is at risk for falls and R2 self-transfers at times. Alarms on chair and bed to alert staff of unplanned movement and will receive oversight assistance with transfers to reduce the risk of falls.On December 8, 2025, at 1:33 PM there was a chair alarm going off in R2's room. V16 Certified Nursing Assistant…

  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 · D2025-12-10 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 administer medications as ordered. There were 28 opportunities with three errors resulting in a 10.71% error rate. This applies to two of five residents (R30, R24) observed in the medication pass. The findings include:1. R30's Record of admission shows she was admitted to the facility on [DATE].R30's Client Diagnosis Report shows she was admitted to the facility with diagnoses including dementia, alcohol use with alcohol induced persisting dementia, anemia, hypertensive heart and chronic kidney disease with heart failure, moderate protein malnutrition, Alzheimer's disease, major depressive disorder, delusional disorder, hypokalemia, anorexia, and dementia.R30's Medication Record dated December 1, 2025-December 31, 2025 shows orders for phosphorus/potassium/sodium give one packet by mouth four times daily at 8:00 AM, 12:00 PM, 5:00 PM, and 8:00 PM and calcium 600 mg (milligrams) + vitamin D3 20 mcg (micrograms) daily.On December 8, 2025, 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-07 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure staff wore personal protective equipment when providing a dressing change for 1 of 3 residents (R3) reviewed for wounds in the sample of three.The findings include:On 12/7/25 at 2:25 PM, R3 was laying in bed and V3 Registered Nurse - RN was at bedside with gloves on and had just completed the wound vac dressing change to R3's right knee. V3 did not have a gown on. V6 RN/Wound Care Nurse entered R3's room wearing a gown and gloves to troubleshoot the wound vac dressing. After V3 and V6 left R3's room, R3 stated V3 did not have a gown on when she did her dressing change. On 12/7/25 at 4:00 PM, V2 Director of Nursing stated gown and gloves are to be worn when doing close contact care to prevent contamination and infection. The Care Plan dated 11/6/25 for R3 showed, resident on isolation related to methicillin resistant staphylococcus aureus - MRSA of nares, MRSA of right knee surgical wound revision. Protective personal equipment to be…

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

  Infection Control 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

$85,050 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $85,050 — penalty dated 2025-12-07
• Medicare payment denial — starting 2025-12-26 for 35 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 21 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $408K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IL