Randolph County Care 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.

Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 100 beds and averages 55.0 residents a day — about 55% occupied, or roughly 45 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.60 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 3.49 hrs/resident/day on weekends vs 3.97 on weekdays — 12% thinner on weekends. RN hours go from 0.53 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% 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

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-04-22 · 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 residents to prevent elopement for one of 9 residents (R2) reviewed for supervision to prevent elopements in the sample of 11. This failure resulted in an Immediate Jeopardy when on 4/11/25, R2, a resident with dementia, left without staff knowledge and was found 1 mile away from the facility. The Immediate Jeopardy began on 4/11/25 at 4:45 PM when the facility staff noticed the wander guard alarm was sounding at the front door. R2, with diagnosis with dementia and elopement risk, eloped from the facility and was found in a ditch along a busy road by a passerby at 5:22 PM per the police report. R2 admitted ly removed his (resident monitoring device) bracelet by filing it off with an emery board. R2 then left the facility by entering the front door code which is directly posted above the keypad on a red sign with bold white numbers. R2 continues to state he will attempt to leave the facility again. V1, Administrator, was notified…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2024-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  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's coffee was served at safe temperatures to prevent burns/injury. This failure resulted in an Immediate Jeopardy when R21 sustained a second degree burn from spilling hot coffee on himself on 2/8/2024 and the facility continued to provide all residents' coffee at unsafe temperatures. Findings include: The Immediate Jeopardy began on 2/8/2024 when R21 sustained a second degree burn from spilling hot coffee on himself. On 4/26/2024 at 1:50 PM, V1 (Administrator), V2 (Director of Nursing/DON) and V3 (Assistant Director of Nursing/ADON) were notified of the Immediate Jeopardy. The surveyor confirmed by observations, record review and interview, that the Immediate Jeopardy was removed on 4/30/2024 but non-compliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of in-service training. 1. R21's Physicians Order Sheet (POS) dated April 2024, documented a diagnoses of…

  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 · G2025-04-22 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 and implement an individualized plan of care for a resident experiencing psychosocial adjustment difficulty for one of one resident (R2) reviewed for psychosocial adjustment difficulties in the sample of 11. This failure resulted in harm as evidence by R2 expressing feelings of self-harm, displaying tearfulness, and wanting to leave the facility. Findings includes: R2's Face Sheet, print date of 04/16/25, documented R2 had diagnoses of depression and dementia. R2's Minimum Data Set (MDS), dated [DATE], documented R2 is cognitively intact with a Brief Interview of Mental Status (BIMS) of 15 out of 15 and required supervision/touching assistance with ambulation. He wears a wander/elopement alarm daily. Section D of the MDS documented under the symptom's presence R2 was having feelings of feeling down, depressed, or feeling hopeless. Under the symptoms frequency documented he was having these feelings 12-14 days (nearly every day).…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-02-18 · 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 implement fall interventions for 1 of 4 residents (R33) reviewed for accidents in the sample of 25. This failure resulted in R33 suffering a fall resulting in a subdural hematoma requiring hospitalization for monitoring and treatment. Findings Include: R33's admission Record documents R33's original admission date to facility as 1/3/22. R33's Minimum Data Set (MDS) dated [DATE] documents a BIMS score of 09, indicating cognitive impairment. This same MDS documents in Section G0110 that R33 requires limited assistance from 1-person physical assist for transfers, walking in room, and walking in corridor. R33's Morse Fall Scale dated 1/3/22 documents a score of 75, indicating R33 is at high risk for falls. R33's Plan of Care documents a focus area that states, The resident is high risk for falls r/t (related to) Confusion, Gait/balance problems, unaware of safety needs. An intervention listed for this focus area documents a date initiated as…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-11-19 · tag F0725 — failed to have enough nursing staff — pattern
  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 enough CNAS (Certified Nurse Assistants) to ensure residents receive assistance with care including toileting in a timely manner. These failures have the potential to affect all 53 residents residing in the facility. Findings Include:1.R1's admission Record, print date of 10/27/25, documented R1 has diagnoses including malignant neoplasm of female breast, neoplasm of brain, epilepsy, cerebral infarction, and dysphagia.R1's MDS (Minimum Data Set), dated 8/29/25, documented R1 is cognitively intact although at time of interview R1 was lethargic and confused. R1's Care Plan Report, undated, documented R1 has a terminal diagnosis related to metastatic breast cancer. This care plan also documented R1 is at risk for falls with interventions including low bed at all times, 15-minute checks to ensure proper bed positioning, and floor mat with an initiation date of 10/18/25. On 10/23/25 at 12:20 PM R1 was observed resting on a low bed, no mat 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review the facility failed to implement care plan fall interventions as documented for 2 of 3 residents (R1, R2) reviewed for falls in the sample of 6. Findings Include:1.R1's admission Record, print date of 10/27/25, documented R1 has diagnoses including malignant neoplasm of female breast, neoplasm of brain, epilepsy, cerebral infarction, and dysphagia.R1's MDS (Minimum Data Set), dated 8/29/25, documented R1 is cognitively intact although at time of interview R1 was lethargic and confused. R1's Care Plan Report, undated, documented R1 has a terminal diagnosis related to metastatic breast cancer. This care plan also documented R1 is at risk for falls with interventions including low bed at all times, 15-minute checks to ensure proper bed positioning, and floor mat with an initiation date of 10/18/25. R1's Incident Report, date 10/18/25, documented CNA (Certified Nurse Assistant) came to this nurse, resident's father was in her room and said resident climbed out of…

  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 · F2025-04-22 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  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 the Director of Nursing was part of the Quality Assessment and Assurance Committee. This failure has the potential to affect all 46 residents residing in the facility. Findings Include: The Quality Assessment and Assurance Committee attendance sheet dated 03/05/25 documented the last QAA meeting had in attendance V1, Administrator, V6, Medical Director, V40, Pharmacist, V41, Medical Records consultant, and V3, Assistant Director of Nursing (ADON). There was no Director of Nursing (DON) in attendance. On 04/29/2025 at 12:11 PM, V1, Administrator, stated the facility currently doesn't have a DON. The Quality Assurance and Performance Improvement (QAPI) policy, not dated, documented It is the policy of the facility to develop a QAPI plan in accordance with Federal Guidelines to describe how the facility will address clinical care, resident quality of life and residents' choice and is based on the scope and complexity of services defined by the Facility Assessment. It further documented 5. The Quality Assessment 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-22 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  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 nurse aides completed the required 12 hours of education per year. This has the potential to affect all 46 residents residing in the facility. Findings include: On 4/29/25 at 11:33 AM V1, Administrator, stated the facility provides education to the facility staff including Certified Nurse Assistants, CNAs, in person and the facility does not provide any online education. V1 stated she or any of the managers keep the in-service records with hours of education in one location and she will have to get the records from the department managers who did the in-services. On 4/29/25 at 11:53 AM V1 stated the facility did not provide any dementia care training for any of the CNAs in the past year, and the facility only has documentation for 3 in-services provided to CNAs in the last 12 months and those in-services were for sexual harassment, resident rights, abuse, and emergency preparedness. V1 stated the records do not have the amount of time each in-service lasted, just the dates the in-services were conducted. V1 stated…

  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 · D2025-04-22 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to notify the Power of Attorney (POA)/family of a resident who was experiencing self-harm thoughts for 1 of 3 residents (R2) reviewed for self-harm in a sample of 11. Findings Include: R2's Face Sheet, print date of 04/16/25, documented R2 had diagnoses of depression and dementia. R2's Minimum Data Set (MDS), dated [DATE], documented R2 is cognitively intact with a Brief Interview of Mental Status (BIMS) of 15 out of 15 and required supervision/touching assistance with ambulation. He wears a wander/elopement alarm daily. Section D of the MDS documented under the symptom's presence R2 was having feelings of feeling down, depressed, or feeling hopeless. Under the symptoms frequency documented he was having these feelings 12-14 days (nearly every day). R2's Care Plan, with admission date of 09/27/24, was reviewed and had no documentation regarding R2 having a diagnosis of depression. R2's Physician Notification for Routine Orders, dated 04/10/25, sent at…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-22 · tag F0725 — failed to have enough nursing staff — isolated
  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 provide supervision for 1 of 4 residents (R2) reviewed for sufficient staffing in a sample of 11. Findings include: The facility's daily assignment sheet, dated 4/11/25, documented 1 nurse, Agency Licensed Practical Nurse, LPN) and 2 Certified Nurse Assistants, CNAs, (V12, V13) were assigned to the first floor of the facility from 2:00 PM to 10:00 PM and a CNA (V28) assigned as floater for the first and second floor from 3:30 PM to 10 PM. On 4/11/25 between 4 PM and 5 PM R2, with Alzheimer's dementia eloped from the facility and was found approximately a mile away from the facility in a ditch along a busy road. It was determined that on 4/11/25 only 1 CNA (V12) was present on the first floor of the facility at times between 4 PM and 5 PM due to a CNA (V13) being on her lunch break, nurse (V20) being on break outside of the facility, and V23 float CNA working on the 2nd floor. The facility's incident report of R2'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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure abuse did not occur for 2 of 3 residents (R9 and R149) reviewed for abuse in the sample of 31. Findings include: 1.) R149 Physician Order Sheet for September 2023 documents, a diagnosis of acute cholecystitis, pneumonia, arthropathies in other specified diseases, type 2 diabetes mellites with diabetic neuropathy, major depression, hypertension, acute ischemic heart disease, typical atrial flutter, peripheral vascular disease, asthma, acute and chronic respiratory failure with hypercapnia, respiratory failure unspecified with hypoxia, Gerd, heart failure. R149's Care Plan with a revision date of 1/25/2023 documents, The resident has a communication problem, related to minimal hearing deficit. Intervention: Allow adequate time to respond. Repeat as necessary, do not rush. Request clarification from the resident to ensure understanding. Face when speaking, make eye contact. Turn off TV/radio reduce environmental noise. R149's Minimum Data Set, dated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-30 · 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 ensure all abuse allegations were investigated thoroughly and completed for 1 of 4 residents (R149) reviewed for abuse in the sample of 31. Findings include: R149's Initial Investigation Report sent 9/18/2023 at 10:59 AM, documents, To whom it may concern: Resident's family member brought to my attention this morning a picture from 9/16/2023 of his white board with a handwritten message stating to Stop abusing the call light, last warning. MD (Medical Doctor) notified. DON (Director of Nursing) interviewed resident. He has no recollection of seeing the message. Investigation to continue. (Author V1- Administrator). On 4/25/2024 at 4:14 PM, V1 (Administrator) stated, I cannot find the final report for this investigation. I am not sure who the staff member was and/or what the outcome was regarding this allegation. (R149) is no longer in the facility. I have no interviews from other residents and or staff regarding this allegation. On 4/25/2024 at 4:22 PM, V2 (Director of Nursing) stated, I was not working here, that was a…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-02-09 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to have a Registered Nurse (RN) at least 8 consecutive hours, 7 days a week. This has the potential to affect all 49 residents who reside at this facility. This past non-compliance occurred between 7/2/22 and 9/20/22. Findings include: On 2/7/2023 at 2:00 p.m., V2 (Director of Nursing/DON), stated that for the following dates in July 2022 (7/2, 7/3, 7/4, 7/10, 7/22, 7/26, & 7/30), August 2022 (8/5, 8/10, 8/17, & 8/20), and September 2022, (9/3, 9/4, 9/8, & 9/20) there was no Registered Nurse (RN) coverage for those days. V2 provided handwritten documentation regarding the facility's nursing schedule for July, August and September 2022 to clarify the missing RN staffing hours. This documentation showed there were no RN coverage hours on the following dates: 7/02, 7/03, 7/04, 7/10, 7/22, 7/26, 7/30, 8/05, 8/10, 8/17, 8/20, 9/03, 9/04, 9/08 & 9/20/2022. A facility document titled Resident Census and Condition documented the facility had 49 residents on 2/06/2023. Prior to the survey date, the facility implemented the following…

  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 · Past Non-Compliance
• Potential for harm · Fcited before2022-02-18 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview, and record review the facility failed to provide 8 hours of daily Registered Nurse coverage. This failure has the potential to affect all 43 residents residing in the facility. Findings Include: On 2/17/22 at 10:20 am, V2 (Director of Nursing) acknowledges there are days that the facility does not have Registered Nurse (RN) coverage. V2 states that the facility has two Registered Nurses employed at the facility, V13 and V14 (Registered Nurse), but since the beginning of the year they have worked on the same weekend, which then leaves the opposite weekend with no RN coverage. V2 verifies the accuracy of nursing schedules provided and states the facility does not have any nursing waivers. Review of the Nursing Schedules from 2/1/22- 3/28/21 documents no RN coverage was provided at the facility on 2/1/22, 2/5/22, 2/6/22, and 2/15/22. The Resident Census and Conditions of Residents Form (CMS-672) dated 2/15/22 there are 43 residents living in the facility.

  Nursing and Physician Services 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

$172,932 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $96,272 — penalty dated 2025-04-22
• $76,660 — penalty dated 2024-04-30
• Medicare payment denial — starting 2025-04-26 for 41 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 9 rows in the source record cover these 6 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.

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