Arc At Streator

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.

50.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 254 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.6% 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 138 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 0.24 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 130 beds and averages 107.1 residents a day — about 82% occupied, or roughly 23 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.81 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.70 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.65 hrs/resident/day on weekends vs 2.88 on weekdays — 8% thinner on weekends. RN hours go from 0.72 to 0.60 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% is below the national median of 45%. 1 administrator has left in the past year.

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 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.

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 before2026-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to safely transfer a resident from the bed to the wheelchair using a mechanical lift. This failure resulted in R1 falling out of the mechanical lift sling, landing on his head and left shoulder while his right leg was stuck in the sling still attached to the lift. R1 sustained a right distal femur fracture and multiple spinal compression fractures on 2/22/26. This applies to 1 of 3 residents (R1) reviewed for safety during mechanical lift transfers in the sample of 8. This past non-compliance occurred from 2/22/26 to 3/11/26. The findings include: R1's Incident Report dated 2/22/26 states, Alert resident, with some confusion per baseline was transferring with 2 person assist and the full mechanical lift. Through reenactment and investigation, root cause analysis for fall was determined to be, resident was noted to be fidgeting with sling prior to lifting him in full mechanical lift causing sling to unhook during transfer . On 3/20/26 at 10:40AM V5 (Registered Nurse/RN) stated, The family wanted him up and the other CNA…

  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 · Past Non-Compliance
• Actual harm · Gcited before2024-12-18 · 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

  Based on interview and record review the facility failed to provide supervision and implement fall interventions for a resident at risk for falls for one resident (R1) of three reviewed for falls in a sample of three. This failure resulted in R1 sustaining multiple falls and acquiring a displaced fracture of the left lesser trochanter. Findings include: The facility's Fall Prevention Program, dated 10/2024, documents the facility is to assure the safety of all residents in the facility, when possible. The program will include measures which determine the individual needs of each resident by assessing the risk of falls and implementation of appropriate interventions to provide necessary supervision and assistive devices are utilized as necessary. R1's Fall Risk Assessment, dated 11/19/24, documents that R1 is at risk for falls. R1's Comprehensive Incident Fall Assessment, dated 11/8/24, documents that R1 was sitting on the floor next to her bed. R1 stated that she was trying to go to breakfast. R1 didn't realize it was bedtime. This form documents that safety interventions 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
• Actual harm · Gcited before2024-03-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure that a resident was assisted to the bathroom in a safe manner. This failure resulted in R2's legs giving out, requiring her to be lowered to the floor by staff and resulting in a right closed displaced spiral distal femoral shaft fracture on 1/14/24. This applies to 1 of 4 residents (R2) reviewed for safety in a sample of 4. The findings include: R2's Incident Report dated 1/14/24 at 6:40 AM states, Aide came to this nurse with report that while walking resident to the restroom- she stated legs/knees were giving out- aide stated she lowered resident to the floor. Upon my visual- resident lying in restroom on the floor, right side. Denies any new injury/pain. Does complain of pain to right shoulder and hip, which resident has frequently. No visual new injury. Stated her legs were giving out and the aide lowered her to the floor. R2's Progress Notes dated 1/14/24 state, 9:23 AM, Resident lying in bed on left side complaining of extreme pain to right leg. Resident requesting repositioning but crying out in pain when…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-17 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure a resident was free from significant medication error. This applies to 1 of 4 residents (R1) reviewed for medications in the sample of 4. The findings include: R1's face sheet shows she has diagnoses including COPD, type 2 diabetes, hypertensive heart disease, major depressive disorder and anxiety. On 4/17/26 at 11:33 AM, V4 (Licensed Practical Nurse/LPN) said on 4/8/26, she got R2's morning medications ready and went to her room. R2 was in the bathroom. She placed R2's medication cup and insulin pens on top of the nursing cart set to the side. V4 said she then went to R1's room and pulled R1's medications and grabbed R2's insulins pens. When I gave R1 the insulin, she said, Oh I get three shots today. V4 said she left the room to check R1's orders. R1 has orders for one injectable medication but does not take insulin. V4 said she notified the physician, V2 (Director of Nursing/DON), and V3 (Assistant Director of Nursing/ADON) about R1 accidentally receiving insulin. She received orders to monitor R1's blood sugar…

  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 · D2026-03-04 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 that palatable meals were served for three of 10 residents (R1-R3) reviewed for palatable meals in a sample of ten. Findings include: The facility's Food Purchasing policy, revised 11/2023, documents that food and supplies will be purchased according to the planned menus. The facility's Concerns/Compliment Form, dated 3/1/26, documents that at lunch time, everyone's turkey was ground up. Nobody really wanted to eat. The kitchen was asked for grilled cheese, and they said they weren't making a bunch. The facility's Concerns/Compliment Form, dated 3/1/26, R1 documents that the food is inedible. On 3/3/26 at 9:30am, R2 stated that on Sunday, they were supposed to have roasted turkey for lunch, but they served ground turkey that was nasty. R2 stated that it looked like slop, so he did not eat it. R2 stated that he was told there was not enough turkey, so they ground it up and smothered it in gravy to make it go farther. On 3/3/26 at 10:00am, R3 stated that on Sunday, ground turkey was served instead of roasted turkey.…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-27 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure a resident was free from significant medication errors for 1 of 3 residents (R1) reviewed for medication errors in the sample of 5.The findings include:R1's current care plan dated 2/6/26 showed R1 was severely cognitively impaired related to his diagnoses of dementia and Alzheimer's disease. R5's February 2026 physician order summary report showed R5 had diagnoses including epilepsy (seizure disorder) and chronic pain. The report showed the following medication orders for R5:1.Carbamazepine (anticonvulsant drug) 400 mg (milligrams), give one tablet at bedtime daily.2.Phenobarbital (anticonvulsant drug) 97.2 mg, give one tablet at bedtime daily.3.Tramadol (opioid pain medication) 50 mg, give one tablet three times a day for pain.R1's progress notes dated 2/11/26-2/12/26 showed on 2/11/26 at 8:20 PM, V6 (Licensed Practical Nurse/LPN) administered R5's Carbamazepine 400 mg, Phenobarbital 97.2 mg, and Tramadol 50 mg to R1 in error. The notes showed R1's physician and Poison Control were notified immediately of the…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-06 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents were treated in a dignified manner by responding to their call lights in a reasonable amount of time. This applies to 2 of 5 residents (R1 & R5) reviewed for dignity in the sample of 5. The findings include: On 2/6/26 at 10:10 AM R1 stated, It takes a long time for the call light to be answered. I usually have to go to the bathroom. This morning, I waited 30 minutes. When you have to move your bowels, you have got to get there. Today I thought I was going to go in my chair because I waited so long for someone to come. I would be so embarrassed. That is just not me.R1's Minimum Data Set assessment dated [DATE] shows that R1 has no cognitive impairment. R1's Care Plan dated 6/7/24 states, I am extensive transfer and ambulation to bathroom with rolling walker.On 2/6/26 at 11:45 AM, R5 stated, If I gotta go, I gotta go. Sometimes I have had to go in my pants because they take so long or I take myself to the bathroom. This morning, I sat 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-06 · 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 ensure staff safely transfer a resident from her recliner to her wheelchair to prevent injury. This applies to 1 of 4 residents (R1) reviewed for falls in the sample of 5.The findings include:On 2/6/26 at 10:10AM R1 stated, I got up in the AM. The CNA helped me and brought my wheelchair in. She locked one side but didn't lock the other so when I sat down the chair flipped, and I went flying and fell on my left side. I did not have a gait belt on. I had a cut on my elbow and 2 cuts on my left leg. and I hit my head on the floor. They kept checking me over and over- kept shining a light in my eyes. They never used a gait belt until now. They don't have enough staff. I was so scared. It was an awful fall. I always ask them to lock the wheelchair now and make sure it is locked before I stand up. I am going to stay in the room today and do not plan on transferring out of the chair. I leave the gait belt on. R1 pulled back her blanket to show the gait belt…

  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 · D2025-06-27 · 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 observation, interview, and record review the facility failed to ensure a resident was free of abuse from another resident. This applies to 2 of 7 residents (R1, R2) reviewed for abuse in the sample of 7. The finding include: The Facility Reported Final Incident Report dated 6/4/25 states, (R1) came up to (R2) and lightly hit her left cheek with an open hand. (R1) does not recall why he did this but stated he did not hit her. (R2) does not recall the incident . On 6/27/25 at 9:14 AM R1 was ambulating in the hallway with his wheeled walker. R1 had slow but steady gait. R1 was dressed in flannel pants, a t-shirt, and tennis shoes. R1 approached nearly everyone he saw in the hallway asking if they had any candy. R1 was slow to respond at times and just looked at the surveyor when spoken to. On 6/27/25 at 10:50 AM, R2 was seated in a reclining wheelchair, placed in front of the bird aviary. R2 startled as the surveyor approached her but then smiled as the surveyor introduced herself. R2 did not answer…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure their dishware was safely sanitized per their policy. This failure has the potential to affect all residents who consume meals prepared by the facility with a current census of 96 residents. Findings include: Facility Resident Census Roster and Facility Matrix/802, dated 4/22/25, documents 96 residents reside in the facility. Facility Kitchen Sanitation Manual, dated 2/2022, documents Fixed equipment, utensils and equipment too large to be cleaned in sink compartments will be washed manually or cleaned with a pressure spray method, rinsed and then sanitized by spraying or swabbing with a chemical sanitizer. The chemical sanitizing solution should have chemical strength of Quaternary ammonia-200 ppm (parts per million). On 4/22/25 at 10:49 AM, V22 (Dietary Cook) demonstrated the procedure for testing the facility sanitizing solution's Quaternary ammonia level utilizing their test strips which resulted at a 400 or greater parts per million. At that same time, V22 verified their test strips result 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-25 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 hot water was available for six of fourteen residents (R16, R18, R21, R198, R199, and R200) reviewed for homelike environment in the sample of 48. Findings include: Resident Council Meeting Minutes, dated 1/31/25, documents Six months no hot water (300-hall) having to go to 500-hall to shower; dated 2/28/25 Hot water still [NAME] (300-hall) and still having to go to other halls; and dated 3/28/25 documents The water is still cool down the SW (Southwest) hall (300-hall), and turned (water) on for 20 min (minutes) and still cold. On 4/22/25 at 11:55 AM, R18 stated there was only cold water coming from the sink faucet. On 4/23/25 at 1:15 PM, R16 stated I can't wash my face in my room (due to the cold water). The aides run down the hall and bring warm water to us just so we can clean up. I can't take a shower unless I go over to the 500-hall. Why am I paying $1800 a month to live here when I don't have hot water? I've been independent my whole life…

  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 · E2025-04-25 · tag F0880 — failed to prevent and control infections — pattern
  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 follow Enhanced Barrier Precautions/EBP policy and procedures (R348 and R71) and failed to sanitize a lift between resident use for (R45 and R70) for four of 20 residents reviewed for infection control in a sample of 48. Findings include: The facility's EBP policy and procedure, dated 4/2024, documents EBP: recommendations now include use of EBP for residents with chronic wounds or indwelling medical devices during high-contact resident care activities regardless of their multidrug-resistant organism status. Personal Protective Equipment (PPE) of gown and gloves are to be used by personnel when providing direct care. Standard Precautions must be followed with all cares. Additionally, gown and gloves must be worn when providing the following cares: Dressing, Bathing/Showering, Providing Hygiene, Changing Linens, Incontinence Care, Medical Device Care, or Wound Care. A sign will be posted on the door to notify the resident is on EBP to notify family and visitors. The facility's Enhanced Barrier Precaution sign,…

  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 · D2025-04-25 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 the electronic health record included a life sustaining treatment order for one (R16) of 32 residents reviewed for advanced directives in a sample of 48. Findings include: R16's Physician Order for Life Sustaining Treatment (POLST), dated [DATE], was scanned into the electronic health record under the miscellaneous tab which documented R16 did not want to be resuscitated although requested selective treatment options. R16's electronic medical record did not include a physician's order for life sustaining treatment. On [DATE] at 2:00 PM, R16 stated she gave the facility her signed POLST, dated [DATE], and stated I don't want to go on one of those breathing machines, or have them beat on me. On [DATE] at 2:30 PM, V2 (Director of Nursing) stated staff find a resident's code status by the CPR (Cardiopulmonary Resuscitation) List posted at the Nurse's station. The CPR List updated on [DATE] was posted at the nurse's station for the 300,…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ARCADIA CARE — 25 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 →

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

CMS files one row per role, so the 32 rows in the source record cover these 23 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

8 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 $718K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

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