Majestic Care Of Bedford
2111 Norton Ln, Bedford, IN 47421 · For profit - Corporation · 142 certified beds · (812) 277-3730 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2026
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.1% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.3% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 44.2% | 25.2% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.7% | 3.9% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 7.4% | 11.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 29.1% | 23.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 98.9% | 95.4% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.8% | 3.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 15.7% | 23.3% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.9% | 13.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 76.1% | 79.0% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 0.0% | 22.2% | 22.6% | check this* — see note marked star below the table |
| Short-stay residents with an outpatient ER visit | 19.1% | 10.8% | 12.0% | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
45.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 41 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 34% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 45.9%CMS range 31.8–63.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.2%CMS range 7.5–16.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.2%CMS range 3.8–13.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.14 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 142 beds and averages 101.1 residents a day — about 71% occupied, or roughly 41 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 3.26 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 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 2.82 hrs/resident/day on weekends vs 3.43 on weekdays — 18% thinner on weekends. RN hours go from 0.45 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 37% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 unchanged from the previous inspection. 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 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · D2026-05-13 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
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 residents were provided the informed consent prior to an increase or a start of a psychotropic medications for 2 of 5 residents reviewed for unnecessary medications. (Resident 13 and 23)Findings include: 1. On 5/13/26 at 11:55 a.m., Resident 13's clinical record was reviewed. The diagnoses included, but were not limited to, dementia with psychotic behaviors and anxiety. The care plan, dated 10/30/25, indicated Resident 13 received psychotropic medication. The intervention was to educate the resident's family about the risks, the benefits and the potential adverse side effects of the prescribed medication, and to obtain the consent as indicated. The Physician Order indicated Rexulti (antipsychotic) 1 milligram (mg) was initiated one time a day for dementia with agitation, on 12/11/25. The December 2025 Medication Administration Record (MAR) indicated Rexulti 1 mg administration was started on 12/12/25. The Psychoactive Medication Consent and Management Agreement, dated 12/14/25, lacked documentation from resident'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.
- Potential for harm · Dcited before2026-05-13 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview, the facility failed to ensure the Discharge MDS (Minimum Data Set) assessment was completed within allotted timeframe for 1 of 1 residents reviewed for resident assessment. (Resident 108)Finding includes:On 5/12/26 at 10:18 a.m., Resident 108's clinical record was reviewed. The diagnoses included, but were not limited to, alcohol abuse, anxiety and major depressive disorder. A progress note, dated 12/18/25 at 12:50 a.m., indicated Resident 108 was transferred to the emergency room. A progress note, dated 12/18/25 at 11:38 a.m., indicated the resident would be transferred to another Long Term Care facility upon discharge from the hospital.A review of Resident 108's MDS assessments indicated there was no Discharge MDS assessment completed.A review of the Resident Assessment Instrument (RAI), 3.0 User's Manual, Version 1.20.1, October 2025, on 5/12/26 11:00 a.m., indicated the Discharge MDS assessment must be completed within 14 calendar days after the discharge date and must be submitted within 14 days after the MDS completion date.During an…
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.
- Potential for harm · Dcited before2026-05-13 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review, the facility failed to ensure a Minimum Data Set (MDS) assessment accurately reflected a resident's status for 1 of 32 residents reviewed for MDS accuracy. (Resident 23)Findings include:On 5/13/26 at 11:50 a.m., Resident 23's clinical record was reviewed. The diagnoses included, but were not limited to Alzheimer's disease and major depressive disorder. A review of the resident's April 2026, MAR (Medication Administration Record) indicated on 4/2/26, the resident was prescribed mirtazapine (an antidepressant medication) at bedtime for insomnia. A 4/9/26 admission MDS assessment failed to document an antidepressant prescription for the resident.During an interview on 5/13/26 at 12:08 p.m., the MDS coordinator indicated the 4/9/26 MDS assessment was incorrect and should have included the antidepressant medication.410 IAC (Indiana Administrative Code) 16.2-3.1-31(d)
- Potential for harm · D2026-05-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
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 physician's order was current for a resident receiving oxygen via a nasal cannula for 1 of 2 residents reviewed for respiratory care. (Resident 3)On the following dates and times, Resident 3 was observed in her room receiving oxygen from a humidifying oxygen delivery machine via a nasal cannula: 5/8/26 at 1:54 p.m.5/12/26 at 10:10 a.m. and 12:13 p.m.5/13/26 at 10:35 a.m. During an interview on 5/8/26 at 1:55 p.m., Resident 3 indicated after her last hospitalization she was told to use the oxygen for another 30 days. It was past 30 days, and she was still wearing the nasal cannula and receiving oxygen, because staff told her she needed it. The nasal cannula bothered her, and she did not want to wear it if it was not necessary. On 5/11/26 at 11:05 a.m., Resident 3's clinical record was reviewed. The diagnoses included, but were not limited to, atrial fibrillation and anxiety. A review of current physician's orders indicated no oxygen was prescribed. The last physician's order for oxygen had a start…
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.
- Potential for harm · Dcited before2026-03-10 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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
Based on interview and record review, the facility failed to protect a resident's right to be free from mental abuse by staff for 1 of 3 residents reviewed for abuse. CNA's covered a resident's face with a pillowcase during care. This deficient practice would result in a reasonable person experiencing distress, disorientation, fear, and mental anguish. (Resident B, CNA 2, CNA 3) Finding includes:During an interview on 3/10/26 at 8:21 a.m., CNA 1 indicated staff should not have placed a pillowcase over Resident B's face. CNA 1 would have stopped the staff, removed the pillowcase from Resident B's face and made sure Resident B was okay, removed the staff from resident care areas, and reported what he saw to the Administrator as abuse. The clinical record for Resident B was reviewed on 3/10/26 at 8:50 a.m. The diagnoses included, but were not limited to, cerebral palsy, severe intellectual disability, and muscular dystrophy. During an interview on 3/10/26 at 9:53 a.m., the Social Service Director (SSD) indicated she walked into Resident B's room and saw CNA 2 and CNA 3 getting ready to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-10 · tag F0741 — failed to have staff trained for behavioral health — isolatedEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based in interview and record review, the facility failed to ensure staff possessed the skill sets to provide care to a resident with behavior health needs for 1 of 3 residents reviewed for behavioral health. (Resident B) Findings include:The clinical record for Resident B was reviewed on 3/10/26 at 8:50 a.m. The diagnoses included, but were not limited to, cerebral palsy, severe intellectual disability, and muscular dystrophy. A care plan, dated 11/4/25, indicated Resident B exhibited behavioral symptoms of hitting, kicking, and spitting at staff when providing care. The interventions included, but were not limited to, if Resident B becomes resistive to care or combative then postpone care and re-approach, initiated 11/4/24.During an interview on 3/10/26 at 9:53 a.m., the Social Service Director (SSD) indicated she walked into Resident B's room and saw CNA 2 and CNA 3 getting ready to transfer Resident B from his bed to his wheelchair. Resident B's head was not in the pillowcase, but Resident B's entire face was covered with a pillowcase. The SSD told CNA 2 and CNA 3 to stop what…
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.
- Potential for harm · Dcited before2025-06-26 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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
Based on interview and record review, the facility failed to protect the residents' right to be free from physical abuse when a severely cognitively impaired male resident grabbed another female resident by the hair, grabbed female resident's face causing a scratch, and slapped resident in the face and pushed on their eyes causing a corneal abrasion for 3 of 3 residents reviewed for abuse. (Resident B, Resident D, Resident E, Resident F) Findings include: The clinical record for Resident B was reviewed on 6/25/25 at 8:42 a.m. The diagnoses included, but were not limited to, chorea (a neurological disorder that causes involuntary, random, and continuous muscle movements while awake), cerebral palsy, anxiety disorder, and autistic disorder. A quarterly Minimum Data Set (MDS) assessment, dated 4/22/25, indicated Resident B was severely cognitively impaired and displayed verbal and physical behavioral symptoms directed towards others. A progress note, dated 6/8/25 at 2:11 p.m., indicated Resident B walked over toward the nurse's desk and as he walked by Resident D, Resident B reached…
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.
- Potential for harm · D2025-06-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure a resident received urinary incontinence care for a resident that was incontinent of urine for 1 of 3 residents reviewed for urinary incontinence. (Resident F) Findings include: On 6/25/25 from 10:59 a.m. until 11:07 a.m., observed Resident F sitting in the common area lying back in his wheelchair. There was a stream of urine running down from the wheelchair seat onto the floor where there was a large puddle of urine. Qualified Medication Aide (QMA) 1 walked up to Resident F's wheelchair and pushed it forward so the housekeeper could mop the floor. Once the housekeeper was finished mopping the area, he moved Resident F's wheelchair back. At that time, QMA 1 indicated she hadn't addressed Resident F's incontinence because the CNA's were busy and Resident F required a mechanical lift. LPN 1 was standing next to QMA 1 and QMA 1 indicated nurses were allowed to help provide incontinence care. The clinical record for Resident F was reviewed on 6/25/25 at 1:35 p.m. The diagnoses included, but were not…
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.
- Potential for harm · E2025-03-28 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure food was stored in a sanitary manner for 1 of 2 kitchen observations. Food was not discarded by the discard date and food was stored under the condenser fan. This had the potential to affect 85 of 102 residents who were served food from the kitchen. Findings include: On 3/28/25 at 10:30 a.m., during a follow-up tour of the kitchen with the Dietary Manager (DM), the following was observed: - The walk in refrigerator had a container of liquid salad dressing with an open date of 1/12/25 and a discard date of 2/12/25. - The walk in freezer had an open box of cheddar biscuits directly under the condenser fan, there was ice accumulation noted on the fan directly above the box of food. The biscuits were covered in a plastic bag inside of opened box. During an interview with the DM on 3/28/25 at 10:30 a.m., she indicated that all containers opened were good for 30 days, after 30 days they were to be discarded. The DM indicated that the container of salad dressing should have been discarded on 2/12/25. The DM…
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.
- Potential for harm · Dcited before2025-03-28 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 the written notification required for a transfer and discharge was provided to the resident and the resident representative for 2 of 3 residents reviewed for hospitalization. (Resident 41, Resident 74) Findings include: 1. Resident 74's clinical record was reviewed on 3/27/25 at 10:27 a.m. The diagnoses included, but were not limited to, chronic obstructive pulmonary disease and dementia. Resident 74's progress notes indicated the resident was sent to the hospital on [DATE]. The clinical record lacked documentation of written notification of the transfer and discharge forms having been provided to the resident representative. During an interview on 3/27/25 at 11:30 a.m., the Administrator indicated the facility did not have documentation which indicated the transfer and discharge forms were provided in writing to Resident 74's representative. 2. Resident 41's clinical record was reviewed on 3/27/25 at 2:54 p.m. The diagnoses included, but were…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · Dcited before2025-03-28 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 notification of the bed-hold policy required for a resident who transferred to the hospital was provided in writing to the resident or the resident representative for 1 of 3 residents reviewed for hospitalization. (Resident 41) Findings include: Resident 41's clinical record was reviewed on 3/27/25 at 2:54 p.m. The diagnoses included, but were not limited to, dementia and repeated falls. Resident 41's progress notes indicated the resident was sent to the hospital on 2/19/25. The clinical record lacked documentation of written notification which specified the facility's bed-hold policy was provided to the resident or the resident representative. During an interview at 3/28/25 at 12:27 p.m., the Director of Nursing indicated the facility did not have documentation which indicated the bed-hold policy was provided in writing to Resident 41 or to the resident representative. On 3/28/25 at 3:29 p.m., the Director of Nursing provided the facility's policy,Bed Hold dated, 12/12/23, and indicated it was the policy…
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.
- Potential for harm · Dcited before2025-03-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 document and implement new interventions to prevent falls for 1 of 5 residents reviewed for accidents. (Resident 31) Findings include: On 3/27/25 at 11:20 a.m., Resident 31's clinical record was reviewed. The diagnoses included, but were not limited to, dementia, rheumatoid arthritis, and peripheral neuropathy (weakness, numbness, and pain from nerve damage). The Quarterly MDS (Minimum Data Set) assessment, dated 2/24/25, indicated Resident 31 had severe cognitive impairment and had no falls since the prior assessment. The Care Plans included, but were not limited to: - At Risk for Falls, initiated on 10/30/24. The interventions included but were not limited to: Dycem between cushion and chair, dated 2/26/25. Encourage to go to dining room for meals, dated 2/10/25. Bed against the wall, dated 1/31/25. Mat between bed and wall, dated 1/31/25. Touch pad call light, dated 1/31/25. Encourage resident to sleep in bed at night, dated 12/26/24. If resident prefers to sleep in recliner staff will assist with raising foot of chair,…
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.
- Potential for harm · Dcited before2024-06-13 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
2. On 6/13/24 at 11:46 a.m., Resident 94's clinical record was reviewed. The diagnoses included, but were not limited to, heart failure and atrial fibrillation (a rapid and irregular heartbeat of the heart's upper chambers). A 3/16/24 progress note indicated the resident was sent to the hospital at 7:07 a.m., due to a critical digoxin lab (a test measures the amount of the heart medicine digoxin in the blood) result. The clinical record lacked documentation of written Notice of Transfer and Discharge forms having been provided to the resident and the resident representative. Based on interview and record review, the facility failed to ensure the written notification required for a transfer and discharge was provided to the resident and the resident representative for 3 of 3 residents reviewed for hospitalization. (Resident 67, Resident 94, Resident 15) Findings include: 1. Resident 67's clinical record was reviewed on 6/11/24 at 2:13 p.m. The diagnoses included, but were not limited to, lymphedema and fracture of the femur. Resident 67's progress notes indicated the resident 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.
- Potential for harm · Dcited before2024-06-13 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
2. On 6/13/24 at 11:46 a.m., Resident 94's clinical record was reviewed. The diagnoses included, but were not limited to, heart failure and atrial fibrillation (a rapid and irregular heartbeat of the heart's upper chambers). A 3/16/24 progress note, indicated the resident was sent to the hospital at 7:07 a.m., due to a critical digoxin lab (a test measures the amount of the heart medicine digoxin in the blood) result. The clinical record lacked documentation of written notification which specified the facility's bed-hold policy having been provided to the resident or the resident representative. Based on interview and record review, the facility failed to ensure the notification of the bed-hold policy required for a resident who transferred to the hospital was provided in writing to the resident or the resident representative for 3 of 3 residents reviewed for hospitalization. (Resident 67, Resident 94, Resident 15) Findings include: 1. Resident 67's clinical record was reviewed on 6/11/24 at 2:13 p.m. The diagnoses included, but were not limited to, lymphedema and fracture 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.
- Potential for harm · Dcited before2024-06-13 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to ensure a resident's Minimum Data Set assessment was electronically transmitted to the Center for Medicare and Medicaid Services system within 14 days of the final completion date for 1 of 1 residents reviewed for Resident . (Resident 12) Finding includes: On 6/13/24 at 10:00 a.m., Resident 12's clinical record was reviewed. The diagnoses included, but were not limited to, chronic respiratory failure and anemia. The Discharge Minimum Data Set (MDS) assessment, dated 12/31/23, indicated the assessment was completed but not transmitted to the Center for Medicare and Medicaid Services system within 14 days of the completion date. During an interview on 6/13/24 at 3:25 p.m., the MDS Coordinator indicated the Discharge MDS assessment was not transmitted to the Center for Medicare and Medicaid Services system within 14 days of the completion date.
- Potential for harm · Dcited before2024-06-13 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
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 residents received an accurate Minimum Data Set (MDS) assessment, reflective of the resident's status at the time of the assessment for 2 of 22 residents reviewed for accuracy of assessments. (Resident 67, Resident 92) Findings include: 1. On 6/11/24 at 2:51 p.m., Resident 67's clinical record was reviewed. The diagnoses included, but were not limited to, anxiety and depression. The Quarterly Minimum Data Set (MDS) assessment, dated 4/24/24, indicated the resident did not have an anxiety diagnosis. A review of the resident's current June, 2024, orders indicated on 4/10/24, the resident was prescribed lorazepam (an anti-anxiety medication) 0.5 milligrams, 3 times a day, for anxiety. During an interview on 6/13/24 at 11:55 a.m., the MDS Coordinator indicated the resident's MDS assessment was coded incorrectly and it should have reflected a diagnosis of anxiety. 2. On 6/13/24 at 3:15 p.m., Resident 92's clinical record was reviewed. The diagnoses included, but were not limited to, congestive heart failure 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.
- Potential for harm · D2024-06-13 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 develop a comprehensive care plan for a resident with behaviors for 1 of 1 residents observed for behaviors. (Resident 60) Findings include: On 6/9/24 at 12:16 p.m., Resident 60 was observed to be sitting in the dayroom in a recliner. The resident was attempting to stand up and was yelling out, I'm gonna die. On 6/10/24 at 10:26 a.m., Resident 60 was observed to be sitting in the dayroom in a recliner. The resident was attempting to stand up and was yelling out, I'm gonna die. On 6/10/24 at 2:10 p.m., Resident 60 was observed to be sitting in the dayroom in a recliner. The resident was attempting to stand up and was yelling out, I'm gonna die. On 6/11/24 at 12:23 p.m., Resident 60 was observed to be sitting in the dayroom in a recliner. The resident was attempting to stand up and was yelling out, help me, I'm gonna die. On 6/12/24 at 11:23 a.m., Resident 60 was observed to be sitting in the dayroom in a recliner. The resident was yelling out, I'm gonna die. On 6/13/24 at 9:40 a.m., Resident 60 was observed to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide treatment or services to prevent further decrease in range of motion for 3 of 5 residents reviewed for mobility. (Resident 29, Resident 63, Resident 79). Findings include: 1. During an interview on 6/10/24 at 11:07 a.m., Resident 29 indicated she had a stroke and her left side was affected. She had therapy for her left arm and hand contracture (permanent tightening of the muscle, tendon, skin, and nearby tissues that caused the joints to shorten and become stiff). When she was finished with therapy, they did not have a nursing restorative program to assist with her range of motion exercises. At that time, Resident 29 was observed to have a left hand contracture. On 6/12/24 at 2:57 p.m., Resident 29 was observed to be in her wheelchair. Her left hand and wrist were contracted and was resting on her lap. On 6/12/24 at 10:37 a.m., Resident 29's clinical record was reviewed. The diagnoses included, but were not limited to,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-13 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observation, interview and record review, the facility failed to ensure an open vial of insulin contained an open date for 1 of 1 resident reviewed for insulin during medication administration. (Resident 60) Findings include: During medication administration on 6/13/24 at 11:51 a.m., RN 1 was observed to remove an open vial of Humalog (insulin) from the medication cart and administer 2 units of insulin to Resident 60. The vial of Humalog was not observed to have an open date. Resident 60's clinical record was reviewed on 6/13/24 at 12:00 p.m. The diagnosis included, but was not limited to, type 2 Diabetes Mellitus. Physician orders, dated 6/13/24, for Resident 60 indicated . Humalog Injection Solution 100 unit/ml [milliliters] inject per sliding scale . During an interview on 6/13/24 at 11:53 a.m., RN 1 indicated the insulin was good for 90 days after it was opened and should have had an open date listed on the bottle. On 6/13/24 at 2:50 p.m., the Administrator provided the facility's policy,Labeling of Medications and Biologicals undated, and indicated it was the policy…
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.
- Potential for harm · D2024-06-13 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
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 laboratory services were provided for a resident with an order to obtain a blood draw every six months for 1 of 5 residents reviewed for unnecessary medications. (Resident 67) Findings include: Resident 67's clinical record was reviewed on 6/11/24 at 2:13 p.m. The diagnoses included, but were not limited to, lymphedema and fracture of the femur. Physician orders, dated 5/1/24 through 5/31/24, for Resident 67 indicated . cbc [complete blood count] with diff [differential] and bmp [basic metabolic panel] every 6 months due to HTN [hypertension] and CHF [congestive heart failure] . A review of the lab report dated 5/16/24 at 7:30 a.m., for Resident 67 indicated a CBC and BMP was attempted however the lab technician was unable to obtain an adequate sample for testing. A second phlebotomist would be sent. The clinical record lacked documentation of labs being completed on 5/16/24 nor a second attempt being made by another phlebotomist. During an interview on 6/13/24 at 12:13 p.m., the Nurse Practitioner indicated 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.
- Potential for harm · Dcited before2023-10-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to provide supervision to prevent accidents for 3 of 3 residents reviewed for accident hazards. Residents were in possession of electronic cigarettes and were not assessed for the safe use of electronic cigarettes. (Resident F, Resident C, Resident D) Findings include: On 10/26/23 at 11:05 a.m., RN 1 indicated a couple of residents had electronic cigarettes but had never seen any residents using them. 1. On 10/26/23 at 11:15 a.m., Resident F was observed in his room. In his room, several electronic cigarette devices were observed. On 10/26/23 at 11:28 a.m., Resident F's clinical record was reviewed. The diagnosis included, but was not limited to, quadriplegia. The Annual MDS (Minimum Data Set) assessment, dated 8/16/23, indicated Resident F had no cognitive impairment. The clinical record lacked an assessment for the safe handling of an electronic cigarette or a care plan related to the use of electronic cigarettes. On 10/26/23 at 12:20 p.m., Resident F's room was observed with the Administrator. 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.
- Potential for harm · D2023-10-26 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure a clean and sanitary environment for 3 of 5 shower rooms observed. A build up of soap scum and yellow discoloration in the shower stalls and personal care items were not stored in a sanitary manner. (Memory Care Shower Room, 300 Hall Shower Room, 500 Hall Shower Room) Finding includes: During the initial tour of the facility on 10/26/23 at 10:55 a.m., the following was observed. 1. In the Memory Care Shower Room, a strong odor of urine was observed. The shower stall around and along the bottom half portion a build up of soap scum and yellow discoloration was observed. 2. In the 300 Hall Shower Room, a wet washcloth was observed on the floor. A used towel was draped over the back of a shower chair. The shower stall around and along the bottom half portion a build up of soap scum and yellow discoloration was observed. 3. In the 500 Hall Shower Room, a build up of hair was observed on top of two white drains on the floor. A bottle of shaving cream and after shave was observed to be lying on the floor. On 10/26/23 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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| Ownership Data Not Available |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 81% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M 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.
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 IN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155100. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.