Transcendent Healthcare Of Boonville - North

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.

Met the expected recovery: 5.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below; CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

41 citations, most serious first. The 15 most serious are shown; the remaining 26 are one tap away and print in full.

• Immediate jeopardy · Kcited before2026-02-17 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to establish a facility-wide system to prevent, identify, report, investigate, and control infections for 4 of 5 residents reviewed for hospitalizations (Resident 27, Resident 19, Resident 1, and Resident 48). Residents who experienced upper respiratory symptoms were not tested or treated for influenza. The facility did not investigate the cause of or track residents' signs and symptoms. This deficient practice resulted in Resident 27, Resident 1, and Resident 48 being hospitalized . Residents tested positive for influenza A upon arriving at the hospital. Resident 19 was ordered to be sent to the hospital, but expired before she could get there. Resident 27 and Resident 1 expired while in the hospital from complications from influenza A.This Immediate Jeopardy began on [DATE], when residents complained of upper respiratory symptoms. The facility failed to test residents for influenza A and track signs and symptoms in order to prevent the spread of…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2025-09-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure adequate supervision was provided to prevent a resident with a history of exit-seeking/elopement behavior from exiting the facility and leaving the property for 1 of 3 residents reviewed for elopement. This deficient practice resulted in an elopement that occurred during the morning hours of September 1, 2025. The resident was located with the assistance of the local police department, approximately 1.2 miles from the nursing facility, near a previous residence. This Immediate Jeopardy began on September 1, 2025, when the facility failed to ensure Resident C did not exit the facility property through a doorway on the [NAME] Hall at approximately 5:30 A.M. Resident C was not realized to be missing until 7:15 A.M. after staff noticed she was not in her room. A search in and around the facility lasted approximately 30 minutes before local law enforcement was notified and arrived to the facility at approximately 7:50 P.M. Resident C…

  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 before2026-02-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to ensure fall prevention measures were in place for 1 of 2 residents reviewed for falls resulting in major injury. This deficient practice resulted in a fall with a brain bleed. (Resident 5)Finding includes: On 2/11/26 at 9:19 A.M., Resident 5's clinical record was reviewed. Diagnoses included, but were not limited to, dementia.A care plan dated 7/23/24 indicated the resident was at risk for falls related to confusion, unaware of safety needs, vision/hearing problems with diagnosis of dementia. Interventions included, but were not limited to:Non-skid strips to shower floor dated 4/28/25Apply Fluorescent tape to armrest for visual guidance dated 8/6/25Dycem (non-slip material to provide grip and stability) in recliner dated 9/2/25Provide spill proof cup for hydration to prevent spills that may cause slipping and falls in room dated 11/21/25Adding non-slip furniture pads under recliner dated 12/18/25.Quarterly Minimum Data Set (MDS)…

  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 · G2024-11-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident without pressure-related skin impairment did not develop a pressure injury for 1 of 2 residents reviewed for pressure injuries. Following the development of a pressure ulcer, no initial assessment was documented, and no documented treatment was given for 4 days and interventions were not routinely documented as completed by the plan of care. This deficient practice resulted in Resident 12 developing a facility acquired stage III pressure ulcer (Full-thickness skin loss with damage to subcutaneous tissue. The ulcer may extend into the subcutaneous tissue layer. Granulation tissue and epibole [rolled wound edges] are often present. No exposure of bone, tendon, or muscle. The sore looks like a crater and may be foul-smelling on the coccyx that led to a colonization of MRSA (Methicillin-resistant Staphylococcus aureus) in the wound. (Resident 12) Finding includes: During an observation and interview on 11/7/24 at 12:20 P.M., Resident 12 was lying in bed on a pressure reducing air mattress. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to revise care plans and follow interventions to reduce the risk of falls for 2 of 4 residents reviewed for accidents. This deficient practice resulted in a fall with fractures requiring hospitalization and a fall with a closed head injury requiring hospitalization. (Resident M, Resident P). Findings include: 1. On 9/19/23 at 1:13 P.M., Resident M's clinical record was reviewed. Resident was admitted on [DATE]. Diagnoses included, but were not limited to, Alzheimer's Disease, Major Depressive Disorder, and Diabetes Mellitus. The most recent quarterly MDS (Minimum Data Set) Assessment, dated 5/14/23, indicated Resident M had severe cognitive impairment, required extensive assistance of 2 or more staff for bed mobility and transfers and a total assistance of 2 or more staff for toileting and bathing, and had no falls since the prior MDS assessment on 4/5/23. Current physician orders included, but was not limited to: Low bed at all times while…

  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 · F2026-02-17 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  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, record review, and interview, the facility failed to ensure the kitchen manager met required qualifications for 1 of 1 dietary manager qualifications reviewed. (Food Services Director) Findings include:During an interview on 2/9/26 at 9:30 A.M., the Dietary Manager indicated that she was currently enrolled in the course for dietary manager. She indicated that she missed passing the test by 1 point in 2024 and had to wait to re-enroll and take the course. On 2/9/26 at 2:00 P.M., the manager produced an invoice where she had just registered for the class on [DATE] at 12:00 P.M.On 2/12/26 at 11:00 A.M., the employee record for the Food Service Manager indicated she started her role on 1/2/26.During an interview on 2/13/26 at 8:55 P.M., the Administrator indicated that the dietary manager should be certified and during the survey 2/9/26-2/13/26.On 2/17/26 at 1:55 P.M., the Administrator provided a current, non-dated copy of the [Facility Name] Job Description for the Director of Food Services.…

  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 · F2026-02-17 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the required staff were present at the monthly Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement (QAPI) meetings related to the Infection Preventionist and Medical Director, or designee, and Director of Nursing not being present. This had the potential to affect all residents in the facility.Finding includes:During an interview on 2/17/26 at 11:31 A.M., the Administrator indicated the QAA/QAPI committee met monthly. Monthly attendance records of meetings were requested. On 2/17/26 at 2:27 P.M., the Administrator provided QAPI committee meeting attendance sheets for the following dates: 2/20/25 (Infection Preventionist and Director of Nursing not present) 3/19/25 (Infection Preventionist and Director of Nursing not present) 4/22/25 (Infection Preventionist and Director of Nursing not present) 7/28/25 (Infection Preventionist and Medical Director not present) 10/16/25 (Infection Preventionist and Medical Director not present) 1/12/26 (Infection Preventionist not present) 1/16/26…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-17 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  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 designated infection preventionist was onsite to implement programs and activities to prevent and control infections. Finding includes: During the entrance conference on 2/9/26 at 10:27 A.M., the Administrator indicated the facility's Infection Preventionist (IP) worked from another building. On 2/12/26 at 1:59 P.M., the IP's employee file was reviewed. The Infection Control Nurse job description included duties such as: Make rounds to nursing units for the purpose of case findings, review of environmental sanitation procedures, and supervision of isolation precautions/practices. Visit isolated residents as necessary to ensure that established isolation precautions and aseptic technique are followed. Works in office area(s) as well as throughout the facility. During an interview on 2/13/26 at 9:38 A.M., the IP indicated she worked from another building and came to the facility monthly for QAPI meetings and staff in-services related to infection control. On 2/17/26 at 12:47 P.M., the Administrator…

  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 · Ecited before2026-02-17 · tag F0761 — failed to label and store drugs safely — pattern
  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 observation, interview and record review, the facility failed to ensure medications were properly secured, failed to keep insulin refrigerated until opened, and to label and date vials of tuberculin solution with open and expiration dates for 2 of 2 medication carts and the [Pharmacy Name] Medication room refrigerator. (West Medication Cart, East Medication Cart, [Pharmacy Name] Medication Room) FIndings include: 1, On 2/9/26 at 2:19 P.M., during random observation of the [NAME] Medication Cart the following was observed:1 unopened Lantus pen for Resident 26 with no open date or expiration date1 open Lispro insulin pen for Resident 4 with no open date or expiration date 2. On 2/9/26 at 2:27 P.M., during a random observation of the East Medication Cart the following was observed:1 large round white pill number N32 During an interview on 2/9/26 at 2:21 P.M., Qualified Medicine Aide (QMA) 4 indicated insulin should be refrigerated if unopened. During an interview on 2/9/26 at 2:45 P.M., QMA 5 indicated there should be no loose pills in the medication carts if there were a…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-17 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure that a sink in a therapy restroom was safely secured to the wall and personel belongings in shared restrooms were labeled with resident names in 4 of 4 shared restrooms reviewed.( Sink in therapy area restroom, Shared restrooms between rooms [ROOM NUMBERS], rooms [ROOM NUMBERS], rooms [ROOM NUMBERS], rooms [ROOM NUMBERS])Findings include:1. On 2/12/23 at 9:15 A.M, during random observations of restrooms, the following were observed:In the restroom between rooms [ROOM NUMBERS]:1 bottle of shampoo with no name1 tube of toothpaste with no name2 bottles of lotion with no namesIn the restroom between rooms [ROOM NUMBERS]:1 toothbrush with no name1 tube of toothpaste with no name3 bottles of lotionIn the restroom between rooms [ROOM NUMBERS]:1 bottle of mouthwash with no name1 tube of toothpaste with no name 1 can of shaving cream with no nameIn the restroom between rooms [ROOM NUMBERS]:1 tooth cup with no name1 tube of toothpaste with…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-17 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop care plans for 1 of 1 residents reviewed for Urinary Tract Infection (UTI) and 1 of 1 residents reviewed for Respiratory Care. A care plan was not developed for residents for use of antibiotics and oxygen use. (Resident 3, Resident 34) Findings include: 1. On 2/12/2026 at 1:43 P.M., Resident 3's clinical record was reviewed. Diagnoses included but were not limited to Parkinson's Disease without Dyskinesia, unspecified dementia, and Alzheimer's Disease. The current Quarterly Minimum Data Set (MDS) Assessment, dated 12/15/25, indicated Resident 3 was mildly cognitively intact. She needed supervision to eat, but required partial to moderate assistance for toileting, dressing, hygiene, and transferring. Current physician orders included but were limited to:Cipro 500 mg (Milligrams) BID for 7 d for UTI. Dated 2/7/26. A care conference was conducted on 11/5/2025 at 3:15 P.M., with the resident and Power of Attorney present. The care plan was reviewed…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-17 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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, record review, and interview, the facility failed to ensure interventions were in place for 1 of 2 resident reviewed for falls. An intervention for falls was not implemeted.(Resident 21) Finding includes:During a random observation on 2/12/26 at 9:30 A.M., there were no non-skid stripes observed on the floor of Resident 21's During a random observation on 2/13/26 at 8:37 A.M., Resident 21 was observed lying in bed, and no non-skid strips were observed on the left or right floor of the resident's bed. On 2/11/26 at 1:35 P.M., the clinical record for Resident 21 was reviewed. Diagnoses included, but were not limited to Alzheimer's disease, personality disorder, and fracture of the nasal bones, subsequent encounter for fracture for routine healing. The current Quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident 21 was cognitively intact. Resident 21 needed supervision with eating, but required partial to moderate assistance with dressing, mobility, and hygiene also had…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-17 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 record review and interview, the facility failed to ensure the physician documented a clinical contraindication when a gradual dose reduction (GDR) was declined for 3 of 5 residents reviewed for unnecessary medications (Resident 2, Resident 4, and Resident 33).Findings include:1. On 2/12/26 at 8:53 A.M., Resident 2's clinical record was reviewed. Resident 2 was admitted on [DATE]. Diagnoses included, but were not limited to, dementia. The most recent Quarterly Minimum Data Set (MDS) Assessment, dated 11/16/25, indicated Resident 2 was moderately cognitively impaired, required partial assistance (staff do half of the work) for toileting, bathing, and transfers, and received antipsychotic, antianxiety, antidepressant, and anticonvulsant medication during the seven day lookback period. Physician orders included, but were not limited to: Duloxetine HCl Capsule (Drizalma) Delayed Release Particles 30 MG (milligrams) Give one capsule by mouth two times a day related to depression, Start date 8/31/25…

  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 · D2026-02-17 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 vaccinations were provided according to residents' informed consent for 2 of 6 residents reviewed for immunizations. A resident who consented to receive the influenza vaccine did not receive it. A resident who declined to receive the influenza vaccine did receive it. (Resident 48 and Resident 33)Findings include:1. On 2/12/26 at 10:44 A.M., Resident 33's clinical record was reviewed. Diagnoses included, but were not limited to, dementia. The resident was admitted to the facility on [DATE].The most current Quarterly Minimum Data Set (MDS) Assessment, dated 12/13/25, indicated Resident 33 had severe cognitive impairment and received the influenza vaccination on 10/27/25.Physician orders included, but were not limited to:May have immunizations as required including, but not limited to: influenza, pneumonia, and tuberculosis (TB) (first and second step) and annual TB., dated 6/18/25Monitor resident for low grade fever, aches, redness, soreness,…

  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 · D2025-03-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to implement the plan of care for 1 of 1 residents observed for catheter care. Catheter care orders and treatments were not completed per the physician orders and the plan of care. (Resident C) Finding includes: During an observation on 3/24/25 at 12:30 P.M., Resident C was observed in the dining room in a wheelchair. Catheter tubing connected to a catheter drainage bag was clipped to the side of the wheelchair. During record review on 3/24/25 at 1:45 P.M., Resident C's diagnoses included, but were not limited to, neuromuscular dysfunction of bladder, prostatic hyperplasia with lower urinary tract symptoms, and dementia. Resident C's most recent quarterly MDS (Minimum Data Set) assessment, dated 1/4/25, indicated the resident had moderate cognitive impairment and had an indwelling catheter. Resident C's physician orders included, but were not limited to, monitor Foley catheter output each shift, (ordered 11/18/24), acetic acid irrigation solution 60 milliliters (ml) via irrigation on time a day every Friday for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$253,955 in federal fines across 4 penalties. 2 Medicare payment denials on record.

• $200,690 — penalty dated 2026-02-17
• $20,400 — penalty dated 2025-09-16
• $24,674 — penalty dated 2024-11-14
• $8,191 — penalty dated 2023-09-25
• Medicare payment denial — starting 2024-12-12 for 1 days
• Medicare payment denial — starting 2023-10-25 for 30 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 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.

3 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.

About 84% 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 $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 35% 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