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Terrace At Solarbron The

1701 McDowell Rd, Evansville, IN 47712 · Non profit - Other · 91 certified beds · (812) 985-0055 Medicare & Medicaid certified

Call the home — (812) 985-0055 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Mar 20261 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • nursing-staff turnover (67%) runs well above the national median (45%)
  • about 26% of its spending goes to commonly-owned related companies

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
5320 Weston Rd · (812) 485-1550 · Call to confirm hours
Pharmacy
Cvs2.9 mi
5120 Weston Rd · (812) 424-4811 · Call to confirm hours
Grocery
4851 W Lloyd Expy · (812) 426-7080 · Call to confirm hours
Park
5301 Nurrenbern Rd · (812) 435-5602 · Typically dawn to dusk
Place of worship
9800 Middle Mt Vernon Rd · (812) 258-9982

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 3 of 5
Long-stay residentspeople who live here 3 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 1 to 2 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.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased8.3%11.0%15.4%better
Long-stay residents who lose too much weight5.3%5.5%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection2.4%1.1%2.0%worse
Long-stay residents with depressive symptoms4.1%25.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury10.5%3.9%3.3%worse
Long-stay residents whose ability to walk worsened7.2%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.6%23.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.4%95.3%typical
Long-stay residents with pressure ulcers7.0%3.6%4.7%worse
Long-stay residents with worsening bladder/bowel control27.4%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table17.9%13.6%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.4%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.1%79.0%79.4%better
Short-stay residents rehospitalized after admission22.5%22.2%22.6%typical
Short-stay residents with an outpatient ER visit20.8%10.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.691.611.67typical
Long-stay outpatient ER visits per 1,000 resident days2.121.441.80worse

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.

53.2% 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 138 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.2%U.S. median 51.5%
Got home and stayed home
11.0%U.S. median 10.7%
Went back to hospital
61.1%U.S. median 56.6%
Met the expected recovery
0.45U.S. median 0.31
Therapy hours / resident / day
0.21hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 61.1% 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 72 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF53.2%CMS range 46.0–60.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.0%CMS range 7.7–14.610.7%Oct 2022–Sep 2024no 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 discharge61.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge51.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.6%CMS range 4.3–11.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 2022–Sep 2024CMS 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

0.50
RN hours/ resident / day
0.71
LPN hours/ resident / day
2.31
Aide hours/ resident / day
3.53
Total nurse hours/ resident / day
0.28
RN hoursweekends
67.0%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 91 beds and averages 77.3 residents a day — about 85% occupied, or roughly 14 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 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 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 3.09 hrs/resident/day on weekends vs 3.70 on weekdays — 17% thinner on weekends. RN hours go from 0.59 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

13
deficiencies at the latest standard inspection (2026-03-03)
4
at the previous standard inspection (2024-12-10)

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.

ABCDEFGHIJKL

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.

31 citations, most serious first. The 11 most serious are shown; the remaining 20 are one tap away and print in full.

  • Actual harm · G2023-10-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure a sit to stand lift was used according to facility policy for 1 of 6 residents reviewed for falls. This deficient practice led to a fall with a fracture requiring hospitalization and surgical repair. (Resident M) Finding includes: During a confidential interview on 10/24/23 at 11:13 A.M., it was indicated that a CNA (Certified Nurse Aide) dropped Resident M while using a sit to stand lift resulting in a broken ankle. On 10/25/23 at 10:19 A.M., Resident M's clinical record was reviewed. Diagnosis included, but was not limited to, unspecified fracture of shaft of right femur. The most recent quarterly MDS (Minimum Data Set) Assessment, dated 9/25/23, indicated Resident M had moderate cognitive impairment, had no falls since the prior assessment, and required assistance of 2 staff for bed mobility, transfers, toileting, and bathing. The quarterly MDS Assessment completed prior to the resident's fall, dated 1/17/23, indicated the resident had moderate cognitive impairment, had no falls since the prior…

    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 · E2026-03-03 · tag F0605 — failed to not use drugs as a restraint — pattern
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 free from unnecessary medications for 6 of 6 residents reviewed for as needed (PRN) antianxiety medications. Residents' PRN antianxiety medication orders did not indicate a specific duration of use. (Resident 7, Resident G, Resident 2, Resident 81, Resident 6, and Resident B)Finding includes:1.On 2/26/26 at 11:16 A.M., Resident 7's clinical record was reviewed. Diagnoses included, but were not limited to, anxiety disorder. The most current Quarterly Minimum Data Set (MDS) Assessment, dated 12/23/25, indicated Resident 7 was cognitively intact and received an antianxiety medication during the 7-day lookback period. A current anxiety disorder care plan, dated 11/13/25, indicated Resident 7 required the use of an antianxiety medication. Physician orders included, but were not limited to:lorazepam (an antianxiety medication) 0.5 milligrams (mg) - Give one tablet by mouth twice a day as needed for anxiety, dated 6/10/25. The order was listed as open ended and did not include a stop date. The December 2025,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-03 · tag F0656 — failed to write and follow a full care plan — pattern
    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

    Based on observation, interview, and record review, the facility failed to develop and implement care plans for 3 of 6 residents reviewed for falls and 3 of 6 residents reviewed for medication administration. A care plan was not developed for residents' who received anticonvulsants, antidepressants and antianxiety medications, and care plan interventions were not implemented to prevent falls. (Resident 9, Resident 30, Resident B, Resident 40, and Resident 81)Findings include: 1. On 2/24/26 at 11:30 A.M., Resident 9 was observed lying in bed without a call don't fall sign in the room. On 2/25/26 at 1:29 P.M., Resident 9's clinical record was reviewed. Diagnoses included, but were not limited to, depression, dysphagia, and chronic respiratory failure with hypoxia. The current Quarterly Minimum Data Set (MDS) Assessment, dated 1/20/26, indicated Resident 9 was cognitively intact. Resident 9 took an antidepressant and anticonvulsant during the 7-day lookback period and had no history of falls until 1/9/26. Current physician orders included but were not limited to:Gabapentin…

    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 · Ecited before2026-03-03 · 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 stored properly for 3 of 3 medication carts observed and 1 of 2 medication storage rooms observed. Medication carts contained loose medications, and a medication storage room refrigerator door was not closed. (100 Hall, 300 Hall, Memory Care Unit)Findings include:1. During an observation of the 300 Hall medication cart on 3/3/26 at 11:50 A.M., the third drawer down contained one loose tablet, the fourth drawer down contained one loose tablet, and the sixth drawer down contained one loose capsule. During an interview on 3/3/26 at 11:55 A.M., Licensed Practical Nurse (LPN) 6 indicated being uncertain what the tablet from the third drawer was. The tablet from fourth drawer appeared to be allopurinol 100 milligrams (mg), and capsule from the sixth drawer appeared to be carbamazepine 200 mg. LPN 6 indicated it was the responsibility of the nurse on the cart to ensure the cart remained organized and that the night shift nurse typically cleaned the cart.2. During an observation of the Memory…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-03 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure code status was clearly indicated for 2 of 2 residents reviewed for advanced directives. (Resident 30, Resident 46) Findings include: 1. On [DATE] at 1:30 P.M., Resident 46's clinical record was reviewed. Diagnoses included, but were not limited to, vomiting, unspecified, lack of coordination, and abnormalities of gait and mobility.The current 5-day scheduled Minimum Data Set (MDS) Assessment, dated [DATE], indicated Resident 46 was cognitively intact and required setup assistance for eating and partial to moderate assistance of staff (staff does less than half the effort) for transferring. The code status on the resident profile dashboard listed Resident 46 as a full code. Current physician orders included, but were not limited to:Code Status: Do Not Resituate (DNR), dated [DATE]. The clinical record lacked a signed Advance Directive document for DNR.The current preferences care plan indicated that the resident had requested a DNR code status,…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-03 · tag F0641 — isolated
    Ensure 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 Minimum Data Set (MDS) Assessments were completed accurately for 1 of 5 residents reviewed for unnecessary medications. An anticonvulsant medication was not marked as received. (Resident 40)Finding includes: On 2/25/26 at 9:37 A.M., Resident 40's clinical record was reviewed. Diagnoses included, but were not limited to, bipolar disease.The most current Quarterly Minimum Data Set (MDS) Assessment, dated 11/17/25, indicated Resident 40 had severe cognitive impairment and did not receive an anticonvulsant during the 7-day lookback period (11/11/25 - 11/17/25).Physician orders included, but were not limited to:oxcarbazepine (an anticonvulsant medication) 150 milligrams (mg) - Give 150 mg tablet with 600 mg tablet to equal 750 mg twice a day upon rising and before bedtime for bipolar disorder, dated 12/8/25oxcarbazepine 600 mg - Give 600 mg tablet with 150 mg tablet to equal 750 mg twice a day upon rising and before bedtime for bipolar disorder, dated 12/8/25Discontinued physician orders included, but were not limited…

    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 · D2026-03-03 · 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 interview and record review, the facility failed to ensure care plans were revised following changes in residents' conditions for 1 of 3 residents reviewed for wounds, 1 of 1 residents reviewed for behaviors, and 1 of 6 residents reviewed for falls. Care plans were not revised following deterioration of a wound, physically aggressive behavior events, and falls. (Resident C, Resident G, and Resident B)Findings include: 1. A record review on 2/24/26 at 10:30 A.M., indicated Resident C's diagnoses included, but were not limited to paraplegia, unspecified protein-calorie malnutrition, and unspecified dementia. Resident C's most recent admission Minimum Data Set (MDS) Assessment, dated 7/24/25, indicated the resident was admitted to the facility with one unhealed Stage II pressure ulcer, was at risk for developing pressure ulcers, had moderate cognitive impairment, and was dependent on staff for mobility, including rolling right to left in bed. Resident C's physician orders 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-03 · 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 record review, observation, and interview, the facility failed to provide care to prevent a urinary tract infection and follow physician orders to treat a urinary tract infection (UTI) for 1 of 1 residents reviewed for active urinary tract infections. Staff did not perform proper hand hygiene while providing incontinence care to a resident with a current UTI and staff did not administer antibiotics as ordered for the active UTI. (Resident B) Finding includes: On 2/25/26 at 1:54 P.M., Resident B's clinical record was reviewed. Diagnoses included, but were not limited to, dementia. The most recent Quarterly Minimum Data Set (MDS) Assessment, dated 12/3/25, indicated Resident B was severely cognitively impaired, required set-up assistance from staff for eating, toileting, and transfers, and required supervision assistance from staff for bathing. Physician orders included, but were not limited to: Macrobid (an antibiotic medication) capsule 100 mg (milligrams) one capsule twice a day for five days; Start date 2/27/26 The care plan included, but was not limited to: (Resident)…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-03 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 a resident's Nasal Jejunal (NJ) feeding tubing was monitored for correct placement for 1 of 1 residents reviewed for a feeding tube. (Resident 96)Finding includes:On 2/26/26 at 8:15 A.M., Resident 96 was observed lying on her right side with the NJ tube noted lying flat alongside the resident with the pink marker of the tube hanging out of left nares one inch. The nasal [NAME] endings were knotted underneath the distal part of the marker. On 2/25/26 at 2:28 P.M., Resident 96's clinical record was reviewed. Diagnoses included, but were not limited to, dysphagia following other cerebrovascular disease, Gastro-esophageal reflux disease without esophagitis, and borderline personality disorder. The resident was admitted to the facility on [DATE]. The admission Minimum Data Set (MDS) Assessment was still being processed. Current physician orders included, but were not limited to:Glucerna 1.5 Pump Rate: 50 milliliters per hour (mL / hr)…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-03 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure an attempt for management of pain was provided for 1 of 3 residents reviewed for falls resulting in fracture. (Resident B) Finding includes: On 2/25/26 at 1:54 P.M., Resident B's clinical record was reviewed. Diagnoses included, but were not limited to, urinary tract infection and fracture of left femur. The most recent Quarterly Minimum Data Set (MDS) Assessment, dated 12/3/25, indicated Resident B was severely cognitively impaired, required set-up assistance from staff for eating, toileting, and transfers, and required supervision assistance from staff for bathing. Physician orders included, but were not limited to: hydrocodone-acetaminophen (a narcotic pain medication) tablet 5-325 mg (milligrams) one tablet every six hours as needed for pain; Start date 2/23/26 acetaminophen (pain medication) capsule 325 mg two tablets by mouth every four hours as needed; Start date 2/23/26 Resident pain observation reveals: M=Pain level is manageable this shift, P=Pain level is not manageable this shift. pain rating per…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-03 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure staff monitored for side effects of high-risk medications for 2 of 5 residents reviewed for unnecessary medications. Anticonvulsant and antidepressant medication side effects were not monitored. (Resident 40 and Resident 9)Findings include: 1. On 2/25/26 at 9:37 A.M., Resident 40's clinical record was reviewed. Diagnoses included, but were not limited to, bipolar disorder. The most current Quarterly Minimum Data Set (MDS) Assessment, dated 11/17/25, indicated Resident 40 had severe cognitive impairment and did not receive an anticonvulsant during the 7-day lookback period (11/11/25 - 11/17/25). Physician orders included, but were not limited to:oxcarbazepine (an anticonvulsant medication) 150 milligrams (mg) - Give 150 mg tablet with 600 mg tablet to equal 750 mg twice a day upon rising and before bedtime for bipolar disorder, dated 12/8/25 oxcarbazepine 600 mg - Give 600 mg tablet with 150 mg tablet to equal 750 mg twice a day upon rising and before bedtime for bipolar disorder, dated 12/8/25 The clinical record…

    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
Show the remaining 20 citations
  • Potential for harm · D2026-03-03 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 accurate and timely documentation in resident's medical records for 1 of 3 residents reviewed for pressure ulcers and 1 of 3 residents reviewed for unnecessary medications. A resident's record contained no documentation that bedtime snacks were provided according to the dietician's nutritional assessment, weekly wound assessments were not entered into the record timely, notes documented continuing therapy services after therapy services ended, and narcotic and antibiotic medication administration documentation did match narcotic sign out sheets, pharmacy delivery records, or the emergency drug kit (EDK) sign out sheets. (Resident B, Resident C) Findings include: 1. A record review on 2/24/26 at 10:30 A.M., indicated Resident C's diagnoses included, but were not limited to paraplegia, unspecified protein-calorie malnutrition, and unspecified dementia. Resident C's physician orders included, but were not limited to Weekly head toe skin inspection…

    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 before2026-03-03 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure hand hygiene was performed during incontinence care for 1 of 1 residents reviewed with a current urinary tract infection. (Resident B) Finding includes: During an observation of care on 3/2/26 at 1:43 P.M., Certified Nurse Aide (CNA) 7 and CNA 8 entered Resident B's room. CNA 7 and CNA 8 put gloves on. CNA 7 raised the bed and laid the bed flat with the bed remote with her gloved hand. CNA 7 looked in the closet for a brief. CNA 7 and CNA 8 rolled Resident B to her right side and pulled off the saturated brief beneath her. CNA 7 used wipes to clean Resident B's buttocks and put a new brief under her. CNA 7 applied cream with her right hand to the resident's buttocks, removed her right glove and put a new glove on her right hand. CNA 7 and CNA 8 rolled Resident B from her right side to her back, CNA 8 wiped the front of Resident B's perineal area from top to bottom. CNA 7 searched through items on Resident B's bedside table for a bottle of cream and then applied cream directly to the resident's vulvar…

    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 · Dcited before2026-03-03 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    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

    Based on observation, interview, and record review, the facility failed to provide a sanitary environment for 1 of 5 units reviewed for environment. (Memory Care Unit) A blood spill remained on the carpet after a resident's fall. Finding includes:During an interview on 2/26/26 at 10:48 A.M., family indicated Resident B had a fall resulting in a head laceration. Family was visibly upset that when they entered the building, blood from Resident B's fall was still on the floor. During an observation on 2/26/26 at 11:15 A.M., there was approximately a 12 inch stain of what appeared to be dried blood, on the floor next to the nurses station in the Memory Care Unit. During an observation on 3/2/26 at 10:18 A.M., the stain was still prevalent on the floor next to the Memory Care Unit nurses station. During an interview on 3/3/26 at 8:37 A.M., Housekeeper 11 indicated that if a blood spill occurred, staff would clean the spill up immediately and would notify housekeeping to come and disinfect the area. They were unaware of the blood stain next to the nurses station on the Memory Care Unit.…

    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 before2025-09-10 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure notification was given to a resident's representative of a worsening pressure ulcer for 1 of 3 resident's reviewed for wounds. (Resident B)Finding includes:On 9/8/25 at 9:41 a.m., Resident B's clinical record was reviewed. Diagnoses included but were not limited to epidural hemorrhage without loss of consciousness, subsequent encounter, pressure ulcer of unspecified site, stage 2, protein-calorie malnutrition, paraplegia, unspecified, essential hypertension, hyperlipidemia, age-related osteoporosis, other fracture of T5-T6 vertebra, anemia, chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity, and unspecified dementia. An admission MDS (Minimum Data Set) assessment dated [DATE] indicated Resident B's cognition was moderately impaired, dependent on bed mobility, and toileting. Resident B was admitted to the facility on [DATE] and discharged on 8/27/25. Care plans were reviewed and included, but were not limited…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-09-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the interview and record review, the facility failed to ensure that Activities of Daily Living (ADLs) were provided daily to residents. Bathing/showers were not documented as done. (Resident B, Resident C)Finding includes: On 9/8/25 at 9:41 a.m., the clinical record was reviewed, for resident B, diagnoses included but were not limited to, epidural hemorrhage without loss of consciousness, subsequent encounter, pressure ulcer of unspecified site, stage 2, protein-calorie malnutrition, paraplegia, unspecified, essential hypertension, hyperlipidemia, age-related osteoporosis, other fracture of T5-T6 vertebra, anemia, chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity, and unspecified dementia. Resident B's clinical record included, but was not limited to, an admission MDS (Minimum Data Set) assessment, dated 7/24/25, indicated Resident B's shower/bathing dependent (the ability to bathe self, including washing, rinsing, and drying self). Resident B was admitted to the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-20 · tag F0635 — isolated
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a newly admitted resident had immediate orders for the care of a colostomy for 1 of 1 residents reviewed for ostomies. (Resident D) Finding included: On 2/17/25 at 9:45 a.m., Resident D indicated he had a colostomy bag, the nurses took care of it, the Certified Nursing Aides (CNA) generally run from it if he needs care to it. On 2/18/25 at 10:13 a.m., Resident D's clinical record was reviewed. Diagnoses included, but were not limited to, colostomy status, age -related physical debility. An admission MDS (Minimum Data Set) assessment dated [DATE], indicated Resident B's cognition was intact, he had an ostomy. Resident D admitted to the facility on [DATE]. Care plans were reviewed and included, but were not limited to: Resident requires care and assistance related to ostomy; potential for complications, created date 1/17/25. Approaches included, but were not limited to: change wafer and ostomy as ordered, provided ostomy care as ordered and as…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-12-10 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure infection control practices and standards were performed during 1 of 1 wound care and 2 of 2 random observation for cleaning equipment in between residents. (Resident 33, Resident 11, Resident 16, Resident 13) Findings include: 1. On 12/6/24 at 10:17 A.M., RN (Registered Nurse) 2 and LPN (Licensed Practical Nurse)10 were observed performing wound care on Resident 33. RN 2 and LPN 10 both sanitized hands and donned plastic gowns and gloves. RN 3 cleaned the bedside table with cleaning cloth, opened a plastic trash bag, and set up clean dressing supplies with the same gloves on. RN 3 did not change gloves before she began to open supplies for dressing change. LPN 19 placed a drape on the floor to catch debris from the leg wounds. RN 3 began to remove the old dressings from Resident 33's legs with the same gloves that were used to clean the table with. Both RN 3 and LPN 2 removed gloves, sanitized, and then donned new gloves. LPN 10 removed the dressings from the right lower leg, removed gloves, and did…

    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 before2024-12-10 · 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, interview, and record review, the facility failed to provide a safe and sanitary environment during 5 random observations. Odor was present in the facility and a resident wall was soiled with paint chipped out of the wall. (Memory Care Unit, East Hall Nurse Station, Front Lobby, room [ROOM NUMBER]) Findings include: 1. On 12/6/24 at 7:17 A.M., the Memory Care unit was noted to have an odor consistent with marijuana. 2. On 12/6/24 at 8:36 A.M., the East Hall Nurses Station was noted to have an odor consistent with marijuana. 3. On 12/9/24 at 8:45 A.M., the front lobby was noted to smell like sewer gas. During an anonymous interview, it was indicated that there was a strong odor upon entering the facility During an anonymous interview, it was indicated that there were pervasive odors in the facility especially on the East Hall. On 12/9/24 at 8:45 A.M., the Director of Nursing (DON) indicated staff and residents should not use marijuana while in the facility. She indicated the lobby sometimes…

    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 · D2024-12-10 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure a SNF-ABN (Skilled Nursing Facility-Advanced Beneficiary Notice) Form and Notice of Medicare Non-Coverage (NOMNC) was provided following the end of Medicare skilled services for 1 of 1 resident who discharged from Medicare services and continued to reside in the skilled nursing facility. (Resident 33) Findings included: On 12/6/2024 at 10:15 A.M., the SNF (Skilled Nursing Facility) Beneficiary Protection Notification Review Forms were reviewed. The form was blank in response to whether Resident 33 received the SNF-ABN form as well as the Notice of Medicare Non-Coverage (NOMNC) Form. The BPN review form provided to the facility indicated Resident 33's Medicare coverage would end on 8/3/2024. Regional Support 7 indicated they did not have the required documents (CMS 10055 AND NOMNC 10123) signed by the resident or representative for beneficiary notification. On 12/10/2024 at 11:05 A.M. the Director of Nursing indicated they do not have a policy in relation to advanced beneficiary notice of non-coverage but follow the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-10 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure medications were labeled properly for 2 of 2 medication carts observed. (West Hall, East Hall, Resident 16) Findings include: 1. On 12/4/24 at 9:33 A.M., the [NAME] Hall medication cart was reviewed. The following medications were observed without a label: Vial of ceftriaxone injection Vial of lidocaine, with an open date of 11/27/24 written on it with black marker Bottle of [NAME] aspirin, with an open date of 11/1/24 written on it with black marker At that time, Qualified Medication Aide (QMA) 8 indicated that the ceftriaxone and lidocaine were removed from the Emergency Drug Kit (EDK) and should have had the residents name written on it with black marker. The aspirin was brought in by a family member and should have had the resident's name written on it in black marker. 2. On 12/4/24 at 10:39 A.M., the East Hall medication cart was reviewed. The following medications were observed without a label: Lantus Solostar insulin pen,…

    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 before2024-07-11 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide ADL's (activities of daily living) care to 4 of 4 resident's reviewed for bathing. Bathing was not provided to residents. ( Resident L, Resident N, Resident P, Resident Q) Findings include: 1. On 7/8/24 at 9:22 a.m., Resident L indicated sometimes bathing is hard to get, sometimes it is not done. 7/9/24 at 10:19 a.m., Resident L indicated she did not get a shower yesterday, new shower schedules are supposed to start today. On 7/11/24 at 6:13 a.m., Resident L's clinical record was reviewed. Diagnoses included, but were not limited to, hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, age-related physical debility, unspecified abnormalities of gait and mobility. A Quarterly MDS (Minimum date Set) assessment dated [DATE], indicated cognition intact, shower/ bathe self- partial/moderate assistance. Care plans included, but were not limited to: CNA assignment sheet resident has specific needs related to their…

    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 · E2023-10-31 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    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 residents received the necessary respiratory care and services in accordance with the professional standards of practice for 5 of 6 residents reviewed for respiratory care. The facility failed to follow physician oxygenation orders and date oxygen tubing and humidification bottles. (Resident 13, Resident 22, Resident 31, Resident 44, Resident 45) Findings include: 1. On 10/25/23 at 10:15 A.M., Resident 13 was observed lying in bed with oxygen on per nasal cannula (nc) at 2 lpm (liters per minute). The oxygen tubing was dated 9/11/23. The humidification bottle was not dated. On 10/27/23 at 9:00 A.M., Resident 13 was observed sitting up in bed eating breakfast with oxygen on at 2 lpm per nc. The oxygen tubing was dated 9/11/23, and there was no date on the humidification bottle. On 10/30/23 at 10:28 A.M., Resident 13 was observed wearing oxygen at 2 lpm per nc. The oxygen tubing was not dated and the humidification bottle was dated…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-31 · 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 proper storage of medications for 3 of 3 medication storage rooms observed. Refrigerator temperature logs were not completely filled out in the medication rooms. (South Hall, North Hall, [NAME] Hall) Findings include: 1. On 10/30/23 at 12:10 P.M., the [NAME] Hall medication room was observed. The refrigerator temperature log for October 2023 lacked temperatures on the following dates: 10/2/23 10/7/23 10/8/23 10/14/23 10/15/23 10/24/23 10/25/23 10/26/23 10/27/23 10/28/23 10/29/23 At that time, LPN (Licensed Practical Nurse) 9 indicated night shift was responsible for filling out the temperature logs, and they should be filled out daily. 2. On 10/30/23 at 12:24 P.M., the North Hall medication room was observed. The refrigerator temperature log for October 2023 lacked temperatures on the following dates: 10/26/23 10/27/23 10/28/23 10/29/23 At that time, RN (Registered Nurse) 3 indicated night shift was responsible for filling out the temperature logs, and the gaps were probably due to agency staff working…

    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 · E2023-10-31 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure that food was served at palatable temperatures for 1 of 1 trays tested for temperature. Finding includes: On 10/30/23 at 12:30 P.M., a test tray was obtained. The following temperatures were indicated: Fish -101.6 degrees Fahrenheit (F) Beets -111 degrees F Fruit cocktail - 65.7 degrees F On 10/24/23 at 11:09 A.M., Resident M indicated the food was lukewarm from hallway trays. During an interview on 10/31/23 at 10:06 A.M., the Dietary Manager indicated when food leaves the holding table to be put on a tray to go out to the residents the temperature was 135 for meats, cooked vegetables at 135, and fruit cocktail 41 or lower. During an interview on 10/31/23 at 10:35 A.M., the Dietary Manager indicated food was expected to be palatable when it arrived to the residents. On 10/31/23 at 10:35 A.M., the Dietary Manager provided a current Food Preparation and Safety policy, dated 2020, which indicated Trays are delivered promptly to ensure that food is served at a preferable temperature and to preserve 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-31 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 residents that were self administering medications were assessed for capability to self administer medications for 1 of 1 residents observed with medications in their room. (Resident 69) Findings include: On 10/26/23 at 8:43 A.M., LPN (Licensed Practical Nurse) was observed to enter Resident 69's room. Upon entrance, the resident was observed sitting in the room by himself on a bedside commode self-administering a nebulizer treatment. At that time, LPN indicated the breathing treatment consisted of duoneb (albuterol with ipratropium bromide) and that the resident liked to administer it himself. She further indicated Resident 69 did not have a self administration assessment on file for that medication. On 10/26/23 at 9:09 A.M., Resident 69's clinical record was reviewed. Diagnosis included, but was not limited to, chronic bronchitis. The most recent admission MDS (Minimum Data Set) Assessment, dated 9/13/23, indicated no cognitive impairment, and extensive assistance of two staff with bed mobility,…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-31 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to notify the attending physician and the resident's family for 1 of 5 residents reviewed for hospitalizations and 1 of 2 residents reviewed for notification of changes. A resident's family was not notified of significant weight loss and the attending physician was not notified of increased blood pressure. (Resident M, Resident F) Findings include: 1. During a confidential interview on 10/24/23 at 11:10 A.M., it was indicated Resident M's family had not been notified of a significant weight loss and the facility was not good at communicating changes in condition to the family. On 10/25/23 at 10:19 A.M., Resident M's clinical record was reviewed. Diagnoses included, but were not limited to, Diabetes Mellitus, dysphagia, and vascular dementia. The most recent quarterly (Minimum Data Set) Assessment, dated 9/25/23, indicated Resident M had moderate cognitive impairment, had weight loss, and required extensive assistance of 2 staff for bed mobility, transfers, toileting, and bathing, and setup assistance with supervision 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-31 · tag F0641 — isolated
    Ensure 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 the MDS (Minimum Data Set) Assessment was completed accurately for 1 of 1 residents reviewed for dialysis. (Resident 50) Finding includes: On 10/25/23 at 8:55 A.M., Resident 50's clinical record was reviewed. Diagnosis included, but was not limited to, end stage renal disease (ESRD). The most recent quarterly MDS (Minimum Data Set) Assessment, dated 7/29/23, indicated Resident 50 had no cognitive impairment and was not receiving dialysis. Current physician orders included, but were not limited to: [Name of Dialysis Center] Pick up time 3:30am Special Instructions: Early Breakfast Tray Once A Day on Mon, Wed, Fri, dated 09/13/2023 Discontinued physician orders included, but were not limited to: [Name of Dialysis Center] Pick up time 3:30am by [name of transportation company] Special Instructions: Early Breakfast Tray Once A Day on Mon, Wed, Fri, dated 10/24/2022 to 09/13/2023 A current hemodialysis care plan, dated 6/1/21, indicated Resident receives Hemodialysis due to ESRD and is at risk for complications. Post…

    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 before2023-10-31 · 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 interview and record review, the facility failed to ensure appropriate treatment was provided to prevent recurring Urinary Tract Infections (UTIs) in 1 of 4 residents reviewed for UTIs (Resident M). Finding includes: On 10/25/23 at 10:19 A.M., Resident M's clinical record was reviewed. Diagnoses included, but were not limited to, urinary tract infection and personal history of urinary tract infections. The most recent quarterly MDS (Minimum Data Set) Assessment, dated 9/25/23, indicated Resident M had moderate cognitive impairment, was always incontinent of urine and frequently incontinent of bowel, and required extensive assistance of 2 staff for bed mobility, transfers, toileting, and bathing. A current UTI care plan, dated 3/4/23, indicated the resident had a history of recurrent abnormal urinalysis/UTI and often required antibiotic therapy for treatment. The clinical record indicated Resident M had 8 UTIs since January 2023. UTI 1 A progress note, dated 2/20/2023 at 6:52 P.M., indicated Received call from [name of provider] with new orders: UA (urinalysis) micro C+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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-31 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    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

    Based on observation, interview, and record review, the facility failed to provide a safe and sanitary environment for residents, staff, and public for 1 of 4 halls observations on 3 locations observations of the East Hall (East Hallway). Finding includes: On 10/24/23 at 9:00 A.M., the East Hallway was observed smelling musty. On 10/26/23 at 11:25 A.M., the East Hallway was observed smelling musty. On 10/30/23 at 12:00 P.M., the East Hallway was observed smelling musty. During an interview on 10/31/23 at 10:19 A.M., the Maintenance Supervisor indicated the carpet hall ways were cleaned on a daily schedule. The schedule had been hard to keep the past 2 weeks because the 36 inch walk behind carpet cleaner was in the shop. The staff used a 12 inch drag behind spot cleaner during that time. The walk behind carpet cleaner used a heavy traffic cleaner solution and sprayed the carpets with the cleaner. The drag behind spot cleaner only used hot water to clean. On 10/31/23 at 10:45 A.M., the DON (Director of Nursing) provided a current undated policy Housekeeping In-service. This 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2023-10-31 · tag F0732 — widespread
    Post nurse staffing information every day.
    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 posted nurse staffing sheets contained the correct information daily for 7 of 7 days reviewed during the survey. (10/23/23, 10/24/23,10/25/23,10/26/23, 10/27/23, 10/30/23, 10/31/23), Finding includes: On 10/23/23 at 9:00 A.M., the Daily Staffing Sheet was observed on the wall by the receptionist desk dated 10/23/23. The sheet included, but was not limited to, the following information: Shift hours for RN (Registered Nurse), LPN (Licensed Practical Nurse), CNA (Certified Nursing Assistant), and QMA (Qualified Medicine Aide). Total number of RN, LPN, CNA, and QMA for each shift Total hours of RN, LPN, CNA, and QMA for each shift The sheet did not specify which actual hours were worked by each discipline during the specified shift when the total hours were not equal to the number of staff. On 10/31/23 at 9:18 A.M., the Scheduler provided Daily Staffing Sheets dated 10/23/23, 10/24/23. 10/25/23, 10/26/23,10/27/23,10/30/23 and 10/31/23. The sheets included, but were not limited to, the following…

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

    Nursing and Physician Services Deficiencies · 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CARDON & ASSOCIATES — 19 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 53.7-1.7 vs chain
Health inspection 2 of 53.3-1.3 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 3 of 54.6-1.6 vs chain
The other 18 homes this chain runs (chain average 3.7★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
GOOD SAMARITAN HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 07/01/2016
CROWE, ROBINIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2024
SCHUCKMAN, MATTHEWIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/09/2024
MCLIN, ROBERTIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/27/2023
THACKER, ADAMIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 07/03/2023
CARDON AND ASSOCIATES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/17/2025
CARDON MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/04/2025
BALLA, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/23/2022
CATTELL, ZACHARYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2025
EMERSON, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2018
FAUTH, KENDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/26/2021
GORMAL, GREGGIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2016
HAUG, AMYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/04/2022
LOPOSSA, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/17/2023
MCCLELLAND, THOMASIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/26/2021
MCINTOSH, ERICIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/31/2021
NEWCOMB, SHALONDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2022
PAYNE, CHRISTIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/23/2023
HEART OF CARDON LLCOrganizationADP OF THE SNFsince 09/06/2007

CMS files one row per role, so the 39 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

$13.1M
Net patient revenuemost recent cost report
-4.4%
Operating marginrevenue minus expenses
$3.6M
Related-party expense26% of expenses
Who pays — share of resident-days
Medicaid 36%Medicare 5%Other / private 59%

This home reported $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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

$323per resident / day
operating cost
$9,807per month
≈ monthly operating cost
$309per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

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 155773. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-03, 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.

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