Allisonville Meadows

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.

58.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 166 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.8% 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 79 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 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 161 beds and averages 131.5 residents a day — about 82% occupied, or roughly 30 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 3.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.05 hrs/resident/day on weekends vs 3.77 on weekdays — 19% thinner on weekends. RN hours go from 0.66 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.

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

Inspection trend

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

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.

32 citations, most serious first. The 13 most serious are shown; the remaining 19 are one tap away and print in full.

• Actual harm · Gcited before2025-03-25 · 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 ensure facility staff (Qualified Medication Aide 6 and Certified Nurse Aide 2) notified the nurse on duty of a resident experiencing a fall (Resident D) and timely notify the resident's physician of a fall with injury, resulting in Resident D experiencing moderately strong pain and a delay in the treatment of a left humerus fracture, for 1 of 2 residents reviewed for falls, and to timely inform a physician of a significant change in a lab value for 1 of 2 residents reviewed for hospitalization (Resident B). This deficient practice was corrected on 2/19/25, prior to the start of the survey, and was therefore past noncompliance. The facility implemented a systemic plan that included the following actions: in-service education to nursing staff related to the policy and procedure regarding physician notification pertaining to fall incidents and laboratory results, reviewed all fall incidents for January 2025 to February 7, 2025 and laboratory results for January 2025 to February 18, 2025 to identity potential residents, and…

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

  Resident Rights Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-03-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 (Resident D) who had fallen the night of 1/21/25, was assessed by a licensed nurse and the licensed nurse was made aware of the fall incident by the facility staff (Qualified Medication Aide 6 and Certified Nurse Aide 2), who had assisted the resident back to bed, and ensure the resident had continued monitoring afterwards. The resident experienced moderately strong pain, had skin impairments, and was later hospitalized and identified with a fractured humerus at the hospital for 1 of 3 residents reviewed for falls. This deficient practice was corrected on 2/12/25, prior to the start of the survey, and was therefore past noncompliance. The facility implemented a systemic plan that included the following actions: in-service education to nursing staff related to the policy and procedure regarding fall incidents, reviewed all fall incidents for January until February 7, 2025 to identity potential residents, and conducted an review of residents with fall incidents to ensure assessments, 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 · Past Non-Compliance
• Actual harm · G2025-01-03 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to administer a synthetic opioid pain patch in accordance with the physician order, the manufacturer's specifications, or accepted professional standards to prevent a significant medication error for 1 of 3 residents reviewed for medication regimen. (Resident C) This deficient practice resulted in the resident having two opioid pain patches applied simultaneously, the resident experienced a significant change in consciousness that required emergent administration of an opioid overdose medication, and hospitalization. This deficient practice was corrected on 12/31/24, prior to the start of the survey, and was therefore past noncompliance. The facility implemented a systemic plan that included the following actions: in-service education to nursing staff related to the policy and procedure regarding synthetic opioid pain patches, conducted competency check offs for medication administration for nursing staff, and conducted a review of residents who received a synthetic opioid pain patch with ongoing review presented 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.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · E2026-04-15 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the dignity of residents was maintained and respected for 3 of 4 resident reviewed for dignity and 16 of 134 residents reviewed in resident council. (Residents' B, E, F, G, H, J, K, L, M, N, O, P, Q, R, S, T, V, Y, and Z).Findings include: 1. The clinical record for Resident B was reviewed on 4/9/25 at 3:27 p.m. The resident's diagnoses included, but were not limited to, dementia (progressive decline in cognitive function) and deafness. A care plan, initiated 1/29/26, indicated Resident B required assistance with Activities of Daily Living (ADL) care including bed mobility, transfers, eating, and toileting. An admission Minimum Data Set (MDS) Assessment, completed 2/4/26, indicated Resident B had no useful hearing and no speech. She was sometimes able to make herself understood and sometimes able to understand what was said. She was dependent on staff for toileting. An intervention indicated to assist with toileting and/ or incontinent care as needed. A care plan, initiated 3/13/26, indicated the resident had 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-15 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  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 follow-up with resolutions to concerns brought up in resident council meetings were reported back to the resident council members. This had the potential to effect 16 of 134 residents that attended resident council meeting. (Residents' G, H, J, K, L, M, N, O, P, Q, R, S, T, V, Y, and Z) Findings include:The January 2026, February 2026, and March 2026 resident council minutes were provided by the Executive Director on 4/13/26 at 11:16 a.m. The meeting minutes indicated the following: The resident council meeting minutes, dated 1/14/26, indicated the staff were putting residents in bed in the evenings too early resulting in residents unable to attend evening bingo. The Resident Council President had signed she had received follow up with resolutions of the concerns reported in the meeting that day. There were no documentation there was discussion with the resident council members of resolutions with the concerns reported in the previous month. The resident council meeting minutes, dated 2/26/26, indicated the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-15 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 were able to file grievances anonymously for 16 of 134 residents reviewed during resident council. (Residents' G, H, J, K, L, M, N, O, P, Q, R, S, T, V, Y, and Z) Findings include:A resident council meeting was conducted on 4/13/26 at 1:53 p.m. The attendees in the meeting were Residents' G, H, J, K, L, M, N, O, P, Q, R, S, T, V, Y, and Z . During the meeting, the council indicated they were unable to file a grievance anonymously. If there was a location to anonymously report a grievance, they were unaware. The residents requested a grievance form from the staff at the nurse's station. The grievance forms were kept there. The forms were not in reach for residents to take without anyone knowing. There was no privacy to report a grievance without staff knowing what you put on the form. An observation was made of the 500 Hall nurses' station on 4/13/26 at 2:48 p.m. There were orange forms sitting in a tray in the corner of the nurse's station. The forms were not accessible to anyone standing…

  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 · E2026-04-15 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  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 meal services were provided timely for 19 of 134 residents that eat food served from the kitchen. (Residents' G, H, J, K, L, M, N, O, P, Q, R, S, T, V, Y, Z, BB, CC and DD) Findings include:The meals service schedule was provided by the Executive Director on 4/9/26 at 12:24 p.m. The serving schedule indicated the following breakfast, lunch and dinner scheduled times at each serving areas:Breakfast meal - the start time to prepare meal trays = 6:55 a.m.100 Hall serving time = 7:15 a.m.,200 Hall serving time = 7:30 a.m.,Main dining room = 7:45 a.m.,300 Hall serving time = 8:10 a.m.,400 Hall serving time = 8:20 a.m., and500 Hall serving time = 8:55 a.m. Lunch meal - the start time to prepare meal trays = 11:25 a.m.100 Hall serving time = 11:45 a.m.,200 Hall serving time = 12:00 p.m.,Main dining room serving time = 12:15 p.m.,300 Hall serving time = 12:35 p.m.,400 Hall serving time = 12:45 p.m., and500 Hall serving time = 1:05 p.m. Dinner meal - - the start time to prepare meal trays = 4:55 p.m.100 Hall…

  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 · Dcited before2026-04-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to timely document meal consumption for 1 of 3 residents reviewed for nutrition (Resident B). Findings include: The clinical record for Resident B was reviewed on 4/9/25 at 3:27 p.m. The resident's diagnoses included, but were not limited to, seizure disorder and dementia (progressive decline in cognitive function). A care plan, initiated 1/30/26, indicated Resident B required assistance and/or monitoring of AM/PM care, nutrition, hydration, and elimination. The goal was that her Activities of Daily Living (ADL) needs would be met. The approaches included, but were not limited to, breakfast intake percentage and fluid consumption, lunch intake percentage and fluid consumption, dinner intake percentage and fluid consumption.An admission Minimum Data Set (MDS) Assessment, completed 2/4/26, indicated Resident B had no useful hearing and no speech. She was sometimes able to make herself understood and sometimes able to understand what was said. She required supervision with eating and her weight was 172 pounds.A care plan,…

  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 before2026-04-15 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  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 address a resident lying in another resident's bed, as care planned, for 1 of 2 residents reviewed for dementia care. (Resident 4)Findings include: The clinical record for Resident 4 was reviewed on 4/10/26 at 1:50 p.m. Her diagnosis included, but were not limited to, dementia. The behavior care plan, initiated on 10/17/25 and last revised on 2/11/26, indicated the resident expressed physical aggression without provocation while intrusively wandering. An approach was to redirect her to her room and/or quiet area away from other residents and offer calm reassurance. The behavior care plan, initiated on 5/1/25 and last revised on 2/11/26, indicated the resident had episodes of agitation directed toward others. She could become verbally and physically aggressive. An approach was to calmy redirect her away from other residents and offer to have her lay down. The behavior care plan, initiated on 1/31/24 and last revised on 2/11/26, indicated the resident would intrusively wander in and out of other residents'…

  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 before2026-04-15 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 medication was available for administration for 1 of 2 residents reviewed for hospitalization (Resident E).Findings include: The clinical record for Resident E was reviewed on 4/10/26 at 1:44 p.m. The resident's diagnosis included, but was not limited to, diabetes. A Quarterly Minimum Data Set (MDS) Assessment, completed 1/22/26, indicated Resident E was cognitively intact. A nursing progress note, dated 3/26/26 at 2:44 p.m., indicated the resident was scheduled for a colonoscopy on 3/30/26 at 2:45 p.m. The March Medication Administration Record (MAR) indicated Resident E received bisacodyl (laxative given as colonoscopy preparation) 20 milligrams on 3/29/26 at 8:00 p.m. He had not received colyte (medication used for cleansing bowel prior to colonoscopy) due to the medication being unavailable. A nursing progress note, dated 3/30/26 at 8:39 a.m., indicated the resident did not complete the colonoscopy preparation and the appointment needed to be rescheduled. The colyte had been out of stock at the pharmacy. During…

  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 · D2026-04-15 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to timely complete a physician's ordered STAT (immediate) laboratory test as ordered, for 1 of 2 residents reviewed for laboratory services. (Resident 15)Findings include:The clinical record for Resident 15 was reviewed on 04/13/26 at 1:54 p.m. His diagnoses included, but were not limited to, chronic kidney disease. The nursing note, dated 4/6/26 at 6:51 a.m., indicated Resident 15 had an extra large amount of liquid greenish stool that night. The resident's ostomy bag was changed three times and the resident had emesis (vomiting) one time at 6:00 a.m. of a small amount of thick, clear, emesis with some undigested food present. The progress note, dated 4/6/26 and written by Nurse Practitioner (NP) 5, indicated Resident 15's chief complaint was nausea, vomiting, and diarrhea. The Assessment and Plan Diagnoses and associated orders for the visit section indicated staff were to obtain a CBC (complete blood count) and BMP (basic metabolic panel) STAT (immediate labs that prioritize emergency, urgent, procedures to ensure quick…

  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 · Ecited before2025-03-25 · 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

  Based on observation, interview, and record review, the facility failed to ensure a resident's hair was shampooed at least weekly, properly positioned a resident to reduce the risk of skin shearing, and to provide timely incontinence care and not utilizing double briefing for 4 of 11 residents reviewed for Activities of Daily Living (ADL) care. (Resident D, Resident G, Resident L and Resident 20) Findings include: 1. The clinical record for Resident L was reviewed on 3/18/25 at 3:17 p.m. The diagnoses included, but were not limited to, history of traumatic brain injury and diabetes. A care plan, initiated 2/7/25, indicated she required assistance with ADL care including bed mobility, transfers, eating, and toileting related to weakness from a recent hospital stay. The goal was for her to improve her current functional status. The approaches included, but were not limited to, a mechanical lift for transfers with assistance of two staff, assist with bed mobility as needed, and assist with toileting and incontinent care as needed. A Quarterly Minimum Data Set (MDS) assessment,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure hand hygiene was performed when gloves were changed when performing incontinent care for 1 of 8 residents reviewed for activities of daily living, failed to maintain infection control while providing catheter care for 1 of 1 resident reviewed for catheter care, failed to ensure staff performed hand hygiene during coffee service, and to ensure medication carts were cleaned after touched by residents for 3 of 3 residents randomly observed. (Resident E, Resident F, Resident G, Resident H and Resident L) Findings include: 1. The clinical record for Resident L was reviewed on 3/18/25 at 3:17 p.m. The diagnoses included, but were not limited to, history of traumatic brain injury and diabetes. A care plan, initiated 2/7/25, indicated she required assistance with Activities of Daily Living (ADL) care including bed mobility, transfers, eating, and toileting related to weakness from a recent hospital stay. The goal was for her to improve her current functional status. The approaches included, but were not…

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

  Infection Control 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

$11,190 in federal fines across 1 penalty.

• $11,190 — penalty dated 2025-03-25

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.

Part of a chain

This home belongs to AMERICAN SENIOR COMMUNITIES — 90 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 16 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.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $4.7M paid to related parties — landlords or management companies under common ownership — equal to about 27% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IN