Wesleyan Health Care Center

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.

47.6% 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 90 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 78.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 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 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 139 beds and averages 102.5 residents a day — about 74% occupied, or roughly 36 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 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 is at or above 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 3.10 hrs/resident/day on weekends vs 3.65 on weekdays — 15% thinner on weekends. RN hours go from 0.65 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

21 citations, most serious first. The 13 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2024-12-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure services for bed mobility were provided with two staff members present to a dependent resident who required total assistance of two staff for bed mobility for 1 of 3 residents reviewed for falls. (Resident 99) This deficient practice resulted in Resident 99 falling from the bed and sustaining a fracture left knee joint. Findings include: Resident 99's clinical record was reviewed on 12/13/14 at 11:29 a.m. Diagnoses included, but were not limited to, quadriplegia (a severe medical condition characterized by the partial or total loss of function in all four limbs and the torso), left elbow contracture, left shoulder contracture, left wrist contracture, left hand contracture, right shoulder contracture, right wrist contracture, right hand contracture, major depressive disorder, bipolar disorder, restless leg syndrome, and generalized anxiety disorder. A current care plan, dated 3/1/24, revised on 5/28/24, and reviewed on 12/2/24, indicated Resident 99 required assistance with activities of daily living (ADLs) related…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-05-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure urinary catheter outputs were monitored and documented for 3 of 3 residents reviewed for urinary catheters (Residents D, H, and J), resulting in Resident D being transferred to the hospital with a large amount of urine retained from a blocked urinary catheter. Findings include: 1. Resident D's clinical record was reviewed on 5/2/24 at 1:22 p.m. Diagnoses included, but were not limited to, neuromuscular dysfunction of bladder, unspecified focal traumatic brain injury (TBI) with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, and need for assistance with personal care. The physician's orders included, but were not limited to, cefdinir (antibiotic to treat urinary tract infections) 300 mg via gastrostomy tube for five days, change catheter bag every 30 days and as needed, flush catheter with 30 ml (milliliters) daily and as needed (1/31/24), and flush catheter with 100 cc (cubic centimeter) daily and as needed for sediment (3/7/24). 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-08-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure supervision during dining for 1 of 4 residents reviewed for accidents. (Resident B) This deficient practice resulted in the resident choking and requiring placement on a ventilator at the hospital. Findings include: Review of a facility self-reportable to the State Agency, dated 8/5/23 at 7:01 p.m., indicated Resident B had an episode of choking at dinner time. The resident had a diet of pureed, and mechanical soft upon request, and was currently receiving speech therapy. During dinner, a table mate gave the resident a sandwich, which the resident began eating, and staff noticed the resident began choking. The nurse was notified and the resident required the Heimlich maneuver and suctioning to be done in the dining room. He was sent to the hospital. Resident B's clinical record was reviewed on 8/10/23 at 11:08 a.m. His diagnoses included chronic obstructive pulmonary disease (COPD), vascular dementia, oropharyngeal dysphagia, and hoarding…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  A. Based on observation and interview, the facility failed to ensure food was prepared and served under safe and sanitary conditions regarding food handling and hand washing. This deficient practice had the potential to impact 100 of 102 residents who received their meals from the kitchen.B. Based on observation and interviews, the facility failed to store, prepare, and distribute food under safe sanitary conditions regarding the removal of dented food cans. This deficiency had the potential to impact 100 of 102 residents who received their meals from the kitchen.Findings include:A1. During a lunch service observation, on 1/20/26 at 11:57 a.m., the following food handling service concerns were observed:CNA 7 propelled a male resident to his seat in the dining room. CNA 7 then walked over and adjusted another male resident in his high back wheelchair. She grabbed the adjustment handle of his high back wheelchair and adjusted the resident forward, so he wasn't leaning back as far. After adjusting the male resident's wheelchair, CNA 7 grabbed a meal tray from the covered meal cart. She…

  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 before2026-01-27 · 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

  Based on observation, interview, and record review, the facility failed to provide daily grooming assistance for nail care for 2 of 3 residents reviewed for Activities of Daily Living (ADLs). (Resident 43, Resident 12) Findings include: 1. During an observation, on 1/20/26 at 3:38 p.m., Resident 43 had long fingernails with a dried, dirty substance under his nails.Resident 43's clinical record was reviewed on 1/23/26 at 2:07 p.m. Diagnoses included major depressive disorder, dementia, and epilepsy (disorder causing seizures).A quarterly Minimum Data Set (MDS) assessment, dated 12/8/25, indicated Resident 43 had moderate cognitive impairment. No behaviors were identified during the assessment period. He required partial/moderate assistance with personal hygiene.A current care plan, revised on 4/21/22, indicated Resident 43 required assistance with ADL's related to dementia and his ADLs fluctuated due to dementia and schizophrenia. Interventions included the following: Resident 43 required physical assistance of one for his a.m. and p.m. care and he needed physical assistance with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-27 · 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 interview and record review, the facility failed to follow physician orders regarding the administration of blood pressure medication according to ordered parameters for 1 of 5 residents reviewed for unnecessary medications (Resident 3). Finding includes:Resident 3's clinical record was reviewed on 1/22/26 at 9:50 a.m. Diagnoses included essential hypertension and atherosclerotic heart disease of native coronary artery without angina pectoris. Orders included losartan potassium (for blood pressure) 50 mg daily - hold if systolic blood pressure (SBP) (top number of reading) is less than 110 (1/21/25). A current care plan for hypertension, initiated 8/22/24 and revised 9/4/24, indicated the resident's goal was his blood pressure will be managed with his care plan interventions (initiated 8/22/24 and revised 1/10/26). Interventions included the resident's blood pressures will be taken as order and observed for any pattern changes and the resident will take his antihypertensive medications as ordered. The medication administration record (MAR) for 12/1/25 - 12/31/25 for 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 · Dcited before2026-01-27 · 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, record review, and interview, the facility failed to provide adequate supervision to prevent repeated falls for a cognitively impaired resident for 1 of 4 residents reviewed for accidents. (Resident 58) Findings include:During an observation, on 1/20/26 at 11:27 a.m., Resident 58 sat in her wheelchair at a dining table with a visitor. During an observation, on 1/21/26 at 9:10 a.m., Resident 58 sat in her wheelchair in the dining room with her head bowed and her eyes closed. During an observation, on 1/22/26 at 9:45 a.m., Resident 58 lay in her low bed with her eyes closed with her room door closed. Resident 58's clinical record was reviewed on 1/22/26 at 4:03 p.m. Diagnoses included dementia, major depressive disorder, recurrent, mild, bradycardia (slow heart rate), and atrial fibrillation (irregular heartbeat). Current orders included the following: may have bed against wall (9/20/25), losartan potassium (blood pressure) 12.5 mg daily - hold for SPB (systolic blood pressure [top number] less than 110 (2/27/25), sertraline (antidepressant) 50 mg daily (1/9/26),…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-27 · 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 utilize infection control prevention and control practices for residents requiring enhanced barrier precautions (EBP) for 1 of 3 residents reviewed for infection control. (Resident 12) Finding includes: During an observation, on 1/20/26 at 3:38 p.m., Resident 12 was receiving a continuous enteral (tube) feeding. An magnet indicating EBP hung on the outside doorframe of Resident 12's room.Resident 12's clinical record was reviewed on 1/22/26 at 3:38 p.m. Diagnoses included cerebral palsy, dysphagia (difficulty swallowing), and gastrostomy status (a gastric feeding tube).Current physician orders included enhanced barrier precautions (5/14/24), provide g-tube care on day shift (7/10/25), and administer Osmolite (tube feeding formula) 1.2 at 49 milliliters every hour per PEG (percutaneous endoscopic gastrostomy)[feeding] tube, flush with 116 milliliters of free water every four hours, and change tube feeding tubing every shift (3/17/25).A quarterly Minimum Data Set (MDS) assessment, dated 10/20/25, indicated…

  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 · D2024-12-17 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure a resident's call light was within reach for 1 of 3 residents reviewed for environment. (Resident 39) Findings include: During a random observation, on 12/11/24 at 10:50 a.m., Resident 39 was propelled in a high-backed wheelchair to his room by a staff member. The resident was left facing his television. His call light was not in reach. During an interview, on 12/11/24 at 11:55 a.m., Resident 39 indicated his call light was not within his reach. He was waiting for someone to place him in his bed so he could lay down. He had been waiting for over an hour for assistance. During a random observation, on 12/11/24 at 2:50 p.m., Resident 39 was lying in bed. The call light was sitting on top of his roommate's nightstand, located between his bed and his roommates' bed, not within his reach. During an interview, on 12/11/24 at 2:50 p.m., the resident indicated he was unsure where his call light was located. During an interview, on 12/11/24 at 2:54 p.m., LPN 11 went down to the resident's room to look for his call light. She…

  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 · D2024-12-17 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to maintain a homelike environment by failing to repair a damaged wall for 1 of 3 residents reviewed for environment. (Resident 103) Findings include: Resident 103's clinical record was reviewed on 12/13/24 at 10:09 a.m. Diagnoses included multiple sclerosis, atherosclerosis, peripheral vascular disease, and major depressive disorder. An annual Minimum Data Set (MDS) assessment, dated 9/7/24, indicated the resident was cognitively intact and independent with eating, oral hygiene, and bed mobility. She required minimal assistance with toileting hygiene, showering, and personal hygiene. During an observation of Resident 103's room on 12/11/24 at 11:47 a.m., something blue could be seen at the bottom left corner of the heating/cooling unit. During an interview with Resident at the same time, she indicated the blue glove(s) had been pushed into the hole by an x-ray technician who was performing an x-ray on her. She could not provide a date, but indicated the technician felt cold air coming through the hole 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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-17 · 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

  Based on observation, record review, and interview, the facility failed to provide daily grooming assistance for 1 of 3 residents reviewed for activities of daily living (ADLs). (Resident 112) Findings include: During an observation, on 12/11/24 at 11:03 a.m., Resident 112 sat in a chair in the dining/activity area and participated in a kick ball type activity. He was not shaved. During an observation, on 12/12/24 at 8:13 a.m., Resident 112 sat at the dining table feeding himself breakfast. He was not shaved. During an observation, on 12/16/24 at 8:14 a.m., Resident 112 sat at the dining table feeding himself breakfast. He was not shaved. During an observation, on 12/16/24 at 10:08 a.m., Resident 112 sat in a chair in the dining/activity area participating in exercises. He was not shaved. His facial hair length was the length of the thickness of two quarters stacked upon each other. Resident 112's clinical record was reviewed on 12/13/24 at 8:08 a.m. Diagnoses included Alzheimer's disease, unspecified and unspecified dementia, unspecified severity, without behavioral disturbance,…

  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 · D2024-12-17 · tag F0790 — failed to provide dental care — isolated
  Provide routine and 24-hour emergency dental care for each resident.
  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 arrange dental appointments for a resident who misplaced or lost their dentures for 1 of 1 resident reviewed for dental services. (Resident B) Findings include: During observations on 12/11/24 at 3:39 p.m., 12/12/24 at 2:48 p.m., and 12/13/24 at 2:40 p.m., the resident's top denture was visible when she smiled, but the lower denture plate was not present. During an interview with Resident B's representative, on 12/12/24 at 9:34 a.m., they indicated Resident B was admitted in February of 2023. At that time, the resident had a full set of dentures (top and bottom plates). Within approximately 3 months, the bottom plate went missing. The facility recommended Company A, which they used for dentures. An appointment was made for Resident B. After a significant delay,which the facility could explain, the bottom plate never arrived. By September of 2023, the resident still did not have a lower denture. The family canceled the insurance with Company A and decided to take the resident to Company C to get the denture…

  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 before2024-12-17 · 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, record review, and interview, the facility failed to ensure infection prevention and control strategies for transmission-based precautions were followed for 2 of 2 residents reviewed for COVID-19 isolation precautions. (Resident 35 and 67) Findings include: 1. During a random observation, on 12/16/24 at 8:22 a.m., Resident 35's door was closed with an over-the-door organizer containing gown, gloves, and N95 masks hanging on the door. The organizer lacked face shields, and the door lacked a sign indicating what precautions were required. During a random continuous observation, on 12/16/24 at 12:11, RN 12 applied a gown, gloves, and an N95 mask and entered Resident 35's room. She wore regular glasses. The door lacked a sign indicating what precautions were required, and the organizer did not contain face shields. During an interview, upon leaving Resident 35's room, RN 12 indicated the resident was on isolation for COVID-19 though there was no sign on the door. She had not applied a face shield because she wore glasses and had been told if glasses were worn, no…

  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

$8,824 in federal fines across 1 penalty.

• $8,824 — penalty dated 2024-12-17

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 TLC MANAGEMENT — 20 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.

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

Follow the money — this home’s finances

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

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in IN