Morristown Manor
868 S Washington St, Morristown, IN 46161 · Government - County · 119 certified beds · (765) 763-6012 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (33% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2024
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 2 actual-harm citations
- 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 facility-reported quality-measure score sits well above its independent inspection score
- about 35% 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 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 2 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.3% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.7% | 5.5% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.3% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.3% | 25.2% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.5% | 3.9% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 7.8% | 11.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 35.1% | 23.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 99.0% | 95.4% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.9% | 3.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 28.2% | 23.3% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 12.1% | 13.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.3% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 93.1% | 79.0% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 16.3% | 22.2% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 14.1% | 10.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 0.59 | 1.61 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.38 | 1.44 | 1.80 | better |
‡ 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.
54.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 129 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 56.7% 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 60 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 54.9%CMS range 46.0–63.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 13.9%CMS range 11.1–17.8 | 10.7% | Oct 2022–Sep 2024 | worse than U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 56.7% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 58.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 50.0% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.5% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 91.2% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.7%CMS range 4.0–11.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.04 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 119 beds and averages 108.8 residents a day — about 91% occupied, or roughly 10 beds typically open. It runs fairly full. 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.17 hrs/resident/day on weekends vs 3.75 on weekdays — 16% thinner on weekends. RN hours go from 0.61 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 33% is below 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.
31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.
- Actual harm · G2023-01-24 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 immediately notify a resident's physician of an x-ray result timely which indicated, the resident had sustained an elbow fracture from a fall that occurred days prior resulting in delayed treatment and a significant change in the resident's condition for 1 of 2 residents reviewed for accidents. (Resident 56) Findings include: The clinical record for Resident 56 was reviewed on 1/20/23 at 11:57 a.m. Resident 56's diagnoses included, but not limited to, irritable bowel syndrome, congestive heart failure, weakness, and chronic obstructive pulmonary disease. A nursing note dated 10/8/2022 at 5:18 p.m. indicated, she had received a phone call from Resident 56's roommate indicating, Resident 56 had gotten up out of bed, walked herself to the bathroom, slipped and fell. Upon arriving at the resident's room, Resident 56 was sitting on her bottom and when asked if she hit her head, she stated no. Resident 56 had a laceration noted to bilateral elbows and 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.
- Actual harm · G2023-01-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure staff were present while a resident with a history of losing his balance and falling was toileting, resulting in the resident falling and obtaining a clavicle (collar bone) fracture; review a resident's fall during a collective Interdisciplinary Team meeting; and evaluate a resident's reported fall, per policy, for 1 of 3 residents reviewed for falls, 1 of 1 resident reviewed for notification of change, and 1 of 2 residents reviewed for pain. (Residents L, 42, and 76) Findings include: 1. The clinical record for Resident 42 was reviewed on 1/18/23 at 12:30 p.m. The diagnosis for the resident included, but was not limited to, left and right above the knee amputation. The 12/4/22 Annual Minimum Data Set (MDS) Assessment for Resident 42 indicated he was cognitively intact. The functional status the resident was needing for toileting and transfers were extensive assistance of 2 staff persons. The fall care plan for Resident 42 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.
- Potential for harm · Dcited before2025-05-22 · tag F0554 — isolatedAllow 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 have the interdisciplinary team (IDT) determine and document whether self-administration of medications was clinically appropriate for 1 of 8 residents observed during medication administrations. (Resident 52) Findings include: The clinical record for Resident 52 was reviewed on 5/21/25 at 9:00 a.m. The diagnoses included, but were not limited to, hypertension. A Quarterly Minimum Data Set (MDS) assessment, dated 2/26/25, indicated the resident was cognitively intact. A physician's order, dated 1/7/25, indicated the resident was to receive 400 milligrams (mg) of magnesium oxide twice a day. A physician's order, dated 11/5/21, indicated the resident was to receive 240 mg of diltiazem (blood pressure medication) once a day. A physician's order, dated 4/13/22, indicated the resident was to receive a calcium supplement once a day. A physician's order, dated 9/13/24, indicated the resident was to receive carboxymethylcellulose sodium eye drops once a day. A physician's order, dated 5/6/25, indicated the 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.
- Potential for harm · D2025-05-22 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure a resident's call light was within reach for 1 of 1 resident reviewed for environment. (Resident 11) Findings include: On 5/20/25 11:18 a.m., an observation of Resident 11's room revealed as the resident sat in her wheelchair, her call light was not within reach as it laid across her bed. During an observation of Resident 11 in her room on 5/21/25 10:37 a.m., the resident's call light was between the wall and the resident's bed, not within reach, as she sat in her wheelchair. During an interview on 5/21/25 10:39 a.m., the Social Services Director (SSD) indicated Resident 11's call light should be within her reach. On 5/22/25 at 3:44 p.m., the Director of Nursing (DON) indicated the facility did not have a policy specific to the use of call lights. 3.1-3(v)(1)
- Potential for harm · D2025-05-22 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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
Based on interview and record review, the facility failed to timely update a care plan with new interventions for behavior management for 1 of 3 residents reviewed for dementia care (Resident 69). Findings include: The clinical record for Resident 69 was reviewed on 5/21/25 at 10:36 a.m. The diagnoses included, but were not limited to, dementia with mood disturbance and paranoid mood disorder. A care plan, with a start date of 9/6/24 and last revised 5/6/25, indicated she had physically abusive behavioral symptoms and violent behaviors such as grabbing another resident's shirt and arm, and hitting staff during care. The goal was for her not to be physically abusive to other residents, visitors, and/or staff. The interventions, which were initiated on 9/6/24, included but were not limited to, administering medications as ordered by the physicians, avoid over-stimulation, convey an attitude of acceptance towards her, and divert her behavior by offering an activity. A Quarterly Minimum Data Set (MDS) assessment, completed 3/10/25, indicated she was moderately cognitively impaired and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to monitor the use of a non-invasive ventilator (NIV) for 1 of 1 resident reviewed for respiratory care. (Resident 11) Findings include: The clinical record for Resident 11 was reviewed on 5/21/25 11:10 a.m. The diagnoses included, but were not limited to, chronic obstructive pulmonary disease (COPD) and hypoxemia (low levels of oxygen in the blood). A Quarterly Minimum Data Set (MDS) assessment, completed 2/11/25, indicated Resident 11 was cognitively intact. A care plan, initiated on 11/18/2020, indicated Resident 11 had a diagnosis of sleep apnea and was at risk for respiratory difficulties or distress. The goal was for the resident to have no related complications through the next review related to sleep apnea diagnosis. Interventions included, but were not limited to, apply the NIV machine as ordered and to list settings, monitor oxygen saturation levels and apply oxygen as ordered, and contact physician as needed. A physician's order, dated 4/14/25, indicated the NIV to be applied at bedtime and instructed the use of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 infection control was maintained by utilizing hand hygiene during medication administrations for 3 of 8 residents observed during medication administrations. (Resident 50, Resident 52, and Resident 85) Findings include: 1. The clinical record for Resident 50 was reviewed on 5/21/25 at 8:40 a.m. The diagnoses included, but were not limited to, vascular dementia. An observation was conducted of a medication administration for Resident 50 with Qualified Medication Aide (QMA) 2 on 5/21/25 at 8:40 a.m. QMA 2 was observed preparing the resident's medications at the medication cart. She had pulled all pill medications from the drawers and utilized scissors to cut the storage packaging of the pill medications. She then dropped the pill medications in a medication cup. During that time, she had donned gloves to touch a pill medication. After doffing her gloves, she crushed the pill medications; grabbed a spoon from a plastic storage bag and mixed the pill medications in pudding. She then administered the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-19 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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 observation, interview and record review, the facility failed to ensure proper medication administration procedures were followed by preparing medications for more that one resident at a time during medication administration for 2 of 2 medications carts reviewed for the prepping of medications for multiple residents. (Facility) Findings include: An observation of the Pine and Juniper units medication carts was conducted on 4/18/24 at 7 p.m. The following was observed: 1. The Pine unit's medication cart was reviewed with QMA (Qualified Medication Assistant) 2. QMA 2 unlocked the medication cart and in the top drawer there two medication cups with medications in them. QMA 2 indicated, one of the medication cups contained medications for Resident Q but when she went to administer the resident her medications she was not available to take her medications. QMA 2 also indicated, the other medication cup with medications inside it were for Resident R. When asked how many residents at a time can they prepare medications ahead of time for she indicated, none. QMA 2 then identified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-19 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure controlled medications stored in the facility's locked medication storage drawer in the medication refrigerator inside the main medication room were labeled with an opened date and a label which at a minimum includes the medication name (generic and/or brand), prescribed dose, strength, the expiration date when applicable, the resident's name, and route of administration for 2 of 4 resident's medications reviewed for medication storage. (Resident C and P) Findings include: A medication storage observation of the facility's main nursing station medication room was conducted on 4/18/24 at 7:23 p.m. with DON (Director of Nursing). With the medication room was a medication refrigerator which contained a locked metal box which held controlled medications. Inside the locked controlled medication drawer the following was observed: 1. An opened box containing a multi-dose bottle of lorazepam (anti-anxiety medication) which had also been…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-28 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to protect a resident's right to be free from physical abuse by another resident for 1 of 4 residents reviewed for abuse. (Resident D) Findings include: The clinical record for Resident D was reviewed on 3/22/24 at 10:40 a.m. Resident D's diagnoses included, but not limited to, dementia and mood (affective) disorder (marked disruption in emotions; extreme highs/severe lows). An interview with Resident D conducted on 3/22/24 at 10:40 a.m. indicated she was going to be discharged from the facility on April 1, 2024. When asked why she was going to be discharged , she indicated she had been abusive to another resident. An interview with SSD (Social Services Director) conducted on 3/26/24 at 3:55 p.m. indicated Resident D was being discharged to another facility once her granddaughter had chosen one that is closer to her. When asked if Resident D's discharge was related to abuse, SSD indicated yes and Resident D had body slammed another resident to the floor then tried to deny that she knew anything about how the other 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.
- Potential for harm · Dcited before2024-03-28 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 timely report a reportable incident for 2 of 4 residents reviewed for abuse. (Resident 94 and Resident E) Findings include: 1. The clinical record for Resident 94 was reviewed on 3/25/24 at 10:30 a.m. The diagnoses for the resident included, but were not limited to, dementia with psychotic disturbance and hallucinations. The resident was admitted on [DATE]. The 2/9/24 admission Minimum Data Set (MDS) Assessment for Resident 94 indicated she was severely impaired. 2. The clinical record for Resident E was reviewed on 3/22/24 at 3:11 p.m. The diagnoses for the resident included, but were not limited to, dementia with psychotic disturbance and hallucinations. The 1/8/24 Quarterly Minimum Data Set (MDS) Assessment for Resident E indicated he was severely impaired. A reportable incident that was reported to the Indiana Department of Health was provided by the Clinical Specialist on 3/25/24 at 9:00 a.m. It indicated .Incident date: 2/27/24 Incident Time:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-28 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
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 thoroughly investigate a reportable incident for 2 of 4 residents reviewed for abuse. (Resident E and Resident 94) Findings include: 1. The clinical record for Resident 94 was reviewed on 3/25/24 at 10:30 a.m. The diagnoses for the resident included, but were not limited to, dementia with psychotic disturbance and hallucinations. The resident was admitted on [DATE]. The 2/9/24 admission Minimum Data Set (MDS) Assessment for Resident 94 indicated she was severely impaired. 2. The clinical record for Resident E was reviewed on 3/22/24 at 3:11 p.m. The diagnoses for the resident included, but were not limited to, dementia with psychotic disturbance and hallucinations. The 1/8/24 Quarterly Minimum Data Set (MDS) Assessment for Resident E indicated he was severely impaired. A reportable incident that was reported to the Indiana Department of Health was provided by the Clinical Specialist on 3/25/24 at 9:00 a.m. It indicated .Incident date: 2/27/24 Incident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 19 citations
- Potential for harm · Dcited before2024-03-28 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to accurately complete the cognitive assessment portion of the MDS (Minimum Data Set) Assessment for 3 of 5 residents reviewed for Resident Assessment (Resident 28, 54, and 78). Findings include: 1a. The clinical record for Resident 28 was reviewed on 3/27/24 at 1:30 p.m. The Resident's diagnosis included, but was not limited to, dementia. A Quarterly MDS Assessment, completed 1/29/24, indicated that Resident 28 was usually able to make herself understood and was able to understand others. The BIMS (Brief Interview for Mental Status) of the MDS was not completed. 1b. The clinical record for Resident 54 was reviewed on 3/27/24 at 1:40 p.m. The Resident's diagnosis included, but was not limited to, dementia. A Quarterly MDS Assessment, completed 1/29/24, indicated that Resident 54 was usually able to make herself understood and was able to understand others. The BIMS (Brief Interview for Mental Status) of the MDS was not completed. 1c. The clinical record for Resident 78 was reviewed on 3/27/24 at 1:50 p.m. The Resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a resident with an indwelling urinary catheter received appropriate treatment and services to prevent urinary tract infections and to monitor the urine characteristics of a resident being evaluated for a urinary tract infection for 2 of 3 residents reviewed for urinary catheter. (Resident H and Resident L). Findings include: 1. The clinical record for Resident H was reviewed on 3/26/24 at 10:06 a.m. Resident H's diagnoses included, but not limited to, urinary tract infection, acute pyelonephritis (infection of the kidneys), extended spectrum beta lactamase resistance (ESBL, a multi-drug resistant organism), and neuromuscular dysfunction of the bladder (lack of bladder control). A nursing note dated 1/14/2024 at 11:39 p.m. indicated Resident H had an anchored catheter for urinary drainage. The urine was very foul smelling and dark. His urine was tested in-house with a urine analyzer and had numerous abnormal values. Resident H's urine was to be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-28 · tag F0744 — failed to care for residents with dementia — isolatedProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide adequate supervision for an ambulatory cognitively impaired resident that resided on the memory care unit for 3 of 4 residents reviewed for abuse. (Resident 15 and Resident 94, and Resident E) Findings include: 1a. The clinical record for Resident E was reviewed on 3/22/24 at 3:11 p.m. The diagnoses for the resident included, but were not limited to, dementia with psychotic disturbance and hallucinations. The 1/8/24 Quarterly Minimum Data Set (MDS) Assessment for Resident E indicated he was severely cognitively impaired. 1b. The clinical record for Resident 94 was reviewed on 3/25/24 at 10:30 a.m. The diagnoses for the resident included, but were not limited to, dementia with psychotic disturbance and hallucinations. The resident was admitted on [DATE]. The 2/9/24 admission Minimum Data Set (MDS) Assessment for Resident 94 indicated she was severely cognitively impaired. A care plan for Resident 94 dated 2/7/24 indicated .[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.
- Potential for harm · Dcited before2024-03-28 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 transmission-based precautions (TBP) were initiated timely for a resident with COVID-19 for 1 of 3 residents reviewed for TBP. (Resident 255) Findings include: The clinical record for Resident 255 was reviewed on 3/25/24 at 1:55 p.m. The diagnoses included, but were not limited to, COVID-19, cough, and hypertension. A progress note, dated 3/16/24 at 12:54 p.m., indicated Resident 255 admitted to the facility from the hospital and admitted with COVID-19. A physician order, dated 3/18/24, indicated the following, .droplet/contact isolation, with no roommate. All meals, activities, therapy and services must be provided in room with isolation precautions followed There was no indication in the progress notes or the physician orders that the resident was in TBP until 3/18/24. A policy titled COVID-19 Policy and Procedure, dated 8/6/23, was provided by Clinical Specialist on 3/26/24 at 12:55 p.m. The policy indicated the following, .Additional PPE [personal protective equipment] and Other Precautions .A. Face…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-28 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 annual influenza immunization was administered per physician orders for 1 of 5 residents reviewed for immunizations. (Resident 82) Findings include: The clinical record for Resident 82 was reviewed on 3/25/24 at 1:50 p.m. The diagnoses included, but were not limited to, heart failure, diabetes mellitus, and weakness. An immunization consent form, undated, indicated consent was given to administer the influenza vaccine. A physician order, dated 11/3/23, was noted for Fluzone Quad 2023-2024 (flu vaccine) intramuscular injection. The electronic medication administration record (EMAR), dated November of 2023, indicated the dose of Fluzone Quad was not signed off, as administered, on 11/3/23. An interview conducted with the Infection Preventionist (IP), on 3/26/24 at 4:50 p.m., indicated she reached out to the physician and obtained an order to administer the influenza vaccine since it was still within the window to receive the annual influenza vaccine. A policy titled Influenza Immunization Policy - Residents, revised…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-08-30 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to accurately reflect the resident's fall status, related to the Minimum Data Set (MDS) assessment, for 1 of 3 residents reviewed for falls. (Resident E) Findings include: The clinical record of Resident E was reviewed on 8-30-23 at 12:09 p.m. His diagnoses included, but were not limited to, dementia, history of falls, muscle weakness, congestive heart failure and atrial fibrillation (irregular heart rhythm). He resided on a secured dementia care unit. A review of his most recent MDS assessment, a quarterly assessment, dated 8-5-23, indicated he had no falls since the most recent prior MDS assessment, a significant change assessment on 6-20-23. A review of Resident E's progress notes from 7-30-23 to 8-30-23 identified 3 falls that should have been identified for the look back period of 6-20-23 to 8-5-23, with 2 falls on 7-30-23 and 1 fall on 8-2-23. In an interview with the MDS Coordinator on 8-30-23 at 2:05 p.m., she indicated she would need to review Resident E's falls for the appropriate time period. In a second interview…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-24 · tag F0554 — isolatedAllow 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 perform a self-administration of medication assessment prior to allowing a resident to self-administer medications for 1 resident randomly observed for self-administration of medications (Resident 104). Findings include: The clinical record for Resident 104 was reviewed on 1/20/23 at 9:22 a.m. The Resident's diagnosis included, but were not limited to, chronic congestive heart failure. On 1/20/23 at 9:22 a.m., LPN (Licensed Practical Nurse) 1 was observed standing at the medication cart in the hallway outside of the unit dining room. Dietary Aide 17 approached the medication cart and informed LPN 1 that Resident 104's medications were sitting on his breakfast tray in the dining room. LPN 1 locked her medication cart and went to the dining room table where Resident 104 had been setting. She picked up a plastic medication cup which contained several pills and brought it back to the medications cart. During an interview on 1/20/23 at 9:23 a.m., LPN 1 indicated that she had given Resident 104 his medications…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-24 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect a resident's right to be free from abuse related to a resident getting intentionally pushed out of her room by her roommate and threatening them with clinched fists (Resident 53 and 73) and intentionally pushing another resident into their walker (Resident 53 and 14) for 2 of 2 residents reviewed for abuse. Findings include: The clinical record for Resident 53 was reviewed on 1/23/23 at 9:52 a.m. Resident 53's diagnoses included, but not limited to, cognitive social or emotional deficit following cerebral infarction (stroke), vascular dementia with behavioral disturbance, generalized anxiety disorder, and delusional disorder. Resident 53's quarterly MDS (minimum data set) dated 8/12/22 indicated, she had moderate cognitive impairment. Resident 53's quarterly MDS dated [DATE] indicated, she had no behaviors. 1. An event note dated 10/29/22 indicated, Resident 53 had aggressively pushed her roommate, Resident 73, while in her wheelchair, out of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-24 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to implement the facility's abuse policy and obtained criminal background checks prior to working in the facility for 2 of 10 staff members reviewed. (Certified Nurse Assistant trainee (CNAT) 4 and Dietary Aide (DA) 5) Findings include: 1. An employee records document indicated CNAT 4's start date in the facility was on 11/30/22. 2. An employee record indicated DA 5's start date in the facility was on 10/5/22. CNAT 4 and DA 5's personnel files were provided by Human Resources on 1/23/23 at 3:30 p.m. The files did not include criminal background checks that had been obtained for CNAT 4 nor DA 5 prior to working in the facility. CNAT 4 and DA 5's timecards that provided days worked in the facility were provided by Human Resources on 1/24/23 at 12:02 p.m. CNAT 4's time card indicated she had worked in the building on the following days: 11/30/22, 12/1/22, 12/2/22, 12/7/22, 12/8/22, 12/14/22, 12/15/22, 12/20/22, 12/21/22, 12/22/22, 12/25/22, 12/26/22, 12/27/22, 12/28/22, 12/29/22, 12/30/22, 1/2/23, 1/4/23, 1/5/23, 1/6/23, 1/7/23,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-24 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 timely report a resident's alleged abuse for 1 of 2 incidents reviewed for abuse. (Residents 53 and 73) Findings include: The clinical record for Resident 53 was reviewed on 1/23/23 at 9:52 a.m. Resident 53's diagnoses included, but not limited to, cognitive social or emotional deficit following cerebral infarction (stroke), vascular dementia with behavioral disturbance, generalized anxiety disorder, and delusional disorder. Resident 53's quarterly MDS (minimum data set) dated 8/12/22 indicated, she had moderate cognitive impairment. Resident 53's quarterly MDS dated [DATE] indicated, she had no behaviors. An event note dated 10/29/22 indicated, Resident 53 had aggressively pushed her roommate, Resident 73, while in her wheelchair, out of their room and into the hallway, then shook her fist in Resident 73's face, and Resident 73 screamed. A nursing note dated 10/29/22 at 6:58 p.m. indicated, Resident 53 was moved to another room. A nursing note 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.
- Potential for harm · Dcited before2023-01-24 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
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 thoroughly investigate two incidents of alleged abuse for 2 of 2 incidents reviewed for abuse. (Residents 53, 73 and 14) Findings include: The clinical record for Resident 53 was reviewed on 1/23/23 at 9:52 a.m. Resident 53's diagnoses included, but not limited to, cognitive social or emotional deficit following cerebral infarction (stroke), vascular dementia with behavioral disturbance, generalized anxiety disorder, and delusional disorder. Resident 53's quarterly MDS (minimum data set) dated 8/12/22 indicated, she had moderate cognitive impairment. Resident 53's quarterly MDS dated [DATE] indicated, she had no behaviors. 1. An event note dated 10/29/22 indicated, Resident 53 had aggressively pushed her roommate, Resident 73, while in her wheelchair, out of their room and into the hallway, then shook her fist in Resident 73's face, and Resident 73 screamed. A nursing note dated 10/29/22 at 6:58 p.m. indicated, Resident 53 was moved to another room. 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.
- Potential for harm · D2023-01-24 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to perform a Significant Change of Status Minimum Data Set Assessment for a resident who experienced a fracture with a decline in ADL abilities for 1 of 1 resident reviewed for Minimum Data Set Accuracy (Resident 56) Findings include: The clinical record for Resident 56 was reviewed on 1/18/23 at 11:20 a.m. The Resident's diagnosis included, but were not limited to, diabetes. An Annual MDS (Minimum Data Set) Assessment, completed 9/1/22, indicated Resident 56 needed supervision with eating after staff set up, was able to walk in her room with limited assist of 1 staff person and was able to walk in the hallway with supervision of 1 staff member. A Quarterly MDS Assessment, completed 10/26/22, indicated Resident 56 needed extensive assist of 1 staff member with eating, and did not walk in her room or the corridor during the assessment period. During an interview on 1/20/23 at 10:44 a.m., the MDS Coordinator indicated that a Significant Change of Status MDS Assessment should have been completed instead of the 10/26/22 Quarterly…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-24 · tag F0661 — isolatedEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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 discharge summary recapitulation of the resident's stay and a final summary of the resident's condition was completed for a resident discharging to home for 1 of 2 residents reviewed for discharge. (Resident B) Findings include: The clinical record for Resident B was reviewed on 1/18/23 at 2:30 p.m. The diagnoses for the resident included, but were not limited to, Parkinson's Disease and dementia. The resident was admitted on [DATE] and discharged on 12/15/22. A nursing progress note dated 12/15/22 indicated Resident [B] discharging facility with wife to home at this time, transport provided by facility bus, all meds sent with resident and additional scripts sent to family's pharmacy of choice by NP [Nurse Practitioner] A discharge summary form for Resident B written by Unit Manager (UM) 2 dated 12/15/22 at 11:15 a.m., indicated Resident B was discharging from the facility to home with home health care. It did not include a clinical discharge…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-24 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 assist a resident with eating, as ordered; prime an insulin pen prior to administering an insulin dose; and administer medication as ordered for 1 of 6 residents reviewed for unnecessary medications, 1 of 1 resident randomly reviewed for injection administration, and 1 of 4 residents reviewed for ADLs (activities of daily living.) (Residents 56, 60, and 62) Findings include: 1. The clinical record for Resident 60 was reviewed on 1/17/23 at 3:21 p.m. His diagnoses included, but were not limited to, Parkinson's disease and dysphagia. The 6/27/22 ADL care plan, last revised 1/5/23, indicated he was unable to independently perform late loss ADLs related to his Parkinson's Disease and required assistance/encouragement for eating. Interventions were to monitor for any eating/swallowing/meal issues and provide assistance and encouragement as needed and report any issues. The 10/25/22 and 1/7/23 Quarterly MDS (Minimum Data Set) assessments indicated he required extensive assistance of one person for eating. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure monitoring of urine outputs for a resident with a catheter for 1 of 1 resident reviewed for catheters. (Resident B) Findings include: The clinical record for Resident B was reviewed on 1/18/23 at 2:30 p.m. The diagnoses for the resident included, but were not limited to, Parkinson's Disease and dementia. The resident was admitted on [DATE] and discharged on 12/15/22. A urinary incontinence care plan for Resident B dated 12/5/22 indicated Resident has urinary incontinence and requires staff assist with toileting and toileting hygiene .Approach .Monitor I (intakes) and O (outputs) per facility protocol A I and O care plan for Resident B dated 12/1/22 indicated the staff was to accurately document intakes and outputs on the following shifts and times: day shift = 6:30 a.m. - 2:30 p.m., evening shift = 2:30 p.m. -10:30 p.m., night shift =10:30 p.m. - 6:30 a.m. A physician order dated 11/30/22 indicated Resident B was to have a 16 French catheter due…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure CPAP (a machine that assists with breathing utilizing air pressure) was placed on a resident as ordered for 1 of 1 resident's reviewed for respiratory care. (Resident B) Findings include: The clinical record for Resident B was reviewed on 1/18/23 at 2:30 p.m. The diagnoses for the resident included, but were not limited to, Parkinson's Disease and dementia. The resident was admitted on [DATE] and discharged on 12/15/22. A care plan for Resident B dated 12/5/22 indicated Resident has a diagnosis of sleep apnea and is at risk for respiratory difficulties or distress .Approach .Apply CPAP or Bipap (advice that assists with breathing utilizing air pressure) as ordered . A physician order for Resident B dated 11/30/22 indicated Home CPAP via home orders to be worn at HS (night) and for naps, staff to assist resident in applying face mask and turning machine on dx [diagnosis] obstructive sleep apnea discontinued on 12/6/22 A physician order 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.
- Potential for harm · D2023-01-24 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure 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 assure a resident had adequate indication for use of an antibiotic and did not receive duplicate antibiotic therapy for 1 of 2 residents reviewed for urinary tract infections (Resident 77). Findings include: The clinical record for Resident 77 was reviewed on 1/17/23 at 2:30 p.m. The Resident's diagnosis included, but was not limited to, dementia and personal history of urinary tract infections. A physician's order, dated 6/2/22, indicated she was to receive nitrofurantoin macrocrystal (antibiotic) 50 md (milligram) daily for prophylactic due to diagnosis of personal history of urinary tract infection. This order was discontinued on 1/18/23. A care plan, dated 6/03/22, indicated Resident 77 had a history of urinary tract infections and was prescribed a prophylactic antibiotic. The goal was for her to be free from symptoms of UTI (urinary tract infections). The approaches, initiated 6/03/22, were to assist with incontinent care, to report continued or worsening symptoms of UTI, report adverse side effects of antibiotic,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-24 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
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 administer a resident's antibiotic, as ordered, to 1 of 6 residents reviewed for unnecessary medications. (Resident L) Findings include: The clinical record for Resident L was reviewed on 1/19/23 at 10:56 a.m. His diagnoses included, but were not limited to, anxiety. He was admitted to the facility on [DATE] for aftercare following a joint replacement surgery revision. An interview was conducted with Resident L on 1/20/23 at 9:41 a.m. He indicated he did not receive his IV (intravenous) antibiotic as ordered for at least 3 days while at the facility. The 9/23/22 hospital discharge summary, signed 9/26/22 at 9:01 a.m., indicated he was admitted to the hospital on [DATE] with a diagnosis of infected right total hip arthroplasty. He underwent a resection hip arthroplasty with insertion of antibiotic-impregnated cement spacer. He was placed on IV antibiotics throughout the entire hospitalization. Infectious disease [ID] was consulted. The selection of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-01-24 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 assure the hub of an insulin pen was cleansed prior to attaching the needle, perform hand hygiene and don disposable gloves before touching medications for 2 residents randomly observed during medication administration (Resident 62 and 222). Findings include: 1. The clinical record for Resident 62 was reviewed on 1/19/23 at 11:30 a.m. The Resident's diagnosis included, but was not limited to, diabetes. On 1/19/23 at 11:30 a.m., LPN (Licensed Practical Nurse) 16 was observed administering insulin to Resident 62. LPN 16 removed the insulin pen from the medication cart, took the cap off of the pen and attached the needle to the pen. She did not cleanse the hub of the insulin pen with an alcohol swab prior to attaching the needle. She then performed hand hygiene and went to Resident 62's room. She donned a pair of disposable gloves and administered the insulin to Resident 62. During an interview on 1/19/23 at 11:45 a.m., LPN 16 indicated that she did not cleanse the hub of the insulin pen prior to attaching 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.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.7 | +0.3 vs chain |
| Health inspection | 3 of 5 | 3.3 | -0.3 vs chain |
| Staffing | 4 of 5 | 2.5 | +1.5 vs chain |
| Quality measures | 5 of 5 | 4.6 | +0.4 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| RIVERVIEW HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 03/01/2012 |
| LUMENT REAL ESTATE CAPITAL LLC | Organization | 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | — | since 06/18/2019 |
| BALLA, MATTHEW | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/23/2022 |
| BASSETT, JESSICA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/28/2024 |
| BUZZARD, ANDREW | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/17/2018 |
| CATTELL, ZACHARY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/25/2022 |
| EMERSON, MARK | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/15/2018 |
| FAUTH, KENDRA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/26/2021 |
| GORMAL, GREGG | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/01/2016 |
| HAUG, AMY | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/04/2022 |
| LOPOSSA, LYNN | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/17/2023 |
| MCCLELLAND, THOMAS | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/26/2021 |
| SPENCER, LEAANN | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 06/18/2018 |
| TACKETT, TIFFANY | Individual | MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF | — | since 10/24/2022 |
| FRIEND, JAYNA | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/03/2021 |
| HYATT, DAVID | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 03/27/2023 |
| CARDON AND ASSOCIATES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/27/2025 |
| CARDON MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/27/2025 |
| MOORE OPERATING GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/18/2020 |
| HAFIDH, SAAD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/07/2023 |
| MCINTOSH, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/31/2021 |
| HEADLEY, KATHY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 09/04/2025 |
| MOORE, DANIEL | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 09/04/2025 |
| MOORE, DAVID | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 09/04/2025 |
| MOORE, STEPHEN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 09/04/2025 |
| ANKURA CONSULTING GROUP LLC | Organization | ADP OF THE SNF | — | since 06/15/2022 |
| BRADLEY & ASSOCIATES INC | Organization | ADP OF THE SNF | — | since 01/01/2023 |
| COLE MARKETING COMMUNICATIONS INC | Organization | ADP OF THE SNF | — | since 04/01/2015 |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | — | since 01/01/2021 |
| HEALTHDRIVE PODIATRY GROUP PC | Organization | ADP OF THE SNF | — | since 03/07/2019 |
| HEART OF CARDON LLC | Organization | ADP OF THE SNF | — | since 09/06/2007 |
| JEFFREY L MORER OD PC | Organization | ADP OF THE SNF | — | since 03/07/2019 |
| LACY BEYL & COMPANY INC | Organization | ADP OF THE SNF | — | since 07/15/2015 |
| LIFESPAN THERAPY LLC | Organization | ADP OF THE SNF | — | since 10/25/2007 |
| MED-PASS INCORPORATED | Organization | ADP OF THE SNF | — | since 09/01/2020 |
| MM PROPERTY LLC | Organization | ADP OF THE SNF | — | since 04/24/2016 |
| MOBILE AUDIOLOGY ASSOCIATES PC | Organization | ADP OF THE SNF | — | since 03/07/2019 |
| MOSER CONSULTING INCORPORATED | Organization | ADP OF THE SNF | — | since 04/01/2020 |
| PROACTIVE CLINICAL PARTNERS | Organization | ADP OF THE SNF | — | since 01/01/2020 |
| RESPIRATORY PARTNERS INC | Organization | ADP OF THE SNF | — | since 11/01/2019 |
| THIRD EYE HEALTH INC | Organization | ADP OF THE SNF | — | since 02/04/2022 |
| VOX GLOBAL LLC | Organization | ADP OF THE SNF | — | since 02/28/2019 |
CMS files one row per role, so the 72 rows in the source record cover these 42 parties — each is shown once here with every role it holds. Nothing is omitted.
22 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 $5.2M paid to related parties — landlords or management companies under common ownership — equal to about 35% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in IN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155691. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-22, 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.