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Majestic Care Of New Haven

1201 Daly Drive, New Haven, IN 46774 · For profit - Corporation · 109 certified beds · (260) 749-0413 Medicare & Medicaid certified

Call the home — (260) 749-0413 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0602) — most recent Apr 2026Resident-funds citation (F0567)Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Apr 2026
  • it has a citation for mishandling residents’ money or property (F0567)
  • a high number of inspection citations overall (21) — 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
  • its payroll-based staffing rating is low (1/5)
  • about 24% 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 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

Hospital
Urgent care / clinic
840 State Road 930 E · (260) 493-6508 · Call to confirm hours
Pharmacy
907 Lincoln Hwy W · (260) 493-3736 · Call to confirm hours
Grocery
1221 Hartzell St · (312) 339-8389 · Call to confirm hours
Park
1530 Werling Rd · Typically dawn to dusk
Place of worship
1330 Werling Rd · (260) 636-0269

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

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 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased0.9%11.0%15.4%better
Long-stay residents who lose too much weight2.5%5.5%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.4%1.1%2.0%better
Long-stay residents with depressive symptoms58.2%25.2%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury5.1%3.9%3.3%worse
Long-stay residents whose ability to walk worsened1.1%11.9%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.8%23.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.4%95.3%typical
Long-stay residents with pressure ulcers1.4%3.6%4.7%better
Long-stay residents with worsening bladder/bowel control26.2%23.3%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table4.5%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%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.

10.4%U.S. median 10.7%
Went back to hospital
0.13U.S. median 0.31
Therapy hours / resident / day
0.05hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 7.0–15.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot 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 staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.461.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
0.85
LPN hours/ resident / day
2.05
Aide hours/ resident / day
3.36
Total nurse hours/ resident / day
0.21
RN hoursweekends
54.7%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 109 beds and averages 70.1 residents a day — about 64% occupied, or roughly 39 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.36 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 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 2.74 hrs/resident/day on weekends vs 3.60 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.56 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% 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

8
deficiencies at the latest standard inspection (2026-01-09)
1
at the previous standard inspection (2025-01-27)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Dcited before2026-04-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 the resident's right to be free from physical abuse by staff for 1 of 3 resident's reviewed (Resident B). Findings include:On 4/1/26 at 12:50 P.M., Resident B's record was reviewed. Diagnoses included dementia. A quarterly Minimum Data Set (MDS) assessment, dated 1/15/26, indicated Resident B had moderately impaired cognition with no behaviors. He used a wheelchair for mobility, was able to propel himself short distances, but required moderate assistance for long distances. A care plan, dated 8/8/25, indicated Resident B had episodes of physical and verbal aggression towards others, trying to get their attention. He might hit, push, yell at, or antagonize others and block their way from getting past him in the hallway. Interventions included: approach the resident in a calm and friendly manner; explain to resident what you are doing prior to initiating a task; offer distraction or activity such as snack or watching a movie; remove him from the situation; and if he becomes combative or resistive, postpone…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · E2026-01-09 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    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, dinning staff were following menu tickets for 4 of 4 residents reviewed. (Resident 46, Resident 49, Resident 63 and Resident 67)Findings include:During a dining observation on 01/04/2026 at 11:45 AM, it was observed Resident 63 and Resident 67 were not served broccoli salad on their lunch trays. A review of the residents' food tickets confirmed both individuals were scheduled to receive the broccoli salad as part of their meal.During a dining observation on 01/05/2026 at 12:02 PM, Resident 67 indicated he did not receive any garlic bread. He further stated that he frequently does not receive items listed on his meal ticket and that no substitutions are provided.A review of the food meal posting, dated 01/05/26, on 01/05/2026 12:08 PM, indicated garlic bread was listed. The sign was not modified to include a substitute if needed.A review of grievances on 1/8/26 at 12:20 PM indicated the following:A grievance related to Resident 46, dated 12/6/25, indicated she was having trouble with the lunch/dinning…

    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 · E2026-01-09 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure puree meals were consistently temperature-tested for 4 of 4 residents observed.Finding include:During an observation on 01/04/2026 at 11:38 AM, dietary staff was temping the food, and the puree broccoli temped at 130 F.In a interview, on 01/04/2026 at 11:38 AM, [NAME] 11 indicated the food was below temperature, then asked if she should place food back to be reheated. [NAME] 11 indicated, she would be placing food on the burner to cook. A record review of food temperature logs, dated December 2025 indicated the following:On 12/31/25, there was no temperature record for the breakfast puree, lunch puree, or dinner puree.On 12/27/25, there was no temperature record for the breakfast puree, lunch puree, or dinner puree.On 12/25/25, there was no temperature record for the breakfast puree, lunch puree, or dinner puree.On 12/18/25, there was no temperature record for the breakfast puree, lunch puree, or dinner puree.On 12/14/25, there was no temperature record for the breakfast puree, lunch puree, or dinner…

    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 · E2026-01-09 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview; the facility failed to ensure an effective process was in place to prevent recurrent medication storage concerns for 1 of 3 carts reviewed.Findings include: During an observation, on 01/04/2026 at 11:08 AM, a bottle of liquid medication was observed with the liquid level approximately 1.5 inches from the top if the bottle. The medication label had NOT OPEN in capital letters with black marker. There was no open date on the bottle. Licensed Practical Nurse (LPN) 2 opened the lid. A puncture to the inner seal was observed with red liquid on the puncture and around inner part of lid. The multiple dose bottle was opened and used. Resident 47's record was reviewed on 1/4/26 at 11:22AM. The medication was discontinued and did not have an active order. The open bottle of a multiple dose container without an open date prompted a citation of F0761. The [NAME] Report for the facility was reviewed on 1/4/26 at 8:52AM. The report indicated the facility was cited for F0761 Labeling/Store Drugs and Biologicals on the following dates 07/2022,…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-09 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility failed to notify a family of transfer for 1 of 4 residents reviewed. (Resident 2)Findings include: Resident 2's record review began on 1/4/26 at 10:14 AM. Resident 2's diagnosis included history of myocardial infraction (heart attack), chronic obstructive pulmonary disease, and heart disease.A progress note, dated 10/26/25 at 10:15PM, indicated the resident was sent to ER for chest pain not relieved by Nitroglycerin tablet sublingual and per resident request. EMS was called.There were no progress notes to indicate Resident 2's emergency contact was notified of their trip to the Emergency Room. There was no note in the record to indicate Resident 2 did not want his emergency contact notified. Resident 2 was his own responsible party with his brother named as emergency contact.Resident 2's care plan indicated family was involved with the resident in the last 14 days yet did not indicate Resident 2 did not want brother involved in care or contacted in case of an emergency:Resident 2 indicated it was very important to choose what clothes…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 ensure residents were free from verbal abuse for 1 of 2 residents reviewed (Resident 67).Findings included:During an interview on 01/07/2026 at 9:46 AM, Resident 67 indicated facility staff spoke with him inappropriately. Resident 67 indicated Licensed Practical Nurse (LPN) 9, Qualified Medication Aide (QMA) 10, and the Rehabilitation Director (RD) were present in his room that morning while discussing the condition of his room walls being half painted. Resident 67 indicated the RD stated she would submit a maintenance request. Resident 67 indicated he stated he had never lived in a place where the walls were half painted. Resident 67 indicated the RD stated how were the walls in prison. Resident 67 indicated prison was no place for a black educated man such as himself and indicated he had never been to prison. Resident 67 indicated the RD stated she was going to leave because she was outnumbered. Resident 67 indicated he interpreted this statement to mean the RD was leaving because she was the only white person in 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-09 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure pain management was provided for 1 of 3 residents reviewed (Resident 11). Findings included:Resident 11's record was reviewed on 1/4/2026. Diagnoses included pain in the right leg, other specified arthritis (unspecified site), primary osteoarthritis of the left elbow, primary osteoarthritis of the left shoulder, lumbago with sciatica, and systemic lupus erythematosus (unspecified).A review of physician orders, dated 11/10/2025 at 11:15 AM, indicated to give oxycodone-Acetaminophen Oral Tablet 7.5-325 MG 1 tablet by mouth every 8 hours as needed for severe pain greater then 7 on the pain scale. The order had a discontinued date of 12/18/2025.A review of physician orders dated 12/18/2025 at 12:30 PM indicated to give oxycodone-Acetaminophen Oral Tablet 7.5-325 MG 1 tablet by mouth every 8 hours as needed for severe pain greater than 7 on the pain scale.A review of Resident 11's current Care Plan indicated the resident was at risk of pain due to arthritis, lupus, and sciatica, with a goal date of 2/16/2026.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-09 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure collaboration with the off-site dialysis center for 1 of 1 resident reviewed (Resident 7).Findings included:Resident 7's record was reviewed on 01/04/2026 at 10:34 AM. Diagnoses included end stage renal disease and dependence on renal dialysis.A review of Resident 7's dialysis communication record indicated the pre-dialysis section did not include vital signs and was incomplete on 01/05/2026, 12/30/2025, 12/28/2025, 12/26/2025, 12/23/2025, 12/21/2025, 12/19/2025, 12/17/2025, and 12/10/2025.During an interview, on 01/07/2026 at 10:10 AM, Resident 7 indicated he took a folder to dialysis and inside it contained his medications and the dialysis communication form. Resident 7 indicated the facility did not always complete the form.During an interview, on 01/07/2026, the Director of Nursing (DON) indicated the facility did not complete the pre-dialysis section on the communication form as the facility had its own assessments. The DON indicated the assessment contained the same information and was sent with 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-09 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and record review the facility failed to ensure only current medications and medications with an open date were present in medication carts for 1 of 3 carts reviewed. Findings include: During an observation on 01/04/2026 at 11:08 AM, a bottle of medication was observed with the liquid level approximately 1.5 inches from the top of the bottle. The medication label had NOT OPEN in capital letters written in black marker. There was no open date on the bottle. Licensed Practical Nurse (LPN) 2 opened the lid. The inner seal was punctured with red liquid on the puncture and around inner part of lid. The multiple dose bottle was opened and some of the medication used. The medication was labeled with Resident 47's information. The medication was Guaifenesin liquid 100mg/5ml. The medication pharmacy label was dated 5/25/25 as being dispensed.Resident 47's record was reviewed on 1/4/26 at 11:22AM. Resident 47 did not have an active order for Guaifenesin liquid 100mg/5ml. In an interview, on 1/4/26 at 11:30 AM, the Director of Nursing (DON) indicated Resident 47 should…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-27 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure labeling of opened medications on 1 of 2 medication carts reviewed. ( Resident 55, Resident 9, and Resident 49) Findings include: During an observation on [DATE] at 10:27 AM, with Qualified Medical Assistant 4, in the 200 Hall medication cart, in the top drawer was the following: an inhaler of Trelegy Ellipta labeled for Resident 55 had an expiration date of [DATE] no open date. Resident 9's inhaler of Flucticsalme AER, had an open date of [DATE] and an expiration date of [DATE]. Resident 49's inhaler of Fluticsame Spr, had no open date and a expiration date of [DATE]. In an interview, on [DATE] at 10:32 AM, QMA 4 indicated the staff would usually go through the cart to make sure everything was labeled, then discard the medication that was not labeled or was expired. In an interview, on [DATE] at 11:30 AM, the Director of Nursing indicated she spoke to the pharmacy and the 3 inhalers should have been removed from the cart. 1.…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · Dcited before2024-06-14 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a resident with a known contagious condition was assessed and care planned for 1 of 3 residents reviewed (Resident E). Findings include: During an interview on 6/13/24 at 2:15 P.M., the Director of Nursing (DON) indicated Resident E had recurrent episodes of head lice after returning from leave of absences (LOA) where she visited with family. She indicated Resident E was to be checked for lice upon return to the facility and if found, staff were to obtain treatment orders. Treatment orders would be put in the physician's orders and communicated to staff in the plan of care. Resident E's record was reviewed on 6/14/24 at 10:14 AM. Diagnoses included adult neglect or abandonment confirmed or suspected, delusional disorder, and major depressive disorder. Resident E's current quarterly Minimum Data Set (MDS), dated [DATE], indicated her Brief Interview for Mental Status (BIMS) score was 15 (cognitively intact). The MDS indicated the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-14 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure residents were not given psychotropic medications without specific targeted behaviors identified and non-pharmacological interventions in place for 2 of 3 residents reviewed for unnecessary psychotropic medications (Resident D and Resident J). Findings include: 1. On 6/12/24 at 11:43 A.M., Resident D's record was reviewed. Diagnoses included dementia, chronic pain, generalized anxiety disorder, sleep disorder and major depressive disorder. Resident D was currently hospitalized for a change in condition. A quarterly MDS (Minimum Data Set) assessment, dated 3/4/24, indicated the resident had no cognitive impairment and no behaviors. She had several mood indicators including feeling hopeless; trouble sleeping/sleeping too much; having little energy; moving slowly/fidgety or restless; and trouble concentrating; indicating moderate depression. She was prescribed antidepressant and opioid medications but the MDS did not note any prescribed antipsychotic medications. Care Plans and dates initiated/revised indicated the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-08 · tag F0727 — failed to provide required RN coverage — pattern
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure a Registered Nurse (RN) was onsite for an 8 hour shift 5 days of 90 reviewed. Findings include: A record review began on 3/6/24 at 10:04 AM, of staffing data report for quarter 4 2023 ( July 1-September 30). This staffing data report identified areas of concern. No RN hours were recorded for the following dates: 7/1/23, 7/2/23, 7/30/23, 8/5/23, and 9/10/23. A review of the schedule dated July 1, 2023, indicated there were no RN hours documented for day shift 6 AM- 2 PM., evening shift 2 PM - 10 PM., or night shift 10 PM -6 AM. A review of the schedule dated July 2, 2023, indicated there were no RN hours documented for day shift 6 AM- 2 PM., evening shift 2 PM - 10 PM., or night shift 10 PM -6 AM. A review of the schedule dated July 30, 2023, indicated there were no RN hours documented for day shift 6 AM- 2 PM., evening shift 2 PM - 10 PM., or night shift 10 PM -6 AM. A review of the schedule dated August 5, 2023, indicated there were no RN hours documented for day shift 6 AM- 2 PM., evening shift 2 PM - 10 PM., or…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-08 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to ensure 2 out of 2 garbage receptacles in kitchen were covered. 81 of 83 residents residing in the facility ate meals prepared in the kitchen Findings include: During an observation on 03/03/2024 at 9:00 A.M. two garbage receptacles were observed open, without a lid in the kitchen; one was located in the main kitchen next to handwashing station, the other in the dishwashing area. The receptacles were 80 percent full with plastic material, carboard, and food scraps. During an observation on 03/03/2024 at 10:33 A.M. two garbage receptacles were observed open, without lids in the kitchen. The receptacles were 95 percent full with no changes to contents. In an interview on 03/03/2024 at 10:45 A.M., the Dietary Manager indicated the garbage receptacles needed to be covered and instructed a dietary employee to cover them with lids. The Ditary Manager indicated 81 residents ate food prepared in the kitchen. A current policy dated 08/2017 provided by the Administrator on 03/04/2024 at 10:30 A.M. indicated appropriate lids should 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-08 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility failed to implement a compliance program to ensure prior identified medications labeling was complaint. This affected 4 of 4 residents reviewed (Resident 50, Resident 64, Resident 37, and Resident 25) Findings include: The facility annual survey completed on 5/5/23 identified noncompliance with medication labeling and storage. During an observation on 03/03/24 at 11:02 A.M., 4 injectable medications (insulin) were observed to be opened, but without an opened date. In an interview on 3/3/24 at 11:02 A.M., Registered Nurse (RN) 3 indicated Resident 50's insulin Glargine solution, Resident 64's Lispro insulin, Resident 25's Humalog insulin, and Resident 37's Lispro insulin were opened without open dates. RN 3 indicated she did not know when they were opened or if they were any good. In an interview on 3/3/24 at 2:46 P.M., the Director of Musing (DON) indicated the facility completed a mock survey on 2/29/24, but the facility did not waste the insulins that were not properly labeled. In an interview on 3/8/24 at 9:14 AM, 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-08 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, and interview, the facility failed to ensure masking, hand hygiene, and equipment disinfection practices were implemented and maintained. 41 residetns resided on the 300/ 400 hall. Findings include: 1. During an observation on 3/3/24 at 8:50A M, on the front door of the facility a sign indicated face masks were required. Two unidentified employees walking past the front desk were not wearing face masks. During an observation on 3/3/24 at 9:00 A M, on the 300 hall an unidentified employee was observed to not be wearing a face mask. During an interview on 3/3/24 at 9:22 AM, the Director of Nursing (DON) indicated the facility had 2 staff members test positive for COVID-19, so everyone was to wear a mask as a precaution. An observation on 3/3/24 at 9:29 AM, an unidentified staff member was observed coming out room [ROOM NUMBER], bringing out a meal tray wearing blue gloves. The staff member placed the meal tray into a metal cart, then entered room [ROOM NUMBER] wearing the same blue gloves 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-08 · tag F0887 — pattern
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Interview, and Record review, the facility failed to ensure the immunization for the COVID-19 vaccine was provided to 4 of 5 residents reviewed. (Resident 15, Resident 18, Resident 64, and Resident 69) Findings include: A record review began on 3/6/24 at 12:34 PM, Resident 15 diagnosis include, anemia and autistic disorder. A review of Resident 15's immunizations. There were no updated consents/declination for the COVID-19 vaccine. A consent form was provided by the Director of Nursing (DON) on 3/7/24 at 8:40 AM, indicated Resident 15 gave consent to receive vaccine dated 11/29/23. A record review on 3/6/24 at 12:45 PM for Resident 18, diagnosis include, acute and chronic respiratory failure with hypoxia. A review of Resident 18's immunizations. There were no updated consents/declination for the COVID-19 vaccine. A consent form was provided by the DON on 3/7/24 at 8:40 AM, indicated Resident 18 gave consent to receive vaccine dated 11/29/23. A record review on 3/6/24 at 12:55 PM for Resident 64, diagnosis include, age-related osteoporosis without current pathological…

    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 · D2024-03-08 · tag F0567 — failed to protect residents' money held by the home — isolated
    Honor the resident's right to manage his or her financial affairs.
    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 monies available to the resident were accessed and paid to the resident for 2 of 3 residents reviewed. (Resident 67 and Resident 66) Findings include: 1. In an interview on 3/6/24 at 1:00 P.M., Resident 67 indicated she had received a lump sum payment from Social Security on 11/20/23 related to underpayment. She indicated on 12/29/23, the facility levied a care cost of $4600.00 without warning or explanation. Resident 67's record was reviewed 3/6/24 at 3:00 P.M. Resident 67's diagnoses included: diabetes, morbid obesity, and hypertension. A most recent quarterly MDS dated [DATE] indicated Resident 67 had no cognitive impairment. A Resident Fund Management Service form, dated 8/10/22, indicated Resident 67 agreed to a Resident Fund account. This would allow her $52.00 each month from her Medicaid account. An Authorized Representative for Health Coverage Form dated 6/20/23 indicated Resident 67 agreed to have the facility manage her monies.…

    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 before2024-03-08 · 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 ensure physician orders were followed for 1 of 3 residents reviewed. (Resident 10) Findings include: Resident 10's record was reviewed on 03/05/24 at 01:23 P.M. Diagnoses included paraplegia, COPD, diabetes, morbid obesity, and arteriosclerotic heart disease. A physician's order, dated 2/6/24 indicated to obtain daily weights; and notify the physician if weight gain was greater than 3 pounds in a day or 5 pounds in a week. A care plan, dated 2/20/24, indicated to obtain weights as ordered and to notify the physician of weight changes. A review of Vital Signs indicated only the admission weight had been documented. Progress notes dated 2/6/24 through 3/7/24 indicated Resident 10 had no refusals of care. The Medication Administration Record (MAR), dated 2/24, indicated no weights had been documented. In an interview on 3/5/24 at 1:46 P.M., the DON indicated the staff did not check the box for the weight to be entered in the MAR, so it was not recorded. A policy titled Provision of Physician Ordered Services, dated February…

    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 before2024-03-08 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, and interview, the facility failed to ensure medications were dated when opened for 4 of 21 residents residing on the 100 hall. (Resident 50, Resident 64, Resident 25, and Resident 37) Findings include: During an observation on 03/03/24 at 11:02 A.M., 4 injectable medications were observed to be opened, but without an opened date. In an interview on 3/3/24 at 11:02 A.M., RN 3 indicated Resident 50's insulin Glargine solution, Resident 64's Lispro insulin, Resident 25's Humalog insulin, and Resident 37's Lispro insulin were opened without open dates. RN 3 indicated she did not know when they were opened or if they were any good. 1. Resident 50's record was reviewed 3/4/24 at 12:19 P.M. Diagnoses included ischemic heart disease, and diabetes, A physician's order, dated 12/15/23 indicated to give Resident 50 Glargine, 35 units, subcutaneously, 2 times daily. A Medication Administration Record (MAR) dated March 2024 indicated Resident 50 had been given Glargine, 35 units, subcutaneously on 3/4/24 at 7:00 A.M. 2. Resident 64's record was reviewed on 3/3/24 at 11:06…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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, interview the facility failed to ensure 1 of 3 a residents reviewed were free from misappropriation of property (Resident B). Findings include: A Facility incident report, dated 8/28/25, indicated a Certified Nursing Aide (CNA), CNA 2, was found in possession of the Resident B's credit card. The resident was discharged [DATE] to the hospital and had not reported the credit card missing or stolen. The Executive Director (ED) and Director of Nursing Services (DNS) notified local law enforcement. A local law enforcement incident report, dated 8/25/23 at 13:41, indicated a phone report was taken concerning CNA 2. The report indicated the facility's DNS indicated CNA 2's ex-boyfriend came to the facility with multiple credit cards and card numbers not belonging to CNA 2. The individual stated CNA 2 stole them from facility residents, left the cards with the facility staff, and departed the building. The report indicated one credit card belonged to Resident B. The incident remained pending…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

$14.4M
Net patient revenuemost recent cost report
+14.8%
Operating marginrevenue minus expenses
$2.9M
Related-party expense24% of expenses
Who pays — share of resident-days
Medicaid 74%Medicare 5%Other / private 21%

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.9M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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

$385per resident / day
operating cost
$11,696per month
≈ monthly operating cost
$451per day
avg. revenue, all payers

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

What families pay in IN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.

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

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155207. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-09, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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