Pilgrim Manor

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 62 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 80.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 78 beds and averages 64.7 residents a day — about 83% occupied, or roughly 13 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 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 3.08 hrs/resident/day on weekends vs 3.58 on weekdays — 14% thinner on weekends. RN hours go from 0.72 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are unchanged from the previous inspection. 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.

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · G2026-02-13 · tag F0691 — failed to provide colostomy / ostomy care — isolated
  Provide appropriate colostomy, urostomy, or ileostomy 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, observation and record review, the facility failed to assess, notify the family and provider and document the change in the medical record after a resident developed blood in her colostomy (an opening in the abdominal wall, connecting the colon to the outside of the body to divert waste and gas) bag for 1 of 1 residents reviewed for colostomy care. This deficient practice resulted in a delay of treatment for a gastrointestinal bleed (GI) and anemia (low hemoglobin) and unexpected hospitalization. (Resident J) Finding includes: During an interview on 2/9/2026 at 12:02 P.M., Resident J indicated a staff member had found blood and blood clots in her colostomy bag and that the employee had taken a picture of the blood to show the nurse. Resident J was not able to recall what staff member had taken the picture, but did recall it was around the end of second shift (2:00 - 1030 P.M.) on 2/8/2026. Resident J indicated she had not been updated with any information related to the blood in her colostomy bag. During an observation of Resident J's colostomy bag on 2/9/2026 at…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-11-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to follow bowel movement protocols. This resulted in the resident obtaining an ileus (a painful obstruction of the ileum or other part of the intestine) for 1 of 3 residents reviewed for quality of care. (Resident K) Finding includes: A record review for Resident K was completed on 11/26/2024 at 10:16 A.M. Diagnoses included, but were not limited to: Alzheimer's disease and constipation. The Quarterly Minimum Data Set (MDS) assessment, completed on 6/25/24 indicated the resident was severely cogntively impaired, was incontinent of her bladder and continent of her bowels and required some partial staff assistance for personal hygiene needs. A current Care Plan, initiated on 7/30/2024, indicated Resident K had the potential for constipation related to decreased mobility. The goal was for the resident to have a soft formed bowel movement at least every 3 days. Interventions included, but were not limited to: administer medications as ordered, check how often bowel movements occur, encourage fluid intake, give routine 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-01 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to identify targeted behaviors and individualize interventions to clinically support the use of an antipsychotic and anti-depressant medications for 1 of 2 residents reviewed for chemical restraints (Resident E). Findings include:During intermittent observations on 6/1/26, from 10:00 A.M. to 4:00 P.M., Resident E was observed seated in her wheelchair, in the hallway across from the nurse's desk. Her face had a flat affect and she demonstrated no response to others as they passed by her. She did not seem to be sleepy or sedated but she was also unaware of her environment. The resident was not observed in any form of activity while seated in the hall. On 6/1/26 at 1:59 P.M., Resident E's record was reviewed. Diagnoses included but were not limited to: congestive heart failure, Alzheimer's dementia, neuromuscular dysfunction of the bladder, and parkinsonism (group of brain disorders which can cause tremors, slow movement, rigid muscles, and balance issues). Hospice progress notes, prior to admission, 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to assess for the continued use of an indwelling urinary catheter, failed to monitor for UTI's, and failed to assess and monitor a resident's ability to urinate following removal of a urinary catheter for 1 of 1 residents reviewed (Resident E). Findings include:On 6/1/26 at 1:59 P.M., Resident E's record was reviewed. Diagnoses included but were not limited to: congestive heart failure, Alzheimer's dementia, and neuromuscular dysfunction of the bladder (nerve damage interrupts the communication between the brain and the bladder which is usually chronic). Review of Hospice progress notes, prior to admission to the facility, indicated the following: -A medical Social Service hospice note, dated 2/11/26, indicated Resident E's caregiver had reported she had started behaviors of removing her pants and pull-ups in the morning and not remembering doing so. The behavior had resulted in urinary accidents. The caregiver indicated she had spoken with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to implement preventative measures for 1 of 3 residents at risk for elopement which resulted in a resident elopement. (Resident B) Finding includes:During an observation and interview, on 4/15/2026 at 9:49 A.M., Resident B was in his room, seated in his wheelchair with his portable oxygen nasal cannula tubing in the top drawer of his bedside table. Resident B was unable to determine where his oxygen cannula tubing was located. He also had an animated dog on his bed and was speaking to the animated dog about his feelings. A record review for Resident B was completed, on 4/15/2026 at 9:54 A.M. Diagnoses included, but were not limited to: dementia and a pathological fracture in neoplastic disease of the hip An Elopement/Wander Risk Evaluation, completed on 3/11/2026, indicated Resident B had been forgetful, had a short attention span and exhibited/expressed fear/anxiety, expressed a desire to go home and packed belongings or hovered at exit doors. The note indicated, around 7:30 P.M., Resident B had wanted to go…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2026-02-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to prepare and serve food under sanitary conditions related to staff hygiene in the kitchen and food temperature of hall trays for 1 of 1 kitchen areas observed. This issue had the potential to affect 62 of 62 residents who resided in the facility and received food from this dietary area.Findings include:During an interview, on 2/11/2026 at 11:20 A.M., the Dietary Manager indicated food remained on the steam table until it was plated or put on the resident meal trays.During an observation, on 2/12/2026 at 11:59 A.M. of the last hall tray, it was removed from the portable food cart and the Dietary Manager obtained the following food temperatures:Ham & scalloped potatoes:110 degrees Fahrenheit,Carrots:111 degrees Fahrenheit,Chocolate milk: 46 degrees Fahrenheit,Fruit cocktail: 60 degrees Fahrenheit. During an interview immediately following the temperature assessments, the Dietary Manager indicated the food should have been hotter (sic) than the recorded temperatures and indicated the facility had recently ordered new plate…

  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 · Fcited before2026-02-13 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to follow infection control practices related to hand hygiene procedures and wound care procedures for 1 of 1 resident reviewed for pressure ulcers. (Resident 34) In addition, the facility failed to track and complete infection surveillance during a COVID (Coronavirus) outbreak. Findings include: 1.During an interview, on 2/10/2026 at 11:26 A.M., a resident representative indicated Resident 34 had a pressure ulcer on her coccyx. During an observation, on 2/12/2026 at 12:25 P.M., Resident 34 was observed receiving wound care for the wound on her coccyx. Certified Nursing Assistant (CNA) 14 and the IP (Infection Prevention) nurse were already standing outside Resident 34's room. They had both donned gowns, masks and were wearing disposable gloves. An additional staff member, CNA 7 was observed to open the door with Resident's room door, then after she had entered Resident 34's room, CNA 7 closed the door, pulled two disposable gloves from a box stored behind the resident's door and applied the gloves to her hands…

  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 · E2026-02-13 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to obtain informed consent for psychotropic medication administration for 5 of 5 residents reviewed for unnecessary medications. (Res 5, 57, B, H & J)Findings include:1.A record review for Resident 5 was completed on 2/13/2026 at 8:49 A.M. Diagnoses included, but were not limited to: anxiety disorder and depression.A Quarterly Minimum Data Set (MDS) assessment, dated 12/22/2025, indicated Resident 5 was cognitively intact and received medication administration of an antianxiety and an antidepressant medication.Physician's Orders, dated 12/15/2025, indicated Resident 5 received desvenlafaxine 50 milligrams daily for depression and buspirone 10 milligrams three times daily for anxiety.A Care Plan, initiated on 9/26/2025, indicated Resident 5 used an antidepressant medication. The goal indicated Resident 5 would be free from discomfort and adverse reactions related to antidepressant therapy.A Care Plan, initiated on 1/16/2026, indicated Resident 5 used an anti-anxiety medication. The goal indicated Resident 5 would be free from…

  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 · Ecited before2026-02-13 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to ensure 2 of 2 nursing staff (LPN 2 and LPN 3) followed standard pharmacy procedure to ensure accuracy related to documenting medication administration and administering preset medications for 1 of 1 residents observed for dignity. (Resident L)Finding includes:A record review for Resident L was completed, on 2/13/2026 at 10:06 A.M. Diagnoses included, but were not limited to: left femur fracture, diabetes mellitus type 2 and anxiety disorder.An admission Minimum Data Set (MDS) assessment, dated 1/26/2026, indicated Resident L was cognitively intact and received opioid medications for pain.During an interview, on 2/12/2026 at 9:07 A.M., Resident L notified the surveyor team of a concern she had related to her medication administration. Resident L indicated LPN 2 had been very sharp and snippy with her when she had requested her morning medications and pain medication and had not administered her morning medications yet, which included the pain medication that she had requested two hours prior. She indicated LPN…

  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 before2026-02-13 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure a resident was treated with dignity and respect regarding her concerns with medication administration for 1 of 1 resident reviewed for resident rights. (Resident L)Finding includes:During an interview, on 2/12/2026 at 8:34 A.M., Resident L voiced a concern related to medication administration. Resident L indicated LPN 2 had been very sharp and snippy with her when she had approached the nurse about not administered her morning medications, especially her pain medication that had been requested two hours prior to the complaint . She indicated LPN 2 had told her she needed to wait for her medication administration until she had eaten breakfast.During an observation, on 2/12/2026 at 9:22 A.M., Resident L had returned to her unit and LPN 2 stated to Resident L that she had pulled her medications for administration prior to Resident L complaining to the State surveyors. LPN 2 was argumentative and unkind with Resident L and Resident L had responded with a statement to LPN 2 that she was being snarky. An…

  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 · D2026-02-13 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to consult the physician prior to administration of antihypertensives as instructed in emergency room discharge instructions for 1 of 2 residents reviewed for hospitalizations. (Resident H) This deficient practice resulted in medical-induced hypotension (unwanted low blood pressure caused by medications) and contributed to hospital readmission. In addition the facility failed to notify the physician regarding vital signs outside ordered parameters for blood pressures and blood sugars for 1 of 5 residents reviewed for unnecessary medications. (Resident H) Findings included: 1.The clinical record of Resident H was reviewed on 2/11/2026 at 1:30 P.M. The resident's diagnoses included, but were not limited to: chronic obstructive pulmonary disease, diabetes mellitus, Alzheimer's disease with late onset, depression, chronic fatigue, esophagitis, psoriasis, hypertensive heart disease, dementia, resistant hypertension, chronic diastolic congestive heart failure,…

  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 before2026-02-13 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview, the facility failed to provide timely assessments related to safe and appropriate use of a bed alarm and failed to document resident/family education and consent for a bed alarm for 1 of 2 residents reviewed for restraints. (Resident 30)Finding includes:During an observation of Resident 30's room on 2/9/2026 at 3:06 P.M., a bed alarm pad could be seen laying on the empty bed with a cord coming off the bed alarm pad and plugged into an alarm near the bed. During random observations of Resident 30 from 2/10/2026-2/13/2026, Resident 30 had not been observed laying in her bed. Resident 30's record review was completed on 2/13/2026 at 1:44 P.M. Diagnoses included, but were not limited to dementia, anxiety disorder, depression, hypertension (high blood pressure) and dysphagia. A Quarterly Minimum Data Set (MDS) assessment, dated 12/11/2025, indicated Resident 30 had severely impaired cognition, had adequate hearing, clear speech, had usually been able to understand others and others usually understood her. Resident 30 had been dependent…

  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.

Fines & penalties

$45,580 in federal fines across 1 penalty.

• $45,580 — penalty dated 2026-02-13

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 30 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in IN