Rosebud Village
2050 Chester Blvd, Richmond, IN 47374 · Government - County · 110 certified beds · (765) 935-4440 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Apr 2025
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- 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
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 3 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 6.2% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.6% | 5.5% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.4% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.4% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 6.3% | 25.2% | 6.5% | typical |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 6.8% | 3.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 5.1% | 11.9% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 22.0% | 23.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.4% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.4% | 3.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 19.5% | 23.3% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.1% | 13.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.4% | 79.0% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 40.3% | 22.2% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 18.4% | 10.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.87 | 1.61 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.63 | 1.44 | 1.80 | typical |
‡ 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.
66.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 44.9% 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 49 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 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 66.1%CMS range 52.9–78.2 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.1%CMS range 5.0–13.1 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 44.9% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 40.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 42.9% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 94.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 92.5% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.4% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.4% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.7%CMS range 4.1–14.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.18 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 110 beds and averages 98.3 residents a day — about 89% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 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 2.82 hrs/resident/day on weekends vs 3.52 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.92 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 32% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Actual harm · Gcited before2024-02-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a fall from a mechanical lift did not occur during a transfer from the bed to the chair, resulting in cervical and thoracic fractures of the spine, for 1 of 3 residents reviewed for falls. (Resident B) The deficient practice was corrected on 1-10-24, prior to the start of the survey, and was therefore past noncompliance. The facility had completed assessments of the resident who had experienced a fall, conduct neurological checks, and audits related to fall events. Findings include: The clinical record of Resident B was reviewed on 2-13-24 at 5:40 p.m. His diagnoses included, but were not limited to, Alzheimer's disease, dementia, anxiety, depression, insomnia, aphasia and, nondisplaced fracture of the 7th cerebral vertebra and fracture of the 1st and 2nd thoracic vertebrae (neck area and upper spine area), sustained on 12-30-23. In an interview with CNA 3 on 2-13-24 at 4:26 p.m., she indicated she and CNA 4, were working on the secured memory…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-29 · tag F0687 — failed to care for feet properly — isolatedProvide appropriate foot care.
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 nail care and heel protectors were provided and a podiatry visit was completed for 2 of 2 residents reviewed for foot care. (Resident 37 and Resident 56)Findings include:1. a) The clinical record for Resident 37 was reviewed on 7/23/25 at 11:16 a.m. The diagnoses included, but were not limited to, dementia, hemiplegia and hemiparesis, congestive heart failure, chronic pain, and osteoporosis. The ADL (activities of daily living) care plan, last reviewed/revised 5/23/25, indicated Resident 37 required assistance and/or monitoring for ADL care. The goal was to have her ADL needs met. An approach was morning care to include dressing, starting 10/6/15. The pressure ulcer/injury care plan, last reviewed/revised 5/23/25, indicated Resident 37 was at risk for skin breakdown due to slightly limited sensory perception, very moist skin, incontinence, chairfast, very limited mobility, and a problem with friction and sheer. The goal was for her to be free from skin breakdown. An approach was for her to wear heel…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-07-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure an indwelling catheter drainage bag was free of the contact with the floor for 1 of 2 residents reviewed for urinary catheter usage. (Resident 86)Findings include: The clinical record for Resident 86 was reviewed on 7/28/2025 at 1:05 p.m. The medical diagnoses included cerebral palsy and neurogenic bladder.A Quarterly Minimum Data Set assessment, dated 7/3/2025, indicated Resident 86 was cognitively intact, does not refuse care, was dependent on toilet hygiene and was partially to moderately dependent on assistance from staff for personal hygiene, and utilized an indwelling catheter. A urinary catheter care plan, last revised on 7/16/2025, indicated interventions for Resident 86's indwelling urinary catheter to not allow tubing or any part of the drainage system to touch the floor.A physician's order, dated 9/29/2021, indicated for Resident 86 to utilize an indwelling urinary catheter.During an observation on 7/22/2025 at 1:15 p.m., Resident 86 was laying in bed, and her indwelling urinary catheter bag…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-29 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure appropriate storage of a medicated cream for 1 or 3 residents reviewed for medication administration. (Resident 86)Findings include:The clinical record for Resident 86 was reviewed on 7/28/2025 at 1:05 p.m. The medical diagnoses included cerebral palsy and neurogenic bladder.A Quarterly Minimum Data Set assessment, dated 7/3/2025, indicated Resident 86 was cognitively intact, does not refuse care, was dependent on toilet hygiene and was partially to moderately dependent on assistance from staff for personal hygiene, and utilized an indwelling catheter. A physician's order, dated 9/29/2021, indicated Resident 86 to use a medicated cream routinely for pain control. During an observation on 7/22/2025 at 1:15 p.m., Resident 86 was laying in bed, and a tube of medicated prescription cream was noted to be on the over bed table. Resident 86 indicated staff leave the tube there and do not always administer it, so she will put it on her knees and hips.During an observation on 7/28/2025 at 1:20 p.m., Resident 86…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-16 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect 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
Based on interview and record review, the facility failed to ensure misappropriation of residents' medication did not occur for 2 of 4 residents reviewed for abuse. (Resident B and Resident E) This deficient practice was corrected on 3/13/25, prior to the start of the survey, and was therefore past noncompliance. The facility implemented a systematic plan that included the following actions: in-service education to nursing staff on medication administration and documentation, assessment of residents, and signing out controlled medications. The facility conducted an audit of all narcotic count sheets for all residents receiving narcotic medications and conducted interviews and assessments of all residents for pain with ongoing review presented to the Quality Assessment and Assurance (QAA) Committee for review. Findings include: 1. The clinical record for Resident B was reviewed on 4/15/25 at 12:00 p.m. The diagnoses included, but were not limited to, squamous cell carcinoma of the skin and dementia. A Significant Change Minimum Data Set (MDS) assessment, dated 2/11/25, indicated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-16 · tag F0697 — failed to manage pain — isolatedProvide 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 complete pain assessments for 1 of 4 residents reviewed for pain medication and assessments. (Resident B) This deficient practice was corrected on 3/13/25, prior to the start of the survey, and was therefore past noncompliance. The facility implemented a systematic plan that included the following actions: in-service education to nursing staff on medication administration and documentation, assessment of residents, and signing out controlled medications. The facility conducted an audit of all narcotic count sheets for all residents receiving narcotic medications and conducted interviews and assessments of all residents for pain with ongoing review presented to the Quality Assessment and Assurance (QAA) Committee for review. Findings include: The clinical record for Resident B was reviewed on 4/15/25 at 12:00 p.m. The diagnoses included, but were not limited to, squamous cell carcinoma of the skin and dementia. A physician's order, dated 10/24/24, indicated to administer hydrocodone-acetaminophen (narcotic pain medication)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-06-05 · tag F0558 — failed to accommodate residents' needs and preferences — patternReasonably accommodate the needs and preferences of each resident.
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 ensure residents had water or beverages of choice available for 4 of 4 residents reviewed for accommodation of needs. (Resident 2, Resident 89, Resident 54, and Resident C) Findings include: 1. The clinical record for Resident 2 was reviewed on 6/3/2024 at 1:55 p.m. The clinical diagnosis included dementia. A Minimum Data Set (MDS) Assessment, dated 3/28/2024, indicated Resident 2 was cognitively impaired and needed set up assistance for eating tasks. A care plan intervention, dated 5/4/2015, indicated to encourage fluids for Resident 2. An observation and interview on 6/4/2024 at 11:30 a.m., indicated Resident 2 laying in bed at this time with her television on. Resident 2 stated she was very thirsty and hungry. No drink was available in Resident 2's room at this time. 2. During an observation on 5/30/24 at 12:53 p.m., Resident 54 was sitting in a wheelchair in his room, there were no fluids available in his room, the resident had an a empty medication cup on the bedside table. During an observation on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-06-05 · tag F0744 — failed to care for residents with dementia — patternProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to provide their scheduled activity program on the Cottage Unit of the facility; implement and educate staff regarding a residents' individualized activity care plan; and redirect a resident with a history of wandering into other residents' rooms for 7 of 28 residents on the Cottage Unit of the facility. (Residents 6, 49, 35, 52, 60, 65, and 92) Findings include: 1. An observation of the common area of the Cottage Unit was conducted on 5/31/24 at 11:36 a.m. The common area of the unit was a very large room that consisted of a television area in the front corner with recliners around it. There was a sink and counter space in the opposite front corner of the room. It also served as the dining room with enough tables to accommodate the current census of 28 residents on the unit. Several of the tables were pushed together and served as the group activity tables as well as dining room tables. There were couches in the back of the common area. There were 17 residents in the common area at this time, and there were no…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-05 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to fill out a grievance regarding missing items for 1 of 2 residents interviewed for missing items. (Resident 92) Findings include: An interview conducted with Family Member 9 on 05/30/24 at 12:18 p.m., indicated Resident 92 was missing her bottom dentures since 5/28/24 and a pair of tennis shoes since 5/14/24. Family Member 9 indicated that she reported both of these missing items to the Dementia Care Director on 5/28/24. An interview conducted with Dementia Care Director on 06/03/24 at 12:14 p.m., indicated that she was made aware of the missing items for Resident 92 by Family Member 9 and she, as well as other staff, had been looking for them. She indicated that she was not sure if a grievance was filled out. She indicated that she did not fill out a grievance because she was new and did not know the policy about filling out a grievance for a resident. An interview conducted with Executive Director (ED) on 06/03/24 12:19 p.m., indicated that anyone can fill out a grievance. That included residents, family, or staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-05 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review the facility failed to prevent sexual abuse of two residents (Resident C and Resident F) perpetrated by (Resident E) and failed to prevent verbal abuse for (Resident B) for 3 of 5 residents reviewed for abuse. Findings include: 1. During an observation and interview with CNA 13 on 5/30/24 at 12:57 p.m., indicated she was 1:1 with Resident E because he had touched Resident C inappropriately. Resident E was lying in bed and talked with me but was unable to be understood. During an interview with Resident C on 5/30/24 at 1:50 p.m., indicated about a month ago Resident E grabbed her right breast while she was sitting at the nursing station. It did not bother her that much because she felt like he did not know what he was doing, but it was disrespectful. The resident indicated the Executive Director and Social Services had talked with her about the incident. Review of the incident report provided by the Executive Director (ED) on 6/3/24 at 10:00 a.m., indicated Resident E extending his hand out and made contact with Resident C on 4/29/24.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-05 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, observation, and record review, the facility failed to ensure a resident had compression stockings in place without wrinkles for 3 of 4 observations of Resident 94's compression stockings. Findings include: The clinical record for Resident 94 was reviewed on 6/4/2024 at 11:00 a.m. The medical diagnosis included heart failure. A physician order for 94, dated 4/29/2024, indicated to place thigh high bilateral lower extremity TED hose (compression stockings) in the morning and remove them at night. A care plan intervention, dated 3/29/2024, indicated for Resident 94 to utilize bilateral thigh high TED hose in the morning and remove them at night. An observation and interview on 5/31/2024 at 11:25 a.m. indicated that Resident 94 was sitting in his wheelchair at this time. He was wearing a pair of white compression stockings. The stockings were noted to be wrinkled at the knee joints on both legs. Two additional wrinkles were noted to the left stocking at about a third of the way between the ankle and knee and halfway between the ankle and knee. An additional wrinkle…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · Dcited before2024-06-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, observation, and record review, the facility failed to implement a fall intervention of a sign in Resident 88's room to encourage the use of a call light for a resident with a moderate fall risk and recent history of a fall for 1 of 2 residents reviewed for falls. Findings include: The clinical record for Resident 88 was reviewed on 6/4/2024 at 1:30 p.m. The medical diagnosis included malignant neoplasm of the kidney. A Significant Change Minimum Data Set Assessment, dated 5/2/2024, indicated that Resident 88 was cognitively intact. A fall risk assessment, dated 4/25/2024, indicated that Resident 88 was at moderate risk for falls. A fall intradisciplinary note, dated 5/20/2024, indicated that Resident 88 had a fall on 5/19/2024 with an intervention put in place of a sign in room to encourage resident to use his call light for assistance. A fall care plan intervention, dated 5/20/2024, indicated for Resident 88 to have a sign in his room to encourage resident to use a call light for assistance. An observations and interview with Resident 88, on 5/20/2024,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-06-05 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to provide adaptive eating equipment, fortified juice, and whole milk to 3 of 6 residents reviewed for nutrition. (Residents 6, 58, and 65) Findings include: 1. The clinical record for Resident 58 was reviewed on 5/31/24 at 11:40 a.m. Her diagnoses included, but were not limited to, dementia, severe protein calorie malnutrition, and dysphagia. The 5/23/24 Follow Up Nutrition Review indicated the current nutrition prescription was a regular diet with divided plate and cup with lid for hot beverages and fortified juice at all meals. It read, Trending weight loss has occurred at 30, 90, and 180 days. The physician's orders indicated for her to be served a regular diet and read, Special Instructions: Large entree at dinner. Divided plate and cup with lid for hot beverages. Fortified juice with all meals, starting 5/24/24. The 4/16/21 nutritional status care plan indicated she had unintended weight loss and a BMI (body mass index) less than 22 due to pain with swallowing causing decreased oral intake. Approaches were…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and record review the facility failed to provide oral care for a dependent resident and nail care for a dependent resident for 2 of 5 residents reviewed for Activities Of Daily Living (ADL) (Resident 49 and Resident 27). Findings include: 1.) During an observation on 5/03/23 at 12:24 p.m., Resident 49's teeth were dirty and had a thick film over her teeth, with mouth odor when speaking. During an observation on 5/4/23 at 12:00 p.m., Resident 49 was sitting in front of the nursing station, the resident smiles and has a thick film with white substance between her teeth. Review of the record of Resident 49 on 5/8/23 at 11:40 p.m., indicated the resident's diagnoses, included but were not limited to, Alzheimer's disease, dementia, depression and hypertension. The plan of care for Resident 49, dated 3/16/23, indicated the resident required assistance with ADL's. The interventions included, but were not limited to, assist with oral care twice a day. The admission Minimum Data (MDS) assessment for Resident 49, dated 3/21/23, indicated the resident was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-05-09 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to assess and document abrasions on a cognitively impaired resident. This affected 1 of 2 residents reviewed for non-pressure related skin conditions. (Resident 73) Findings include: On 5/03/23, at 12:30 p.m., Resident 73 was observed to have three abrasions on the back of his left hand. A family member, sitting with the resident, indicated she didn't know how it happened. On 5/05/23, at 9:46 a.m., Resident 73 sat in the activity/dining area, fully dressed, in a wheelchair with foot rests. He was confused and spoke few words. The scratched areas on his left hand were fading. Resident 73's record was reviewed on 5/05/23 at 10:05 a.m., and indicated diagnoses that included, but were not limited to, Alzheimer's disease, dementia, generalized muscle weakness, need for assistance with personal care, and history of transient ischemic attacks. An admission Minimum Data Set (MDS) assessment, dated 1/17/23, indicated Resident 73 was severely impaired in cognitive skills for daily decision making, had no behaviors, and no…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-09 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 assess and implement an intervention for a resident with bilateral hand contractures for 1 of 2 residents reviewed for limited range of motion (Resident 27). Finding include: During an observation on 5/03/23 at 2:04 p.m., Resident 27 was laying in bed his left and right hand contractures, the resident had no splint or device in his hands. During an observation on 5/04/23 at 10:05 a.m., Resident 27's left and right hand contractures with no splint in place or device in place. Resident 27's fingernails were long. During an observation on 5/5/23 at 12:06 p.m., Resident 27 was sitting in the dining room with right and left contractures with no splint or device in place. Resident 27's fingernails were long. Review of record of Resident 27 on 2/9/23 at 12:50 p.m., indicated the resident's diagnoses included, but were not limited to, dementia, Parkinson's disease, quadriplegia, hypertensive heart disease, neurocognitive disorder with Lewy bodies, anxiety, age related physical debility, right and left hand contracture,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-05-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to promote an environment to safeguard potentially hazardous chemicals by leaving a bottle of covid reagent solution on Resident 58's table for 1 of 1 residents reviewed for accidental hazards. (Resident 58) Findings include: The clinical record for Resident 58 was reviewed on 5/5/2023 at 11:43 a.m. The medical diagnoses included schizophrenia and cataracts. An Annual Minimum Data Set Assessment, dated 3/16/2023, indicated that Resident 58 was cognitively intact. An interview on 5/4/2023 at 11:48 a.m. indicated that a few months ago, a nurse put covid reagent solution into her eyes after a cataract surgery. She indicated the nurse came in, sat a medicated nose spray and what the resident believed was her eye drops in front of her then the nurse went around to give her roommate medicine. The nurse then came back and administered the solution to Resident 58's eyes, which the nurse then stated was covid solution. A written statement from RN 1 indicated on 12/27/2022, that she went into Resident 58's room with her nasal spray and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-05-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, observation, and record review, the facility failed to ensure that urinary catheter tubing remained off of the floor for Resident 32 while sitting in the wheelchair for 1 of 3 residents reviewed for urinary catheters. (Resident 32) Findings included: The medical record for Resident 32 was reviewed on 5/8/2023 at 1:22 p.m. The medical diagnosis included obstructive uropathy and weakness. A Significant Change of Condition Minimum Data Set Assessment, dated for 2/13/2023, indicated that Resident 32 was cognitively intact and needed extensive assistance of two staff members for toileting tasks. A urinary catheter care plan for Resident 32, dated 1/12/2023, indicated to not allow the tubing or drainage system to contact the floor. An observation on 5/3/2023 at 12:45 p.m. indicated that Resident 32 was sitting in her wheelchair in her room with her urinary catheter tubing contacting the ground. An observation on 5/3/2023 at 2:30 p.m. indicated that Resident 32's spouse was propelling her in the wheelchair in the common hallway with her urinary catheter tubing touching…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-09 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
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 ensure a physician order for parenteral fluids had the correct route and included a rate and failed to document total volume of fluids infused for Resident 6 for 1 of 1 reviewed for parenteral fluids. (Resident 6) Findings included: The clinical record for Resident 6 was reviewed on 5/5/2023 at 11:02 a.m. The medical diagnoses included chronic kidney disease and endometrial cancer. A Significant Change of Condition Minimum Data Set Assessment, dated 2/14/2023, indicated Resident 6 had a mild cognitive impairment. A provider progress note, dated 5/2/2023, indicated that Resident 6 was having gastrointestinal upset related to her radiation treatment and that a fluid bolus of normal saline would be administered at 50 milliliters an hour (ml/hr) for a total of 500 ml (an anticipated run time of 10 hours). A nursing progress note, dated 5/2/2023 at 2:25 p.m., indicated that Resident 6 had a subcutaneous button placed. A subcutaneous button is an indwelling subcutaneous catheter used for administration of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-09 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure 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 interview and observation, the facility failed to follow dietary menus as written for 2 of 5 meals observed. Findings include: The lunch menu for 5/3/2023, indicated the meal would consist of cream of potato soup, saltine crackers, chicken salad fruit plate, a blueberry muffin, and butter. An observation and interview with Resident 95 on 5/3/2023 at 12:02 p.m., indicated that she was served cream of potato soup, grilled cheese, and canned pineapple. She indicated that her meal was missing her muffin and chicken salad. She stated that it is hit and miss with the kitchen, that sometimes they are good about making sure they give you what is on the menu and sometimes it is bad. An observation and interview with Resident 32 on 5/3/2023 at 1:14 p.m., indicated the lunch meal consisted of cream of potato soup, canned pineapple, and a grilled cheese sandwich. She stated that she did not get the chicken salad fruit plate nor muffin and that that the kitchen does not serve what is ordered. An observation and interview with Resident 52 on 5/3/2023 at 1:42 p.m. indicated that she was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-05-09 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to accurately complete a weekly skin assessment for 1 of 36 residents reviewed for complete and accurate records. (Resident 73) Findings include: Resident 73's record was reviewed, on 5/4/23, at 2:04 p.m. The record indicated Resident 73 had diagnoses that included, but were not limited to, stroke, dementia, type 2 diabetes mellitus, weakness and generalized muscle weakness. A Significant Change Minimum Data Set assessment, dated 3/9/23, indicated Resident 73 was moderately cognitively impaired, required set up and supervision for activities of daily living, was not at risk for developing pressure ulcers, and had no pressure ulcers. A care plan was in place, dated 4/26/2023, with a problem that resident has impaired skin integrity due to pressure wound to left buttock. She is at risk for skin breakdown due to impaired tissue perfusion from type 2 diabetes, history of wound to coccyx, and decline in mobility due to stroke. A progress note, dated 4/26/2023 at 2:27 p.m., indicated: Res (resident) noted to have new pressure ulcer…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to AMERICAN SENIOR COMMUNITIES — 90 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.9 | -0.9 vs chain |
| Health inspection | 3 of 5 | 3.4 | -0.4 vs chain |
| Staffing | 3 of 5 | 2.3 | +0.7 vs chain |
| Quality measures | 3 of 5 | 4.7 | -1.7 vs chain |
The other 89 homes this chain runs (chain average 3.9★, per CMS)
Showing 40 of 89; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| CSE RICHMOND LLC | Organization | 5% OR GREATER SECURITY INTEREST; ADP OF THE SNF | since 01/01/2012 |
| CHIES, STEVEN | Individual | MANAGING CONTROL - GOVERNING BODY | since 03/17/2016 |
| JACKSON, BLAKE | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2012 |
| JACKSON, ETHAN | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2012 |
| JACKSON, MARK | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2012 |
| JACKSON, MICHAEL | Individual | MANAGING CONTROL - GOVERNING BODY | since 05/14/2024 |
| JACKSON, WESSLEY | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2012 |
| JUSTICE, DAVID | Individual | MANAGING CONTROL - GOVERNING BODY | since 01/01/2012 |
| KELSEY, DONNA | Individual | MANAGING CONTROL - GOVERNING BODY | since 07/18/2024 |
| STITLE, STEPHEN | Individual | MANAGING CONTROL - GOVERNING BODY | since 03/16/2016 |
| WRIGHT, THERESSA | Individual | MANAGING CONTROL - GOVERNING BODY | since 05/21/2021 |
| DOUCET, KELLY | Individual | CORPORATE DIRECTOR | since 02/03/2025 |
| DRUMMER, CARL | Individual | CORPORATE DIRECTOR | since 01/01/2017 |
| FISCH, GARY | Individual | CORPORATE DIRECTOR | since 01/01/2025 |
| HANIFY, THOMAS | Individual | CORPORATE DIRECTOR | since 01/01/2022 |
| HORN, BRENDA | Individual | CORPORATE DIRECTOR | since 12/01/2023 |
| LAZARD, ROBERT | Individual | CORPORATE DIRECTOR | since 01/29/2021 |
| O'BRIEN, MICHAEL | Individual | CORPORATE DIRECTOR | since 02/03/2025 |
| BABCOCK, PAUL | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 09/30/2020 |
| CAINE, VIRGINIA | Individual | CORPORATE OFFICER | since 01/10/1994 |
| GODDARD, NICHOLE | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 07/11/2022 |
| HARRIS, LISA | Individual | CORPORATE OFFICER | since 12/22/2003 |
| SIMPSON, JAMES | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 08/06/2023 |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2012 |
| THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2012 |
| ALCORN, KARI | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/22/2026 |
| BYRD, JULIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 11/15/2021 |
| DICE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2023 |
| SHANE, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/01/2023 |
| SMITH, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/17/2022 |
| VAN CAMP, STEVEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2023 |
CMS files one row per role, so the 41 rows in the source record cover these 31 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.
3 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.
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 $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in IN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155230. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-29, 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.