Wellbrooke Of South Bend
52565 State Road 933, South Bend, IN 46637 · Government - County · 70 certified beds · (574) 247-7044 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- it has 1 actual-harm citation
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 fell from 4 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 | 7.0% | 11.0% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.1% | 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 | 0.0% | 1.1% | 2.0% | better |
| Long-stay residents with depressive symptoms | 7.5% | 25.2% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 10.8% | 3.9% | 3.3% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 15.2% | 23.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.4% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.5% | 3.6% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 23.5% | 23.3% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 37.3% | 13.6% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 99.0% | 79.0% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.3% | 22.2% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 11.3% | 10.8% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 0.77 | 1.61 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.63 | 1.44 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
62.4% 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 245 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 82.6% 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 178 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 0.74 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 62.4%CMS range 56.3–67.0 | 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 | 11.2%CMS range 8.3–14.2 | 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 | 82.6% | 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 | 79.2% | 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 | 73.6% | 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 | 100.0% | 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 | 100.0% | 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 | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.4% | 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 | 5.2%CMS range 3.0–8.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.98 | 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 70 beds and averages 46.5 residents a day — about 66% occupied, or roughly 24 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.31 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.94 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 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 3.82 hrs/resident/day on weekends vs 4.51 on weekdays — 15% thinner on weekends. RN hours go from 0.99 to 0.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 41% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
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.
17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.
- Actual harm · Gcited before2025-06-25 · 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 observation, interview and record review, the facility failed to ensure a CNA (Certified Nursing Aide) followed the resident's comprehensive care plan regarding fall prevention for 1 of 3 residents reviewed for falls. (Resident B) This resulted in the resident falling to the floor, fracturing both femurs (thigh bones) and required surgical repair of the fractures and hospitalization after the staff member left the resident seated on the side of their bed, without supervision. (Resident B) Finding includes: A facility self-reported incident #300, dated 5/30/25 at 10:39 A.M., indicated Resident B was .sitting on bed and attempted to transfer unassisted and fell on her side. Resident was immediately assessed by nurse and pain in torso was reported .order received to send to ED [Emergency Department] X-rays show acute displaced longitudinal oblique fracture of the distal diaphysis and distal metaphysis of the femur with a mild amount of hemorrhage at the fracture site On 6/26/25 at 10:22 A.M., Resident B was not observed in her room, the bed had been made, and a mat was folded…
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 before2026-04-20 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident's dignity was maintained related to a staff member making a disrespectful comment to a resident for 1 of 1 resident reviewed for dignity. The deficient practice was corrected on 2/21/26, prior to the start of the survey, and was therefore past noncompliance. (Resident 34)Finding includes: An IDOH (Indiana Department of Health) Facility Reported Incident (FRI), dated 2/14/26, indicated a family member of Resident 34 came to visit, and as he was walking up to the resident, he overheard CNA 5 telling her to shut up. The resident was moved to a safe place, and the CNA was suspended and escorted out of the building pending an investigation. On 4/14/26 at 11:30 a.m., Resident 34 was observed seated in her wheelchair near the nurse's station. The resident was talking to herself, leaning over in her chair and fidgeting. On 4/14/26 at 3:32 p.m., the resident was observed in her recliner in her room. Her feet were elevated and her eyes 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 · D2026-04-20 · tag F0552 — isolatedEnsure 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 ensure a resident's legal guardian was informed of a change in treatment related to psychotropic medication for 1 of 5 residents reviewed for unnecessary medications. (Resident 7) Finding includes: Resident 7's record was reviewed on 4/14/26 at 3:53 p.m. Diagnoses included, but were not limited to, schizophrenia and dementia.The Quarterly Minimum Data Set assessment, dated 3/5/26, indicated the resident was cognitively intact. She received antipsychotic medications.A Guardianship Form, dated 2/17/21, indicated Resident 7 was adjudicated as an incapacitated person and was appointed a guardian by the court.A Physician's Order, dated 10/2/25, indicated Haldol (an antipsychotic medication) 1 milligram (mg) daily and 1 mg at bedtime.A Physician's Order, dated 3/4/26, indicated Haldol 2 mg in the morning and 3 mg at bedtime.A Psychotropic Medication Informed Consent Observation, dated 3/5/26 at 12:27 p.m., indicated the resident had an increase in psychotropic medication dose, the medication class was an antipsychotic. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-20 · 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, record review, and interview, the facility failed to ensure residents received the necessary treatment and services related to medications not administered as ordered for 1 of 5 residents reviewed for unnecessary medications. (Resident 30) The facility also failed to ensure physician's orders were followed related to a resident's compression wraps for 1 of 2 residents reviewed for edema. (Resident 7) Findings include:1. Record review for Resident 30 was completed on 4/14/26 at 3:26 p.m. Diagnoses included, but were not limited to, heart failure, hypertension, and orthostatic hypotension. A Physician's Order, dated 3/26/26, indicated to give midodrine (medication to increase your blood pressure) 10 milligrams (mg) three times a day. Hold for systolic blood pressure (SBP, top number of blood pressure reading) greater than 130. The April 2026 Medication Administration Record (MAR) indicated the midodrine was not administered when the blood pressure (BP) was in parameters or administered when the BP was out of parameters on the following dates and times:-4/1/26 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.
- Potential for harm · D2026-04-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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 pressure ulcer treatment was provided as ordered for 1 of 2 residents reviewed for pressure. (Resident 9)Finding includes: Resident 9's record was reviewed on 4/14/26 at 2:14 p.m. Diagnoses included, but were not limited to, Sezary disease (a blood cancer affecting the skin) and severe protein calorie malnutrition. The admission Minimum Data Set assessment, dated 4/11/26, indicated the resident had moderate cognitive deficits and received hospice care.A wound assessment, dated 3/26/26, indicated the resident had a deep tissue injury (DTI, pressure injury) to his right heel. A Physician's Order, dated 4/11/26, indicated to gently cleanse and dry the right heel, apply skin prep to the surrounding wound. Collagen to the wound bed, Xeroform to the wound and wrap with Kerlix every Monday, Wednesday, and Friday. On 4/15/26 at 3:10 p.m., the Wound Nurse was observed performing the wound treatment to the resident. She washed the wound with wound cleanser and patted dry, she then applied the collagen 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 before2026-04-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure fall interventions were care planned for and/ or in place for a resident with a history of falls for 1 of 1 resident reviewed for accidents. (Resident 34)Finding includes: Resident 34's record was reviewed on 4/15/26 at 10:00 a.m. The resident was admitted to the facility on [DATE]. Diagnoses included, but were not limited to, vascular dementia with behavioral disturbance, disorientation and fracture of the femur neck.The admission Minimum Data Set assessment, dated 2/10/26, indicated the resident had significant cognitive impairment, a history of falls and required partial to moderate assistance for bed mobility, toileting and transfers.An IDOH (Indiana Department of Health) Facility Reported Incident (FRI), dated 2/27/26, indicated the resident was attempting to ambulate in her room and sustained a fall. The resident was transported to the hospital for evaluation and found to have a fracture of her left femoral neck. Upon return,…
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 before2026-04-20 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure infection control guidelines were followed related to a nurse touching a resident's medications with ungloved hands during a medication pass observation for 1 of 5 residents observed during medication pass. (Resident 59, LPN 1)Finding includes: On 4/16/26 at 10:09 a.m., LPN 1 was observed preparing Resident 59's medications. She indicated the spironolactone (a diuretic) was going to be held because the resident's blood pressure was below the ordered parameters. She tore open the plastic pouch that contained four tablets and poured them into her ungloved hands. She picked up each pill and placed it in a medicine cup, then she picked up the spironolactone and disposed of it. She then gave the resident his pills. During an interview immediately following, the LPN was made aware she had handled the resident's pills with ungloved hands. There was no additional information provided.During an interview on 4/16/26 at 11:50 a.m., the Clinical Support Nurse and Director of Nursing were made aware of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-11 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to notify a resident's responsible party when a urinary catheter had become dislodged and was replaced, for 1 of 3 residents reviewed for hospice care, (Resident B). Finding Includes:On 12/10/25 at 10:00 A.M., Resident B's clinical record was reviewed. The resident was admitted to the facility from home under hospice services for 6 days of respite care. Diagnoses included but were not limited to degenerative disease of the nervous system, senile degeneration of the brain, dementia, Alzheimer's disease, hypertension, and chronic kidney disease. Resident B's MDS (Minimum Data Set) assessment dated [DATE] for Discharge Assessment, indicated the resident had severe cognitive impairment. The resident had a catheter and was frequently incontinent of bowel. A Nursing Progress Note, dated 11/21/25 at 6:50 P.M., indicated Resident B had stood up from her wheelchair and pulled her urinary catheter out. The Hospice company was called and indicated they would send…
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 · D2025-06-25 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based an observation, interview and record review, the facility failed to ensure 3 of 5 staff members (CNA 4, 5 and 6) reviewed followed fall protocols after a resident experienced a fall for 1 of 3 residents reviewed for falls. (Resident C) Finding includes: A facility self-reported incident, #301, dated 6/4/25 at 6:57 A.M., indicated Resident C was .lowered to the floor after sitting on edge of the wheelchair and not able to sit back .Nurse immediately made the resident comfortable and assessed resident she had complaint of left knee pain .Dr [doctor] ordered x rays in house and they were inconclusive. Facility sent to local ED [Emergency Department] for x rays to confirm or deny a fracture Under the portion of the form, titled Type of injury, added on 6/6/25 was acute fracture of the femoral metaphysis [wide part of the thigh bone) with displacement. (When a fracture is displaced, it means that the broken ends of the bone are not aligned correctly and have shifted our of their normal pattern) A form titled, Statement of Witness Form, dated 6/4/25 and documented by CNA 4 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 · Ecited before2025-02-06 · tag F0550 — failed to protect resident dignity and rights — patternHonor 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 interview and record review, the facility failed to have a process for residents to file a grievance anonymously. This had the potential to affect 54 of 54 residents who resided in the facility. Finding includes: During a Resident Council meeting on 1/30/2025 at 10:29 A.M., 8 out of 8 residents did not know how to file a grievance anonymously. On 1/30/2025 at 11:01 A.M., the Executive Director (ED) indicated the facility used an application (app) to allow residents to file a grievance. The app to file a grievance was only accessible on facility computers and tablets. If a resident wanted to file a grievance, the resident had to tell a staff member so the staff member could open the app and give the resident the electronic device. The grievance app did allow, once accessed online, residents to submit anonymously. During an interview on 1/31/2025 at 2:21 P.M., the Life Enrichment Director (LED) indicated she helped residents file grievances. If a resident wanted to file a grievance, the LED opened the grievance app and gave the resident the device. She indicated if only one…
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 · Ecited before2025-02-06 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 serve food in a sanitary manner for 1 of 3 dining rooms observed. This had the potential to affect 9 of 9 residents ate in the dining room. Finding includes: During an observation and interview, on 1/30/2025 at 11:29 A.M., Dietary Aide 4 carried two different residents' plates with her thumb on the eating surface of plate. The dietary aide indicated the residents' plates should have been carried from the bottom surface. During an observation, on 1/30/2025 at 12:05 P.M., Dietary Aides 5 and 6 were observed touching the eating surface of two different residents' plates with their thumbs while serving meals. During an interview, on 1/30/2025 at 12:10 P.M., the Director of Food Service indicated the food servers should have handled the plates from the bottom and not have touched the eating surface of the plate. On 1/30/2025 at 12:48 P.M., the Executive Director (ED) provided a policy titled, Food Production Guidelines - Sanitation and Safety, dated 2009 and indicated the policy was the one currently used by the facility. 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.
Show the remaining 6 citations
- Potential for harm · D2025-02-06 · 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 observations, interviews and record review, the facility failed to proved Activities of Daily Living (ADLs) for a a dependent resident related to shaving for 1 of 4 residents reviewed for ADLs. (Resident 4) Finding includes: During an observation, on 1/31/2025 at 10:15 A.M., Resident 4 had multiple white hairs present on her chin that were approximately a half inch in length. During an observation, on 2/3/2025 at 1:40 P.M. Resident 4 still had multiple white hairs present on her chin over the length of a half an inch. During an observation, on 2/4/2025 at 1:55 P.M., Resident 4 had multiple white hairs on her chin over the length of a half an inch. The clinical record of Resident 4 was reviewed on 2/3/2025 at 12:50 P.M. The resident's diagnoses included, but were no limited to: emphysema, traumatic pneumothorax, wedge compression fracture of thoracic vertebrae, acute on chronic heart failure, paroxysmal atrial fibrillation, pleural effusion, left bundle branch block, presence of automatic cardiac defibrillator, depression and dementia. A Quarterly Minimum Data Set (MDS)…
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 · D2025-02-06 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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 coordination of Hospice care and documentation of care provided was maintained in the facility for 1 of 1 residents reviewed for Hospice care. (Resident 21) Finding includes: A record review was completed for Resident 21 on 2/3/2025 at 8:57 A.M. Diagnoses included, but were not limited to: diabetes mellitus with neuropathy and senile degeneration of the brain. A Physician order, dated 1/9/2025, indicated Resident 21 had been admitted to Hospice. During a review of the Hospice communication book on 2/5/2025 at 11:30 A.M., for Resident 21, the following sections of the binder were blank: comprehensive care plan, physician orders, medication list, narcotic count and visit notes. During an interview on 2/5/2025 at 1:00 P.M., the DON indicated the Hospice book for Resident 21 was missing the medication list, physician orders, comprehensive care plans, narcotic count and assessments. She indicated the book should have had those documents. On 2/6/2025 at 8:50 A.M., the Clinical Support Nurse 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.
- Potential for harm · Dcited before2025-02-06 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review the facility failed to follow standard precautions during the performance of routine testing of blood glucose and the administration of insulin for 1 of 1 reviewed for infection control. (Resident 21) Finding includes: During an observation of a medication administration pass on 2/4/2025 at 11:06 A.M., LPN 3 gathered her supplies from the medication cart and entered Resident 21's room. LPN 3 then donned gloves and proceeded to take the Resident's blood sugar. When she had completed the task, she exited the room with her gloves on, disposed of the supplies and removed the gloves, donned new gloves and cleaned the glucometer. Next, she removed those gloves, opened up the computer and prepared the insulin. LPN 3 then entered Resident 21's room, donned gloves and administered the insulin. At no point did LPN 3 wash her hands or use alcohol based hand rub. During an interview on 2/4/2025 at 11:12 A.M., LPN 3 indicated she should have used alcohol- based hand rub before and after taking the blood sugar and prior to the 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 · Fcited before2024-02-20 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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, record review, and interview, the facility failed to store food under sanitary conditions, related to foods not tightly sealed, outdated foods, and dirty kitchen equipment, for 1 of 1 kitchen observed. This had the potential to affect all residents who resided in the facility and received food from this dietary kitchen. Findings include: On 2/13/2023 at 9:45 A.M., a kitchen tour was conducted with the Dietary Manager (DM). The following was observed in the walk-in cooler: - A bag of carrots in the walk-in cooler with a use by date of 2/9/2024. - A bag of chopped onions with a use by date of 2/11/2024. - A block of cream cheese not sealed tightly. - A bag of mashed sweet potatoes not sealed tightly. - A tray of salad bar items: olives, eggs, onions, cheese, tomatoes, and bacon not sealed appropriately. The following was observed in the walk-in freezer: - A bag of diced meat unlabeled and not sealed. - An opened bag of sliced pepperoni not sealed appropriately. - An opened box of bread sticks not sealed appropriately. - 2 Boxes on the floor. In the dry storage…
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 · E2024-02-20 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 medications were kept in a locked cart when unattended, failed to ensure a medication cart was clean and free from loose medications, failed to put an opened-on date on opened medications, and failed to ensure over the counter medications had resident identifiers, for 2 of 2 medication carts observed. (110 & 100 Hall Medication Carts) Findings include: 1. During a random observation, on 02/15/2024 at 8:27 A.M., the medication cart on the 110 hall was unlocked and unattended. An interview was completed, on 02/15/24 at 8:31 A.M. LPN 3 indicated the medication cart should be locked when unattended. 2. During a medication storage observation of the 110-hall medication cart with LPN 3, on 2/15/2024 at 9:22 A.M., the following was observed: a. A drawer containing resident medications had a large amount of a sticky solution spilled on the sides and bottom of the drawer. b. Five loose pills were sitting on the bottom of a medication drawer. c. The following medications were open but did not contain 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.
- Potential for harm · Dcited before2024-02-20 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview, the facility failed to ensure proper infection control practices were implemented, related to lack of changing gloves and handwashing during peri-care for 1 of 1 resident observed for peri-care and failed to ensure that a blood glucose was completed in a sanitary manner for 1 of 1 resident observed for glucometer use. (Residents 31 and 30) Findings include: 1. On 2/16/2024 at 10:46 A.M., a peri care observation for Resident 31 was conducted with CNA 4 and CNA 6. Resident 31 was observed on the toilet. Both CNA 4 and CNA 6 were properly gloved during care. CNA 4 wiped the resident after having a bowel movement, and pulled up his brief. CNA 4 preceded to position the resident in his wheelchair and fix his clothing, all while still wearing the same gloves. CNA 4 removed her gloves and disposed of them in the bathroom trash and wheeled the resident out of his room to the common area. During an interview, on 2/26/2024 at 10:56 A.M., CNA 4 indicated she should have removed her gloves and washed her hands before interacting with the resident. 2. During…
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 TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 4.2 | -0.2 vs chain |
| Health inspection | 3 of 5 | 3.5 | -0.5 vs chain |
| Staffing | 4 of 5 | 3.3 | +0.7 vs chain |
| Quality measures | 5 of 5 | 4.8 | +0.2 vs chain |
The other 122 homes this chain runs (chain average 4.2★, per CMS)
Showing 40 of 122; 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 | Share | Since |
|---|---|---|---|---|
| HANCOCK REGIONAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 07/01/2015 |
| BOND, MARIA | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 07/01/2021 |
| CLARK, TIMOTHY | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 05/01/2015 |
| DAUGHERTY, JOSHUA | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2020 |
| FELKER, DEAN | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 05/01/2015 |
| JOYNER, SARA | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 01/01/2022 |
| MILLER, JAMES | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 12/31/2023 |
| WILLARD, LACEY | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 07/01/2022 |
| WILSON, ROY | Individual | MANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNF | — | since 05/01/2015 |
| LONG, STEVEN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 06/13/2022 |
| LCS SOUTH BEND LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2015 |
| TRILOGY MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2015 |
| DUPRE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/15/2025 |
| STEINHAUS, KARL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/20/2023 |
| BARNEY, LEIGH | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/01/2025 |
| DAVIS, DAVID | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 08/01/2025 |
| AMERICAN HEALTHCARE REIT HOLDINGS LP | Organization | ADP OF THE SNF | — | since 12/01/2015 |
| AMERICAN HEALTHCARE REIT INC | Organization | ADP OF THE SNF | — | since 10/01/2018 |
| CONTINENTAL MERGER SUB LLC | Organization | ADP OF THE SNF | — | since 10/01/2021 |
| GAHC3 TRILOGY JV LLC | Organization | ADP OF THE SNF | — | since 12/01/2015 |
| GAHC4 TRILOGY JV LLC | Organization | ADP OF THE SNF | — | since 10/01/2018 |
| PARAGON OUTPATIENT REHABILITATION SERVICES LLC | Organization | ADP OF THE SNF | — | since 12/01/2015 |
| TRILOGY INVESTORS LLC | Organization | ADP OF THE SNF | — | since 12/01/2015 |
| TRILOGY REAL ESTATE INVESTMENT TRUST | Organization | ADP OF THE SNF | — | since 12/01/2015 |
| TRILOGY REIT HOLDINGS LLC | Organization | ADP OF THE SNF | — | since 12/01/2015 |
| WELLTOWER INC | Organization | ADP OF THE SNF | — | since 12/01/2015 |
CMS files one row per role, so the 37 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted.
13 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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. 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
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 155824. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-20, 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.