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Medicalodges Arkansas City

203 E Osage Avenue, Arkansas City, KS 67005 · For profit - Corporation · 45 certified beds · (620) 442-9300 Medicare & Medicaid certified

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Flagged for abuseBehavioral-health or dementia-care citations — no harm found (F0740, F0758)3 immediate-jeopardy citations1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$72,592 in federal fines1 Medicare payment denial
Insights

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

Worth asking about
  • CMS has flagged it for abuse
  • it has abuse, neglect, or exploitation citations (F0600, F0609, F0610) — most recent Jun 2025
  • inspectors cited 3 immediate-jeopardy problems — the most serious level
  • 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 (35) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $72,592 in federal fines (most recent 2025-06-26)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • nursing-staff turnover (74%) runs well above the national median (45%)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 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, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
510 W Radio Ln · (620) 442-2100 · Call to confirm hours
Pharmacy
Walgreens0.3 mi
2100 N Summit St · (620) 441-0283 · Call to confirm hours
Grocery
1501 N Summit St · (904) 241-7535 · Call to confirm hours
Park
300 E Poplar Ave · (620) 441-4470 · Typically dawn to dusk
Place of worship

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 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 held steady at 1 stars. From monthly CMS archive snapshots.

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

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased18.4%17.9%15.4%worse
Long-stay residents who lose too much weight8.1%4.9%5.4%worse
Long-stay residents with a catheter left in their bladder0.7%1.6%0.9%better
Long-stay residents with a urinary tract infection0.7%2.9%2.0%better
Long-stay residents with depressive symptoms3.7%6.5%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury10.1%4.3%3.3%worse
Long-stay residents whose ability to walk worsened12.6%16.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.7%23.2%18.9%better
Long-stay residents given the seasonal flu vaccine94.9%95.5%95.3%typical
Long-stay residents with pressure ulcers2.2%4.4%4.7%better
Long-stay residents with worsening bladder/bowel control19.8%22.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table31.1%18.1%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.9%1.4%better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

51.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

51.1%U.S. median 51.5%
Got home and stayed home
10.3%U.S. median 10.7%
Went back to hospital
0.07U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.03hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

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

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF51.1%CMS range 39.7–62.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.3%CMS range 7.0–14.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.161.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.59
RN hours/ resident / day
0.52
LPN hours/ resident / day
2.79
Aide hours/ resident / day
3.90
Total nurse hours/ resident / day
0.30
RN hoursweekends
73.5%
Total nursing turnover
77.8%
RN turnover

How full it usually is: this home is certified for 45 beds and averages 36.3 residents a day — about 81% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.79 is at or above 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 3.39 hrs/resident/day on weekends vs 4.11 on weekdays — 17% thinner on weekends. RN hours go from 0.71 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 74% is well above 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

13
deficiencies at the latest standard inspection (2025-06-26)
12
at the previous standard inspection (2023-10-10)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

35 citations, most serious first. The 15 most serious are shown; the remaining 20 are one tap away and print in full.

  • Immediate jeopardy · Kcited before2025-04-10 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 41 residents, including 11 female residents with moderate to severe cognitive impairment. The sample included 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to report allegations of resident-to-resident abuse to the Licensed Nursing Home Administrator (LNHA), State Agency (SA) and/or Law Enforcement (LE) as appropriate when Resident (R) 1 repeatedly touched cognitively impaired female residents, R2 and R3, and displayed sexual behaviors such as masturbating in the presence of other residents. On 01/25/25 R1 grabbed R3's breast. The facility placed R1 on one-to-one with staff and sent the resident to an acute behavioral facility, but did not implement interventions to prevent further resident-to-resident abuse when R1 returned on 02/22/25 other than a medication for sexual aggression. The facility failed to notify LE. On 03/01/25 staff observed R1 rubbing the leg of an unidentified female resident. On 03/05/25 R1 grabbed…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Kcited before2025-04-10 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 41 residents and 11 female residents with moderate to severe cognitive impairment. The sample included 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to immediately implement protective measures to prevent further potential abuse, after an allegation of resident-to-resident abuse and further failed to conduct thorough investigations when Resident (R) 1 repeatedly touched cognitively impaired female residents, R2 and R3, and displayed sexual behaviors such as masturbating in the presence of other residents. On 01/25/25 R1 grabbed R3's breast. The facility placed R1 on one to one with staff and sent the resident to the acute behavioral facility but did not implement interventions to prevent further resident to resident abuse when R1 returned on 02/22/25 other than a medication for sexual aggression. On 03/01/25 staff observed R1 rubbing the leg of an unidentified female resident. The facility did not implement interventions…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2025-04-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 41 residents with 13 residents reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse when on 01/25/25 Resident (R)1 grabbed R3's breast, and the facility failed to place any interventions to protect R3 and other residents from R1's unwanted sexual advances and touching. The facility placed R1 on a one-to-one with staff and sent the resident to a geriatric psychiatric (geri-psych) facility but did not implement interventions to prevent further resident-to-resident abuse when R1 returned on 02/22/25 other than medication for sexual aggression. On 03/01/25 staff observed R1 rubbing the leg of an unidentified female resident. The facility did not implement interventions in response to this incident. On 03/05/25 R1 grabbed R2's breast and staff directed R1 to his room but did not implement interventions to prevent further sexual contact. On 03/10/25 the facility placed R1 on visual…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2025-06-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 40 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to ensure residents remained free from resident-to-resident sexual abuse when Resident (R) 1, who had a history of inappropriate sexual behaviors, exposed his genitals to R9, a cognitively impaired resident. This deficient practice resulted in the residents being at risk for impaired psychosocial well-being including fear and embarrassment, and risk for ongoing sexual abuse. Findings included: - R1's Electronic Medical Record (EMR) revealed the following diagnoses: schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), delusions (untrue persistent belief or perception held by a person although evidence shows it was untrue), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). R1's 12/06/24 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of 15,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-09-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 38 residents with six residents selected for review, including three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to ensure staff used a gait belt while assisting Resident (R)1 in the shower room on 07/22/24. R1 was no longer to bear weight and required staff to assist him to the floor. R1's leg was underneath him, which resulted in a left ankle fracture (broken bone). Findings included: - The Medical Diagnosis tab for R1 included diagnoses of muscle weakness, other abnormalities of gait and mobility, hemiplegia (paralysis of one side of the body) affecting the left nondominant side, cerebral infarction (stroke- damage to tissues in the brain due to a loss of oxygen to the area), and nondisplaced oblique fracture (bone broken at an angle) of the shaft of the left fibula (one of the two bones of the lower leg). The admission Minimum Data Set (MDS) dated [DATE], assessed R 1 with a Brief Interview of Mental Status (BIMS)…

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

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2025-06-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents, one main kitchen and one kitchenette. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food-borne bacteria. This placed the residents at risk for foodborne illness. Findings included: - During an initial tour of the kitchen on 06/24/25 at 03:39 PM, the following areas of concern were noted: 1. The stationary can opener had a sticky, thick substance covering the entire can opener. 2. Two machines utilized to puree food had dried food and liquids. 3. The inside and outside of the microwave oven had dried on foods and liquids. 4. Four cutting boards had deep grooves making them unsanitizable. 5. The front of the white cabinet doors and upper cabinet doors throughout the kitchen had dried on food and liquids. The handles to the cabinets contained a build-up of a sticky substance. 6. The inside of the cabinets which contained plastic pitchers, equipment parts, and other kitchen supplies rested directly on the bottom of the cabinets which…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-06-26 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents. The sample included 14 residents. Based on interviews, record reviews, and observation, the facility staff failed to implement adequate and acceptable infection control practices related to laundry services. This deficient practice placed the residents at risk for infections. Findings included: - During an observation on 06/24/25 at 02:56 PM, residents' clean clothes were carried by a hanger down the hall, uncovered, and placed in a resident's room by laundry staff. During an observation on 06/25/25 at 10:13 AM, staff carried resident clothes on a hanger down the hallway, uncovered. During an observation on 06/30/25 at 12:05 PM, observed in the soiled laundry storage there was a barrel with soiled laundry in and no cover, and there was soiled laundry sitting in the open on a covered transport bin. During an observation on 06/30/25 at 12:10 PM, the washing room, next to a washer, had a parked housekeeping cart, also observed were dirty mop buckets sitting on the drainage grate behind the washers. During an observation on 06/30/25 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-06-26 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to maintain a clean, comfortable, and homelike environment in two of the three resident halls including the shower room on Hall A and Hall B as well as one supply storage room on Hall A which placed the residents at risk of unsanitary living conditions. Findings included: - During an environmental tour on 06/30/25 at 08:49 with Hskp/Maintenance U, the following concerns were noted: Hall A The shower room window had a build-up of dust, debris, and dead bugs. A four-tiered metal cart used to hold clean towels, wash clothes and toiletries had multiple areas of rust. The toilet seat was discolored and had several gouged areas on the seating surface. A storage room had two boxes resting directly on the floor. One unopened box contained urinary catheter (a flexible tube inserted into the bladder to drain urine) supplies. One opened box contained various wound supplies including assorted dressings, tape, and measuring devices. Hall B The shower room window had a build-up…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-26 · tag F0730 — pattern
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    The facility reported a census of 40 residents. Based on interviews and record review, the facility failed to complete an annual performance review at least once every 12 months for one of the five Certified Nurse Aides (CNA) reviewed, CNA M, placing the affected residents at risk for decreased quality of care. Findings included: A review of five employee personnel files, employed by the facility for greater than one year, revealed the following: CNA M's personnel file revealed she was hired on 12/13/23. Her file lacked an annual performance review. On 06/26/25 at 09:45 AM, Administrative Staff A stated the facility had not completed an annual evaluation for CNA M. The facility policy for Performance Reviews, undated, included: Full and part-time employees shall receive a formal, written evaluation on an annual basis.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents; the sample included 14. Based on observation, interview, and record review, the facility failed to complete an accurate Minimum Data Set (MDS) for Resident (R)1, regarding antidepressants (medications used to treat symptoms of depression, a mood disorder that can cause persistent sadness, loss of interest in activities, and difficulties with daily functioning) medication. This placed the resident at risk for impaired care due to unidentified care needs. Findings included: - R1's Electronic Medical Record (EMR) included the following diagnoses: schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) and delusional disorders (untrue persistent belief or perception held by a person although evidence shows it was untrue). R1's Annual Minimum Data Set (MDS), dated [DATE],…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents; the sample included 14 residents. Based on observation, record review, and interview, the facility failed to complete a comprehensive care plan for Resident (R)23, regarding Black Box Warnings (BBW), placing the resident at risk for inadequate care due to uncommunicated care needs. Findings included: - R23's Electronic Medical Record (EMR) included psychotic disorder with delusions (significant impairment in an individual's perception of reality, leading to the presence of false beliefs that are not based in reality) and high-risk behaviors (actions that significantly increase the likelihood of experiencing negative consequences). R23's admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of three, indicating severe cognitive impairment. The resident did not receive any high-risk medication during the assessment period. The Psychotropic Drug Use Care Area Assessment (CAA), dated 01/21/25, did…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-26 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 40 residents. The sample included 14 residents. Based on observation, interview, and record review, the facility failed to revise Resident (R) 3's Care Plan with the interventions to prevent further weight loss. This deficient practice placed the resident at risk for continued weight loss due to uncommunicated care needs. Findings: - R3's Electronic Medical Record (EMR) revealed the following diagnoses: unspecified psychosis (any major mental disorder characterized by a gross impairment in reality perception), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) R3's 07/26/24 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of five, indicating severely impaired cognition. The MDS recorded R3's weight was 193 pounds, and she had no known weight loss. R3 consumed a regular textured diet with no eating or swallowing concerns. The 07/26/24 Nutritional Status Care Area…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY - R30's Electronic Medical Record (EMR) revealed a diagnosis of cardiovascular accident (CVA-also known as a stroke, a medical emergency where blood flow to a part of the brain is interrupted, leading to brain cell damage). R30's Annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. He required set-up assistance for mobility in his manual wheelchair. He had impairment on one side of his upper and lower extremities. The Functional Abilities Care Area Assessment (CAA), dated 01/24/25, documented the resident had left upper and lower extremity weakness and decreased safety awareness. Staff were to expect further activity of living (ADL) decline. R30's Quarterly MDS, dated 04/25/25, documented the resident had a BIMS score of 12, indicating moderately impaired cognition. He had upper and lower extremity weakness on one side and was independent with mobility in his manual wheelchair. R30's Care Plan, revised…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 40 residents. The sample included 14 residents with one resident reviewed for urinary tract infections (UTI). Based on observation, record review, and interviews, the facility failed to provide adequate care and services to prevent UTI to the extent possible for Resident (R) 1 when failed to provide incontinence care monitor identify, and report signs and symptoms of ongoing UTI. This placed the resident at risk for ongoing UTI and related complications. Findings included: - R2's Electronic Health Record (EHR) revealed diagnoses of chronic kidney disease (a condition where the kidneys are damaged and can't filter blood properly, leading to a buildup of waste and fluid in the body), unspecified urinary incontinence (involuntary leakage of urine), and irritable bowel syndrome with diarrhea (IBS- abnormally increased motility of the small and large intestines). R2 ' s Annual Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 14,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-26 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility identified a census of 40 residents. The sample included 14 residents with three residents sampled for nutrition Based on observation, interview, and record review, the facility failed to provide care and services to maintain acceptable parameters of nutritional status for Resident (R) 3 when the facility failed to implement interventions and recommendations including providing fortified foods to prevent further loss. This deficient practice placed the resident at risk for continued weight loss. Findings: - R3's Electronic Medical Record (EMR) revealed the following diagnoses: unspecified psychosis (any major mental disorder characterized by a gross impairment in reality perception), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) R3's 07/26/24 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of five, indicating severely impaired cognition. The MDS recorded R3's weight was 193 pounds,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 20 citations
  • Potential for harm · D2025-06-26 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40. There were 14 residents included in the sample. Based on interview, observation, and record review the facility failed to implement effective behavioral interventions for Resident (R) 37 ' s behaviors. This deficient practice placed the resident at risk for mental anguish, social isolation, and impaired quality of life. Findings include: - A review of R37 ' s Electronic Health Record (EHR) revealed diagnoses of anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), severe intellectual disabilities (a significantly below-average score on a test of mental ability or intelligence and limitations in the ability to function in areas of daily life), unspecified mood [affective] disorder (category of mental health problems, feelings of sadness, helplessness, guilt, and wanting to die were more intense and persistent than what may normally be felt from time to time), insomnia (inability to sleep), and impulsiveness (sudden, forceful, irresistible urges to do something). R37 ' s admission Minimal…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-10-10 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility census totaled 29 residents on 3 halls with a commons area where residents gathered for meals and activities. The two medication carts were also parked/stored in the commons area. Based on observation, interview, and record review, the facility failed to secure and provide appropriate storage of medications in the medication cart when both medication carts used by the facility remained unlocked when not in direct line of vision of the nurse and medication aide that passed medications from the two carts. Findings included: - On 10/09/23 at 08:35 AM, Licensed Nurse (LN) G removed an insulin pen from the medication cart. He then walked down the hall and around a corner, not in view of the medication cart. The medication cart was not locked. Interview on 10/09/23 at 08:40 AM, LN G reported he was unaware that he had left the medication cart unlocked. He acknowledged the medication cart should be locked whenever he left the cart. An inspection of the medication cart revealed the cart contained all resident insulins, breathing treatments, and narcotics in a locked box in the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-10-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 29 residents. The facility identified one central kitchen with one dining area. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation and storage of food to prevent the spread of food borne illness to the residents of the facility. Findings included: - Initial tour of the kitchen on 10/04/23 at 12:50 PM with Dietary Staff BB, revealed the following areas of concerns: 1. In the kitchen food preparation area, four of the four cutting boards inspected contained non-cleanable surfaces as evidenced by deep gouges in the material with retained unknown black/brown residue. 2. In the kitchen food service area, two stacks of plates were stored right-side up on the top of the steam table and contained unknown debris on the eating surfaces. 3. In the kitchen food service area, two stacks of plates were stored right-side up in a plate holder, lacked a cover and contained unknown debris on the eating surfaces. 4. In the kitchen food preparation area, the sink identified by Dietary Staff BB for food…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-10-10 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 29 residents. Based on observation, interview, and record review the facility failed to electronically submit to Centers for Medicare and Medicaid Services (CMS) with complete and accurate direct staffing information, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS (i.e. Payroll Base Journal (PBJ), related to licensed nursing staffing information when the facility failed to accurately report 24 hour per day Licensed Nurse coverage on 27 dates between 07/01/22 and 03/31/23. Findings Included: - Review of the Payroll Base Journal (PBJ) Staffing Data Report for fiscal year (FY), Quarter 4 2022 (July 01 thru September 30) revealed a lack of License Nurse (LN) for 24 hours/seven days a week 24 hour/day on the following dates: On 07/02, Saturday (SA), On 07/04, Monday (MO), On 07/07, Thursday (TH), On 07/13, Wednesday (WE), On 07/15, Friday (FR), On 07/22 (FR), On 07/28 (TH), On 08/01 (MO), On 08/03 (WE), On 08/06 (SA), On 08/07, Sunday (SU), On 08/21 (SU), On 08/22 (MO), On 09/13…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-10 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 29 residents with 12 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately assess and determine cognitive status via Brief Interview for Mental Status (BIMS) score on the Minimum Data Set (MDS) for five sampled residents, Resident (R)4, R6, R13, R24 and R25. This deficient practice had the potential to create inaccurate or uncommunicated care needs. Findings include: - Review of the Electronic Health Record (EHR) for R4 documented the Annual Minimum Data Set (MDS), dated [DATE], section B, documented that the resident understands and is understood, and section C documented a BIMS score of six, indicating severe impairment in cognition. Section D documented a completed Patient Health Questionnaire (PHQ-9) interview. Review of R4's Quarterly MDS, dated [DATE], documented Section B that the resident understands and is understood, however, section C documented that the BIMS interview was not completed. Additionally,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-10 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 29 residents with 12 residents in the sample, including 5 residents reviewed for medication review. Based on observation, interview, and record review, the facility failed to have the residents' attending physician document in the resident's medical record of the identified irregularity made by the consultant pharmacist to ensure the medication reviews had been reviewed and if any action taken to address responses for five of the five residents reviewed, which included Resident (R) 4, R9, R11, and R21. Findings included: - R 4's signed physician orders dated 07/27/23 revealed the following diagnoses: dementia (progressive mental disorder characterized by failing memory, confusion), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), atrial fibrillation ([a-fib] a rapid, irregular heartbeat), and hypertension (elevated blood pressure). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS)…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-10 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 The facility reported a census of 29 residents with 12 residents sampled, including one resident for hospitalization. Based on interview and record review, the facility failed to notify/send a copy of the facility-initiated hospitalization transfer/discharge notice to the representative of the Office of the State Long-Term Care Ombudsman of the reason for the transfers for Resident (R) 26's required hospitalization. Findings include: - Review of R26's Minimum Data Set (MDS) tracking form documented the resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of R26 Medical Record lacked evidence of a written notification of the facility- initiated hospitalization transfer/discharge notice to the representative of the Office of the State Long-Term Care Ombudsman. On 10/10/23 at 10:35 AM, Social Services staff X stated that no report had been given to the Ombudsman about discharges and transfers. She stated that she was not trained by the previous administrator to perform these…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-10 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 29 residents with 12 residents included in the sample, including one reviewed for hospitalization. Based on interview and record review, the facility failed to provide a copy of the facility bed hold policy to Resident (R) 26 and/or their representative, with a written notice specifying the duration and cost of the bed hold policy, at the time of the resident's transfer to the hospital. Findings included: - Review of R26's Minimum data set (MDS) tracking form documented the resident discharged to the hospital on [DATE] and returned to the facility on [DATE]. Review of R26 Medical Record lacked evidence of written notification of the facility- initiated hospitalization transfer and bed hold to R26 or her representative. Interview on 10/10/23 at 09:57 AM, Administrative staff Y reported if a resident required hospitalization in the middle of the night, the nurse should send out a bed hold form. Administrative staff Y confirmed R26 lacked a bed hold notification when the resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-10 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 29 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to develop a comprehensive care plan for one Resident (R)11, related to bilateral leg wraps as ordered by the physician for edema (swelling resulting from an excessive accumulation of fluid in the body tissues). Findings included: - R11's Physician Orders dated 02/10/23 revealed the following diagnoses: [NAME] Syndrome (rare genetic disorder that causes developmental and learning disabilities), localized swelling, hypertension (elevated blood pressure). The admission Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13, with intact cognition. The resident required assistance of two staff for daily cares. She received pain medication on schedule and as needed (PRN) for complaint of pain at a 4/10 scale. Medications included antipsychotic, antianxiety, and antidepressant medications on seven days of the 7-day…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility census totaled 29 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to provide treatment and care in accordance with professional standards of practice, with the failure to apply bilateral leg wraps on Resident (R)11 as ordered by the physician for edema. Findings included: - R11's Physician Orders dated 02/10/23 revealed the following diagnoses: [NAME] Syndrome (rare genetic disorder that causes developmental and learning disabilities), localized swelling, and hypertension (elevated blood pressure). The admission Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 13, with intact cognition. The resident required assistance of two staff for daily cares. She received pain medication on a schedule and as needed (PRN) for complaint of pain at a 4/10. Medications included antipsychotic, antianxiety and antidepressant medications on seven days of the 7-day observation period. The Quarterly 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-10 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    The facility reported a census of 29 residents. Based on interview and record review, the facility failed to ensure certified nurse's aide (CNA) O received 12 hours of training annually, as required. Findings included: - Review of facility provided training records from 10/10/22 to 10/10/23 revealed CNA O received a total of 8.5 hours of training over the above time period. On 10/10/23 at 01:20 PM, Administrative Nurse E confirmed that CNAs are required to have 12 hours of training annually and stated that there were no records of additional training records for CNA O. The facility failed to provide a policy regarding annual CNA training requirements. The facility failed to ensure CNA O provided the required 12 hours of training annually which is to include training over working with residents.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 29 residents, with 12 residents sampled, and included five residents sampled for unnecessary medications. Based on interview and record review, the facility failed to appropriately monitor side effects of psychotropic medications for one Resident (R21). This deficient practice could lead to the resident receiving unnecessary medications and/or having unintended side effects from medication use. Findings included: - R21's diagnoses from the Electronic Health Record (EHR) included dementia (a progressive mental disorder characterized by failing memory, confusion), major depressive disorder (MDD - a serious mood disorder involving one or more episodes of intense psychological depression or loss of interest or pleasure that lasts two or more weeks), psychotic disturbance (a mental disorder characterized by gross impairment of reality perception with behavioral disturbances), diabetes mellitus type two (DM2 - a disease when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin) and Parkinson's disease (slowly…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-10 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility census totaled 29 residents with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to ensure clean, sanitary techniques for one Resident (R)21, related to proper glove usage and hand hygiene during incontinent cares. Findings include: - Observation on 10/05/23 at 01:13 PM, revealed Certified Nurse Aide (CNA) M and CNA N used the sit to stand lift (a mechanical lift where the resident stands and bears weight during transfer with a sling around them for safety) to transfer the resident onto the bed. CNA N checked R21's incontinence brief and it was wet. CNA N pulled the tape tab and pulled the brief down to provide perineal incontinence care. CNA N provided perineal care in the front with disposable wet wipes, then rolled the resident to her side and cleansed the resident's buttock area. CNA N failed to change her soiled gloves after cleansing the resident. CNA N placed a clean brief and clothing on the resident, without glove/hand hygiene. Staff then repositioned the resident while having on the same soiled…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-16 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 35 residents. Based on observation, record review, and interview, the facility failed to report allegations of abuse to the State Survey Agency when an allegation came to the corporate compliance hotline regarding a facility staff member being rough, when facility staff failed to report an allegation of staff to resident abuse to Resident (R)2 to the administrator and/or designee, and when facility administration failed to report allegation of staff to resident abuse to R9. Findings included: - On 08/14/23 at 11:15 AM the surveyor provided Administrative Staff B a list of items needed which included a request for a list of allegations of abuse or neglect reported to administration in the past 60 days, regardless of if the allegation occurred or not. On 08/14/23 at 12:30 PM Administrative Nurse D stated no allegation of abuse or neglect were reported by staff in the past 60 days. On 08/15/23 at 01:33 PM Consultant Staff GG stated a compliance complaint was made anonymously about…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 35 residents. Based on observation, record review, and interview, the facility failed to investigate allegations of abuse when an allegation came to the corporate compliance hotline regarding a facility staff member being rough, when facility staff reported allegation of verbal abuse to R8 by a staff member, and when R9 reported an allegation of abuse to facility staff. Findings included: - On 08/15/23 at 01:33 PM Consultant Staff GG stated a compliance complaint was made anonymously about Certified Medication Aide (CMA) R being rough, no specific complaints were made. A discussion occurred with Administrative Staff A and Administrative Nurse D at the time, who said they spoke with CMA R, found staff were not using gait belts properly and stated the facility corrected the concerns. Consultant Staff GG stated the concern with CMA R was not using a gait belt, and the anonymous caller probably thought when they called, they could get someone fired. On 08/15/23 at 04:50 PM…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2021-11-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 27 residents. Based on observation, interview and record review, the facility failed to provide sanitary food preparation, storage and serving to prevent the spread of food borne infections. Findings included: - Observation, on 11/18/21 at 02:00 PM, during the kitchen environmental tour with Dietary Staff BB, revealed the following areas of concern: 1 .Two kitchen windows above the three compartments sink and dish drying area contained spider webs and bugs inbetween he glass and screens. 2. Three steam table compartments had debris floating in the water. 3. The lower shelf of the steam table, containing trays, contained crumbs and debris. 4. The wheels on the steam table contained an accumulation of grime and hair. 5. The ceiling above the steam table and adjacent to the stove contained areas of brown/yellow discoloration. 6. The stove contained two ovens with burnt food spillage on the interior and the right sided oven contained grease drippings from the malfunctioning griddle grease trap. 7. The microwave contained green splatters throughout 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2021-11-19 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    The facility reported a census of 27 residents. Based on observation, interview, and record review, the facility failed to ensure all equipment in the kitchen were in safe operating condition, regarding one reach- in freezer. Findings included: - During a brief initial tour of the kitchen on 11/16/21 at 12:27 PM, with Dietary Staff BB, the reach -in freezer contained a large build-up of ice on the back wall and an area of accumulated ice on the floor of the freezer. On 11/16/21 at 12:27 PM, Dietary Staff BB stated, the facility was aware of the problem with the freezer. A repairman came out in September and stated the freezer was in need of a new compressor in order to be fixed. The facility had not fixed the freezer. The facility lacked a policy regarding the maintenance of the freezer in the kitchen. The facility failed to ensure all equipment in the kitchen was in safe operating condition.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-11-19 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 27 residents. Based on observation and interview, the facility failed to ensure a safe environment in the covered gazebo area, for the residents that used the gazebo. Findings included: - Review of the Coronavirus 2019 (COVID-19) Visiting Protocol dated 04/28/21, revealed the designated outdoor visit area was in the covered gazebo at the front of the building. Observation, on 11/18/21 at 04:10 PM with Maintenance staff U, revealed the covered gazebo with several cracks in the cement flooring. Two cracks measured approximately four feet in length and contained an approximate one inch raised gap between the cracks and one crack approximately seven feet in length contained an approximate one inch raised gap between the two surfaces making a potential trip hazard. Interview with Maintenance Staff U at that time revealed residents did use this area, but staff accompanied them. Interview, on 11/18/21 at 04:30 PM, with Administrative Staff A, revealed residents did not use the area as much at this time of year. The facility did not provide a policy 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-19 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 27 residents. Based on observation, interview and record review, the facility failed to ensure one resident (R) 9, remained free of medication errors during 26 opportunities for medication error with two medication errors observed, thus creating, and error rate for the facility of 7. 41%. Findings included: - Review of the Physician Order Sheet, for Resident (R)9, dated 11/05/21, revealed orders for the following medications: ProAir (Albuterol a medication for wheezing and shortness of breath in lung disease) HFA (hydrofluoroalkane a type of propellant), 108 mcg (micrograms), one puff four times a day, with the original order date of 01/04/21. Staff instructed to give with Atrovent inhaler. Atrovent (a medication for wheezing, shortness of breath and chest tightness in lung disease) HFA, 17 mcg, four times a day for cough related to asthma. Not to exceed 12 puffs in 24 hours with original order date of 01/04/21. Review of the November 2021 Medication Administration Record, revealed an order for Pro Air HFA, 108mcg one puff, four times a day, not to…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · Ccited before2025-06-26 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 40 residents. The sample included 14 residents. Based on interviews, record reviews, and observation, the facility failed to ensure a safe environment in all areas of the facility including the laundry area. Findings included: - During an observation on 06/30/25 at 12:05 PM the dryer-maintenance access room had large pieces of paint coming off around and above the dryers. During an observation on 06/30/25 at 01:10 PM there were multiple fluorescent light fixture covers that were broken and hanging. One light cover was above the clean laundry hanging counter and the other plastic cover was above the clean laundry delivery carts. Multiple light fixtures have broken plastic covers. Another observation made at this time revealed paint flaking off the ceiling above the clean laundry delivery carts. On 06/30/25 at 12:05 PM, Maintenance V stated the paint flaking in the dryer-maintenance access room was not much of an issue because the dryer elements and the electrical components were enclosed. On 06/30/25 at 12:40 PM, Administrative Staff A reported that…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$72,592 in federal fines across 3 penalties. 1 Medicare payment denial on record.

  • $41,041 — penalty dated 2025-06-26
  • $21,518 — penalty dated 2025-04-10
  • $10,033 — penalty dated 2024-09-25
  • Medicare payment denial — starting 2025-06-30 for 35 days

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

Part of a chain

This home belongs to MEDICALODGES, INC. — 18 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 →

RatingThis homeChain avg
Overall 1 of 52.7-1.7 vs chain
Health inspection 1 of 52.4-1.4 vs chain
Staffing 3 of 53.6-0.6 vs chain
Quality measures 3 of 52.8+0.2 vs chain
The other 17 homes this chain runs (chain average 2.7★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
MEDICALODGES INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 03/10/2015
HUGHES, LORIIndividualW-2 MANAGING EMPLOYEEsince 11/01/2016
BUTLER, RICHARDIndividualCORPORATE DIRECTORsince 07/01/2003
COX, GARENIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 02/26/1998
DOLL, GAYLEIndividualCORPORATE DIRECTORsince 03/10/2005
HINES, SCOTTIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 03/19/2009
MARSHALL, CAROLIndividualCORPORATE DIRECTORsince 07/27/2006
OTT, RONIndividualCORPORATE DIRECTORsince 09/15/2006
CARDENAS, STACIIndividualCORPORATE OFFICERsince 05/28/2013
LAGER, SHANNONIndividualCORPORATE OFFICERsince 06/15/2013
LANTZ, KATHLEENIndividualCORPORATE OFFICERsince 10/22/2007
MCBRIDE, TRAVISIndividualCORPORATE OFFICERsince 11/15/2012
ROHLING MCCORD, CATHERINEIndividualCORPORATE OFFICERsince 06/09/2000
WAECHTER HARMON, LORIIndividualCORPORATE OFFICERsince 03/25/2018

CMS files one row per role, so the 16 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$3.2M
Net patient revenuemost recent cost report
-2.3%
Operating marginrevenue minus expenses
$171K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 10%Other / private 90%

This home reported $171K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$269per resident / day
operating cost
$8,189per month
≈ monthly operating cost
$263per day
avg. revenue, all payers

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

What families pay in KS

Paying with Medicaid

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

Typical monthly cost in Kansas
$8,669/mo
Nursing home (semi-private)
$9,064/mo
Nursing home (private)
$5,975/mo
Assisted living

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 175313. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-26, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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