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Lakepoint Augusta, LLC

901 Lakepoint Drive, Augusta, KS 67010 · For profit - Limited Liability company · 88 certified beds · (316) 775-6333 Medicare & Medicaid certified

Call the home — (316) 775-6333 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Jun 20261 actual-harm citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$10,361 in federal fines
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Jun 2026
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • 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 (33) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $10,361 in federal fines (most recent 2025-07-31)
  • its payroll-based staffing rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
PT Plus1.1 mi
1503 Washington Ln · (316) 775-0700 · Call to confirm hours
Pharmacy
1630 Ohio St · (316) 775-3714 · Call to confirm hours
Grocery
1530 US-400 · (316) 745-3575 · Call to confirm hours
Park
2923 Ohio St · (316) 775-4506 · 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 2 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 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 increased25.8%17.9%15.4%worse
Long-stay residents who lose too much weight6.5%4.9%5.4%worse
Long-stay residents with a catheter left in their bladder3.5%1.6%0.9%worse
Long-stay residents with a urinary tract infection8.4%2.9%2.0%worse
Long-stay residents with depressive symptoms33.5%6.5%6.5%check this — see note marked dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury9.1%4.3%3.3%worse
Long-stay residents whose ability to walk worsened31.9%16.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication54.3%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine92.9%95.5%95.3%typical
Long-stay residents with pressure ulcers4.8%4.4%4.7%typical
Long-stay residents with worsening bladder/bowel control21.9%22.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table28.0%18.1%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.5%1.9%1.4%typical
Short-stay residents given the seasonal flu vaccine83.9%73.8%79.4%typical
Short-stay residents rehospitalized after admission24.3%22.4%22.6%typical
Short-stay residents with an outpatient ER visit5.5%11.5%12.0%better
Long-stay hospitalizations per 1,000 resident days1.571.801.67typical
Long-stay outpatient ER visits per 1,000 resident days2.532.131.80worse

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

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.

45.4% 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 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

45.4%U.S. median 51.5%
Got home and stayed home
9.4%U.S. median 10.7%
Went back to hospital
45.0%U.S. median 56.6%
Met the expected recovery
0.17U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 45.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 40 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNF45.4%CMS range 35.4–54.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.4%CMS range 6.2–13.610.7%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 discharge45.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge42.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge45.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified98.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care 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 discharge96.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay3.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 3.5–12.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.761.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.46
RN hours/ resident / day
0.54
LPN hours/ resident / day
2.18
Aide hours/ resident / day
3.17
Total nurse hours/ resident / day
0.31
RN hoursweekends
50.7%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 88 beds and averages 71.8 residents a day — about 82% occupied, or roughly 16 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 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.85 hrs/resident/day on weekends vs 3.30 on weekdays — 14% thinner on weekends. RN hours go from 0.52 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

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

Inspection trend

14
deficiencies at the latest standard inspection (2026-06-24)
7
at the previous standard inspection (2024-10-31)

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.

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

  • Immediate jeopardy · Jcited before2025-07-31 · 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 70 residents. The sample included three residents reviewed for accident hazards. Based on observation, interview, and record review the facility failed to ensure an environment free from accident hazards when staff failed to provide adequate supervision and respond appropriately to a door alarm, allowing Resident (R) 1 to elope from the facility. On 06/14/25 at 09:20 PM, R1, a cognitively impaired resident at risk for wandering, exited the facility without staff knowledge or supervision. The door alarm sounded, and at 09:26 PM, Certified Nurse Aide (CNA) M cancelled the alarm but did not conduct a search or inspection to identify what triggered the alarm. At 10:00 PM, staff performed rounds and discovered R1 was missing. Staff initiated a search of the areas inside and out and located R1 outside at 10:04 PM. R1 was right outside the door where she exited. Staff found R1 on her knees, wearing only a nightgown. R1 was outside without supervision for 44 minutes. Staff assessed R1…

    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
  • Actual harm · Gcited before2023-09-11 · 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 44 residents with three residents sampled for assisted transfers using a Hoyer lift (a total body mechanical lift used to transfer residents). Based on observation, interview, and record review, the facility failed to ensure staff used the proper Hoyer lift transfer sling for Resident (R) 1 to prevent a fall out of the sling, which required medical treatment at a hospital as a result of the fall. R1 was injured when she slipped through the opening of the lift sling after staff instructed her to cross her arms across her chest instead of holding her arms outside of the sling causing her legs to strike the Hoyer lift, and her back, hip and head to strike the floor. Finding included: -The Physician's Orders dated 05/30/23, included diagnoses of dementia with behavioral disturbance (progressive mental disorder characterized by failing memory confusion) and anxiety (a mental or emotional reaction characterized by apprehension, uncertainty and irrational fear). The Quarterly Minimum…

    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 · E2026-06-24 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a medication error rate below five percent. Twenty-six medications administrations were observed with 15 errors identified, resulting in a medication error rate of 57.69 %. Findings included:1. Review of the Electronic Health Record (EHR) for Resident (R) 6 revealed the following orders:Finasteride (medication used to treat male pattern hair loss or enlarged prostate) five milligrams (mg), give one tablet via gastrostomy tube (G-tube: tube surgically placed through an artificial opening into the stomach) one time a day.Fludrocortisone acetate (a synthetic corticosteroid) 0.1 mg, give one tablet via G-tube one time a day.Furosemide (a loop diuretic) 40 mg, give two tablets via G-tube in the morning.Gabapentin (medication used to treat nerve pain and to control certain types of seizures) 600 mg, give one tablet via G-tube three times a day.Metoprolol (medication used to treat high blood pressure) 25 mg, give via one tablet via G-tube in the morning.Midodrine (medication used to treat low blood pressure…

    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 no plan of correction
  • Potential for harm · D2026-06-24 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, observation, and record review, the facility failed to ensure Resident (R) 22's was treated with respect and dignity while waiting to be assisted with meals.Findings included:- R22's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of cognitive communication deficit (an impairment in organization, sequencing, attention, memory, planning, problem-solving, and safety awareness), need for assistance with personal care, senile degeneration of brain, and diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin).The Annual Minimum Data Set (MDS), dated 05/15/2026, documented a Brief Interview of Mental Status (BIMS) score of three which indicated severely impaired cognition. The MDS documented R22 was dependent on staff assistance with all activities of daily living.R22's Cognitive Loss/Dementia Care Area Assessment (CAA), dated 05/28/2026, documented she was at risk for a self-care deficit related to her dementia (a progressive mental disorder characterized by failing…

    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 no plan of correction
  • Potential for harm · D2026-06-24 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to ensure safe and appropriate self-administration of medication for Resident (R) 23, R37, and R45, which placed these residents at risk for unnecessary medication side effects and self-administration errors.Findings included:1. R23's Electronic Medical Record (EMR) from the admission Minimum Data Set (MDS), dated 05/28/2026, documented a Brief Interview of Mental Status (BIMS) score of 15 which indicated intact cognition.Review of R23's EMR physician orders under the Orders tab lacked an order for self-administration of medications.Review of R23's EMR under the Assessment tab lacked an assessment for safe self-medication administration.On 06/22/2026 at 08:11 AM, R23 laid on her bed with the bedside table next to the bed, a paper medication cup with pills sat on the bedside table. 2. R37's EMR from the Quarterly MDS, dated 04/17/2026, documented a BIMS score of 12, which indicated moderately impaired cognition. Review of R37's EMR physician orders under the Orders tab lacked an order for self-administration of…

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

    Resident Rights Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-24 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure Resident (R)13's call light was within his reach to enable him to call for staff assistance.Findings included:- R13's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of pain, history of falls, overactive bladder, and need for assistance personal care.The Quarterly Minimum Data Set (MDS), dated 05/15/2025, documented a Brief Interview of Mental Status (BIMS) score of seven which indicated severely impaired cognition. The MDS documented R13 had limited range of motion (ROM- the full movement potential of a joint, usually its range of flexion and extension) bilaterally lower extremities. The MDS documented R13 was dependent on staff assistance for toileting, bathing, and transfers.R13's Functional Abilities (Self-Care and Mobility) Care Area Assessment (CAA), dated 12/01/2025, documented she required assistance with activities of daily living.R13's Care Plan documented the following interventions: 09/23/2025 - Staff would ensure her call light was within reach and would…

    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 no plan of correction
  • Potential for harm · D2026-06-24 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to verify Resident (R) 7's advanced directive (a legal document in which a person specified what actions should be taken for their health, which may or may not include a do not resuscitate [DNR-decision whether, or not, to withhold medical intervention in the event the resident's heart stops] order) was properly documented on his charts and care plan. Findings included: - Review of the Electronic Health Record (EHR) for R7 included diagnoses of transient ischemic attack (TIA- temporary episode of inadequate blood supply to the brain), cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), chronic pain due to trauma, quadriplegia (inability to move the arms, legs, and trunk of the body below the level of an associated injury to the spinal cord), major depressive disorder, and anxiety disorder.R7's Annual Minimum Data Set (MDS), dated 05/21/2026, documented a Brief Interview of Mental Status…

    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 no plan of correction
  • Potential for harm · Dcited before2026-06-24 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to keep Resident (R) 23's protected health information (PHI) private on a medication cart parked in the main dining room.Findings included:- On 06/22/2026 at 07:45 AM, during initial tour a medication cart parked outside the dining room in the hallway with a laptop computer sitting on the top, the computer screen was unlocked and open, and R23's PHI was on the screen, visible to all who passed by the medication cart. The information visualized included R23's medications, date of birth , allergy information, and code status.On 06/22/2026 at 07:48 AM, Certified Medication Aide (CMA) R stated the computer screen should have been locked.On 06/24/2026 at 09:47 AM, Licensed Nurse (LN) G stated the medication should be locked, no personal information visible, and no medication left on the cart when staff walked away from the cart.On 06/24/2026 at 12:35 PM, Administrative Nurse D stated the medication cart should be clean, locked, and no personal health information left on the computer for others to see.The Facility's…

    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 no plan of correction
  • Potential for harm · D2026-06-24 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 69 remained free from exploitation when facility staff reported that an employee coerced R69 into providing her $80. Findings included:- R69's Electronic Medical Record (EMR) documented diagnoses of major depressive disorder, pain, and insomnia.R69's Quarterly Minimum Data Set (MDS), dated 04/01/2026, documented a Brief Interview for Mental Status (BIMS) score of 12 which indicated moderate cognitive impairment. The assessment documented that R69 had little interest or pleasure in doing things and felt down and depressed.R69's Care Plan, with a revision date of 01/03/2025, documented that she had impaired cognitive function/dementia or impaired thought processes related to dementia. Interventions, dated 01/03/2025, instructed staff to cue, reorient, and supervise R69 as needed. Staff were also instructed to discuss concerns about confusion, disease process, and nursing home placement with R69, her family and…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2026-06-24 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and observation, the facility failed to perform a gradual dose reduction (GDR) or provide a physician's rationale for not attempting the GDR for Resident (R) 44's psychotropic medications.Findings included:- R44's Electronic Medical Record (EMR) from the Diagnosis tab documented diagnoses of generalized anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), major depressive disorder (major mood disorder that causes persistent feelings of sadness), and dementia (a progressive mental disorder characterized by failing memory and confusion).The Significant Change Minimum Data Set (MDS), dated [DATE], documented a Brief Interview of Mental Status (BIMS) score of 00 which indicated severely impaired cognition. The MDS documented R44 received an antipsychotic and antianxiety medication during the observation period.R44's Care Plan, dated 07/26/2024, documented R44 used psychotropic medications including Quetiapine…

    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 no plan of correction
  • Potential for harm · D2026-06-24 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interviews, the facility failed to ensure Resident (R)12, R76 and R37 and their representatives received a written notification of transfer that included a statement of the residents' rights, the transfer location, reason for the transfer and the state ombudsman information, as soon as practicable upon their transfer to the hospital. Additionally, the facility failed to notify the office of the Long-Term Care Ombudsman (LTCO) of the transfers.Findings included:1. R12's Electronic Medical Record (EMR) recorded a Discharge Minimum Data Set (MDS) dated 04/10/2026, which documented an unplanned discharge to an acute hospital with a return anticipated.R12's clinical record lacked evidence that a written notification of transfer was provided to R12 or their representative. Upon request, the facility was unable to provide evidence of the written notification.2. R37's Electronic Medical Record (EMR) recorded a Discharge Minimum Data Set (MDS) dated 04/27/2026, which documented an unplanned discharge to an acute hospital with a return anticipated.R37's…

    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 no plan of correction
  • Potential for harm · D2026-06-24 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the staff had properly secured storage of resident medications. Findings included:- Observed on 06/22/2026 at 10:38 AM, Licensed Nurse (LN) G unlocked the treatment/nurse cart in the 100/200/300 hall and then left it unattended as she went down the 200 hall and into a resident's room. The cart contained seven boxes that contained nebulized breathing treatments, three containers of Vick's vapor rub, tubes of icy hot muscle rub, several tubes of calmoseptine ointment, and dressing change supplies. Also contained in the treatment cart were two insulin injector pens for Resident (R) 3, one insulin injector pen for R54, two insulin injector pens for R46, two insulin injector pens for R24, two insulin injector pens for R52, two insulin injector pens for R40, two insulin injector pens for R63, two insulin injector pens for R69, and two insulin injector pens for R70.On 06/22/2026 at 10:45 AM, LN G said that a medication or treatment cart should never have been left unlocked and unattended. On 06/24/2026 at…

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

    Pharmacy Service Deficiencies · Deficient, Provider has no plan of correction
Show the remaining 21 citations
  • Potential for harm · D2026-06-24 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure staff served meals at safe and appetizing temperatures.Findings include: - On 06/23/2026 at 09:36 AM, Certified Nursing Aide (CNA) L delivered a breakfast meal to a room in the 100 hall. The temperature of the items was as follows:116 degrees Fahrenheit (F) for the hashbrowns.114 degrees F for the cheese omelet.115 degrees F for oatmeal.On 06/22/2026 at 08:15 AM, Resident (R) 70 stated the food arrives to his room cold.On 06/23/2026 at 09:40 AM CNA L said she was not sure how hot the food was supposed to register, but it likely should have been hotter.On 06/23/2026 at 10:55 AM, Dietary BB stated the standing warmer directly inside the door into the kitchen was used to hold the prepared meals for the residents that choose to eat in their rooms. Dietary BB stated the temperature of this warmer, referred to as the hot box, should be 145 degrees F. Dietary BB verified the temperature inside the warmer as 110 degrees F and stated the temperature could not be adjusted higher.The facility policy did not…

    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 no plan of correction
  • Potential for harm · Dcited before2026-06-24 · 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

    Based on interviews and observation, the facility staff failed to implement adequate infection control practices related to Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care).Findings included:- During an observation on 06/23/2026 at 11:33 AM, observation revealed there was no signage or readily available personal protective equipment (PPE) to include gowns for Resident (R) 6 who had a gastronomy tube (G-tube: tube surgically placed through an artificial opening into the stomach). Further observation revealed that Licensed Nurse (LN) H donned gloves but no gown and provided R6 his medications via the G-tube. LN H verified that both a gown and gloves should have been worn for EBP.During an interview on 06/23/2026 at 08:45 AM, Certified Nurse Aide (CNA) M reported that EBP and PPE would be used by staff whenever a resident had an infection, CNA M said it was also used if the resident had a urinary catheter.During an interview on 06/24/2026 at 12:35…

    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 no plan of correction
  • Potential for harm · Fcited before2024-10-31 · tag F0755 — failed to provide safe pharmacy services — widespread
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 58 residents. Based on observation, interview, and record review the facility failed to establish a system to keep drug records in order for all controlled drugs to be maintained and reconciled. Findings included: - Review of the Narcotic Count Shift Verification sheet on 10/28/24 at 08:13 AM, the following areas of concern were noted: 1. The east hall Narcotic Count Shift Verification form, from October 1 through October 27, 2024, lacked a total of 63 staff signatures. 2. The west hall Narcotic Count Shift Verification form, from October 1 through October 27, 2024, lacked a total of 30 staff signatures. On 10/28/24 at 08:13 AM, Certified Medication Aide (CMA) T stated staff were to count with the oncoming and off going nurse or CMA at the beginning and end of their shift. Both of the staff were expected to sign the Narcotic Count Shift Verification form to indicate the narcotic count was correct at the time they counted. On 10/30/24 at 08:53 AM, Administrative Nurse D stated both nurses or CMAs were expected to count the narcotics when coming onto…

    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 before2024-10-31 · 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 58 residents. Based on observation, interview, and record review the facility failed to electronically submit to the Centers for Medicare and Medicaid Services (CMS) 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), when the facility failed to accurately report weekend licensed nurse staffing for the month of August 2024. Findings included: - Review of the Payroll Base Journal (PBJ) Staffing Data Report for August 2024, revealed the facility failed to accurately report weekend licensed nurse staffing for the month of August 2024. On 08/03, Saturday (SA), On 08/04, Sunday (SU), On 08/10, SA, On 08/11, SU, On 08/17, SA, On 08/18, SU, On 08/24, SA, On 08/25, SU, On 08/31, SA, On 10/29/24 at 01:15 PM, Administrative Nurse D stated she and Administrative Nurse F would come in and work during the weekends in August. Their hours were not counted on the PBJ for those times as they are both salaried…

    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 · Fcited before2024-10-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 58 residents. Based on observation, interview, and record review the facility failed to ensure staff provided Enhanced Barrier Precautions (EBP use of personal protective equipment to prevent the spread of infections) for Resident (R)3 and R54. The staff failed to provide cleaning of R50's CPAP (Continuous Positive Airway Pressure, a device with a face mask that uses air pressure to keep breathing airways open while a person sleeps) and failed to provide urinary catheter care in a sanitary manner to prevent the spread of infections. The facility failed to ensure R19's dog maintained up-to-date vaccine status. Findings included: - Review of Resident (R)3' medical record revealed diagnoses that included Methicillin Resistive Staphylococcus Aureus (a bacteria that is resistive to multiple antibiotics also known as Multi Drug Resistant Organism, MDRO), sepsis (a systemic reaction that develops when the chemicals in the immune system release into the blood stream to fight an…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-31 · tag F0636 — pattern
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 58 residents with 18 residents sampled. Based on observation, interview, and record review the facility failed to complete an accurate Minimum Data Set (MDS) for three Residents (R)15, regarding incomplete triggered Behavioral Symptoms and Psychosocial Well-Being Care Area Assessments (CAA), R 56, regarding an incomplete CAA for the triggered area of Behavioral Symptoms and R 7, regarding incomplete CAAs for all triggered areas. Findings included: - Review of Resident (R)15's electronic medical record (EMR) revealed a diagnosis of neurocognitive disorder with behavioral disturbance (a condition where a person has both cognitive deficits and behavioral disturbances). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of three, indicating severe cognitive disturbance. He had didsorganized thinking behavior which fluctuated and other behaviors which disrupted the living environment of other residents. He…

    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 before2024-10-31 · 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 58 residents with 18 sampled for review. Based on observation, interview, and record review, the facility failed to complete an accurate assessment/Minimum Data Set (MDS) for four residents (R)7 related to antipsychotics (class of medications used to treat major mental conditions which cause a break from reality), R 33 related to rejection of care, R R5 related to hospice and R 50 related to continuous airway positive pressure (CPAP). Findings included: - Review of Resident (R)7's Physician Orders (POS) dated 10/08/24 documented diagnoses which included major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest), type 2 diabetes ((DM-when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), pain, insomnia (inability to sleep), and bipolar disorder (major mental illness that caused people to have episodes of severe high and low moods). The admission 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 · D2024-10-31 · 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 58 residents with 18 residents selected for review. Based on observation, interview and record review, the facility failed to develop comprehensive care plans for three of the 18 residents reviewed. Resident (R)50 lacked a care plan for use of CPAP (Continuous Positive Airway Pressure a device with a face mask that uses air pressure to keep breathing airways open while a person sleeps). R33 lacked a care plan for history of suicide ideation and R 54 lacked a personalized fluid restriction care plan. Findings included: - Review of Resident (R)33's medical record revealed diagnoses that included depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, and emptiness), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), and unspecified dementia (progressive mental disorder characterized by failing memory, confusion). The Significant Change Minimum Data Set (MDS), dated [DATE], assessed…

    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 · D2024-10-31 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 58 residents with 18 residents selected for review which included one resident reviewed for dialysis. Based on observation, interview and record review, the facility failed to ensure staff accurately monitored Resident (R)54 fluid restriction as ordered by the physician. Findings included: - Review of Resident (R)54's medical record revealed diagnoses that included renal failure (inability of the kidneys to excrete wastes, concentrate urine and conserve electrolytes). The Significant Change Minimum Data Set (MDS), dated [DATE], assessed the resident with a Brief Interview for Mental Status (BIMS) score of 14, which indicated normal cognitive function. The resident received dialysis. The Nutrition Status Care Area Assessment (CAA), dated 10/02/24, assessed the resident required staff to monitor her body weight to help monitor trends and to monitor food and fluid intake. The Registered Dietician to meet with the resident regularly to ensure nutritional needs are being met. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-11 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 44 residents with three residents sampled for assisted transfer using a Hoyer lift (a total body mechanical lift used to transfer residents). Based on observations, interviews, and record review the facility failed to ensure competent nursing staff were available to provide assistance to residents with the use of a hygiene sling (sling with a large cut-out area behind the thighs and up the lower back to access the removal of clothing of the resident for toileting) when transferring using a Hoyer lift. Findings included: - Review of the Nurse's Progress Note dated 09/07/23 at 02:08 PM, revealed staff attempted to transfer Resident (R) 1 from her wheelchair to her bed and the resident fell to the floor. An interview with Certified Nurse Aide (CNA) M on 09/11/23 at 11:54 AM, revealed CNA N and CNA M transferred the R1 from the wheelchair to the bed, using a hygiene lift sling to transfer the resident, and the resident fell out of the sling to the floor. CNA M stated the hygiene sling had an open area for residents to use the bathroom, the sling went…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-01-09 · tag F0755 — failed to provide safe pharmacy services — widespread
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 47 residents. Based on observation, interview, and record review the facility failed to establish a system to keep drug records in order for all controlled drugs to be maintained and reconciled. Findings included: - An environmental tour of the locked medication room on 01/09/23 at 09:52 AM, with Administrative Nurse D, revealed the following areas of concern: 1. An emergency kit (e-kit) in the unlocked refrigerator contained two vials of Lorazepam (a controlled anti-anxiety medication) 2 milligrams (mg)/milliliter (ml). The small plastic e-kit was closed only with a thin, numbered plastic pull-lock. The medication room lacked documentation of the number of the pull lock. 2. An e-kit on top of the refrigerator contained the following medications in a container closed only with a thin, numbered plastic pull-lock. The medication room lacked documentation of the pull-lock number: 1. Ten tabs of Alprazolam (a controlled anti-anxiety medication), 0.25 mg. 2. Five tabs of Tylenol with Codeine (a controlled pain medication), 300 mg/30 mg. 3. Ten tabs of…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-01-09 · 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 47 residents. Based on observation and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility, as exhibited by the failure to test the sanitizing solution for appropriate concentrations of chlorine, or iodine appropriately to prevent the potential for food borne bacteria. Findings included: - Observation on 01/09/23 at 10:37 AM, revealed the sanitizing test strips used to test the concentrations of chlorine and iodine of sanitizing solution expired on 04/01/2018. On 01/09/23 at 10:37 AM, Dietary Staff BB verified the above and stated she was not aware the test strips had an expiration date. She confirmed the sanitizing solution should be checked daily to ensure the solution used to sanitize the cookware was an appropriate concentration to prevent food borne bacteria. Additionally, Dietary Staff BB checked the facility stock for test strips and reported that all available test strips exceeded the expiration date. The facility failed to provide a policy to address the procurement and use of…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-01-09 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    The facility reported a census of 47 residents. Based on observation and interview, the facility failed to dispose of garbage and refuse properly. Findings included: - On 01/04/23 at 09:36 AM, observation revealed four dumpsters outside of the facility. One of the four dumpsters was missing the lid and two of the remaining dumpster's lids were left open. There was trash and debris laying on the ground surrounding the dumpsters and adjacent grounds. On 01/04/23 at 10:37 AM, Dietary Staff BB confirmed the above findings and stated she requested a lid for the dumpster and noted the lid was missing for at least a month prior. Nursing and dietary staff used the dumpsters and should close the lids to contain the trash and debris. She further stated the surrounding area should be free of trash and debris to provide a safe, sanitary environment. The facility lacked a policy regarding the use and upkeep of the facility dumpsters. The facility failed to dispose of garbage and refuse properly for the residents of the facility.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-01-09 · 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 47 residents. Based on observation and interview, the facility failed to provide necessary maintenance services for the kitchen to provide a safe, functional and sanitary environment. Findings included: - The kitchen tour on 01/04/23 09:36 AM, with Dietary Staff BB, revealed the following concerns: 1. The linoleum floor in the dry storage area of the kitchen was worn, exposing black tread marks resulting in an unsanitizable surfaces throughout the floor. 2. Approximately three feet by six inches of the linoleum flooring was missing at the door jam of the junction of the food prep area and the dry food storage area. There was black grime build-up lodged in the area where the linoleum was missing. On 01/04/23 09:36 AM, interview with Dietary Staff BB revealed the dietary staff mopped the floor daily but were not able to get the black streaks out of the linoleum because they were due to the grooves worn into the linoleum, which trapped grime build-up. Dietary Staff BB confirmed the linoleum needed to be replaced. The facility lacked a policy addressing…

    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 · E2023-01-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 47 residents with 14 residents sampled, including five residents reviewed for pressure ulcers (PU). Based on observation, interview, and record review, the facility failed to perform clean dressing changes for four of the Residents (R) 1, R5, R19 and R29 reviewed. Findings included: - Review of Resident (R)1's electronic medical record (EMR), revealed a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion). The annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of eight, indicating moderately impaired cognition. She was at risk for the development of pressure ulcers (PU) and had one unhealed, stage II PU (Partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough), present on admission. The Pressure Ulcer (PU) Care Area Assessment (CAA), dated 11/22/22, documented the resident currently had a PU. Staff were 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-09 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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 47 residents, with 14 residents sampled including three residents reviewed for privacy. Based on interview, record review, and observation, the facility failed to provide privacy for two Residents (R)1 and R 19, while staff performed cares in the resident's rooms. Findings included: - Review of Resident (R)1's electronic medical record (EMR), revealed the resident had a diagnosis of dementia (progressive mental disorder characterized by failing memory, confusion). The annual Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of eight, indicating moderately impaired cognition. She required total assistance of one staff for toileting and total assistance of two staff for bed mobility. She had limited range of motion (ROM) on both sides of her upper and lower extremities. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 11/22/22, documented the resident required…

    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 before2023-01-09 · 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 47 residents with 14 sampled for review. Based on observation, interview, and record review the facility failed to complete an accurate assessment/Minimum Data Set (MDS) for three residents, which included Resident (R) 11, related to restraints, and R 38 and R 40, related to terminal condition with life expectancy of less than 6 months. Findings included: - Review of R 11's 's, Physician Orders, dated 12/5/22 revealed diagnoses which included age related physical debility and contractures (abnormal permanent fixation of a joint). The Annual Minimum Data Set (MDS) dated [DATE], documented the Brief Interview for Mental Status (BIMS) score of 15 which indicated he was cognitively intact. He required extensive assistance of staff with bed mobility, transfer, dressing, and toilet use. He required limited assistance for locomotion and walking did not occur. His balance during transition was not steady but he was able to stabilize with staff assistance. He exhibited functional…

    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 · D2023-01-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 47 residents with 14 residents sampled. Based on interview, record review, and observation, the facility failed to review and revise the care plans for two Residents (R)5 and R 19, regarding catheter tubing anchors. Findings included: - Review of Resident (R)5's electronic medical record (EMR) revealed a diagnosis of neurogenic bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system). The Significant Change Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of 12, indicating moderately impaired cognition. The resident required total assistance of one staff for toileting and had an indwelling urinary catheter (a flexible tube used to empty the bladder and collect urine in a drainage bag). The Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA), dated 08/12/22, documented the resident had an indwelling urinary catheter due to a diagnosis of neurogenic bladder. Staff…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-09 · 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 reported a census of 47 residents, with 14 residents sampled, including three for urinary catheter care. Based on observations, interviews, and record review, the facility failed to provide appropriate and sufficient services, treatment, and care for a resident with a clinically justified indwelling catheter, based upon current standards of practice to ensure that Residents (R) 29, R 19 and R 5 received appropriate treatment and services to prevent urinary tract infections to the extent possible. Findings included: - The Physician's Orders dated 07/26/2022 indicates R 29 was admitted on [DATE] with diagnoses of Neuromuscular Dysfunction of the Bladder (dysfunction of the urinary bladder caused by a lesion of the nervous system) and benign prostatic hyperplasia (BPH - a noncancerous enlargement of the prostate which can lead to the interference with urine flow, urinary frequency, and urinary tract infections.) A review of the resident's Quarterly Minimum Data Set (MDS) dated [DATE] revealed the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2026-06-24 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The facility reported a census of 67 residents. Based on observation and interview, the facility failed to ensure the posted daily nurse staffing sheets included accurate information to include the daily census. Findings included: During an observation on 06/22/2026 at 10:13 AM, the daily staffing sheet that hung on the wall behind the front desk at the entrance station documented a census of 71.During an observation on 06/23/2026 at 11:05 AM, the same staff sheet dated 06/22/2026 was still posted on the wall. No sheet for 06/23/2026 was observed.On 06/22/2026 during the initial entrance into the facility, Administrative Staff A verified that the census was 67.During an interview on 06/23/2026 at 02:19 PM Administrative Staff A the customer service associate (CSA) updates the daily staffing sheets. He said there were three CSAs employed at the facility to ensure they would have one working every day of the week and if the CSAs were to call in, then the administrator would be responsible for updating the daily staffing sheet. He stated that if the daily staffing sheet had not been…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has no plan of correction
  • No harm found · Ccited before2026-06-24 · 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

    Based on interview and record review, the facility failed to electronically submit accurate staffing information through the Payroll-Based Journaling (PBJ).Findings included:The PBJ Staffing Data Report provided by the Centers for Medicare and Medicaid Services (CMS) for the Fiscal Year (FY) 2026 Quarter 2 indicated the facility had excessive low weekend staffing.Review of the staffing sheets revealed the same number of direct care staff worked on weekends and weekdays.During an interview on 06/23/2026 at 02:19 PM Administrative Staff A verified the facility did not have low weekend staffing. He said the Director of Nursing (DON), Assistant Director of Nursing (ADON), and Minimum Data Set Nurse (MDS) worked on the weekends as needed.The Reporting Direct Care Staffing Information (Payroll Based Journal) policy, revised August 2022, documented direct care staffing information was reported electronically to CMS through the Payroll-Based Journal system. Complete and accurate direct care staffing information was reported electronically to CMS through the Payroll-Based Journal (PBJ)…

    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 no plan 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

$10,361 in federal fines across 1 penalty.

  • $10,361 — penalty dated 2025-07-31

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

Who owns this facility

Owner / managerTypeRoleShareSince
HARRISON, WARNERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL97%since 07/07/2016
HAVERKAMP, NICHOLASIndividualCONTRACTED MANAGING EMPLOYEE; ADP OF THE SNFsince 11/30/2023
RAPP, KRYSTINIndividualW-2 MANAGING EMPLOYEEsince 06/01/2023
MANHATTAN RETIREMENT FOUNDATION INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 12/24/2024
BAKER, LONNIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/18/2024
NELSON, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/18/2024

CMS files one row per role, so the 10 rows in the source record cover these 6 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.

$5.4M
Net patient revenuemost recent cost report
-20.6%
Operating marginrevenue minus expenses
$64K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 69%Medicare 6%Other / private 25%

This home reported $64K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$351per resident / day
operating cost
$10,672per month
≈ monthly operating cost
$291per 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 175424. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-24, 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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