The Shepherd's Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.85 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 32% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 28 beds and averages 25.5 residents a day — about 91% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.11 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 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 2.71 hrs/resident/day on weekends vs 3.27 on weekdays — 17% thinner on weekends. RN hours go from 1.18 to 0.74 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% 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

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

Inspection deficiencies

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

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

26 citations, most serious first. The 13 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · L2024-06-27 · tag F0609 — failed to report abuse allegations — widespread
  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 25 residents. The sample included six residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to ensure the timely reporting of alleged exploitation to the State Agency (SA- a state governmental agency that provides oversight for the Centers for Medicare & Medicaid Services [CMS - the federal government agency that administers the nation's major healthcare programs]) or local law enforcement, as required, when the facility failed to report the allegation of exploitation of Resident (R) when Housekeeping Staff D coerced the resident to write her a check for $300.00. This deficient practice placed R1and other residents of the facility in immediate jeopardy with the risk for a negative psychosocial impact in safety and security. Findings included: - R1's Electronic Health Record (EHR) revealed diagnoses that included interstitial pulmonary disease (a disorder that causes progressive scarring of lung tissue), major…

  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 · L2024-06-27 · tag F0610 — failed to investigate and act on abuse reports — widespread
  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 25 residents. The sample included six residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to thoroughly investigate incidents of misappropriation of funds and failed to protect the residents from further misappropriation when Housekeeping Staff D coerced Resident (R)1 to write her a check for $300.00. This deficient practice placed R1and other residents of the facility in immediate jeopardy and placed the residents at risk for further misappropriation of funds. Findings included: - R1's Electronic Health Record (EHR) revealed diagnoses that included interstitial pulmonary disease (a disorder that causes progressive scarring of lung tissue), major depressive disorder (a major mood disorder which causes persistent feelings of sadness), and anxiety disorder (a mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). The Annual Minimum Data Set (MDS) dated [DATE] documented a Brief…

  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 · J2024-06-27 · 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 The facility reported a census of 25 residents. The sample included six residents reviewed for misappropriation and exploitation. Based on interview and record review, the facility failed to ensure Resident (R)1 remained free from misappropriation of funds, when Housekeeping Staff D coerced the resident to write her a check for $300.00. This deficient practice placed R1and other residents of the facility in immediate jeopardy with the risk for a negative psychosocial impact in safety and security. Findings included: - R1's Electronic Health Record (EHR) revealed diagnoses that included interstitial pulmonary disease (a disorder that causes progressive scarring of lung tissue), major depressive disorder (a major mood disorder which causes persistent feelings of sadness), and anxiety disorder (a mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). The Annual Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15, 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-17 · tag F0730 — widespread
  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 20 residents. Based on interview and record review, the facility failed to ensure complete the required annual evaluation for two of the five Certified Nursing Aide staff sampled. Findings included:-Review of the staff personnel files revealed the following:1.CNA N, hired on 08/02/23, had a performance evaluation dated 07/25/24 but nothing dated afterwards. 2. CNA O, hired 12/03/20, had a performance evaluation dated 05/06/24 but nothing dated afterwards.On 09/30/25 at 04:25 PM, Administrative Nurse D revealed she is planning on setting up the evaluations on a calendar and said they should be completed in a timely manner.The facility policy Staff Recruitment and Retention Policy, undated, revealed the facility recognizes staff members are the backbone of the organization. Their dedication, skills, and compassion directly impact the quality of care provided to our residents. The facility performs wage comparison and analysis on an annual basis to ensure the facility is offering competitive salaries and benefits to attract and retain qualified staff.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-11-17 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  The facility reported a census of 20 resident. Based interviews. the facility failed to employ a full-time certified dietary manager for the residents who resided in the facility and received meals from the facility kitchen. Findings included: - Upon request, the facility was unable to provide evidence of adequate training credentials for the Certified Dietary Manager (CDM).On 09/29/25 at 10:35 AM, Dietary Manager BB stated she did not have a certificate or experience with food handling prior to taking the position. She revealed she was currently in classes for her CDM.On 10/1/25 at 03:35 PM, Administrative Staff A revealed she placed Dietary Manager BB in the position and was not aware she needed to have certification, specialized training, or experience. Administrative Staff A said Dietary Manager BB was currently in classes to obtain her CDM.The facility did not provide a policy regarding Certified Dietary Manager.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-11-17 · 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 20 resident with two satellite kitchens. Based on observation and interview the facility failed to prepare and serve food under sanitary condition to prevent the potential for food borne bacteria. This place the residents at risk for food borne illnesses.Findings included:- On 09/29/25 at 09:40 AM, during the initial tour of the main pantry, observation revealed a dented can of refried beans, one bag of carrots with a lot of frost in the bag covering the carrots. And one sleeve of hash browns with no date.In the south satellite kitchen on the south hall, observation revealed one bag of hot dogs with a date of 07/27/25 with lots of frost, and one bag of carrots with frost covering the bag.In the north satellite kitchen, observation revealed one bag of hot dogs with no date, and one bag of carrots with a large amount of frost in the bag. The mini freezer did not have temperatures recorded from 09/23/25 to 09/29/25. A revisit of both satellite kitchens on 09/30/25 at 01:00 PM revealed the mini freezer temperatures log had not been updated. Neither 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 · F2025-11-17 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  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 20 residents. The sample included 13 residents. Based on observations, interview and record reviews, the facility failed to conduct a thorough facility wide assessment to determine the resources necessary to care for the residents competently during both day-day operations and emergencies. This failure affected all 20 residents residing in the facility.Findings included:- On 09/30/25, the Administrative Nurse D provided a Facility assessment dated [DATE]. A review of the assessment revealed the following. The assessment did not identify the specific staffing levels needed for each unit and the number of Registered Nurses (RN), Licensed Nurses (LPN), Certified Medication Aides (CMA), and Certified Nurse Aides (CNA) needed for each unit, patient acuity, and census. The assessment lacked staffing levels required for each shift to include evenings and weekends. The assessment further lacked information for the contingency staffing plans for events that did not require activation…

  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 before2025-11-17 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 20 residents; the sample included 13 residents. Based on interview and record review, the facility failed to complete a Quality Assurance and Performance Improvement Program (PIP) based on identification, investigation, analysis, and prevention of adverse events in the facility within the past year. Findings included:- Upon request the facility was unable to provide evidence of a PIP completed within the last year.During an interview on 10/01/25 at 03:14 PM, Administrative Staff A stated that she expected Administrative Nurse D to complete all the PIPs for the facility. Administrative Staff A stated she believed the last time a PIP was completed was one and a half years ago.The facility's policy Quality Assurance Performance Improvement Policy, dated 05/16/25, documented the facility had developed, implemented, and maintained an effective, on-going, comprehensive, data driven QAPI program focused on indicators of the outcomes of care and quality of life by addressing the full range of care and services provided by the facility. The facility…

  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 before2025-11-17 · 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 20 residents. Based on interview and record review the facility failed to complete a system of surveillance designed to identify possible communicable diseases or infections before they can spread to other persons in the facility. Additionally, the facility failed to complete a system for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases for all residents. This failure has the potential to affect all 20 residents.Findings included:- Upon request, the facility was unable to provide antibiotic and infection surveillance logs.During an interview on 09/30/25 at 04:04 PM, Administrative Nurse E (Infection Preventionist) stated she had no electronic or paper records to show the collection and analysis of data to track infection rates and identify trends. Administrative Nurse E reported she would read the Electronic Medical Record every day to see if there were any new orders for antibiotics. She reported that she completed a verbal report of the facilities infections, and antibiotic use at the Quality…

  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 · F2025-11-17 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 20 residents; the sample included 13. Based on interview and record review the facility failed to ensure staff adhered to the principles of antibiotic stewardship through monitoring for the appropriate use of antibiotics prescribed to prevent antibiotic resistance and spread of multidrug resistant organisms within the facility. Findings included:- Upon request, the facility was unable to provide antibiotic and infection surveillance logs.During an interview on 09/30/25 at 04:04 PM, Administrative Nurse E (Infection Preventionist) stated she had no electronic or paper records to show the collection and analysis of data to track/monitor antibiotics ordered, and laboratory reports received. Administrative Nurse E reported she would read the Electronic Medical Record every day to see if there were any new orders for antibiotics. She reported that she completed a verbal report of the facility's infections and antibiotic use at the Quality Assurance meetings.The facility's policy Antibiotic Stewardship Program, dated 04/01/25, documented the facility…

  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 · E2025-11-17 · 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 20 residents; the sample included 13 residents. Based on interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS) assessment in a timely manner for six residents; Resident (R)1, R2, R5, R14, R18, and R20. Findings included:- R1's Electronic Medical Record (EMR) recorded the Annual MDS, dated [DATE], which was completed on 03/18/25 and submitted on 04/01/25. (46 days later)R2's EMR recorded a comprehensive MDS dated [DATE]. R2's EMR recorded the Significant Change MDS was completed on 08/07/25 and submitted on 08/21/25. (13 days later).R5's EMR recorded a comprehensive MDS dated [DATE]. R5's EMR recorded the Significant Change MDS was completed on 07/29/25 and submitted on 08/21/25. (26 days later).R14's EMR recorded a comprehensive MDS dated [DATE]. R14's EMR recorded the Annual MDS was completed on 09/03/25 and submitted on 09/26/25. (9 days later).R18's EMR recorded a comprehensive MDS dated [DATE]. R18's EMR recorded the Annual 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-17 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 20 residents. The sample included 13 residents with one resident reviewed for discharge. Based on interview and record review, the facility failed to provide Resident (R) 28 a written notification of discharge to the resident and/or his representative as soon as practicable and failed to complete a recapitulation of R28's stay. Findings included:- R28's Electronic Medical Record (EMR) revealed a diagnosis of frequent falls, and 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).R28's 08/04/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of 15, which indicated intact cognition. The MDS recorded R28 required maximal assistance with bathing, and dressing. The MDS recorded R28 was independent with ambulation. The MDS recorded R28's goal was to discharge back into the community, and she had an active discharge plan.R28'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 date of correction
• Potential for harm · D2025-11-17 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility had a census of 20 residents. The sample included 13 residents. Based on observation, interview, and record review, the facility failed to accurately complete the Minimum Data Set (MDS) for one resident. Resident (R) 10, related to psychotropic (alters mood or thought) medications. Findings included:- R10's Electronic Medical Record (EMR) revealed diagnoses of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and insomnia (inability to sleep).R10's 04/09/25 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of 13, which indicated intact cognition.The MDS recorded R10 was administered antianxiety (a class of medications that calm and relax people), antidepressant (a class of medications used to treat mood disorders), and diuretic (a medication to promote the formation and excretion of urine) in the lookback period of seven days. The MDS lacked the documentation of antipsychotic (a class 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$13,627 in federal fines across 1 penalty.

• $13,627 — penalty dated 2024-06-27

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

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

What families pay in KS