Edwardsville Care And Rehab
751 Blake Street, Edwardsville, KS 66111 · For profit - Limited Liability company · 102 certified beds · (913) 441-1900 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- lower-than-typical staff turnover (22% vs 45% nationally) — better care continuity
- CMS has flagged it for abuse
- it has an abuse, neglect, or exploitation citation (F0600), cited Jan 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
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (35) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $33,846 in federal fines (most recent 2026-03-05)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
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 3 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.7% | 17.9% | 15.4% | better |
| Long-stay residents who lose too much weight | 0.9% | 4.9% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 1.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 2.9% | 2.0% | better |
| Long-stay residents with depressive symptoms | 3.3% | 6.5% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.4% | 4.3% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.5% | 16.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 59.1% | 23.2% | 18.9% | check this† — see note marked dagger below the table |
| Long-stay residents given the seasonal flu vaccine | 76.8% | 95.5% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 0.6% | 4.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 5.1% | 22.6% | 21.2% | better |
| Short-stay residents rehospitalized after admission | 20.2% | 22.4% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 6.4% | 11.5% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.05 | 1.80 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.51 | 2.13 | 1.80 | better |
† 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.
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.
Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2025Q4 — more than 4% of the 13,714 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.4%CMS range 6.6–17.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 90.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 5.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.60 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 102 beds and averages 93.0 residents a day — about 91% occupied, or roughly 9 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 2.24 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.53 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 2.10 hrs/resident/day on weekends vs 2.33 on weekdays — 10% thinner on weekends. RN hours go from 0.41 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 22% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.
- Immediate jeopardy · Jcited before2026-03-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility identified a census of 94 residents. The sample included three residents reviewed for elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff) risk. Based on observation, record review, and interviews, the facility failed to provide adequate supervision to prevent and then identify an elopement for Resident (R) 1, who had a BIMS of 15, schizoaffective disorder (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), and a guardian. On 02/05/26 at 02:45 AM, R1 left the facility without staff knowledge or supervision by climbing a fence surrounding a smoking patio at the facility and using a dining room chair. Staff were unaware of R1's absence for nine hours due to a failure to complete resident safety rounds. R1 walked to a truck stop and stayed there for hours before walking back to the facility. R1 walked in temperatures ranging from 29.9 to 45.3 degrees F during the timeframe of 02:45 AM to 11:45 AM when he returned to 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.
- Immediate jeopardy · J2026-01-30 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 93 residents. The sample included three residents. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 2 remained free from verbal abuse. On 01/19/26 at approximately 03:20 PM, Dietary Staff (DS) BB verbally abused R2, and Certified Medication Aide (CMA) R had to step between DS BB and R2 in order to assist R2 out of the situation. Per the interview with Administrative Staff A and CMA R, DS BB called R2 an [expletive] during the incident. The facility's failure to ensure staff did not verbally abuse residents placed R2 in immediate jeopardy.Findings Included:- R2's Electronic Medical Record (EMR) documented diagnoses of paranoid schizophrenia (chronic mental health condition characterized by intense, irrational suspicions, persecutory delusions, and auditory hallucinations), anxiety disorder (mental health condition characterized by persistent, excessive fear or worry that is out of proportion to actual danger and interferes with…
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.
- Immediate jeopardy · Jcited before2025-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 96 residents, with 31 residents assessed at risk for elopement (when a resident leaves the premises or safe area without staff knowledge), and five residents sampled. Based on record review, observation, and interview, the facility failed to ensure staff provided adequate supervision and appropriate interventions to prevent the elopement of cognitively impaired R1, who had poor safety awareness. On 01/23/25 at approximately 04:58 PM, R1 exited the facility, unimpeded and without staff knowledge, and R1 remained out of the facility without staff knowledge for approximately 45 minutes, with outdoor temperatures between 16 and 18 degrees Fahrenheit (F). Local law enforcement located R1 approximately 43 minutes later at 05:45 PM, and returned R1 to the facility. This deficient practice placed R1 in immediate jeopardy at risk for life-threatening physical injury or harm. Findings included: - The Electronic Medical Record (EMR) documented R1 was admitted to the facility on [DATE] and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2026-08-05 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to ensure dietary staff appropriately stored, labeled, and dated foods after the original storage container was opened. Findings included:- During the initial tour of the facility kitchen on 08/03/2026 at 08:13 AM, observation revealed the stand-alone refrigerator had a gallon jug of 2% milk that was half full did not have an open date on it. A half-gallon jug of chocolate milk was opened and did not have an open date on it. In the walk-in refrigerator, there were five-pound containers of ham salad, pasta salad, and potato salad that had been opened but lacked an open date. There was a gallon container of creamy Italian dressing that had been opened but lacked an open date. The dry storage area had an opened two-pound bag of powdered sugar that was opened and not in a sealed bag, which lacked an open date. All these food items were removed by the kitchen staff. On 08/03/2026 at 08:25 PM, Dietary CC stated that all foods should be labeled open or use by date and be stored in a sealed container or bag.On…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2026-08-05 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to implement a water management program for Legionella disease (Legionella is a bacterium spread through mist, such as from air-conditioning units for large buildings. Adults over the age of 50 and people with weak immune systems, chronic lung disease, or heavy tobacco use are most at risk of developing pneumonia caused by Legionella). Findings Included:- On 04/06/2026 at 11:51 AM, Maintenance Supervisor (MS) U verified the facility had no water management program. MS U stated he tested water temperatures daily in the laundry room and resident rooms but did not document them. MS U stated he had the testing material for Legionella but had not used it. Maintenance Staff U stated he was unaware of how to establish a water management program but would get with the facility's corporation to find out. On 04/06/2026 at 12:00 PM, Administrative Staff A stated he was unaware the facility was required to develop a water management program and verified they did not have one.The facility's Water Management, Legionella…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-08-05 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, interview, and observation, the facility failed to provide care for Resident (R) 4 and R1 in a manner that protected and promoted their dignity. Findings included:- On 08/04/2026 at 07:32 AM, observation in the commons area revealed Licensed Nurse (LN) G pulled R4's shirt up on his left arm and cleansed the area with an alcohol wipe and administered an insulin injection subcutaneous (applied under the skin), in his right upper arm, with two surveyors, multiple facility employees and numerous other residents in full view of the procedure from the four halls and dining room area. On 08/04/2026 at 07:40 AM, observation in the commons area revealed LN G pulled R1's shirt up on his left arm and cleansed with an alcohol wipe, and administered an insulin injection subcutaneous, in his right upper arm in full view of two Surveyors, multiple facility employees, and numerous other residents. On 08/05/2026 at 08:10 AM, Administrative Nurse D verified LN G should not administer insulin injections in the public area; they should take the residents to their rooms or a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-08-05 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent 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 observation, interview, and record review, the facility failed to ensure a 14-day stop date or a specified duration with rationale for Resident (R)47's ongoing as needed (PRN) antianxiety (class of medications that calm and relax people) medications. Findings include:- R47's Electronic Health Record (EHR) revealed diagnoses of anxiety (mental or emotional reaction characterized by apprehension, uncertainty, irrational fear), restlessness, and agitation. R47's Quarterly Minimum Data Set (MDS) dated [DATE], recorded R47 had moderately impaired cognition. The MDS recorded that she required staff assistance with all activities of daily living (ADLs). The MDS documentation R47 received an antianxiety medication during the observation period. R47's Psychotropic Medication Care Plan dated 06/19/2026, documented the resident received psychotropic medication. The care plan documented staff would administer medications as ordered and staff would monitor and document side effects and effectiveness. The staff 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.
- Potential for harm · Dcited before2026-08-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to promote an environment free of hazards for Resident (R) 6, who smoked cigarettes. R6 was assessed for smoking practices by the facility, and the facility documented she required staff assistance, the facility failed to provide her with the necessary safety equipment. Findings included:- R6's diagnoses included nicotine dependence (a chronic brain disorder where the body and mind rely on nicotine,) schizoaffective disorder (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought,) diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin and unsteadiness on feet R6's Quarterly Minimum Data Set (MDS) dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 11, indicating intact moderately impaired cognition. The MDS documented R6 was independent with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-08-05 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to identify trauma-based triggers related to Resident (R) 21's post-traumatic stress disorder (PTSD- a mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress) when staff failed to implement individualized interventions to prevent re-traumatization to R21. Findings included:- R21's Electronic Medical Record (EMR) documented diagnoses of schizophrenia (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), PTSD, and insomnia (inability to sleep).R21's admission Minimum Data Set (MDS) dated [DATE] documented he had a Brief Interview for Mental Status (BIMS) score of three, which indicated severely impaired cognition. R21 had delusions (untrue persistent belief or perception held by a person although evidence shows it was untrue). The MDS documented a diagnosis of PTSD.R21's Cognitive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-08-05 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported when Resident (R) 1's blood glucose (the main sugar in your blood and your body's primary energy source) level was below the physician's ordered parameter and the physician ordered insulin (a hormone that lowers the level of glucose in the blood) was not held. The facility failed to ensure the CP identified and reported when R27's physician ordered parameters for blood pressure and/or pulse were not obtained and recorded prior to the administration of his ordered antihypertensive (a class of medication used to treat high blood pressure) medications. Findings included:- 1. R1's Electronic Medical Record (EMR) recorded diagnoses of type 2 diabetes mellitus (DM -a chronic condition where the body cannot use insulin properly and sugar builds up in the blood), hypertension (HTN- elevated blood pressure), and schizophrenia (a mental disorder characterized by gross distortion of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-08-05 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure Resident (R) 1's physician ordered insulin (a hormone that lowers the level of glucose in the blood) was held when the blood glucose (the main sugar in your blood and your body's primary energy source) level was below the physician's ordered parameter. The facility failed to ensure R27's physician ordered parameters for blood pressure and/or pulse were obtained and recorded prior to the administration of his ordered antihypertensive (a class of medication used to treat high blood pressure) medications. The facility failed to ensure R86 had physician ordered parameters for his blood glucose prior to injection of insulin. Findings included: - 1. R1's Electronic Medical Record (EMR) recorded diagnoses of type 2 diabetes mellitus (DM -a chronic condition where the body cannot use insulin properly and sugar builds up in the blood), hypertension (HTN- elevated blood pressure), and schizophrenia (a mental disorder characterized by gross…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-08-05 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure biologicals were properly monitored for safe storage temperatures, dated upon opening, maintained within safe expiration dates, and secured to prevent unauthorized access. This deficient practice affected 1 of 1 medication room refrigerators and 4 resident-specific insulin (a hormone that lowers the level of glucose in the blood) pens, Resident (R) 13, R75, and R72. Findings included:- On [DATE] at 07:35 AM, observation of the medication cart for Hall A&B located adjacent to the nurses station revealed Resident (R) 13's Lantus (long-acting insulin) flex pen was not labeled with an opened date or an expired date, and R13's Novolog (fast -acting insulin) insulin flex pen that had a date written on the pen -but it had smeared and was not legible. On [DATE] at 07:50 AM, observation of the medication cart for Hall C located next to the nurses' station revealed R86's Lantus vial was labeled with the date opened [DATE] (44 days), and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-08-05 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure a coordinated plan of care, which coordinated care and services provided by the facility with the care and services provided by hospice, was developed and available for Resident (R)47 and R27. Findings included:- 1. R47's Electronic Health Record (EHR) revealed diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), arteriosclerotic heart disease (a condition where fatty plaque builds up inside the arteries that supply blood to the heart), and peripheral vascular disease (PVD- slow and progressive circulation disorder causing narrowing, blockage, or spasms in a blood vessel). R47's Quarterly Minimum Data Set (MDS) dated [DATE], recorded R47 had moderately impaired cognition. The MDS recorded that R47 required staff assistance with all activities of daily living (ADLs). The MDS lacked documentation R47 received hospice services. R47's Activities of Daily Living Care Plan dated 06/19/2026…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 22 citations
- Potential for harm · F2024-08-21 · tag F0801 — widespreadEmploy 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 — an excerpt from the official record, may be distressing
The facility had a census of 94 residents. The sample included 19 residents. Based on observation, record review, and interview, the facility failed to employ a full-time certified dietary manager for the 94 residents who resided in the facility and received meals from the facility kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 08/20/24 at 10:00 AM, a review of the noon meal consisted of meatloaf, Capri vegetables, a dinner roll, and strawberry cake. On 08/20/24 at 11:30 AM, observation revealed Dietary Manager (DM)BB in the kitchen overseeing the preparation of the noon meal. On 08/19/24 at 11:32 AM, DM BB verified she was not a certified dietary manager. Dietary Staff BB stated she had finished the classes but had not scheduled a date to take the test. On 08/20/24 at 02:33 PM, Administrative Staff A verified DM BB had no dietary manager certification. The facility's Food Service Staffing Policy, revised 10/2022, documented that if the facility dietitian was not full-time, then the facility would employ another qualified nutritional…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-08-21 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility had a census of 94 residents. The sample included 19 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, in one of one kitchen. This placed the residents who received their meals from the facility's kitchen at risk for foodborne illness. Findings included: - On 08/20/24 at 11:29 AM, observation in the kitchen revealed the following A white upright freezer had approximately three-quarters-inch thick ice buildup on the inside including the shelves, sides, top, and bottom. The middle section of the three-door silver refrigerator had four uncovered, undated, unlabeled bowls of cantaloupe verified by Dietary Staff (DS) CC, who stated they should be covered, dated, and labeled. DS CC discarded the cantaloupe. The serving window had numerous different-sized areas with missing Formica. The wall located underneath the place where the dirty dishes came into the dishwasher area had numerous different-sized blackish streaks running down 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.
- Potential for harm · E2024-08-21 · tag F0625 — patternNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 94 residents. The sample included 19 residents. Based on observation, record review, and interview, the facility failed to provide Resident (R)35, R19, R38, and R72 or their representative with written information regarding the facility bed hold policy when they were transferred to the hospital. This placed the resident at risk of not being permitted to return and resume residence in the nursing facility. Findings included: - R35's Electronic Health Record (EHR) revealed a diagnosis of cerebral atherosclerosis (a disease that occurs when the arteries in the brain become hard, thick, and narrow due to the buildup of fatty deposits inside the artery walls), schizoaffective disorder (a mental disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought), and dysphagia (swallowing difficulty). R35's Quarterly Minimum Data Set (MDS), dated [DATE], recorded R35 had moderately impaired cognition. The MDS recorded she 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.
- Potential for harm · Ecited before2024-08-21 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 94 residents. The sample included 19 residents. Based on observation, interview, and record review, the facility failed to discard Resident (R)22, R51, and R82s' insulin (a hormone that lowers the level of glucose in the blood) flex pens when outdated and failed to discard expired stock medications. This deficient practice placed the affected residents at risk for ineffective medications. Findings included: - On [DATE] at 08:00 AM, observation of the facility's A hall treatment cart revealed the following: R22's Novolog (fast-acting insulin) flex pen was not labeled with an open or expired date. R51's Basaglar (long-acting insulin) flex pen was not labeled with an open or expired date. R82's Novolog flex pen was labeled with an open date of [DATE] (expired on [DATE], 28 days) On [DATE] at 08:05 AM, observation of the facility's A hall medication cart revealed one bottle of Vitamin D3, 30 tablets, expiration date 07/2024. On [DATE] at 08:15 AM, observation of the A hall Medication…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-21 · tag F0883 — failed to offer flu and pneumonia vaccines — patternDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 had a census of 94 residents. The sample included 19 residents with six residents reviewed for immunizations to include pneumococcal (type of bacterial infection) vaccinations. Based on record review and interview the facility failed to assess Resident (R)85, R16, R57, and R42 for eligibility to receive further pneumococcal immunizations (helps protect against serious illnesses like pneumonia- inflammation of the lungs) and failed to follow the latest guidance from the Centers for Disease Control and Prevention (CDC) when they failed to offer, obtain an informed declination or a physician documented contraindication for the PCV20 pneumococcal vaccination. This deficient practice placed the residents at risk of acquiring, spreading, and experiencing complications from the pneumococcal disease. Findings included: - A review of the facility's current residents' Electronic Medical Records (EMR) revealed numerous residents lacked pneumococcal vaccinations or documented refusal of the vaccination. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 94 residents. The sample included 19 residents. Based on observation, interview, and record review, the facility failed to provide written notification of facility-initiated transfers to the residents or their representatives for Resident (R)72 and R35. The facility also failed to send notification of facility-initiated discharges and transfers to the office of the State Long Term Care Ombudsman as required. This placed the residents at risk for impaired rights. Findings included: - R72's Electronic Medical Record (EMR) documented R72 had a diagnosis of acute (condition characterized by a relatively sudden onset of symptoms that are usually severe) and chronic (persisting for a long period) respiratory failure (a condition where you don't have enough oxygen in the tissues in your body or when you have too much carbon dioxide in your blood and asthma (disorder of narrowed airways that caused wheezing and shortness of breath). R72's Quarterly Minimum Data Set (MDS), 06/24/24,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-21 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
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 had a census of 94 residents. The sample included 19 residents. Based on observation, record review, and interview, the facility failed to complete the required Significant Change Minimum Data Set (MDS) for Resident (R) 81. This placed the resident at risk for inappropriate care and unmet needs. Findings included: - R81's Electronic Medical Record (EMR) included diagnoses of schizoaffective disorders (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), major depressive disorder (major mood disorder which causes persistent feelings of sadness), deaf nonspeaking, pneumonia, lack of coordination, pain, and drug-induced secondary Parkinsonism (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness). R81'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.
- Potential for harm · Dcited before2024-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 94 residents. The sample included 19 residents, with three reviewed for smoking. Based on observation, record review, and interview, the facility failed to follow the plan of care for smoking for one resident, Resident (R) 6, and failed to assess R53 for safe smoking. This placed the residents at risk for preventable accidents and injury. Findings included: - The Electronic Medical Record (EMR) for R6 had diagnoses of cerebral infarction (occurs as a result of disrupted blood flow to the brain), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear), paranoid schizophrenia (a thought process believed to be heavily influenced by anxiety or fear to the point of irrational thinking), depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness, emptiness and hopelessness), and abnormal involuntary movements (unintended, uncontrollable movements of the body). The Quarterly Minimum Data Set (MDS),…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-21 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY - R81's Electronic Medical Record (EMR) included diagnoses of schizoaffective disorders (a mental disorder characterized by gross distortion of reality, disturbances of language and communication, and fragmentation of thought), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), major depressive disorder (major mood disorder which causes persistent feelings of sadness), deaf nonspeaking, pneumonia, lack of coordination, pain, and drug-induced secondary Parkinsonism (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness). R81's Annual Minimum Data Set (MDS), dated [DATE], documented R81 had intact cognition, hallucinations (sensing things while awake that appear to be real, but the mind created), delusions (untrue persistent belief or perception held by a person although evidence shows it was untrue), and exhibited no behaviors. R81 was independent with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2022-12-28 · tag F0727 — failed to provide required RN coverage — widespreadHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility identified a census of 88 residents. Based on observation, record review and interview, the facility failed to ensure that there was a registered nurse (RN) on staff for at least eight consecutive hours, seven days a week. This deficiency had the potential for poor quality of care and negative outcomes for the residents. Findings included: - Upon review of the facility daily staffing sheets and actual working schedule from 06/01/22 to 12/28/22 it was revealed that the facility failed to have eight consecutive hours of RN coverage on three occasions during that period. The facility failed to have an RN on 07/04/22, 09/03/22, and 09/04/22. On 12/28/22 at 03:47 PM Administrative Nurse D stated the facility always tried to make sure there was a RN scheduled to work each day but sometimes there were call-ins and on holidays it was harder to get people to work. On 12/28/22 at 03:05 PM Administrative Staff A stated the facility ultimately should have a RN on schedule everyday but sometimes that was not always possible. The facility policy Registered Nurse, Director of Nursing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-28 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interviews, the facility failed to ensure a dignified dining experience for when staff stood over Resident (R) 53 instead of sitting beside him while assisting him with meals. This placed R53 at risk for impaired dignity and decreased psychosocial well-being. Findings included: - R53's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of major depressive disorder (major mood disorder), cognitive communication deficit and chronic pain. The admission Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 12 which indicated moderately impaired cognition. The MDS documented that R53 required extensive assistance of two staff members for activities of daily living (ADLs). R53's ADL/Functional/Rehabilitation Potential Care Area Assessment (CAA) dated 11/04/22 documented R53 required varying level of assistance with ADLs. R53'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.
- Potential for harm · D2022-12-28 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 identified a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interviews, the facility failed to develop a person-centered comprehensive care plan for Resident (R) 92 related to resident's choice to smoke and include adaptive equipment needed to ensure safety during smoking. This deficient practice placed R92 at risk of injury or harm from possible burns. Findings included: - R92's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of pain, difficulty walking, and schizophrenia (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought) The admission Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 13 which indicated intact cognition. The MDS documented that R92 required supervision of one staff member assistance for activities of daily living (ADL's). The MDS documented R92 used tobacco during the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-28 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 identified a census of 88 residents. The sample included 18 residents. Based on observation, record review and interview, the facility failed to implement a skin care plan for Resident (R) 49 that included interventions and treatments in regard to a skin issue. This deficient practice placed R49 at risk for further avoidable skin damage. Findings included: - The electronic medical record (EMR) for R49 documented diagnoses of diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), Parkinson's disease (chronic and progressive movement disorder that initially causes tremor in one hand, stiffness or slowing of movement), and major depressive disorder (a major mood disorder). The Annual Minimum Data Set (MDS) dated [DATE] documented R49 had a Brief Interview for Mental Status (BIMS) score of 13 which indicated intact cognition. R49 required extensive assistance of two or more staff for activities of daily living (ADLs). R49 was always…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-28 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 88 residents. The sample included 18 residents. Six sampled residents were reviewed for activities of daily living (ADLs). Based on observation, record review, and interview the facility failed to consistently provide bathing care for dependent resident (R) 49, R67, and R70. This deficient practice placed these residents at risk of skin breakdown and possible infection. Findings included: - The electronic medical record (EMR) for R49 documented diagnoses of diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), Parkinson's disease (chronic and progressive movement disorder that initially causes tremor in one hand, stiffness or slowing of movement), and major depressive disorder (a major mood disorder). The Annual Minimum Data Set (MDS) dated [DATE] documented R49 had a Brief Interview for Mental Status (BIMS) score of 13 which indicated intact cognition. R49 required extensive assistance of two or more staff for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-28 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 88 residents. The sample included 18 residents. Based on observation, record review and interview, the facility failed to ensure Resident (R) 49 received appropriate interventions and treatments in regard to a skin issue. This deficient practice placed R49 at risk for further avoidable skin damage. Findings included: - The electronic medical record (EMR) for R49 documented diagnoses of diabetes mellitus (when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin), Parkinson's disease (chronic and progressive movement disorder that initially causes tremor in one hand, stiffness or slowing of movement), and major depressive disorder (a major mood disorder). The Annual Minimum Data Set (MDS) dated [DATE] documented R49 had a Brief Interview for Mental Status (BIMS) score of 13 which indicated intact cognition. R49 required extensive assistance of two or more staff for activities of daily living (ADLs). R49 was always incontinent of urine.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 88 residents. The sample included 18 residents. Based on observation, record review, and interviews, the facility failed to provide a safe environment free from accident hazards for Resident (R) 92's when staff failed to offer his smoking apron, failed to ensure hallways were free from obstacles, and failed to remove snow/ice from the resident smoking area. This deficient practice placed R92 at risk of injury or harm from possible falls or burns. Findings included: - R92's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of pain, difficulty walking, and schizophrenia (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought) The admission Minimum Data Set (MDS) dated [DATE] documented a Brief Interview of Mental Status (BIMS) score of 13 which indicated intact cognition. The MDS documented that R92 required supervision of one staff member assistance for activities of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-28 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility identified a census of 88 residents. The sample included 18 residents with four reviewed for nutrition. Base on observation, record review, and interviews, the facility failed to include the Registered Dietician (RD) in R67's individualized care and implement dietary interventions to prevent a gradual weight loss. The facility additionally failed to follow the RD's recommendation for weight weights. This deficient practice placed R67 at risk for ongoing wieght loss. Findings Included: - The Medical Diagnosis section within R67's Electronic Medical Records (EMR) included diagnoses of Parkinson's disease (slowly progressive neurologic disorder characterized by resting tremor, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity and weakness), gastro-esophageal reflux disease (backflow of stomach contents to the esophagus), dysphagia (swallowing difficulty), and schizoaffective disorder (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought). R67's Quarterly Minimum Data…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-28 · tag F0698 — failed to provide proper dialysis care — isolatedProvide 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 identified a census of 88 residents. The sample included 18 residents with one resident reviewed for hemodialysis (procedure using a machine to remove excess water, solutes, and toxins from the blood in people whose kidneys can no longer perform these functions naturally). Based on observation, record review, and interviews, the facility failed to document an arteriovenous (AV-a surgically created connection between artery and a vein used for hemodialysis) fistula for thrill (palpable vibration) and bruit (an audible vascular sound associated with turbulent blood flow usually heard with stethoscope that may occasionally also be palpated as a thrill) consistently for Resident (R) 72. This deficient practice placed R72 at risk of potential adverse outcomes and physical complications related to dialysis. Findings included: - R72's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of chronic kidney disease (CKD - damaged kidneys and unable to filter blood the way they should).…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-28 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 88 residents. The sample included 18 residents with five reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the Consultant Pharmacist (CP) identified and reported irregularities for a lack of a 14-day duration for as needed psychotropic (alters mood or thought) medication for Resident (R) 77. The facility failed to follow up on the CP's recommendations for R2 and R83. This deficient practice placed these residents at risk for unnecessary medication administration thus leading to possible harmful side effects. Findings included: - R77's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), schizophrenia (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication, depression (abnormal emotional state characterized by…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-28 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 88 residents. The sample included 18 residents with five reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure the physician had documented a duration for use of an as needed psychotropic (alters mood or thought) medication for Resident (R) 77, R2 and R83. This deficient practice placed these residents at risk for unnecessary medication administration thus leading to possible harmful side effects. Findings included: - R77's electronic medical record (EMR) from the Diagnoses tab documented diagnoses of anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty and irrational fear), schizophrenia (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication, depression (abnormal emotional state characterized by exaggerated feelings of sadness, worthlessness and emptiness), and fragmentation of thought), and diabetes mellitus (when the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-28 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 identified a census of 88 residents. The facility had one main kitchen. The facility had three residents that required puree (smooth, crushed or blended food) food Based on observation, record review and interview the facility failed to ensure dietary staff properly washed and sanitized food preparation equipment after use. This deficient practice placed residents at risk for food borne illnesses and cross contamination. Findings included: - An observation of the puree food preparation on 12/28/22 at 11:38 AM Dietary Staff CC gathered the supplies (clean metal containers and clean blender pitcher) needed for the puree foods and placed the items on top of the metal counter. Dietary CC washed his hands and donned gloves to obtain four rolls from the steam table and placed them into a clean bowl. Dietary CC then placed the rolls into the blender container and added measured broth to the rolls and placed the lid on the container then turned on the blender. After pureeing the rolls, he poured the pureed food into a clean metal container. Dietary CC then took the empty…
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.
- No harm found · Cdisputed · IDR2026-08-05 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (PBJ) as required. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) Quarter1 (October 1-December 31/2025), Quarter 2 (January 1-March 31), Quarter 3 (April 1-June 30, 2025), and Quarter 4 (July 1-September 30, 2025) indicated the facility had excessively low weekend nurse staffing. Review of the facility's weekend nursing schedules and working hours for the above Quarters revealed the facility had adequate staffing. On 08/18/25 at 08:26 AM, Administrative Staff A stated the administrator and corporate staff were responsible for submitting the PBJ. The facility's PBJ Policy, revised 10/2025, documented the facility would submit PBJ data in a uniform format to CMS, including staffing community, agency, and contact staff.
“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.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$33,846 in federal fines across 3 penalties.
- $9,113 — penalty dated 2026-03-05
- $15,620 — penalty dated 2026-01-28
- $9,113 — penalty dated 2025-01-29
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to MISSION HEALTH COMMUNITIES — 29 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.9 | -0.9 vs chain |
| Health inspection | 1 of 5 | 2.9 | -1.9 vs chain |
| Staffing | 3 of 5 | 3.0 | ≈ chain avg |
| Quality measures | 5 of 5 | 2.9 | +2.1 vs chain |
The other 28 homes this chain runs (chain average 2.9★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| CORONADO OPERATOR, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 10/01/2019 |
| BARRES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2019 |
| CURIS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2019 |
| T AND C CAPITAL ASSETS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2019 |
| WINDWARD HEALTH PARTNERS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2019 |
| YOAKUM, JAMIE | Individual | CORPORATE OFFICER | — | since 01/19/2024 |
| EDWARDSVILLE OPERATOR LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2019 |
| MISSION HEALTH COMMUNITIES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2019 |
| LINDEMAN, STUART | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2019 |
| THOMAS, TINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2019 |
7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 93% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $369K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
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
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.
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 2026-09-01 — CMS provider number 175245. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-08-05, 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.