Wheatridge Park Care Center
1501 S Holly Dr, Liberal, KS 67901 · For profit - Limited Liability company · 51 certified beds · (620) 624-0130 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a high payroll-based staffing rating (4/5)
- it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2024
- it has a citation for mishandling residents’ money or property (F0567)
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $158,640 in federal fines (most recent 2024-09-16)
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its facility-reported quality-measure rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
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) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own 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 | 2 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 1 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 23.9% | 17.9% | 15.4% | worse |
| Long-stay residents who lose too much weight | 1.5% | 4.9% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.4% | 1.6% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.6% | 2.9% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 2.2% | 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 | 3.9% | 4.3% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 29.8% | 16.2% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 16.0% | 23.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 94.7% | 95.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.3% | 4.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 13.8% | 22.6% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 6.9% | 18.1% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.9% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 50.0% | 73.8% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 24.6% | 22.4% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 11.8% | 11.5% | 12.0% | typical |
| Long-stay hospitalizations per 1,000 resident days | 1.54 | 1.80 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.20 | 2.13 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
27.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 97 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 31.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 48 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 27.4%CMS range 21.1–37.4 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.1%CMS range 7.3–14.8 | 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 | 31.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 25.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 29.2% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.5% | 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 | 2.5% | 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 | 7.3%CMS range 3.9–12.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.10 | 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 51 beds and averages 40.5 residents a day — about 79% occupied, or roughly 10 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.68 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.30 hrs/resident/day on weekends vs 3.93 on weekdays — 16% thinner on weekends. RN hours go from 0.92 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
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.
34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.
- Immediate jeopardy · J2024-01-04 · 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 reported a census of 41 residents and identified 11 cognitive impaired females. The sample included three residents reviewed for abuse. Based on interviews, observations, and record review, the facility failed to provide a safe environment when staff did not provide adequate supervision to prevent resident-to-resident sexual abuse. On 12/10/23 staff found cognitively intact, independent Resident (R )1 kissing R2, a resident with severe cognitive impairment who lacked the ability to consent. Staff reported R1 had his hand inside of R2's shirt, and R2 had her hand inside of R1's pants. The staff separated the residents. This deficient practiced placed R2 in immediate jeopardy. Finding included: - Resident (R)1's Physician Orders dated 10/01/22 revealed a diagnosis of unspecified dementia unspecified severity with other behavioral disturbance (progressive mental disorder characterized by failing memory and confusion). The Annual Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview Mental…
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.
- Actual harm · G2024-09-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 40 residents, with 12 residents sampled, and one resident reviewed for pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). Based on observations, interviews, and record review, the facility failed to provide a pressure reducing device on the bed to prevent a pressure injury for Resident (R) 2. On 07/11/24 the facility noted R2's previous pressure injuries were all closed. On 07/12/24, R2 was moved to a different room and the facility failed to move his air mattress for his bed to the new room. On 07/24/24, R2's left heal pressure injury re-opened and was identified as a stage three pressure injury (full thickness pressure injury extending through the skin into the tissue below). This placed the resident at risk to worsen his pressure ulcers and delayed healing. Findings included: - Resident (R) 2 's Electronic Health Record (EHR) revealed…
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.
- Actual harm · Gcited before2024-09-16 · 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 40 residents, which included 12 residents sampled and three reviewed for accidents and accident hazards. Based on interviews, observations, and record review, the facility failed to provide an environment free of accident hazards for the residents of the facility when the facility failed to properly store chemicals in an unlocked cabinet in an unlocked room and when the facility stored chemicals along a rail in the hallway. Additionally, the facility failed to ensure R26, who was identified by the facility as confused and independently mobile with aggressive and wandering behaviors, remained free of accident hazards when R26 put scissors in his pocket and wandered inside the facility. Furthermore, the facility failed to ensure that two residents, Resident (R) 22 and R8, remained free of accident hazards related to falls when the facility failed to appropriately investigate, develop, and implement appropriate interventions to prevent multiple falls for R22 related to continued…
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 · F2024-09-16 · tag F0730 — widespreadObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 40 residents. Based on interview and record review, the facility failed to complete an annual performance review at least once every 12 months for five Certified Nurse Aides (CNAs) reviewed, to ensure adequate appropriate cares and services provided to the residents of the facility. The facility identified five CNAs employed over 12 the month period. Findings included: - Review of employee files on 09/12/24 at 2:00 PM revealed a lack of performance evaluations signed by management for five of five Certified Nurse's Aides (CNAs), that had been employed over one year, that included Certified Nurse's Aide CNA P, CNA Q, CNA R, CNA S and CNA T. On 09/12/24 at 2:00 PM, Administrative Staff A reported that producing the requested performance evaluations for CNA staff would be difficult and stated that he did not know that annual performance evaluations for CNA staff was a requirement. The facility's In-Service Training, Nurse Aide policy dated 09/2022, documented that the facility completes a performance review of the nurse aides at least every 12 months.…
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 · F2024-09-16 · tag F0761 — failed to label and store drugs safely — widespreadEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility census totaled 40 residents on three halls with a commons area where residents gathered for meals and activities. The facility had one medication cart and one nurse treatment cart that services the facility. Based on observation, interview, and record review, the facility failed to provide a safe environment by the failure to ensure a nurse treatment cart that contained insulin (a medication used to treat diabetes [a disease when the body cannot use glucose, not enough insulin made or the body cannot respond to the insulin]), topical ointments and creams, and narcotics that were in a locked box within the nurse's treatment cart, remained locked when not in direct line of vision of the nurse, in an area where residents could access it. Findings included: - Observation on 09/11/24 at 07:47 AM, revealed a treatment cart unlocked and unattended in the hallway where residents could access it. Observation on 09/11/24 at 02:20 PM, revealed a treatment cart in the residents' hallway, unlocked and unattended. On 09/11/24 at 07:50 AM, Licensed Nurse (LN) G identified the unlocked…
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 · F2024-09-16 · 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 reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to provide sanitary conditions for food storage and dishes to prevent the spread of food borne illness to the residents of the facility. Findings included: - Initial tour of the kitchen on 09/10/24 at 08:32 AM with Dietary Manager L, revealed the following areas of concerns: 1. In the serving area, several stacks of bowls and plates stored in the upright position that had the potential to be exposed to splash, dust or other contamination. 2. In the dry storage area, a box of pancake mix opened to air and undated, a large bag of long grain rice opened to air and undated, a large container of Japanese breadcrumbs opened to air and undated, and a box of white cake mix opened to air and undated. 3. In an upright stand-alone refrigerator was a container of white cheese opened to air. 4. The facility utilized a three basin sink system for low-temp washing of dishes. Dietary Manager L was unable to provide current sanitation documentation and produced a package of testing…
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 · F2024-09-16 · tag F0814 — failed to dispose of garbage properly — widespreadDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
The facility reported a census 40 residents. Based on observation, interview, and record review, the facility failed to maintain and/or dispose of garbage and refuse properly in a sanitary condition to prevent the harborage and feeding of pests. Findings included: - Initial tour of the outside trash dumpsters on 09/10/24 at 08:32 AM with Dietary Manager L, revealed two dumpsters had the lids in the open position, one of which had trash debris that stuck out of the dumpster. Both lids were broken and failed to completely cover the trash cans. On 09/10/24 at 08:40 AM, Dietary Manager L revealed he was not aware of the requirement to have trash covered. On 09/10/24 at 10:29 AM, Administrative Staff A stated that the dumpsters belonged to the city. The facility lacked a policy related to garbage and refuse handling and disposal. The facility failed to provide sanitary garbage and refuse containers that were maintained with lids closed or otherwise covered. This deficient practice had the potential to lead to harborage and feeding of pest animals.
- Potential for harm · F2024-09-16 · tag F0835 — failed to run the facility competently — widespreadAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility identified a census of 40 residents. Based on observations, record reviews, and interviews, the facility failed to put in place an effective administration who ensured the facility was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident who resided at the facility. The outcome of these failures caused harm to Resident (R)2 and R8. Findings included: - The facility failed to provide Resident (R)10 care in a dignified manner during colostomy care. R10 was left lying in his bed for 40 minutes with his door open, undressed waist up and no colostomy (surgical creation of an artificial opening on the stomach wall to excrete feces from the body) bag covered his stoma. This deficient practice placed the resident at risk for decreased psychosocial well-being. The facility failed to include R7 to his care plan meetings. This deficient practice placed the residents at risk for inadequate care and services. This practice had 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 · F2024-09-16 · tag F0908 — failed to keep essential equipment working — widespreadKeep all essential equipment working safely.
What the surveyor found here — the official record, unedited, may be distressing
The facility reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to ensure the kitchen's double-door oven was in safe operating condition. Findings included: - On 09/12/24 at 11:01 AM, observation revealed a double-door oven was held closed with a folding metal chair. Interview on 09/12/24 at 11:01 AM with Dietary Manager L, confirmed that the oven doors would not stay closed and must be propped closed with a metal folding chair. The facility failed to provide a policy related to maintaining properly functioning equipment. The facility failed to maintain mechanical equipment in safe operating condition.
- Potential for harm · F2024-09-16 · tag F0947 — failed to train nurse aides adequately — widespreadEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 40 residents. Based on interview and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for Certified Nurse Aide (CNAs) with the required topics and no less than 12 hours per year. Two of the five nurse aides sampled lacked the required training topics. Two of five nurse aides sampled lacked the required 12 hours per year of in-service training. Findings included: - On 09/12/24 at 12:30 PM, review of training records for five CNAs employed by the facility for more than one year revealed two CNAs had less than 12 hours of documented in-service training for the previous 12 months. CNA S had eight hours of documented training and CNA T had 10.5 of documented training. On 09/12/24 at 12:30 PM, review of training records for five CNAs employed by the facility for more than one year revealed two CNAs did not have the required topics for in-service training for the previous 12 months. CNA Q lacked dementia care training and CNA R lacked behavior health training. On 09/12/24 at 11:49 AM,…
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 · E2024-09-16 · tag F0578 — failed to honor advance directives / code status — patternHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents, with 12 residents sampled, including review for advanced directives (a written document which indicated the medical decisions for health care professionals when the person could not make their own decisions). Based on interview and record review, the facility failed to ensure four residents had accurately completed advanced directives. Resident (R)2 had a Do Not Resuscitate (DNR- or no code, a legal document or order that means the person does not desire cardiopulmonary resuscitation [CPR is an emergency lifesaving procedure performed when the heart stops beating] in the event of cardiac arrest), only signed by a physician. R8 had two DNR's; one signed by the guardian only and the other one signed only by the physician. R10's DNR was not signed by a witness and R 20's DNR was only signed by a physician. Findings included: - Resident (R)2 's Electronic Health Record (EHR) revealed diagnoses of diabetes mellitus type two (DM2-when the body cannot use glucose, not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-09-16 · tag F0623 — patternProvide 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 identified a census of 40 residents which included 12 residents sampled, that included five residents reviewed for notification of discharge to residents' representative and the Office of the State Long-Term Care Ombudsman. The facility failed to provide written notification to the representatives of Resident (R) 8, R26, R2, R10 and R21. Additionally, the facility also failed to notify the Office of the Long-Term Care Ombudsman (LTCO-a public official who works to resolve resident issues in nursing facilities). These deficient practices placed the residents at risk for impaired rights and uninformed care choices and had the potential to lead to uncommunicated needs related to continuity of care across the healthcare spectrum. Findings included: - Review of the Electronic Health Record (EHR) for Resident (R) 8 revealed a hospitalization from 05/01/24 to 05/06/24. Review of the EHR Progress Notes lacked documentation that R8's representative was notified of the hospitalization by the facility. Review…
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 · E2024-09-16 · 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 40 residents. The sample included 12 residents with five residents reviewed for hospitalization. Based on observation, interview, and record review, the facility failed to provide a bed hold notice to Residents, (R)2, R10, R21 and R26 and/or their representative with a written notice specifying the duration of the bed-hold policy, at the time of the residents' transfers to the hospital. Findings included: - Resident (R) 2's Electronic Health Record (EHR) revealed diagnoses of diabetes mellitus type two (DM2-when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin) and reduced mobility. The Significant Change Minimum Data Set (MDS) dated [DATE], documented a Brief Interview for Mental Status (BIMS) of 99, indicating severely impaired cognition. The resident had a total mood severity score of two, indicating no depression and R2 had no behaviors. R2 required total assistance with activities of daily living (ADLs), which included bed mobility,…
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 21 citations
- Potential for harm · E2024-09-16 · tag F0636 — patternAssess 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 40 residents. The sample included 12 residents. Based on record review and interviews, the facility failed to complete Care Area Assessments that addressed the individual underlying causes, contributing factors and risk factors for five residents. Resident (R)7 and R21 had incomplete and repetitive documentation, Additionally R8 all the CAA notes documented R8 was deceased , when R8 was still a resident in facility on [DATE]. R144 had no CAA notes for two triggered categories. Findings included: - Resident (R)7's medical diagnoses included chronic respiratory failure (a long-term condition that occurs when the body's respiratory system is unable to exchange oxygen and carbon dioxide properly) and morbid obesity (excessive body fat). The [DATE] admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. R7 required total assistance with activities of daily living (ADLs), with toileting hygiene, bathing,…
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 · E2024-09-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 40 residents with 12 residents sampled, including five residents reviewed for respiratory care. Based on observations, record reviews, and interviews, the facility failed to properly clean, label and store the nebulizer (a device for administering inhaled medications) for Resident (R)7 in accordance with the standards of care and failed to follow up on a bilevel positive airway pressure (BiPAP-medical device which helps with breathing) physician order. In addition, the facility failed to date the oxygen tubing for R144. R7, R21, R22 and R144. Findings included: - Resident (R)7's medical diagnoses included chronic respiratory failure (a long-term condition that occurs when the body's respiratory system is unable to exchange oxygen and carbon dioxide properly) and morbid obesity (excessive body fat). The 04/29/24 admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. R7 required total assistance with activities of daily living (ADLs), with toileting hygiene, bathing, dressing,…
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 · E2024-09-16 · tag F0880 — failed to prevent and control infections — patternProvide 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 40 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to use Enhanced Barrier Precautions (EBP is a risk -based approach to use protective personal equipment to reduce the spread of multidrug resistant organism, consisting of gown and gloves). for Resident (R)39 during wound care and R26 during urinary catheter care. This placed the residents at risk for infection. Findings Included: - R39's Electronic Medical Record (EMR) recorded the following diagnosis: acquired absence of left leg below the knee (BTKA), infection of the amputation stump of the left lower extremity, and Methicillin Resistant Staphylococcus Aureus Infection (MRSA, bacteria that is resistant to many treatments and can cause very serious and life-threatening infections). The 08/02/24 admission Minimum Data Set (MDS), revealed the resident had a Brief Interview for Mental Status score of 15, which indicated intact cognition. R39 utilized a walker/wheelchair for transportation, required substantial to maximum assistance 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 · D2024-09-16 · 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 reported a census of 40 residents. The sample included 12 residents. Based on interview and record review, the facility failed to provide Resident (R)10 care in a dignified manner during colostomy care. R10 was left lying in his bed for 40 minutes with his door open, undressed waist up and no colostomy (surgical creation of an artificial opening on the stomach wall to excrete feces from the body) bag covered his stoma. This deficient practice placed the resident at risk for decreased psychosocial well-being. Findings included: - Resident (R)10 's Electronic Health Record (EHR) revealed diagnoses of dementia (progressive mental disorder characterized by failing memory, confusion) and need for assistance with personal care. The Annual Minimum Data Set (MDS) dated [DATE], documented a Brief Interview for Mental Status (BIMS) of 15, indicating intact cognition. The resident had a total mood severity score of 00, indicating no depression and no behaviors. R10 required total assistance with 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 · D2024-09-16 · tag F0553 — failed to let residents help plan their care — isolatedAllow resident to participate in the development and implementation of his or her person-centered plan of care.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to include Resident (R)7 for the development and continued planning of the resident's care plan quarterly. This deficient practice placed the residents at risk for impaired care and services. This practice had the potential to lead to negative psychosocial effects related to safety and uncommunicated needs. Findings included: - Resident (R)7's medical diagnoses included diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin), end stage renal disease (ESRD-a terminal disease of the kidneys) and anxiety. The 04/29/24 admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. R7 had a total mood severity score of 00, indicating no depression and there were no behaviors. R7 required total assistance with activities of daily…
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 · D2024-09-16 · tag F0567 — failed to protect residents' money held by the home — isolatedHonor the resident's right to manage his or her financial affairs.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 40 residents. The sample included 12 residents. Based on interview and record review, the facility failed to ensure Resident (R)7 received his monthly benefits when he requested the funds. Findings included: - On 09/10/24 at 07:45 AM, R7 stated he requested his monthly benefits of 62.00 dollars on 09/06/24 in the morning prior to him leaving the facility for his dialysis (procedure where impurities or wastes were removed from the blood) appointment. R7 stated when he returned to facility in the afternoon, there was no check waiting for him and Administrative Staff I was gone for the day. On 09/12/24 at 09:25 AM, Certified Medication Aide (CMA) V reported she was not aware of any money for residents to have available when the business office was closed. On 09/12/24 at 09:26 AM, Licensed Nurse (LN) U reported he was unaware of any money being available for residents that requested money from staff if the business office was closed. LN U stated he would not know the policy on how residents could receive money at night or on the weekends. On 09/12/24 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-09-16 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents. The sample included 12 residents. Based on interview and record review, the facility failed to ensure the correct and complete Beneficiary Protection Notification forms were issued to one of three residents reviewed, Resident (R)146. Findings included: - On 09/11/24 review of the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage Form CMS-20052 (SNFABN) and the Notification of Medicare Non-Coverage Form 10123(NOMNC- the form used to notify Medicare A participants of their rights to appeal and the last covered date of service) both forms lacked Resident (R)146's signature before her discharge home on [DATE]. Option three checked to reflect I don't want the care listed above. I understand that I'm not responsible for paying, and I can't appeal to see if Medicare would pay. The box was marked off with an X. A handwritten comment on both forms Resident discharged from facility before signature was received. The forms were only signed by the Social…
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 · D2024-09-16 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents with 12 residents selected for review. Based on observation, interview, and record review, the facility failed to accurately complete the [NAME] Data Set for two residents, Resident (R)7 and R8 related to falls. Additionally, R7 for dentition (the arrangement or condition of the teeth). This placed the resident at risk for uncommunicated care needs. Findings included: - Resident (R)7's medical diagnoses included diabetes mellitus (DM-when the body cannot use glucose, not enough insulin made, or the body cannot respond to the insulin), end stage renal disease (ESRD-a terminal disease of the kidneys) and anxiety. The [DATE] admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. R7 had a total mood severity score of 00, indicating no depression and there were no behaviors. R7 required total assistance with activities of daily living (ADLs), with toileting hygiene, bathing, dressing, personal…
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 before2024-09-16 · 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 40 residents, which included 12 residents sampled. Based on interviews, observations, and record review, the facility failed to review and revise the care plans with appropriate interventions for four of the sampled residents; Resident (R) 20 related to physician ordered interventions, R2 related to treatment of an area of pressure ulcer/injury, R22 and R8 related to development and implementation of appropriate interventions to prevent multiple falls for R22 related to continued use of a powered lift chair, or develop any new interventions for R8. These deficient practices resulted in uncommunicated care needs. Findings included: - Review of the Electronic Health Record (EHR) for Resident (R) 8 included diagnoses of osteoporosis (abnormal loss of bone density and deterioration of bone tissue with an increased fracture risk), history of falling, repeated falls, generalized muscle weakness, lack of coordination, and dementia (a progressive mental disorder 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 · D2024-09-16 · tag F0660 — isolatedPlan the resident's discharge to meet the resident's goals and needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 40 residents, with 12 residents sampled, and one resident reviewed for discharge planning. The facility failed to implement a discharge plan for Resident (R)144 being discharged from the facility. The discharge planner failed to involve R144 with the discharge planning process. Findings included: - Resident (R)144's medical diagnoses included sleep apnea (disorder of sleep characterized by periods without respirations) and chronic respiratory failure (a condition that results in the inability to effectively exchange carbon dioxide and oxygen). The 09/03/24 admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition. The resident had a total mood severity score of four, indicating no to minimal depression and R144 had no behaviors. R144 required total assistance with activities of daily living (ADLs), with transfers and wheelchair mobility. Maximal assistance with toileting, dressing and bed mobility.…
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 · D2024-09-16 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 40 residents. The sample included 12 residents, with five reviewed for immunizations. The facility failed to provide proper documentation of vaccination or declination of vaccines for COVID-19 (vaccines designed to prevent COVID-19 [highly contagious respiratory virus]) or pneumococcal (vaccines designed to prevent pneumonia [inflammation of the lungs which can be debilitating or lethal in the elderly]) for one of the five residents reviewed, Resident (R)5. Findings included: - Review of the Electronic Health Record (EHR) for Resident (R) 2 lacked documentation of any pneumococcal vaccine being given or declination of the vaccine(s). - Review of the Electronic Health Record (EHR) for Resident (R) 2 lacked proper documentation that the COVID vaccine was declined. A declination was present but was undated and unsigned. On 09/16/24 at 2:25 PM, Administrative Nurse B confirmed the requested proof of vaccines or declinations could not be found. Administrative Nurse B stated a valid consent or declination form should be dated and double witnessed and one…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-10-27 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 36, with 18 residents sampled for review. Based on observation, interview, and record review, the facility failed to review and revise the plan of care for five of the 18 sampled residents including; Resident (R )22 and R135 for shaving assistance; R2 and R16 for fall interventions; and R18 for leg/foot support while in the wheelchair. Findings included: - Review of Resident (R)18's Physician Order Sheet, undated, revealed diagnoses included dementia (progressive mental disorder characterized by failing memory, and confusion), with schizoaffective disorder (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought), restlessness, and osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain). The Annual Minimum Data Set (MDS), dated [DATE], assessed the resident with severely impaired cognitive function with fluctuating disorganized thinking and altered level 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 · Ecited before2022-10-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 36 residents with 18 selected for review which included seven residents reviewed for accidents. Based on observation, interview and record review, the facility failed to ensure safety to prevent accidents for four of the seven residents reviewed which included two Residents (R)30 and R18 with inadequate foot support on their wheelchairs to prevent accidents and two R2 and R16 with failure to determine the root cause of falls and timely develop immediate interventions to prevent further falls. Findings included: - Review of Resident (R)18's Physician Order Sheet, undated, revealed diagnoses included dementia (progressive mental disorder characterized by failing memory, and confusion), with schizoaffective disorder (psychotic disorder characterized by gross distortion of reality, disturbances of language and communication and fragmentation of thought), restlessness, and osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain). The Annual…
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 · D2022-10-27 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 36 residents with 18 residents sampled, including two residents reviewed for privacy. Based on interview, record review and observation, the facility failed to provide privacy for two Residents (R)16, regarding resident being partially exposed in the doorway of her room and R 22, regarding staff not closing the door to his room while cares were being given. Findings included: - Review of Resident (R)22's electronic medical record (EMR), included a diagnosis of physical debility (the quality or state of being weak, feeble). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of nine, indicating moderately impaired cognition. He required extensive assistance of two staff for toileting and dressing. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 09/10/22, triggered, but lacked completion. The care plan for ADLs, updated 09/06/22, instructed staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-10-27 · 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 reported a census of 36 residents with 18 selected for review. Based on observation, interview and record review, the facility failed to ensure the development of a comprehensive care plan to include urinary catheter use for one Resident (R)16 of the 18 residents reviewed. Findings included: - Review of Resident (R)16's Physician Order Sheet, undated, revealed diagnoses included Chronic Obstructive Pulmonary Disease (COPD progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing), osteoarthritic fracture left ulna and radius (bones in the forearm), humerus (bone in the upper arm) and femur ( bone in the thigh) and failure to thrive. The Significant Change Minimum Data Set (MDS), dated [DATE], assessed the resident with normal cognitive status. The resident required extensive assistance of two persons for bed mobility, transfer, toilet use and personal hygiene. The resident had impairment in functional range of motion on one side of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-10-27 · 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 reported a census of 36 residents with 18 residents sampled, including three residents reviewed for Activities of Daily Living (ADLs). Based on interview, record review and observation, the facility failed to provide appropriate ADL cares for two dependent Resident's (R)22 and R 135, regarding shaving of facial hair. Findings included: - Review of Resident (R)22's electronic medical record (EMR), revealed a diagnosis of physical debility (the quality or state of being weak, feeble). The admission Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of nine, indicating impaired cognition. He required extensive assistance of two staff for personal hygiene. The Activities of Daily Living (ADL) Functional/Rehabilitation Potential Care Area Assessment (CAA), dated 09/10/22, triggered, but lacked completion. The care plan lacked staff instruction of providing assistance in shaving the resident. Review of the resident's EMR revealed the resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-10-27 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 36 residents with 18 selected for review which included two residents reviewed for urinary catheter. Based on observation, interview and record review, the facility failed to ensure sanitary care of two Resident's (R)16 and 21's urinary catheters to prevent urinary tract infections. Findings included: - Review of Resident (R)21's undated Physician's Order Sheet, revealed diagnoses included retention of urine (inability of the bladder to drain), urinary tract infection and sepsis (bacteria in the blood). The Annual Minimum Data Set (MDS), dated [DATE], assessed the resident with normal cognitive function and occasionally incontinent of urine. The resident required extensive assistance of two staff for toileting. The Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA), dated 01/28/22, assessed the resident was incontinent and required extensive assistance for toileting. The Quarterly MDS, dated 10/10/22 documented the resident had a urinary catheter 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 · D2022-10-27 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 36 residents with 18 selected for review which included four residents reviewed for nutrition. Based on observation, interview and record review, the facility failed to obtain weekly weights as recommended by the registered dietician (RD) and ordered by the physician, to monitor one of the four sampled Residents (R)7 for weight loss. Findings included: - Review of resident (R)7's Physician Order Sheet, dated 08/09/22, revealed diagnoses included dementia (progressive mental disorder characterized by failing memory, confusion), dysphagia (difficulty swallowing), aphasia (condition with disordered or absent language function) and diverticulitis (inflammation of the colon which causes pain and disturbance in bowel function). The admission Minimum Data Set (MDS), dated [DATE], assessed the resident with severe cognitive impairment, required supervision of one-person and physical assistance with eating. The assessment identified no concerns with swallowing disorders or dentition. 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 before2021-05-04 · 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
The facility reported a census of 45 with 12 residents in the sample. Based on observation, interview, and record review the facility failed to provide Resident (R)21 and R5 with bathing assistance to maintain good grooming and personal hygiene. Findings included: - Review of R21's signed Physician Orders dated 04/19/21 revealed the following diagnoses: Chronic pain (persisting for a long period, often for the remainder of a person's lifetime), Type 2 Diabetes Mellitus without complication (a disease in which the body's ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood and urine), and hypertension (elevated blood pressure). The review of the Significant Minimal Data Set (MD'S) dated 12/03/20 revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS revealed R21 required extensive assistance with two or more staff's physical assist with personal hygiene and bathing. Review of the Activities of Daily Living Care Area Assessment (CAA)…
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 · Ccited before2024-09-16 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
The facility reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to display accurate and identifiable staffing formation daily, for the 40 residents in the facility. Findings included: - On 09/12/24 at 11:40 AM, daily staffing sheets observed to be hanging on the wall near the nurse's station. The nurse staffing information form lacked the facility name and the daily resident census. Review of the Daily Schedule Nursing Hours sheets from 09/05/24 through 09/11/24, revealed the information sheets lacked the facility name and the resident census. On 09/12/24 at 11:49 AM, Administrative Nurse B confirmed posting sheets were not complete due to missing the facility name and the daily resident census. She reported she was not aware of a Federal requirement to have daily staffing sheets completed containing the required elements. The facility lacked a policy for posting nurse staffing information. The facility failed to display accurate and identifiable staffing formation daily, for the 40 residents in the facility.
- No harm found · Ccited before2022-10-27 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
The facility reported a census of 36 residents. Based on observation, interview and record review, the facility failed to display accurate publicly accessible and identifiable staffing information, on a daily basis on, the Daily Nurse Staffing with the resident census number indicated and the actual hours worked as required for the 36 residents that reside in the facility. Findings included: - Review of the Day and Night Staffing Hours from August 2022, September 2022 and October 2022, revealed the lack of the resident census and the actual hours worked by the licensed and certified nursing staff. Moreover, review of the Day and Night Staffing Hours, located on the wall in the central area by the nurses' desk, on 10/26/22 and 10/27/22 revealed the lack of an update since 10/25/22. Interview, on 10/27/22 at 10:39 AM, Administrative Staff A, revealed she would expect staff to update the Day and Night Staffing Hours daily. Administrative Staff A confirmed the lack of the resident census and calculation of actual hours worked by licensed and certified staff. The facility policy 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.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$158,640 in federal fines across 2 penalties.
- $27,573 — penalty dated 2024-09-16
- $131,067 — penalty dated 2024-01-04
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 FRONTLINE MANAGEMENT — 9 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 | 1 of 5 | 3.2 | -2.2 vs chain |
| Health inspection | 1 of 5 | 3.2 | -2.2 vs chain |
| Staffing | 4 of 5 | 3.2 | +0.8 vs chain |
| Quality measures | 2 of 5 | 2.8 | -0.8 vs chain |
The other 8 homes this chain runs (chain average 3.2★, 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 |
|---|---|---|---|---|
| LIBERAL SNF HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/23/2015 |
| SARACINO, KELLY | Individual | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2021 |
| BHCP LIBERAL SPONSOR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/23/2015 |
| DAVIS SQUARE HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/19/2018 |
| FMI-LIBERAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 01/23/2015 |
| JONES, ROBERT | Individual | INDIRECT OWNERSHIP INTEREST | — | since 01/23/2015 |
| KIKLIS, DEAN | Individual | INDIRECT OWNERSHIP INTEREST | — | since 01/23/2015 |
| ORBACK, HEATHER | Individual | INDIRECT OWNERSHIP INTEREST | — | since 01/23/2015 |
| NEWPORT REAL ESTATE CAPITAL LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | since 09/27/2018 |
| VELUSCEK, STEVEN | Individual | CORPORATE OFFICER | — | since 01/23/2015 |
| FRONTIER MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2015 |
| BAKER, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/16/2020 |
| BRYAN, AMY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/12/2012 |
| CRUZ, VICTOR | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/19/2022 |
| LOVATO, JANINE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/14/1992 |
| MCCUE, TAMARA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2025 |
| NEWTON, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/26/2017 |
| ONG, EDISON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/04/2025 |
| SALAS, CHERISE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/01/2015 |
| SCOTT, ANGELA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2020 |
| SEIGRIST, WHITNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/26/2024 |
| VAN WYHE, LATISHA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/04/2023 |
| VASQUEZ, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/08/2024 |
| WYCKOFF, DOUG | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/31/2022 |
| IRWIN, JANET | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/02/2025 |
| FINANICAL MANAGEMENT INC | Organization | ADP OF THE SNF | — | since 01/01/2016 |
| FRONTLINE MDS EXCHANGE LLC | Organization | ADP OF THE SNF | — | since 07/01/2019 |
| KEY REHABILITATION INC | Organization | ADP OF THE SNF | — | since 02/01/2024 |
| LIPPOLD & HOLLAND LLC | Organization | ADP OF THE SNF | — | since 11/25/2020 |
| OPENWORK HEALTH LLC | Organization | ADP OF THE SNF | — | since 03/31/2022 |
| PINNACLE PHARMACY GROUP INC | Organization | ADP OF THE SNF | — | since 03/01/2025 |
| HOLLAND, VICKI | Individual | ADP OF THE SNF | — | since 11/25/2020 |
| LEKAWA, ELLIOT | Individual | ADP OF THE SNF | — | since 11/01/2019 |
CMS files one row per role, so the 47 rows in the source record cover these 33 parties — each is shown once here with every role it holds. Nothing is omitted.
12 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $623K paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
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 2026-08-01 — CMS provider number 175459. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-16, 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.