Newton Presbyterian Manor

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

44.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.4% 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 28 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 0.18 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 60 beds and averages 53.5 residents a day — about 89% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.71 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 3.48 hrs/resident/day on weekends vs 3.98 on weekdays — 13% thinner on weekends. RN hours go from 0.74 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

21 citations, most serious first. The 13 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2026-02-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility identified a census of 53 residents, with 14 residents sampled, including two residents 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 observation, interview, and record review, the facility failed to identify and implement pressure ulcer preventative measures, consistent with professional standards of practice, to prevent the development of a facility acquired stage three pressure ulcer to Resident (R)53's left heel after R53 returned from the hospital, due to surgical repair of her left hip fracture.Findings included:- R53's Electronic Medical Record (EMR) revealed diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), displaced fracture (traumatic bone break where two ends of the bone separate out of their normal positions) intertrochanteric (the area of the hip/thigh bone located between the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-02-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 53 residents and the sample included 14 residents. Based on observations, record review and interview, the facility failed to ensure an environment free of accident hazards for Resident R 53 who obtained ahip fracture during a fall and R23 when a Certified Nurse Aide transferred her without a gait belt causing a fall.Findings included:- R53's Electronic Medical Record (EMR) revealed diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), displaced fracture (traumatic bone break where two ends of the bone separate out of their normal positions) intertrochanteric (the area of the hip/thigh bone located between the greater and lesser trochanters left femur (thigh bone), and muscle weakness. R53's 04/15/25 Quarterly Minimum Data Set(MDS) documented a Brief Interview for Mental Status (BIMS) of four, which indicated severely impaired cognition. No behavior. R53's MDS documented that she was independent with transfers and ambulation and had 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-12-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 49 residents. The sample included three residents reviewed for accidents. Based on observation, interview, and record review, the facility failed to prevent an injury to dependent Resident (R) 1 when staff failed to transfer the resident according to the resident's plan of care with two staff present. This failure resulted in R1 obtaining a 2-to-3-centimeter (cm) laceration (a cut in body skin) on her left lower extremity, which required transport to the Emergency Department and 10 sutures to treat the wound. Findings included: - R1's Physician Order Sheet (POS), dated 08/16/24, documented the resident had the following diagnoses: dementia (progressive mental disorder characterized by failing memory, confusion), hallucination (sensing things while awake that appear to be real, but the mind created), and osteoarthrosis (chronic arthritis without inflammation). The 08/13/24 admission Minimum Data Set (MDS), documented the resident had severely impaired cognition with a Brief…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-25 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 53 residents with 14 residents included in the sample. Based on observation, interview, and record review the facility failed to effectively utilize Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high care) and failed to follow established infection control practices related to hand hygiene, peri-care, medication administration, and cleaning of resident nebulizers. The facility further failed to cover resident clean clothing while transporting it through the hallway.Findings included:- On 02/23/26 at 11:22 AM, Certified Medication Aide (CMA) T and Certified Nurse Aide (CNA) M brought Resident (R) 43 to her room in her wheelchair. The entrance door to the resident's room had signage placed directing staff that the resident required enhanced barrier precautions (EBP) when providing direct care, which included catheter care, wound care, transfers, and toileting. R43 required PPE, which included gowns and gloves. The PPE set-up was…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-25 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 53 residents with 14 included in the sample. Based on interview and record review the facility failed to ensure staff adhered to the principles of antibiotic stewardship through the lack of monitoring for the appropriate use of prescribed antibiotics to prevent antibiotic resistance and the spread of multidrug resistant organisms within the facility. Findings included:1. Upon request, the facility failed to provide antibiotic and infection surveillance logs for 02/01/26 through 02/24/26, which demonstrated the facility did not track infections/antibiotic use within the facility for this month. The facility further failed to identify any commonalities, patterns, or trends related to infections/antibiotic usage to ensure residents were not administered ineffective antibiotics to prevent antibiotic resistance and the spread of multidrug-resistant organisms.On 02/24/2026 at 02:37 PM, Administrative Nurse E stated the facility used McGreer's Criteria (standardized guidelines used to identify and count infections in long-term care settings) 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility reported a census of 53 residents. The sample included 14 residents. Based on interview and record review, the facility failed to provide Resident (R)1 who had a Brief Interview for Mental Status (BIMS) score of 10, which indicated moderately impaired cognition, care in a dignified manner during administration of medication.Findings included: - On 02/24/2026 at 08:32 AM, Licensed Nurse (LN) J moved R1 from the dining room table while she ate her breakfast. LN J propelled R1 approximately 10 feet away from the table toward the lounge that was still visible for residents in dining room. LN J applied gloves completed R1's fingerstick in the lounge. LN J lifted up R1's shirt and exposed her abdomen and administered an injection of insulin to R1's abdomen in the lounge. On 02/24/2026 at 08:39 AM LN J reported that she would always complete R1's fingerstick and administer insulin in the lounge area and reported that the residents that sat in the dining room could observe that. On 02/25/26 at 11:53 AM Administrative Nurse D revealed she expected the staff to provide care in…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 53 residents, with 14 residents sampled. Based on observation, interview, and record review the facility failed to identify a significant change and complete an assessment for one resident reviewed for significant change assessments. Resident (R) 53 had a decline with ambulation, toileting hygiene, transfers, and bed mobility.Findings included:- R53's Electronic Medical Record (EMR) revealed diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), displaced fracture (traumatic bone break where two ends of the bone separate out of their normal positions) intertrochanteric (the area of the hip/thigh bone located between the greater and lesser trochanters left femur (thigh bone), and muscle weakness. R53's 07/15/25 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of four, which indicated severely impaired cognition. R53's MDS documented that she required moderate assistance with activities of daily living (ADL) including transfers. R53 required maximal…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 53 residents; there were 14 residents in the sample. Based on observation, record review and interview, the facility failed to update Resident (R) 36's Care Plan with interventions for R36's right hand positioning device to prevent contractions (abnormal fixations of a joint or muscle) indwelling urinary catheter (a device inserted into the bladder that drains urine into a collection bag). Findings included:- R36's Electronic Health Record (EMR) recorded the following diagnoses: hemiplegia/hemiplegia affecting the right side (muscular weakness of one half of the body) benign prostatic hyperplasia (BPH-non-cancerous enlargement of the prostate).R36's Annual Minimum Data Set (MDS), dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition with no changes in the ADLs.R36's Annual MDS, dated [DATE], documented a BIMS score of 13, indicating intact cognition. The MDS also documented R36 had right side impairment to upper and lower…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The facility identified a census of 53 residents, with 14 residents sampled, including two residents reviewed for quality of care. Based on observation, interview, and record review, the facility failed to provide a mechanical lift transfer for Resident (R) 53 which resulted in an injury.Findings included:- R53's Electronic Medical Record (EMR) revealed diagnoses of dementia (a progressive mental disorder characterized by failing memory and confusion), displaced fracture (traumatic bone break where two ends of the bone separate out of their normal positions) intertrochanteric (the area of the hip/thigh bone located between the greater and lesser trochanters) left femur (thigh bone), and muscle weakness. R53's 07/15/25 Significant Change Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of four, which indicated severely impaired cognition. R53's MDS documented she had behaviors, wandered, rejected care, had verbal behavioral symptoms directed towards others, and physical behavioral symptoms directed towards others for 1-3 days in the lookback period.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-25 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure 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

  The facility identified a census of 53 residents. The sample included 14 residents, with five residents reviewed for unnecessary medications. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 1's hypoglycemic (medication used to lower blood glucose levels) medication levels were monitored to determine the effectiveness of her ordered hypoglycemic medication. Findings included:- The Electronic Medical Record (EMR) for R1 documented a diagnosis of diabetes mellitus.R1's 07/29/25 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 10, which indicated intact moderately impaired cognition. R1's MDS revealed she received seven days of insulin injections and also received hypoglycemic medications.R1's 08/05/25 Cognitive Loss/Dementia Care Area Assessment (CAA) documented that R1 had impaired judgment and had memory deficits noted. Needed staff support.R1's Care Plan, 08/26/2024, revealed an altered endocrine status related to hyperglycemia (greater than normal amount of glucose in the blood) 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 55 residents. The sample included 14 residents, with six reviewed for falls. Based on observation, record review, and interview, the facility failed to ensure Resident (R) 40 remained free from avoidable falls when staff failed to provide R40 with the necessary equipment to ensure safety, including a call light and mobility devices, on two separate occasions which resulted in falls on both occasions. This placed the resident at risk for avoidable injury. Findings included: - R40's Electronic Medical Record (EMR) documented diagnoses of heart failure, hypertension (high blood pressure), atrial fibrillation (rapid, irregular heartbeat), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). R40's admission Minimum Data Assessment (MDS), dated [DATE], documented R40 had intact cognition, and required extensive assistance from two staff for bed mobility, transfers, ambulation, dressing, and toileting; R40 required extensive assistance…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-15 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility had a census of 55 residents. The sample included 14 residents, with one reviewed for hydration. Based on observation, record review, and interview, the facility failed to establish the physician-ordered fluid restriction for one resident, Resident (R) 40. This placed the resident at risk for dehydration (a harmful reduction in the amount of water in the body) or fluid overload (too much fluid in the body). Findings included: - The Electronic Medical Record (EMR) documented R40 had diagnoses of heart failure (the heart does not pump blood as well as it should), hypertension (high blood pressure), atrial fibrillation (rapid, irregular heartbeat), and anxiety (metal or emotional reaction characterized by apprehension, uncertainty, and irrational fear). R40's admission Minimum Data Assessment (MDS), dated [DATE], documented R40 had intact cognition. R40 required extensive assistance from two staff for bed mobility, transfers, ambulation, dressing, and toileting. R40 required set-up assistance 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-15 · tag F0699 — isolated
  Provide 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 The facility had a census of 55 residents. The sample included 14 residents, with seven reviewed for behaviors. Based on observation, record review, and interview, the facility failed to complete a trauma-informed care assessment and failed to develop a comprehensive trauma-informed care plan for Resident (R) 35, who had a diagnosis of post-traumatic stress disorder (PTSD-psychiatric disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress, such as natural disaster, military combat, serious automobile accident, airplane crash or physical torture). This placed R35 at risk for unmet behavioral and mental health needs and retraumatization. Findings included: - The Electronic Medical Record (EMR) for R35 documented diagnoses of PTSD, depression (a mood disorder that causes a persistent feeling of sadness and loss of interest), and anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear). The admission…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$26,500 in federal fines across 1 penalty.

• $26,500 — penalty dated 2026-02-25

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 PRESBYTERIAN MANORS OF MID-AMERICA — 13 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 →

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

CMS files one row per role, so the 22 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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 $890K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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