Harrison Nursing and Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 25% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 54 beds and averages 50.2 residents a day — about 93% occupied, or roughly 4 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 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.82 hrs/resident/day on weekends vs 3.33 on weekdays — 15% thinner on weekends. RN hours go from 0.66 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

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.

39 citations, most serious first. The 16 most serious are shown; the remaining 23 are one tap away and print in full.

• Actual harm · Gcited before2024-02-22 · 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 Based on interview, record review, and review of the facility's policy, it was determined the facility failed to implement the intervention of the use of a mechanical lift for one (1) of three (3) sampled residents, Resident #39. The facility assessed Resident #39 and care planned the resident to require the use of a mechanical lift (an assistance device used to transfer residents from one (1) surface to another who required support more than the manual support provided by caregivers alone) with two (2) staff assisting. However, on 02/06/2024, State Registered Nurse Aide (SRNA) #8 and Licensed Practical Nurse (LPN) #1 transferred Resident #39 from the bed to the Geri chair (geriatric, a large padded chair with a wheeled base designed to assist patients with limited mobility) then later from the Geri chair to the bed without the use of the mechanical lift. The following day, LPN #2 assessed Resident #39 to have external rotation to his/her right lower extremity, and the resident was subsequently found to have a…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-02-22 · 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 Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to ensure the use of assistance devices to prevent injury for one (1) of three (3) sampled residents (Residents #39). On 02/06/2024 staff transferred Resident #39 from the bed to chair then back to bed without using a mechanical lift (an assistance device used to transfer residents from one (1) surface to another who required support more than the manual support provided by caregivers alone). Resident #39 sustained an intertrochanteric comminuted fracture (the bone was broken in at least two (2) places) to the right proximal femur and a fracture to the thoracic (T)11 vertebrae. The findings include: Review of the facility's policy, untitled, revised 12/17/2023, revealed it was the facility's policy to assess and help to accommodate residents with activities of daily living (ADL). Further review revealed ADLs would be assessed and documented according to the needs of the individual…

  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 before2024-01-11 · 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

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident's rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for three (3) of thirty-seven (37) sampled residents (Residents #29, #12, and #26). Resident #29 sustained a laceration to the chin requiring six (6) sutures on 02/21/2023 when the bed the resident was in was not locked and rolled causing the resident to fall while receiving care per one (1) persons assistance when the resident was assessed and care planned for two (2) person assist. Resident #12 sustained nine (9) documented falls from 09/24/2023-01/05/2024 with six (6) documented active interventions on his/her fall care plan, none of which were dated. There was no care plan for monitoring psychotropic medications for side effects. Resident #26's care plan was not specific regarding how often staff should…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-01-11 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to revise the Care Plan for two (2) of thirty-seven (37) residents (Residents #5 and #39). Resident #39 was care planned to be nutritionally at risk. However, care plan interventions were not updated following a significant weight loss. Resident #5 experienced nine (9) falls from 01/12/2023 through 11/02/2023. One fall resulted in a fractured wrist. There was no evidence that interventions following the falls were placed on the care plan or dated. (See F689 and F692) The findings include: Review of the facility's policy, Care Plan Policy and Procedure, dated 08/13/2023, revealed the Interdisciplinary Team (IDT), which included the Dietician, Dietary Manager, nursing staff, and the Director of Nursing, or Licensed Nurse were responsible for updating the resident's care plan when there were changes in the resident's care needs. 1. Review of Resident #39's Face Sheet revealed the facility admitted the resident on 10/05/2022 with diagnoses that included unspecified dementia and major depressive disorder. Further…

  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
• Actual harm · Gcited before2024-01-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  1. Review of Resident #29's Electronic Health Record (EHR) revealed the facility admitted the resident on 03/04/2022 with diagnoses to include unspecified dementia without behavioral disturbance, need for assistance with personal care, and other reduced mobility. The facility assessed Resident #29, in a Quarterly Minimum Data Set (MDS) Assessment, dated 07/20/2023, as severely cognitively impaired and requiring extensive assist of two (2) with bed mobility and with incontinence care. Review of Resident #29's Comprehensive Care Plan, last reviewed 10/17/2023, revealed the resident was care planned for two (2) person assist with toileting and bed mobility, but these interventions were undated. Resident #29 was also care planned for transfers with a mechanical lift, which was also undated. Review of Resident #29's Fall Report, dated 12/21/2023, revealed Resident #29 had a fall with injury on 12/21/2023 at 7:00 PM while a State Registered Nurse Aide (SRNA) was assisting the resident with incontinence care. Per the report, the resident rolled out of bed before the SRNA could stop 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 · G2024-01-11 · 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

  Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to maintain acceptable parameters of nutritional status for one (1) of thirty-seven (37) sampled residents (Resident #39). Resident #39 lost greater than ten percent (10%) of his/her body weight in the past six (6) months and over twenty percent (20%) in a year. The facility failed to ensure that interventions were implemented timely to prevent the weight loss. The findings include: Review of the facility's policy, Weight Monitoring Procedure, dated 12/03/2023, revealed the facility weighed residents once per month, unless the resident unexpectedly lost greater than five percent (5%) of his/her body weight in one (1) month; greater than seven and a half percent (7.5%) in three (3) months; or greater than ten percent (10%) in six (6) months. Review of Resident #39's Face Sheet revealed the facility admitted the resident on 10/05/2022 with diagnoses that included unspecified dementia and major depressive disorder. Further review revealed the facility updated the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-02 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the facility's policy, and review of the facility's Plan of Correction (PoC) for the survey completed on 03/08/2025, with a compliance date of 03/28/2025, the facility failed to have an effective system to address systemic failures through the Quality Assurance Performance Improvement (QAPI) process.The facility failed to sustain compliance and implement effective corrective actions following a deficiency cited on the previous standard survey under 42 CFR S483.80 Infection Prevention and Control; 42 CFR S483.80 Influenza and Pneumococcal Immunizations; and 42 CFR S483.80 COVID-19 Immunization. This systemic failure placed residents at increased risk for preventable infectious diseases, including influenza, pneumococcal infections, and COVID-19. This deficient practice had the potential to affect all residents residing in the facility.The findings include:Review of the facility's policy titled, QAPI Plan Standard of Practice, revised 04/2025, revealed the facility was to conduct ongoing quality reviews and monitor action plans monthly to…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-02 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility's policy, the facility failed to meet at least quarterly and have the required attendees present. The findings include: Review of the facility's policy titled, QAPI [Quality Assurance Performance Improvement] Plan Standard of Practice, revised 04/2025, revealed the facility was to conduct ongoing quality reviews and monitor action plans monthly to evaluate effectiveness and identify the need for revision. Further review revealed that the QAPI committee, at a minimum, consisted of the Medical Director or designee, Director of Nursing (DON), Infection Preventionist (IP), and at least three additional staff members, including the Administrator.Review of the facility's QAPI meeting minutes, dated 05/15/2025, revealed the Medical Director or designee was not in attendance. Review of the facility's QAPI meeting minutes, dated 12/24/2025, revealed the Medical Director and the IP were not in attendance. Further review revealed there was a lapse of six months and nine days between meetings.During an interview with the IP on…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-02 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of a guideline from the Centers for Disease Control and Prevention (CDC), and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases. The facility failed to identify and correct problems relating to infection prevention practices such as improper hand hygiene and glove use, storage of contaminated and clean supplies together, lack of a hand-washing sink in a shower room, identifying a resident with a multi-drug resident organism (MDRO) as requiring Enhanced Barrier Precautions (EBP), storage of medical supplies and clean laundry that exposed them to contamination, and lack of nonpermeable aprons or disposable gloves available for staff use when handling contaminated laundry. This deficient practice had the potential to affect all 50 current residents.…

  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 · E2026-04-02 · tag F0578 — failed to honor advance directives / code status — pattern
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility's policy, the facility failed to ensure that residents were informed of and able to exercise their rights regarding advance directives. Specifically, there was no documented evidence that the facility educated the residents and/or their representative on advance directives. This failure had the potential to result in residents making uninformed decisions regarding their care and treatment preferences for 7 of 41 sampled residents reviewed, Resident (R) 12, R16, R22, R33, R35, R37 and R41.The findings include:Review of the facility's policy titled, Advance Directive Standard of Practice, reviewed 3/2026, revealed it is the resident's right to formulate an advance directive. Further review revealed the facility will inquire about the existence of any advance directives, and should the resident indicate they issued advance directives about their care and treatment, documentation must be recorded in the medical record of such directive, and a copy of such directive should be included in the resident's medical record.…

  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 · E2026-04-02 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, review of the controlled substance log titled Controlled Medication Shift Change Log, and review of the facility's policies, the facility failed to ensure proper documentation of the narcotic card count at each change of shift in accordance with professional standards of practice for 3 of 4 medication carts.1) Review of the 100 Hall back medication cart on 04/01/2026 at 8:30 AM, revealed the oncoming nurse failed to sign the Controlled Medication Shift Change Log on the following dates 04/01/2026, 03/24/2026, and 03/10/2026.2) Review of the 100 Hall split medication cart on 04/01/2026 at 9:45 AM, revealed the oncoming nurse failed to sign the Controlled Medication Shift Change Log on 03/24/2026 and 03/10/2026.3) Review of the 200 Hall split medication cart on 04/01/2026 at 10:00 AM, revealed on 03/16/2026, the oncoming nurse failed to sign the log. On 02/26/2026 and 01/27/2026, the outgoing nurse failed to sign the Controlled Medication Shift Change Log. The findings include:Review of the facility's policy titled Inventory Control of…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-02 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of the Centers for Disease Control and Prevention's (CDC) document, review of vaccine package inserts, and review of the facility's policy, the facility failed to ensure medications and biologicals were stored in accordance with CDC guidelines, manufacturers' recommendations, and professional standards of practice, and failed to ensure appropriate environmental controls were used to preserve their integrity. 1) Observation on [DATE] at 3:55 PM of the medication storage refrigerator revealed the temperature was at 48 F, exceeding the recommended upper limit. Review of the medication refrigerator temperature logs revealed multiple instances of temperatures falling below the minimum required range for proper medication storage (36 F to 46 F). During the month of [DATE], temperatures were documented below 36 on 13 out of 31 days. 2) Observation on [DATE] at 3: 55 PM revealed that the medication storage refrigerator revealed 58 single-dose Afluria influenza vaccines were stored…

  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 · E2026-04-02 · tag F0838 — failed to assess facility resources and resident needs — pattern
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, facility policy review, and review of the Facility Assessment, the facility failed to provide staffing numbers in the facility assessment based on the resident population and their needs for care and support to ensure there was sufficient staff to meet the needs of the residents at any time. There was also no plan in the facility assessment for recruitment and retention. Additionally, the lack of staffing minimums in the facility assessment contributed to complaints of slow call light response time for 7 of 41 sampled residents, Resident (R) 2, R16, R19, R30, R34, R45, and R52.The findings include:Review of the document titled, Facility Assessment Tool Record, [NAME] Nursing and Rehabilitation Center, dated 03/18/2026, revealed no documented evidence the Facility Assessment contained staffing numbers indicating the number of licensed nurse providing care, nurse aides providing care, and other nursing personnel needed to meet the needs of the residents. Additionally, the Facility Assessment…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-02 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, the Centers for Disease Control and Prevention (CDC) guidance, and review of the facility's policy, the facility failed to ensure each resident was offered influenza and pneumococcal immunizations, and each resident or resident representative received education on the benefits, potential risks, and side effects associated with influenza and pneumococcal immunizations. Additionally, the facility failed to ensure the resident's medical record included documentation, at a minimum, the resident or resident representative was provided education regarding the benefits and potential risks of the influenza and pneumococcal immunizations, each dose of the influenza and pneumococcal immunizations vaccine administered to the resident, or the resident did not receive the immunizations due to medical contraindications or refusals for 5 of 5 sampled residents, Resident (R) 16, R22, R35, R37, and R41.The findings include:Review of CDC guidance Prevention and Control of Seasonal Influenza 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-02 · tag F0887 — pattern
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the Centers for Medicaid and Medicare Services (CMS) recommendations, the facility failed to ensure each resident was offered the COVID-19 vaccine and that each resident or resident's representative received education regarding the benefits, potential risks, and side effects associated with the COVID-19 vaccine. Additionally, the facility failed to ensure the resident's medical record included documentation that, at a minimum, the resident or resident's representative was provided education regarding the benefits and potential risks of the COVID-19 vaccine, each dose of the COVID-19 vaccine administered to the resident, or that the resident did not receive the vaccine due to medical contradictions or refusals for 5 of 5 sampled residents, Residents (R) 16, R22, R35, R37, and R41.The findings include:Review of CMS's Center for Clinical Standards and Quality/Quality, Safety & Oversight Group's QSO-23-10-NH Memo, dated 07/25/2025, revealed Long-term Care facilities (LTC) must offer residents vaccination against COVID-19 when vaccine…

  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 · D2026-04-02 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of facility's policies, the facility failed to ensure accommodation of needs and preferences for 2 of 3 sampled residents related to room accommodation and activity preferences, Resident (R) 7 and R8.The findings include: Review of the facility's policy titled, Quality of Life, dated 10/2020, revealed the facility shall provide, and each resident will receive, the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care. Review of the facility's policy titled, Activities of Daily Living, dated 10/2020, revealed the facility will provide care and services to residents that are person-centered, and honor and support each resident's preferences, choices, values, and beliefs. Review of the facility's policy titled, Housekeeping Services, dated 10/2020, revealed housekeeping and maintenance services shall maintain a…

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

  Resident Rights 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

$34,409 in federal fines across 5 penalties. 1 Medicare payment denial on record.

• $4,200 — penalty dated 2024-01-11
• $4,200 — penalty dated 2024-01-11
• $4,200 — penalty dated 2024-01-11
• $4,200 — penalty dated 2024-01-11
• $17,609 — penalty dated 2024-01-11
• Medicare payment denial — starting 2024-02-28 for 21 days

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

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

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 KY