Hartland Park Health & Rehabilitation

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.

34.8% 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 62 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.5% 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 43 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 0.21 therapist hours per resident per day in 2025Q4 — more than 26% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 150 beds and averages 137.2 residents a day — about 91% occupied, or roughly 13 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 3.44 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.09 hrs/resident/day on weekends vs 3.61 on weekdays — 14% thinner on weekends. RN hours go from 0.48 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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 fewer than at the previous inspection — improving. 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.

28 citations, most serious first. The 12 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2024-08-16 · 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 observation, interview, record review, and review of the facility's policy, the facility failed to develop or implement 2 of 36 sampled residents' Comprehensive Care Plans (CCP), Resident (R) 124 and R36. R124 returned from the hospital and reported pain, but she did not receive ordered pain medication for approximately 21 hours after it was ordered, despite care planning to administer medications per orders. (Cross Reference F689) R36's CCP was not developed with interventions to address the resident's and family's non-compliance with R36's current diet order. The findings include: Review of the facility's Comprehensive Care Plan policy, revised on 06/30/2022, revealed a comprehensive person-centered care plan was developed and implemented for each resident, consistent with a resident's rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs. 1. Review of R124's admission Facesheet revealed the facility readmitted 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-08-16 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility's policies, the facility failed to administer prescribed pain medications timely for 1 of 2 sampled residents, Resident (R) 124. R124 returned to the facility on [DATE] at 12:30 PM, and orders were written for Oxycodone 5 milligrams (mg) every 12 hours as needed (an opioid pain medication) and Oxycodone 15 mg every six hours, for R124's fracture of the right and left femur. Observations and interviews revealed two Oxycodone 5 mg and two Oxycodone 5 mg/325 mg acetaminophen (a non-narcotic pain medication) were available in the medication emergency box, however, staff were unaware the medications were available to the resident. In addition, R124 first expressed pain to staff on 03/01/2024 at 3:10 PM. However, R124 did not receive Oxycodone until 03/02/2024 at 12:00 PM, approximately 21 hours after R124 had pain documented. (Cross Reference F656) The findings include: Review of the facility's policy titled, Ordering and Receiving Controlled Medications,…

  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 · Fcited before2026-07-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of a manufacturer's recommendations, and review of the facility's documents, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, which had the potential to affect all 138 current residents.1. Observations of the kitchen on 06/29/2026 and 06/30/2026 revealed poor lighting throughout the kitchen production area and grease on the floor near the door of the dry storage room. Further, review of the facility's documents revealed issues with cleanliness in the kitchen from 04/29/2026 to 06/08/2026.2. Observation of two of three nourishment rooms on 06/30/2026 revealed the Combs Unit nourishment refrigerator contained a Med-Plus supplement, which was opened but not dated. Also, the [NAME] Unit nourishment refrigerator contained a Med-Plus supplement, which was opened and dated 05/12/2026.The findings include:The State Survey Agency (SSA) Surveyor requested from the Dietary Director, on 07/02/2026 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-07-02 · 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, record review, and review of the facility's policy, 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 related to infection prevention practices that had the potential to affect all residents in three of the three sampled shower rooms.Observations on 07/02/2026 of the [NAME], [NAME], and Combs Units Spa revealed the shower areas were used to store clean linens, which were uncovered, and shared resident use equipment. Also observed were dirty linens in the area and residents' personal items stored on the linen storage shelf.The findings include: Review of the facility's policy titled, Infection Control, reviewed 01/21/2026, revealed infection control policies and practices were intended to facilitate maintaining a safe, sanitary, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-07-02 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of the facility's document and policy, the facility failed to ensure a safe, functional, sanitary, and comfortable environment for resident rooms and shower rooms. The facility failed to identify and correct problems related to the residents' environment that had the potential to affect all residents that used three of the three sampled shower rooms and all residents that resided on the [NAME] Unit Hallway 1 and Hallway 2.Observation on 07/02/2026 revealed there were two holes on the right side of the [NAME] 2 Hallway, directly above the baseboard. One hole was approximately four inches long, and the other was approximately one inch long. Additional observation on 07/02/2026 revealed there was a hole approximately four inches long on the left side, above the baseboard, in the [NAME] 1 Hallway, between rooms A1 and A3.Observations on 07/02/2026 of the [NAME], [NAME], and Combs Units Spa revealed the shower areas were also used to store shared resident use equipment 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-07-02 · 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

  Based on observation, interview, record review, review of the facility's job description, and review of the facility's policies, the facility failed to promote and maintain resident dignity for 2 of 52 sampled residents, Resident (R) 1 and R101. 1. During an interview with R101 on 06/29/2026, he stated staff did not respond in a timely manner to his call bell for toileting assistance, resulting in a fecal incontinent episode, which embarrassed and humiliated him. 2. During observations on the Combs Unit on 06/29/2026, 06/30/2026, and 07/01/2026, R1 had a suprapubic catheter connected to a urine-meter drainage bag. The urine collection bag hung on the right side of the bed and was not covered with a dignity bag cover, leaving it visible to others.The findings include: Review of the facility's undated policy titled, Dignity, revealed each resident would be cared for in a manner that promoted and enhanced the resident's well-being, satisfaction with life, self-worth, and self-esteem. The policy further stated staff was expected to promote and maintain each resident's dignity and assist…

  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 · Dcited before2026-07-02 · tag F0755 — failed to provide safe pharmacy services — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's document and policy, the facility failed to have a process to prevent expired medications from being available for resident use and failed to provide pharmaceutical services to meet the needs of each resident for 1 of 52 sampled residents, Resident (R) 78. Observation of the medication refrigerator on the [NAME] Unit on 07/02/2026 at 10:06 AM revealed R78 had one unopened vial of lorazepam 20 milligrams per 10 milliliters with an expiration date of 06/2026. Review of the pharmacy shipping manifest revealed a delivery date of 07/01/2026.The findings include:Review of the facility's policy titled, Medication Storage, revision date 07/18/2025, revealed the facility shall store drugs in a safe, secure, and orderly manner to include not using drugs that were outdated. Observation of the medication refrigerator on the [NAME] Unit on 07/02/2026 at 10:06 AM revealed R78 had one unopened vial of lorazepam 20 milligrams per 10 milliliters (used…

  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 before2026-07-02 · tag F0761 — failed to label and store drugs safely — isolated
  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, record review, and review of the facility's policy, the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles for 2 of 52 sampled residents, Resident (R) 98 and R130. 1. Observation of the [NAME] Hall Insulin Cart on 07/02/2026 at 10:00 AM revealed R98's insulin lispro KwikPen and Lantus 100 units/milliliter insulin pen did not have the original pharmacy label. 2. Observation of the [NAME] Hall Insulin Cart on 07/02/2026 at 10:00 AM revealed R130's insulin degludec U-100 pen and insulin lispro KwikPen did not have the original pharmacy label.The findings include:Review of the facility's policy titled Medication Storage, revised 07/18/2025, revealed medications were stored in their original pharmacy issue packaging and containers. According to the policy, medications with missing, incomplete, improper, or incorrect pharmacy labels must be returned to the pharmacy for proper labeling before…

  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 · F2026-04-24 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 documents and policy, the facility failed to maintain an effective pest control program so that it remained free of pests. This deficient practice had the potential to affect all of the facility's 133 current residents.Observations on 04/22/2026 and 04/23/2026 revealed a widespread gnat infestation in the common areas, conference room, hallways, laundry room, medication cart trash can, and dirty utility room. Gnats were observed emerging from drains in the laundry room and kitchen. Further observations in the kitchen revealed debris and organic buildup in drains, cracks in flooring holding debris, inadequate cleaning of hard-to-reach areas, standing water, and excessive moisture as primary breeding sources. Additionally, the facility failed to follow through with recommended cleaning and pest control treatments. The findings include:Review of the facility's policy titled, Pest Control, undated, revealed the facility maintained a pest control program intended to keep the building free of insects and rodents,…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-24 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and review of the facility's policy, the facility failed to provide specialized rehabilitative services for 1 out of 5 residents reviewed for therapy services, Resident (R) 21.Review of R21's Service Log Matrix revealed R21 did not receive physical therapy (PT) or occupational therapy (OT) on 08/28/2025 and 09/04/2025.The findings include: Review of the facility's policy titled, Scheduling Therapy Services, dated 01/01/2025, revealed, Therapy services shall be scheduled in accordance with the resident's treatment plan.Review of R21's admission Record revealed the facility admitted R21 on 08/25/2025 with diagnoses of muscle weakness and unsteadiness on feet.Review of R21's admission Minimum Data Set [MDS], dated 08/28/2025, revealed the facility assessed the resident to have a Brief Interview for Mental Status [BIMS] score of 14 out of 15, which indicated R21 was cognitively intact.Review of R21's Care Plan, date initiated 08/26/2025, revealed R21 had a focus of Rehabilitation: the resident has been admitted to the facility for rehabilitation 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-24 · 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, the facility failed to develop a resident centered behavioral care plan for 1 of 6 sampled residents, Resident (R) 1.From 08/09/2025 to 10/16/2025, R1 had food seeking behaviors that were not addressed timely on the behavioral care plan. Refer to F743.The findings include:Review of the facility's policy titled, Care Planning-Comprehensive Person-Centered, not dated, revealed the facility would develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs as identified throughout the comprehensive Resident Assessment Instrument (RAI) process. The comprehensive care plan would incorporate identified problem areas, incorporate risk factor associated with identified problems, and promote resident safety. Continued review revealed a behavior intervention plan (BIP) might be developed when a 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0743 — isolated
  Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
  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, review of the facility's information sheet, and review of the facility's policy, the facility failed to monitor and provide ongoing assessment as to whether the care approaches were meeting the needs/behaviors of the resident for 1 of 6 sampled residents, Resident (R) 1.Interview and record review revealed on 08/09/2025, R1 obtained granola from an unknown source; on 09/19/2025, R1 obtained popcorn from another resident during an activity; and on 10/16/2025, R1 obtained pineapple from another resident's tray. The foods obtained were not allowed on the resident's ordered pureed diet.Refer to F656The findings include:Review of the facility's information sheet Pureed, not dated, revealed the standard texture for that diet resembled that of mashed potatoes or applesauce. Per the sheet, achieving that desired texture was most effectively done by pureeing foods in a food processor rather than a blender. The sheet stated the diet was appropriate for individuals experiencing swallowing…

  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

$12,925 in federal fines across 2 penalties.

• $5,092 — penalty dated 2024-08-16
• $7,833 — penalty dated 2024-08-16

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 LYON HEALTHCARE — 12 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.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

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

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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 KY