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 0.19 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 11% 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 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 3.59 on weekdays — 14% thinner on weekends. RN hours go from 0.54 to 0.35 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 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.

33 citations, most serious first. The 12 most serious are shown; the remaining 21 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 · 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
• Potential for harm · E2025-06-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 5. Review of R2's Face Sheet, found in R2's EMR, revealed the facility admitted R2 on [DATE] with diagnoses including cerebral palsy, epilepsy, and anxiety. Review of R2's quarterly MDS, with an ARD of [DATE], revealed the facility assessed the resident to have a BIMS score of zero out of 15, indicating severe cognitive impairment. When requested from the facility on [DATE], [DATE], and [DATE], a copy of R2's Advance Directive was not provided. However, a document Hospitality Guide Acknowledgement was provided, which was signed by R2's resident representative on [DATE]. The State Survey Agency (SSA) Surveyor attempted to interview R2's representative by telephone on [DATE] at 2:39 PM but was unsuccessful. 6. Review of R92's Face Sheet, found in R92's EMR, revealed the facility admitted the resident on [DATE] with diagnoses including depression, diabetes, and dementia. Review of R92's quarterly MDS, with an ARD of [DATE], revealed the facility assessed the resident to have a BIMS score of 14 out of 15, indicating…

  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 · Ecited before2025-06-13 · 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

  Based on observation, interview, record review, and review of the facility's policies, the facility failed to store drugs and biologicals in the packaging, containers, or other dispensing systems in which they were received for 2 out of 28 sampled residents, Resident (R) 52 and R36 and 2 out of 7 medication carts, Cart 1 and Cart 2 on the Combs unit. The findings include: Review of the facility's policy titled Medication Administration, dated 09/2018, revealed, Medications are to be administered at the time they are prepared, and the resident is always observed after administration to ensure that the dose was completely ingested. Once removed from the package/container, unused medication doses shall be disposed of according to the nursing care center policy. Review of the facility's policy titled, Medication Storage, undated, revealed the nursing staff shall be responsible for maintaining medication storage and preparation areas in a clean, safe and sanitary manner, and drugs and biologicals shall be stored in the packaging, containers or dispensing systems in which they are…

  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 before2025-06-13 · tag F0880 — failed to prevent and control infections — pattern
  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, review of the Centers for Disease Control and Prevention (CDC) guidelines, 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 the development and transmission of communicable diseases and infections affecting 4 of 28 sampled residents, Residents (R) 1, R12, R22, and R68. Additionally, the deficient practice of not handling trash and linens appropriately and failure to perform hand hygiene and wear appropriate personal protective equipment (PPE) had the potential to affect all 139 current residents. Observation on 06/10/2025 of R12's room revealed an opened package of skin wipes and gloves on the sink. R12's respiratory equipment supplies, including a mask and tubing, as well as a single denture, were drying on a stained towel on a table located in the resident's bathroom. Additional observation 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · 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, and review of the facility's policy, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 2 of 28 sampled residents, Resident (R) 1 and R16. 1. Observation on 06/10/2025 of R1 revealed her indwelling urinary catheter collection bag was full of urine and not covered. The collection bag could be seen from the hallway. 2. Observation on 06/10/2025 of R16 revealed Licensed Practical Nurse (LPN) 2 administered an insulin injection to R16, in her abdomen, while the resident was seated in her wheelchair at the medication cart in the hallway. There were multiple residents and staff within sight of R16 at the time. The findings include: Review of the facility's policy titled, Resident Rights, dated 11/01/2024, revealed each resident had the right to personal privacy and to be treated with respect and dignity. 1. Review of R1's Face Sheet, found in R1's…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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, the facility failed to keep residents free from misappropriation for 1 out of 3 sampled residents for misappropriation, Resident (R) 92. The findings include: Review of the facility's policy titled, Abuse, dated 10/01/2021 and revised on 10/20/2022, defined misappropriation as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of the resident's belongings or money without the resident's consent. The policy also stated, The resident has the right to be free from misappropriation of resident's property. Observation on 06/11/2025 at 8:26 AM revealed Registered Nurse (RN) 1 used MiraLAX (a laxative), belonging to R92, and administered it to R95. Review of R92's admission Record, found in R92's electronic medical record (EMR), revealed the facility admitted the resident on 03/14/2022 with diagnoses of fibromyalgia, type 2 diabetes, and constipation. Review of R92's quarterly Minimum Data Set [MDS], with an Assessment Reference Date (ARD) of 05/13/2025, revealed 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-13 · 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 and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 4 of 28 sampled residents, Resident (R) 2, R17, R36, and R47. The findings include: Review of the facility's policy titled, Care Planning-Comprehensive Person-Centered, undated, revealed the facility would develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and time frames to meet the residents medical, nursing, and mental and psychosocial needs as identified throughout the comprehensive resident assessment instrument (RAI) process. The policy defined person-centered care meant to focus on the resident as the locus of control and support 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.

  Resident Assessment and Care Planning 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 — 11 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