Cherokee Park 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.

33.6% 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 78 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.5% 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 41 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 104 beds and averages 96.2 residents a day — about 92% occupied, or roughly 8 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 3.34 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 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 3.00 hrs/resident/day on weekends vs 3.48 on weekdays — 14% thinner on weekends. RN hours go from 0.95 to 0.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%. 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 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.

35 citations, most serious first. The 15 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-06-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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, document review, and facility policy review, the facility failed to ensure tracheostomy (trach) care and tracheal suctioning were provided consistent with professional standards of practice, and infection control processes for two of three residents (R) observed for tracheostomy care out of the 23 sampled residents, R54 and R61. 1. Licensed Practical Nurse (LPN) 2 failed to: assess R54 after noting the oxygen saturation was 77% initially and the repeat reading was 66%; failed to suction R54 when the resident expectorated mucous after removal of the inner cannula and before the new cannula was replaced to ensure the airway was clear from mucous; and failed to have a Yankaur suction tip connected to the suction machine, an Ambu-bag present in case of emergency, and clean inner cannula supplies as required prior to performing tracheostomy care to R54. 2. LPN 1 failed to: clean R61's (trach) stoma site as ordered by the physician; failed to suction R61 to ensure her…

  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 · G2024-06-14 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the facility failed to ensure, two of nine residents (R) reviewed for activities of daily living (ADLs) out of the total sample of 23 residents (R55 and R58) were provided restorative care and services to maintain their highest level of functioning resulting in a decline in function. In an interview with R55 she stated the facility cut its restorative care program in 2021. R55 and R58 declined in their ability to transfer, from being able to use a standing lift, in which they stood and participated in the transfer, to requiring the use of a Hoyer mechanical lift (lift designed to lift and transfer patients from one place to another) which was performed entirely by staff and without the residents' participation. The findings include: Review of the facility's policy titled, Restorative Nursing Programs, dated 02/01/2020, revealed It is the policy of this facility to provide maintenance and restorative services designed to maintain or improve a resident's abilities to the highest practicable level. Continued review…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2019-02-28 · 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 facility policy, it was determined the facility failed to ensure each resident will have a person-centered comprehensive care plan implemented to meet his preferences and goals, and address the resident's medical, physical, mental and psychosocial needs for four (4) of twenty-two (22) sampled residents (Residents #9, #39, #64, and #72). The facility care planned Resident #9 to require two (2) staff assist with Activities of Daily Living (ADL's) to include bathing and bed mobility. However, on 02/01/19, one (1) Certified Nurse Aide (CNA), instead of two (2) as per care planned, provided Resident #9 a bed bath and the resident's legs and feet went off the bed and pulled the resident to the floor. Resident #9's fall resulted in a fractured left femur and the resident was hospitalized from [DATE] to 02/07/19. Although surgical intervention was not performed, due to the resident's clinical condition and inability to use his/her legs due to having Multiple…

  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 · G2019-02-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, record review, review of facility policy, and review of the Resident Assessment Instrument (RAI) manual it was determined the facility failed to ensure five (5) of twenty-two (22) sampled residents' person-centered, comprehensive care plans were reviewed and revised (Residents #75, #24, #18, #21 and #56). Resident #18 sustained unwitnessed falls on 07/03/18, 07/12/18, 07/16/18, 07/28/18, 08/02/18, 08/11/18, and 08/17/18; however, the facility failed to revise the care plan to address the resident's possible need for increased supervision to try to prevent further falls per facility policy. On 09/24/18, Resident #18 sustained an unwitnessed fall which resulted in an acute fracture of left hip that required surgery and hospitalization for four (4) days. The facility failed to follow facility policy and revise the care plan after the 09/24/18 fall. Further review revealed the facility failed to revise the care plan per facility policy after falls the resident also sustained 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2019-02-28 · 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 facility policy, it was determined the facility failed to ensure five (5) of twenty-two (22) sampled residents received adequate supervision and assistance devices to prevent accidents (Residents #9, #18, #21, #24, and #75). Two of the five residents (Residents #9 and #18) sustained injury. The facility assessed and care planned Resident #9 at risk for falls and required two (2) staff to provide assistance with bed bath and bed mobility. However, on 02/01/19, Certified Nurse Aide (CNA) #1 failed to follow the care plan when he/she provided bathing care and assisted with bed mobility alone. Resident #9 fell from the bed and sustained a fractured left femur. Surgical intervention was not performed due to the resident's condition; however, the resident was hospitalization from 02/01/19 to 02/07/19. In addition, Resident #9 had an increase in pain and required an increase in pain medication. Review of the Falls Investigation Reports revealed Resident #18…

  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 before2025-07-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  The findings included:Review of facility policy, Indwelling Catheter Use and Removal, dated 06/13/2025, indicated, d. Keeping the catheter anchored to prevent excessive tension on the catheter, which can lead to urethral tears or dislodgement of the catheter; and e. securement of the catheter to facilitate flow of urine, prevention of kinks in the tubing and positioning below the level of the bladder.Review of facility document, Resident Face Sheet indicated the facility admitted Resident #13 on 02/23/2023. According to the Resident Face Sheet, the resident had a medical history that included diagnoses of obstructive and reflux uropathy and chronic stage 3 kidney disease.Review of the quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 05/07/2025, revealed the facility assessed Resident #13 with a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. The MDS indicated the resident had an indwelling catheter.Review of Resident #13's Care Plan revealed a problem statement initiated 02/23/2023 that indicated…

  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 · D2025-07-09 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, document review, and facility policy review, it was determined the facility failed to ensure their medication error rate was 5 percent (%) or less. There were 3 errors out of 27 opportunities, which resulted in a 11.11% medication error rate for 1 of 7 residents (Resident #13) observed for medication administration. The findings included:Review of facility policy, Medication Administration, revised 02/01/2025, indicated, 14. Administer medication as ordered in accordance with manufacturer specifications.Review of manufacturer information, Lantus insulin glargine injection 100 units/mL [milliliter] manufacturer specification with a copyright date of 2022, indicated Step 3. Perform a Safety Test Dial a test dose of 2 units. Hold pen with the needle pointing up and lightly tap the insulin reservoir so the air bubbles rise to the top of the needle. This will help you get the most accurate dose. Press the injection button all the way in and check to see that insulin comes out of the needle. The dial will automatically go back to zero after…

  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 before2025-07-09 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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

  Based on observation, interview, and facility policy review, it was determined the facility failed to label and discard expired food items in 1 of 3 resident nourishment refrigerators (A-Wing nourishment refrigerator).The findings included:Review of facility policy, Use and Storage of Food Brought in by Family or Visitors, reviewed 06/17/2025, revealed, 2. All food items that are already prepared by the family or visitor brought in must be labeled with content and dated a. The facility may refrigerate labeled and dated prepared items in the nourishment refrigerator. b. The prepared food must be consumed by the resident within 3 days. c. If not consumed within 3 days, food will be thrown away by facility staff. D. The facility will not be responsible for maintaining any reusable items. During an observation of the A-Wing resident nourishment refrigerator on 07/07/2025 at 10:40 AM, the surveyor noted two, undated and unlabeled clear plastic bowls of salad; two packs of unlabeled and undated cookies; one brown unlabeled and undated plastic bag that contained a molded slice of ice cream…

  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 · E2024-06-14 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  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 facility documentation and policy review, the facility failed to make prompt efforts to resolve a grievance repeatedly voiced by the resident group for five out of five residents (R)38, R87, R13, R43, and R77, who attended the resident group interview, and for three additional residents, R55, R9, and R22 for a total of eight residents out of 23 sampled residents. The microwave used for reheating residents' food was removed by staff and no other mechanism was put into place to heat residents' food. This created the potential for dissatisfaction with meals and decreased quality of life. The findings include: Review of the facility's policy titled, Resident and Family Grievances, dated 05/08/2023, revealed, All staff involved in the grievance investigation or resolution should make prompt efforts to resolve the grievance . Prompt efforts include acknowledgment of the complaint/grievances and actively working toward a resolution of that complaint/grievance . Review of the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-14 · tag F0577 — pattern
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, review of the monthly resident council meeting minutes and facility policy review, the facility failed to ensure residents were aware of where to locate the state survey inspection results and ensure the results were available for review for five residents (R) out of the 23 sampled residents, R38, R13, R87, R43, and R77. The findings include: Review of the facility's policy titled, Resident Rights, dated 03/22/2022, revealed, Resident rights .The resident has a right to examine the results of the most recent survey of the facility conducted by Federal or State Surveyors and any plan of correction in effect with respect to the facility. Review of five months of the Resident Council Meeting Minutes dated, 01/02/2024, 02/06/2024, 03/05/2024, 04/02/2024 and 05/07/2024, revealed no documentation of the state survey inspection results having been discussed with residents, or where the information was posted for residents to review. During a Resident Meeting held on 06/12/2024 at 10:00 AM, R38, R13, R87, R43, and R77 were asked if they knew where the state…

  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 · E2024-06-14 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 facility policy review, the facility failed to ensure food was palatable, attractive, and at a safe and appetizing temperature for ten out of 44 (23 sampled and 21 supplemental) total residents (R), R77, R38, R43, R13, R87, R63, R75, R55, R22, R9. Five interviewable residents (R77, R38, R43, R13, and R87), selected by the facility, in a resident group meeting all expressed concerns about the facility's food which included hot food being served cold and lacking seasoning. Five additional residents interviewed (R63, R75, R55, R22, and R9) voiced the same type of complaints. Observation of a test tray with the Dietary Manager (DM) revealed hot food temperatures were below 121 degrees Fahrenheit (F)and cold foods were above 50 degrees F. Interview with the DM revealed the hot foods on the test tray should have been served at around 121 degrees F to 125 degrees F, at a minimum; and the cold foods/beverages should have been below 50 degrees F. The findings include:…

  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 · D2024-06-14 · 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

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure one of 23 sampled residents (R) had a properly functioning bed, R47. R47 was observed to have a bed with a mattress that was sunken in and concaved on the right side. Observation additionally revealed the resident's electric bed was not functioning properly, as it did not raise up or down and the head of the bed also did not raise up or down. The findings include: Review of the facility's policy titled, Resident Rights, dated 03/22/2022, revealed, The resident has the right to a dignified existence . Per review of the policy, The resident has a right to be treated with respect and dignity, including: The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences, except when to do so would endanger the health or safety of the resident or other residents .The resident has a right to a safe .comfortable and homelike environment including but not limited to receiving treatment and supports for daily living safely. Review 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-14 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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 facility policy review, the facility failed to ensure resident choices regarding showers were honored for one resident (R) out of 23 sampled residents, R75. By not honoring resident's choices and/or preferences for bathing, the resident may not receive the care and services needed. The findings include: Review of the facility's policy titled, Resident Rights, dated 03/22/2022, noted, The resident has the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. Continued review revealed The resident has a right to be treated with respect and dignity .Self-determination. The resident has the right to, and the facility must promote and facilitate resident self-determination through support of resident choice. Review of R75's undated Face Sheet located in the resident's electronic medical record (EMR) under the Resident tab, revealed the facility admitted on [DATE] with diagnoses…

  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 before2024-06-14 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, facility document review, and review of the Long Term Care Resident Assessment Instrument User's Manual (LTC RAI) the facility failed to ensure one of 23 sampled residents (R) had an accurate Minimum Data Set (MDS) Assessment, R35. The facility assessed R35 to use insulin on the Minimum Data Set (MDS) Assessment; however, the MDS Coordinator confirmed the MDS information regarding insulin was erroneous. The findings include: Review of the Long Term Care Resident Assessment Instrument User's Manual (LTC RAI) version 1.18.11, dated October 2023, section N0250: revealed for insulin, it instructed to review the resident's medication administration records for the 7-day look-back period (or since admission/entry if less than 7 days). Determine if the resident received insulin injections during the look-back period. Determine if the physician (or nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure laws) changed the resident's insulin orders during the look-back period. Count the number of days insulin injections were…

  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 · Dcited before2024-06-14 · 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

  Based on observation, interview, and facility policy review, the facility failed to ensure one of three medication carts observed were free of expired medications which could potentially affect the efficacy of the medications. The findings include: Review of the facility's policy titled, Medication Storage, revision date of 09/2023, revealed it was the policy of the facility to ensure all medications housed on the facility's premises were to be stored in accordance with the manufacturer's recommendations and sufficient to ensure proper sanitation. In an interview with the Director of Nursing (DON) on 06/14/2024 at 5:43 PM, she stated it was her expectation that staff would dispose of medications within 28 or 30 days after the medication had been opened. During an observation conducted of the facility's Affinity Unit medication cart on 06/12/2024 at 8:30 AM, revealed a bottle of Tums (antacid medication) marked as opened on 01/30/2024, Robafen DM (cough suppressant) marked as opened 02/03/2024, Fluticasone-Salmeterol (asthma treatment) marked as opened on 04/09/2024, and Albuterol…

  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

“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

$12,054 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $12,054 — penalty dated 2024-06-14
• Medicare payment denial — starting 2024-07-16 for 20 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.

Part of a chain

This home belongs to SIMCHA HYMAN & NAFTALI ZANZIPER — 79 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 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 24% 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