Klondike Nursing and Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 62 beds and averages 60.5 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.88 hrs/resident/day on weekends vs 3.40 on weekdays — 15% thinner on weekends. RN hours go from 0.74 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below 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.

20 citations, most serious first. The 15 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · G2024-01-23 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the facility's investigation, and the facility's policies, it was determined the facility's interdisciplinary team (IDT) failed to review and revise the comprehensive care plan with each assessment, including both the comprehensive and quarterly review assessments, to prevent falls for one (1) of twenty-two (22) sampled residents (Resident 9 (R9). R9 sustained twenty-two (22) falls in 2023, one (1) of which resulted in the resident experiencing a subdural hematoma, and a rib fracture during another one (1) of the falls. Review of Resident 9's Comprehensive Care Plan (CCP) revealed the facility care planned R9 for his/her risk for falls related to a history of falls prior to admission. The current interventions included staff to encourage R9 to keep his/her walker at a safe distance when ambulating throughout facility; anti-tippers to his/her wheelchair; and an intervention to encourage him/her to use a reacher to grab items out of reach. However, in interview the Director of Rehabilitation (DOR) stated R9 did not have the ability to lock…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-01-23 · 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 interview, record review, review of the facility's investigation and policies, it was determined the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for two (2) of twenty-two (22) sampled residents (Residents 9 (R9) and Resident 10 (R10)). 1. R9 sustained twenty-two (22) falls in 2023, seventeen (17) of which were either unwitnessed, or the witness was not identified. The facility had incomplete information/documentation to help determine the root cause of R9's numerous falls. Three (3) of R9's falls in 2023 occurred between the hours of 12:00 AM and 4:00 AM, and were documented as related to R9's toileting needs. However, the facility initiated only one Comprehensive Care Plan (CCP) intervention related to his/her falls and toileting issues, on 09/26/2023, nearly nine (9) months after the resident had sustained seventeen (17) falls prior to the intervention. Additionally, R9 sustained a subdural hematoma during one (1) of the falls and a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-09-06 · 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, record review, and interview it was determined the facility failed to ensure a comprehensive care plan was implemented for three (3) of the thirty-seven (37) sampled residents, Residents #10, #37, and #45. Resident #45 did not have a nutrition care plan related to a therapeutic diet. In addition the facility failed to initiate a comprehensive care plan for an identified area to the right heel and the left foot under the little toe for Resident #10 and the call light for Resident #37 was not working. The findings include: 1. Record review of the facility policy titled, Skin Integrity Management revised 07/01/19, revealed staff should continually observe and monitor patients for changes and implement revisions to the plan of care as needed. The policy revealed the purpose of the policy was to provide safe and effective care to prevent the occurrence of pressure ulcers, manage the treatment, and promote healing of the wounds. The policy revealed a care plan should be developed and included…

  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 · G2019-09-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview it was determined the facility failed to ensure that a resident who acquired a pressure sore on the foot received proper treatment to facilitate wound healing and not worsening of the wound for one (1) resident out of the thirty-seven (37) sampled residents. Resident #10 had a blistered on the right heel that had worsened and an unidentified pressure area on the bottom of the left foot under the little toe. The findings include: Record review of the facility policy titled, Skin Integrity Management revised 07/01/19, revealed staff should continually observe and monitor patients for changes and implement revisions to the plan of care as needed. The policy revealed the purpose of the policy was to provide safe and effective care to prevent the occurrence of pressure ulcers, manage the treatment, and promote healing of the wounds. Review further revealed one practice standard was to include all patients who had a newly identified skin impairment on the centers twenty-four (24) hour summary report. Wound observations and measurements…

  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 · G2019-09-06 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview it was determined the facility failed to notify the physician of a worsening blister and the development of a new pressure area for one (1) out of the thirty-seven (37) sampled residents. Resident #10 had a blister on the right heel that had worsened and an unidentified pressure area on the bottom of the left foot under the little toe. The findings include: Record review of the facility policy titled, Skin Integrity Management revised 07/01/19, revealed staff should continually observe and monitor patients for changes and implement revisions to the plan of care as needed. The policy further revealed there should be documentation of any decline and the physician should be notified of the decline. Record review of the facility policy titled, Change In Condition: Notification dated 11/28/16, revealed the facility must immediately consult with the patients physician when there was a need to alter treatment significantly and, that would be when, there was a need to discontinue, or change an existing form of treatment, or to commence a…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-20 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 that one (Resident (R) 54) of two sampled residents who were reviewed for respiratory care were assessed for the ability to self-administer medications. Nursing staff left medication out for R54 to self- administer without an inter-disciplinary team first determining that the practice was clinically appropriate. The findings included: Review of the facility policy titled, Self-Administration of Medication Policy, effective 08/04/2024, revealed, Residents have the right to self-administer medication if the interdisciplinary team has determined that it is clinically appropriate and safe for the resident to do so. Policy Interpretation and Implementation 1. As part of the evaluation comprehensive assessment, the interdisciplinary team (IDT) assesses each resident's cognitive and physical abilities to determine whether self-administering medications is safe and clinically appropriate for the resident. 2. The IDT…

  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 before2024-12-20 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and document review, the facility failed to transmit quarterly Minimum Data Set (MDS) assessments in a timely manner for two (Resident (R) 22 and R14) of two sampled residents reviewed for resident assessment. The MDS assessments were not transmitted to the Centers for Medicare and Medicaid Services (CMS) within 14 days of the MDS completion date. The findings included: Review of the CMS Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated 10/2024, indicated, Transmitting Data: Providers must transmit all sections of the MDS 3.0 required for their State-specific instrument, including the Care Area Assessment Summary and all tracking or correction information. Transmission requirements apply to all MDS 3.0 records used to meet both federal and state requirements .Assessment Transmission: Comprehensive assessments must be transmitted electronically within 14 days of the Care Plan Completion Date. All other MDS assessments must be submitted within 14 days of the MDS Completion Date. 1. Review of R22's quarterly MDS, with an…

  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 · D2024-01-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the facility's investigation, and the facility's policies, it was determined the facility failed to protect residents from sexual abuse, for two (2) of twenty-two (22) sampled residents (Resident 3 (R3) and Resident 5 (R5)). On 08/07/2023 Resident 4 (R4) told R3 (his/her) stuff does not work, and R4 touched R3's knee. On 09/12/2023 R4 was observed with his/her hand on R5's buttock. On 11/15/2023 Resident 6 (R6) was observed with his/her hand on R5's breast. The findings include: Review of the facility's policy titled, Abuse Prohibition, dated 10/24/2022, revealed the facility prohibited abuse, mistreatment, neglect, misappropriation of resident/patient (hereinafter patient) property, and exploitation for all patients. Per policy review, abuse was defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. Continued review revealed abuse also included the deprivation by an individual, including a caretaker, of goods or services that were necessary…

  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 before2024-01-23 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, review of the facility's investigations and policies, it was determined the facility failed to implement the comprehensive person-centered care plan for one (1) of twenty-two (22) sampled residents (Resident #10 (R10). The facility care planned R10 with an intervention for using a mechanical stand-alone lift when being transferred from the bed to the wheelchair. However, on 06/20/2023, facility staff transferred R10 from the bed to the wheelchair without using a mechanical stand-alone transfer lift. As a result R10 sustained a laceration to his/her lower right leg which required transfer to a higher level of care for emergent treatment. The findings include: Review of the facility's policy titled, Care Plans - Baseline, revised March 2022, read as follows: A baseline plan of care to meet the resident's immediate health and safety needs was to be developed for each resident within forty-eight (48) hours of admission. Continued review revealed the baseline care plan was to include instructions needed to provide effective, person-centered care 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-23 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility's policy and nursing standards of practice, it was determined the facility failed to ensure care and services were provided in accordance with accepted standards of clinical practice for one (1) of twenty-six (26) sampled residents, Resident #6. On the morning of 10/04/2023, Certified Nursing Assistant/Certified Medication Technician (CNA/CMT) #1 and Registered Nurse (RN) #2 were administering residents' medications at the same time and might have administered Resident #19's medication to Resident #6. Resident #6 was transferred to the hospital Emergency Department (ED) for evaluation and observation of possible adverse effects. The findings include: Review of the facility's policy, Administering Medications, revised 04/2019, revealed medications were administered in a safe and timely manner, and as prescribed. Further review revealed the individual administering medications verified the resident's identity before giving the resident's medications. Review of the article, Understanding the Basics of Medication…

  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 · E2019-09-06 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility policy review it was determined the facility failed to ensure the activity department provided community outings to meet the interests of residents. The findings include: Review of Resident Rights revealed residents had the right to participate in social, religious, and community activities if the activities did not interfere with the rights of other residents in the nursing facility. Review of the policy Program Components, revised 04/01/18, revealed the Recreation Department would create a program environment that supported an individual's well being and wellness. The purpose of the policy was to provide an ongoing person-centered recreation program that incorporated the individual's interests, hobbies, and cultural preferences which were integral to maintaining and improving a resident's/patient's physical, mental, and psychosocial well being and independence. Review of the Job Description for Center Executive Director (CED), effective 01/01/16, revealed an essential function of the CED role was to create a culture of Service…

  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 · D2019-09-06 · tag F0578 — failed to honor advance directives / code status — isolated
  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 Based on interview, record review, and facility policy review it was determined the facility failed to ensure advance directives were in the clinical record for two (2) of thirty-seven (37) sampled residents, Resident #10 and #45. The findings include: 1. Review of facility policy, Health Care Decision Making, revised [DATE], revealed it was the right of all patients to participate in their own health care decision-making, which included the right to decide whether they wish to request, accept, refuse, or discontinue treatment, and to formulate or not formulate an advance directive. The purpose of the policy was to assure the patients' wishes concerning health care decisions were communicated to all staff so patients' rights were honored and their wishes executed at the appropriate time. The policy revealed a copy of the advance directive and/or portable medical orders were placed in the medical record upon admission and the inter-professional team would be notified of the directive. If the patient/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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2019-09-06 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 ensure a homelike environment for one (1) of thirty-seven (37) sampled residents, Resident #25. The plastic covering on Resident #25's over bed table was partially peeled off and exposed bare particle board surface underneath. In addition, observations of the Resident's smoking area revealed an unkept area containing cigarette butts and trash. The findings include: 1. Review of the facility's Resident Rights revealed the resident had the right to receive treatment, care, and services in an environment that promoted maintenance or enhancement of each resident's quality of life. Observation of Resident #25's room, on 09/03/19 at 2:50 PM, revealed the brown plastic covering of the over bed table was torn and peeled away exposing a bare particle board surface. Interview with Resident #25, on 09/05/19 at 1:25 PM, revealed the over bed table needed to be replaced because he/she liked the house to look cute. Interview with Certified Nursing Assistant (CNA) #2, on 09/05/19 at 1:58 PM,…

  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 before2019-09-06 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the Centers for Medicare and Medicaid REsident Assiessment Instrument 3.0 Manual, it was determined the facility failed to ensure the discharge Minimum Data Set (MDS) was transmitted within fourteen (14) days of completion for one (1) of thirty-seven (37) sampled residents, Resident #1. The findings include: Review of the Centers for Medicare and Medicaid (CMS) Resident Assessment Instrument (RAI) 3.0 Manual, Chapter 5.2, dated October 2018, revealed the long-term care facility must transmit the MDS Discharge Assessment within fourtenn (14) days of the completion date. Review of the clinical record revealed the facility discharged Resident #1 on 03/28/19. Interview with the MDS Coordinator, on 09/06/19 at 3:47 PM, revealed Resident #1's discharge MDS assessment was not transmitted timely. According to the Coordinator, the discharge assessment did not appear on the transmit list because of an error. She revealed she audited MDS assessments of current residents to ensure they were transmitted; however, she did not audit the assessments…

  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 · D2019-09-06 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to develop and implement a baseline care plan for one (1) of thirty-seven (37) sampled residents, Resident #3. Record review discovered no baseline care plan for Resident #3 initiated within forty-eight (48) hours of admission. The findings include: Review of facility policy, Person-Centered Care Plan, revised 07/01/19, revealed the center developed and implemented baseline, person-centered care plans within forty-eight (48) hours for each resident that included the instructions needed to provide effective and person-centered care that met professional standards of quality care. Review of the clinical record revealed the facility admitted Resident #3 on 03/30/19 with diagnoses to include Unspecified Dementia with Behavior Disturbances, Chronic Atrial Fibrillation, Cognitive Communication Deficit, Generalized Muscle Weakness, and Difficulty Walking. Review of the Minimum Data Set (MDS) admission Assessment, dated 04/06/19, revealed Resident #3 needed extensive assistance…

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

  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

$33,062 in federal fines across 2 penalties.

• $6,900 — penalty dated 2024-12-20
• $26,162 — penalty dated 2024-01-23

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 ENCORE HEALTH PARTNERS — 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 35 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

15 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 86% 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 $764K paid to related parties — landlords or management companies under common ownership — equal to about 14% 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