Signature Healthcare at Summerfield Rehab & Wellne

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.

55.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 162 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 71.7% 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 46 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 0.39 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 165 beds and averages 109.6 residents a day — about 66% occupied, or roughly 55 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.98 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.17 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 3.29 hrs/resident/day on weekends vs 4.25 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 1.32 to 0.77 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% 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.

28 citations, most serious first. The 15 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · K2024-09-20 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  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 interviews, record review, and review of the facility's policies, it was determined the facility failed to ensure each resident or the resident's representative received adequate notice before transfer or discharge for four out of five residents (Resident (R) 3, R4, R13, and R14). The facility initiated a transfer/discharge based on the facility's inability to meet the resident's needs. However, upon complaint investigation, it was determined by interview and record review that the transfer/discharge was due to the facility needing to move the residents out of their rooms to make space for a new rehabilitation unit. Residents 3, R4, and R13 were selected based on their least likely to have a connection with the community. The residents were provided a notice of transfer/discharge on [DATE]. On 07/30/2024, four days after the notice was issued, the facility transferred and discharged the residents to other healthcare facilities, moving them further away from their families and friends. This was completed…

  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
• Immediate jeopardy · Jcited before2024-01-28 · tag F0880 — failed to prevent and control infections — isolated
  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 facility's fact sheet Preventing the Spread of Bloodborne Pathogens, review of the facility's online education course outline, Bloodborne Pathogens and the Use of Standard Precautions, review of Assure Platinum Blood Glucose Monitoring System Cleaning and Disinfecting QA/QC Reference Manual, Microdot (brand) bleach wipes manufacturer's instructions, Cleaning and Disinfecting Recommendations,'; review of the facility's internal resource Common Infections, PPE & Isolation Guidelines,; review of the CDC's Enhanced Barrier Precaution (EBP) door signage, and review of the facility's policies, it was determined the facility failed to implement recommended interventions for the cleaning and disinfecting of a shared glucometer (glucose monitoring device), according to manufacturer's instructions. This affected two (2) of seventy-one (71) sampled residents (Residents #325 and #327). The facility had twenty-six (26) residents that required glucose monitoring.…

  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
• Actual harm · Gcited before2024-09-20 · 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

  Based on observation, interview, record review, and facility policy review it was determined, the facility failed to ensure the residents' environment remained as free of accident hazards as possible and failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for one for 30 sampled residents, Resident (R) 1. R1 sustained a fall between 04/16/2024 and 04/18/2024. Interviews and record review revealed staff failed to follow the resident's care plan which instructed staff to utilize the mechanical lift when transferring the resident from her bed to wheelchair. An unknown staff member transferred the resident without utilizing the resident's mechanical lift and the resident fell on her knees, resulting in a fracture of the distal right femur (broken thigh bone near the knee). The findings include: Review of the facility's policy titled Falls, with a revision date of 09/15/2023, revealed the intent of the policy was to ensure the environment was as free from accidents and hazards as possible to prevent avoidable falls. Per review, the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-01-28 · 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 the facility's policies, it was determined the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychological needs for nine (9) of seventy-one (71) sampled residents (Residents #1, #4, #11, #39, #41, #48, #59, #325, and #381). Resident #59's care plan had interventions to provide incontinence care, which staff failed to implement causing emotional distress. Resident #41's care plan had interventions for falls. However, observations revealed these interventions were not implemented. Resident #381 was identified as a fall risk with an intervention placed in the care plan but not implemented. Resident #39's and #48's care plans were not developed to address the resident's hydration needs to decrease the likelihood of dehydration through adequate fluid…

  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 · G2024-01-28 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, review of the facility's job descriptions, and review of the facility's policy, it was determined the facility failed to provide necessary services to a resident who was incapable of carrying out activities of daily living to maintain personal hygiene for one (1) of seventy-one (71) sampled residents (Resident #59). Resident #59 was dependent on staff to perform toileting hygiene; staff failed to change Resident #59's briefs timely resulting in the resident experiencing emotional distress, crying because he/she was left laying in a bed soaked with urine. The findings include: Review of the facility's policy, Activities of Daily Living, dated 09/15/2023, revealed the facility was to provide needed assistance for residents who were unable to perform activities of daily living, including toileting. Review of the facility's Certified Nursing Assistant (CNA) job description, dated 03/2021, revealed CNAs were responsible for promptly answering residents' call lights and assisting with residents' needs. Review of the facility's Charge Nurse…

  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 · Ecited before2024-09-20 · 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, review of the Centers for Disease Control and Prevention's (CDC) document, review of medication package inserts, and review of the facility's policy, the facility failed to ensure appropriate environmental controls were used to preserve their integrity in one of two medication refrigerators. Additionally, the facility failed to ensure drugs and biologicals were stored per currently accepted professional principles for six of 96 residents (Residents (R) 7, R8, R9, R10, R27, and R28). Observation on 09/04/2024, revealed one opened and undated vial of purified protein derivative (PPD), (used in a tuberculin skin test for tuberculosis) was found in the [NAME] Unit medication refrigerator. On 09/04/2024, during an observation of the medication cart on the 700 Hall, it was noted that multiple eye drops and insulin vials were not dated when opened. All the insulin pens were found to be opened and undated. Additionally, four insulin pens were not stored in separate plastic bags. One insulin pen lacked the original pharmacy label and had the resident's name…

  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 before2024-09-20 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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, record review, and review of the facility's policies and review of the contracted company's policies and documents it was determined the facility failed to store food in the residents' refrigerator in a safe and sanitary manner. This affected 25 of 96 current residents. Observation of [NAME] Unit's resident food freezer on 09/04/2024 revealed there was no thermometer in the freezer. An unfrozen ice gel pack was observed in the freezer. Additionally, multiple frozen food boxes were stored inside grocery bags, and were unlabeled and undated. The boxes of food were not frozen solid. The freezer compartment floor was dirty with melted liquid, packaging debris, dirt, food particles, and hair. The findings include: Review of the Federal Food and Drug Administration's (FDA) document titled, Safe Food Handling, current as of 03/05/2024, revealed the freezer operating temperature should be zero degrees Fahrenheit (F). Frozen food should be frozen solid. Staff should reject if fluids or water stains appeared in the bottom of the freezer or on packaging; or if…

  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 · Ecited before2024-09-20 · 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, and review of the facility's policies, the Centers for Medicare and Medicaid Services (CMS), and the Centers for Disease Control and Prevention (CDC) guidelines, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases affecting five of 96 Residents (Resident 5 (R5), R17, R18, R21, R23). Observation on 09/04/2024 revealed the doors to two droplet precaution isolation rooms, rooms [ROOM NUMBERS], remained open. The trash can inside R17 and R18's room, was overflowing with contaminated personal protective equipment (PPE). An opened bag of hand sanitizer gel was found on top of two boxes of opened gloves on the PPE cart located outside of R23's room, Observation on 09/06/2024 revealed Licensed Practical Nurse (LPN) 2 failed to clean shared vital sign equipment…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-01-28 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and review of the facility's policies, it was determined the facility failed to store and prepare food under sanitary conditions. Observation on 01/22/2024 on the initial kitchen tour revealed ingredient containers not dated; and scoops, a set of solid stainless steel bowls, and a strainer stored sitting up. Continued observation during the supper meal service revealed no hand washing between glove changes, and a staff member patted the surface of the plate into the plate holder using a bare hand. The findings include: Review of the facility's policy titled, Receiving, dated 02/2023, revealed all food items would be appropriately labeled, dated, and stored properly to ensure appropriate and timely utilization based on the principle of first in-first out (FIFO). Review of the facility's policy titled, Staff Attire, dated 10/2023, revealed fingernails would be kept clean, trimmed, filed, and maintained. Use of nail polish, acrylic and gel nails was not permitted unless wearing intact gloves, in good repair, when handling food. Observation on 01/22/2024…

  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 · F2024-01-28 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of the facility's assessment, it was determined the facility failed to ensure the Facility Assessment was clear on evaluating its resident population; identifying the resources needed; and the level of staffing for each unit, to provide the necessary care and services to match the acuity level of the community. The findings include: Review of the document titled, Facility Assessment, [NAME] 2023 Facility Assessment, Resident Population Profile 08/05/2022-08/04/2023, revealed three (3) columns were assigned for: Admissions/Stays, % of Admissions/Stays, and Frequency Relative to Benchmark. The first two (2) columns had quantitative data where the last column was assigned (High-Low), with no quantitative data. The assessment utilized the Barthel Index which measured the degree of assistance required by an individual on ten (10) mobility and self-care Activities of Daily Living (ADL) items. Low ADL function score < 30 indicated total dependence, moderate ADL…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-28 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and review of facility policy it was determined the facility failed to provide a safe, clean, comfortable and homelike environment for five (5) of seventy-one (71) sampled residents, (Residents #44, #55, #60, #65, and #88). Observations during the survey revealed a continuous odor of urine on the 100 Unit. During interview with Resident #44, he/she stated that he/she kept the door closed to cut down on the odor; however, he/she could smell the odor when the door opened. During interview with Resident #55, he/she stated he/she moved quickly down the hallway to avoid the odor. Observation revealed Resident #60 had excessive accumulation of dead skin under the books and puzzles pieces on the bedside table and excessive dead skin under the foot of the bed. Observation revealed soiled/stained linens on Residents #65's and #88's beds. Neither resident was able to recall the last time their bed linens had been changed. The findings include: Review of the facility's policy, 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 · E2024-01-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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, and review of the facility's policy, it was determined the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for five (5) of seventy-one (71) sampled residents (Residents #1, #8, #11, #324, and #381). Resident #11 received oxygen (O2) without a Physician's Order. Additionally, Residents #1, #8, #11, and #381 had O2 tubing that was not labeled nor dated. Furthermore, Resident #324's nebulizer machine was not stored in a plastic bag when not in use. The findings include: Review of the facility's policy titled, Oxygen Administration, revised 07/25/2022, revealed oxygen therapy was supposed to be administered as ordered by a physician. Further review revealed staff were to check the resident's medical record to confirm the presence of a complete and appropriate physician's order. Continued review revealed staff were to change the oxygen tubing weekly. 1a) Review of Resident #11'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-01-28 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to ensure that medications were stored in proper temperatures and other appropriate environmental controls to preserve their integrity for two (2) of two (2) refrigerators. Additionally, it was determined the facility failed to ensure opened and in-use vials of tuberculin skin test (TST) solution, eye drops, and inhalers were not expired, on three (3) of five (5) medication carts. The findings include: 1. Review of the facility policy titled, Medication Storage, revised [DATE], revealed medications requiring refrigeration or temperatures between thirty-six (36) degrees Fahrenheit (F) and forty-six (46) degrees F, were to be kept in a refrigerator with a thermometer to allow for temperature monitoring. A temperature log or tracking mechanism would be maintained to verify that the temperature was within accepted limits. Observation of the medication refrigerator on the Blue Unit, on [DATE] at…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to treat each resident with dignity, and care in a manner and environment that promotes maintenance or enhancement of his or her quality of life for three (3) of seventy-one (71) sampled residents (Residents #1, #11, and # 324). Resident #324 stated he/she was not incontinent, but staff told the resident to use a brief, causing Resident #324 to sit in his/her own feces and urine until assisted. Resident #1 had a severe hearing impairment. He/she had a caption phone in his/her room that had not been functional for an unknown amount of time. The facility was made aware by the resident, but failed to ensure the resident had an effective means of communication. Certified Nursing Assistant (CNA) #11 left Resident #11 lying naked in bed while obtaining supplies during a bed bath. The findings include: Review of the facility's policy titled Resident Rights, revised 09/13/2023, revealed the facility…

  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 · D2024-01-28 · 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, it was determined the facility failed to honor the resident's right to self-determination as related to choosing his/her daily schedule for one (1) of seventy-one (71) sampled residents (Resident #4). The facility failed to get Resident #4 out of bed timely in the morning according to his/her preferences. The findings include: Review of the facility's policy titled, Resident Rights, revised 09/13/2023, revealed the facility was to respect the resident's individuality and value their input by providing them a dignified existence through self-determination related to provision of care and services. Review of Resident #4's Face Sheet revealed the facility admitted the resident on 12/20/2014, with diagnoses that included polyneuropathy, generalized muscle weakness, and anxiety disorder. Review of Resident #4's Annual Minimum Data Set (MDS), dated [DATE], revealed the facility assessed the resident as having a Brief Interview for Mental…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$182,488 in federal fines across 2 penalties.

• $170,450 — penalty dated 2024-09-20
• $12,038 — penalty dated 2024-01-28

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 SIGNATURE HEALTHCARE — 67 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

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.

This home reported $1.9M 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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