Treyton Oak Towers

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.

62.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.0% 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 37 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 0.34 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 60 beds and averages 51.9 residents a day — about 86% 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.57 hrs/resident/day on weekends vs 4.22 on weekdays — 15% thinner on weekends. RN hours go from 0.81 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below 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 14 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · J2024-02-24 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility's video footage and policies, it was determined the facility failed to protect one (1) of seven (7) sampled residents (Resident #1) from neglect. On 01/26/2024 at approximately 7:50 PM, Resident #1 (R1) sustained a witnessed fall out of his/her wheelchair. R1 had a history of blood clots and had been receiving blood thinning medication (Eliquis, Plavix and Aspirin) prior to the fall on 01/26/2024. The resident sustained an injury to his/her head and right side of face. R1's nurse, Licensed Practical Nurse (LPN) #1 documented that she had notified the on-call physician and received orders to perform neuro checks per the facility's protocol, and to apply a cold pack to the affected area of the resident's face. However, when LPN #1's documented progress notes and neurological (neuro) check assessment findings were compared to the facility's video footage, it was determined the LPN failed to complete the neuro checks, and apply the cold pack as ordered.…

  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
• Immediate jeopardy · Kcited before2019-03-22 · 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, facility policy review, and review of manufacturer's recommendations, it was determined the facility failed to have an effective system to maintain an infection control program to ensure a safe environment and to help prevent the development and transmission of infection for four (4) of six (6) sampled residents, Resident #11, #26, #28, and #238. Observation and interview revealed the facility utilized a hand held meter to collect blood to test the International Normalized Ratio (INR) levels of residents. Staff cleaned the outside of the meter, but not where the test strip was inserted. Observation revealed the meter was soiled at the test strip insertion site. The facility used the same meter for the residents on standard precautions and the residents on isolation precautions. There were no meters dedicated to the isolation rooms. The same meter was used to test Resident #28 and #238, who were in contact isolation for Clostridium difficile, and Resident #11 and #26 who were not…

  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 · G2021-06-24 · 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, record review, and review of the facility's policy, it was determined the facility failed to revise the care plan timely with effective interventions to prevent recurring falls for one (1) of thirty-six (36) sampled residents, Resident #38. Record review revealed Resident #38 fell on [DATE], 04/21/2021, 05/03/2021 twice, 05/06/2021. Continued review revealed the care plan revisions did not occur timely and the resident fell again on 05/18/2021. The facility transferred Resident #38 to an acute care facility where the resident was diagnosed with a fractured clavicle. The findings include: Review of the facility's policy, Comprehensive Person-Centered Care Plans (CCP), revised 2016, revealed a CCP included measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs. Care plans are revised as information about the residents and the resident's condition changes. Review of the policy Falls and Fall Risk Managing, revised March 2016, revealed the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2021-06-24 · 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 2. Review record revealed the facility admitted Resident #2 on 06/04/2019 with diagnoses of Alzheimer's, Dementia without behaviors and Insomnia. Review of Resident #2's Minimal Data Set (MDS), dated [DATE] revealed the facility assessed the resident to require physical help with baths, with support of one (1) staff and extensive assist of one (1) staff for bed mobility, to transfer, for toilet and for personal hygiene. Record review revealed the facility assessed Resident #2 with a Brief Interview for Mental Status (BIMS) score of nine (9) out of fifteen (15) which indicated moderate cognitive impairment. Review of Resident #2's Physician's Orders revealed on 02/12/2020, the Medical Director (MD) ordered leg protectors to be on both legs at all times except at bath without an end date. Review of Resident #2's last Care Plan conference dated 06/15/2021, revealed the resident was identified with skin impairments because of thin and fragile skin on 06/13/2019. Resident #2 was to have leg protectors on both legs 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-03 · tag F0552 — pattern
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of facility policy, the facility failed to have evidence that risks, benefits, and alternate treatments were discussed with residents and/or their representatives for 2 of 5 sampled residents reviewed for unnecessary medications (Resident (R)22, and R31). The findings include: Review of the facility policy titled, Psychotropic Medication Use, revised 07/2022, revealed, 4. Residents (and/or representatives) have the right to decline treatment with psychotropic medications. a. The staff and physician will review with the resident/representative the risks related to not taking the medication as well as appropriate alternatives. 1. Review of R22's Resident Face Sheet indicated the facility admitted the resident on 09/10/2024 and re-admitted the resident on 02/17/2025. According to the Resident Face Sheet, the resident had a medical history that included diagnoses of dementia with other behavioral disturbance, generalized anxiety disorder, psychotic disorder with delusions, unspecified psychosis, and adjustment disorder with anxiety. 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-03 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of facility policy, the facility failed to assess fall interventions related to placing a resident's bed against the wall and related to the use of a mattress with bolsters as potential restraints for 1 of 2 sampled residents reviewed for physical restraints, Resident (R) 41. The findings include Review of the facility policy titled, Use of Restraints, revised 04/2017, revealed, Restraints shall only be used for the safety and well-being of the resident(s) and only after other alternatives have been tried unsuccessfully. Restraints shall only be used to treat the resident's medical symptom(s) and never for discipline or staff convenience, or for the prevention of falls. The policy continued, 1. Physical Restraints are defined as any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or restricts normal access to one's body. 2. The definition of a restraint is based on the functional…

  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 · D2025-07-03 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of facility policy, the facility failed to ensure PRN (as needed) orders for psychotropic medications were limited to 14 days in the absence of a documented rationale for extending the use of the medication. This affected 1 of 5 sampled residents reviewed for unnecessary medications, Resident (R)42.The findings include: Review of the facility policy titled, Psychotropic Medication Use, revised 07/2022, revealed psychotropic medications are not prescribed or given on a PRN basis unless that medication is necessary to treat a diagnosed specific condition that is documented in the clinical record. PRN orders for psychotropic medications are limited to 14 days. For psychotropic medications that are NOT antipsychotics: if the prescriber or attending physician believes it is appropriate to extend the PRN order beyond 14 days, he or she will document the rationale for extending the use and include the duration for the PRN order. Review of R42's Resident Face Sheet revealed the facility admitted the resident on 12/05/2023. According to the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-03 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility document review, the facility failed to provide evidence that a Level I Preadmission Screening and Resident Review (PASRR) was submitted to the state's PASRR authority and failed to have evidence of the results of the assessment for 1 of 2 residents (Resident (R) #22) reviewed for PASRR. The findings included:Review of facility Resident Face Sheet indicated the facility admitted Resident #22 on 09/10/2024. According to the Resident Face Sheet, the resident had diagnoses including dementia with other behavioral disturbance, anxiety disorder, psychotic disorder with delusions, psychosis, and adjustment disorder with anxiety.Review of the quarterly Minimum Data Set (MDS), with Assessment Reference Date (ARD) of 05/22/2025, revealed Resident #22 had severe impairment in cognitive skills for daily decision-making and had a short- and long-term memory problem per a Staff Assessment of Mental Status (SAMS) exam. The MDS also revealed Resident #22 received antidepressant and antianxiety medication during the assessment's look-back…

  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 before2025-07-03 · 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, review of facility document and policy, the facility failed to complete a root cause analysis and determine appropriate interventions to reduce the risk of further falls for 1 of 3 residents reviewed for accidents, Resident (R)41. R41 sustained a fall on 01/30/2025 at 8:10 AM; however, there was no documented evidence the facility attempted to determine the root cause. Subsequently, R41 sustained another fall on 01/30/2025 at 9:44 PM.The findings include: Review of the facility's policy titled, Falls - Clinical Protocol, revised 04/2013, revealed the section titled, Cause Identification, included, 1. For an individual who has fallen, staff will attempt to define possible causes within 24 hours of the fall. The policy revealed the section titled, Treatment/Management, included, 1. Based on the preceding assessment, the staff and physician will identify pertinent interventions to try to prevent subsequent falls and to address risks of serious consequences of falling. 2. If underlying causes cannot be readily identified or corrected,…

  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 before2025-07-03 · 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

  Based on observation, interview, record review and review of facility policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents observed for wound care, Resident (R)41. During observation of R41's wound care on 07/02/2025, Registered Nurse (RN)11 did not remove his soiled gloves or wash his hands after cleaning the resident's wound, and prior to beginning treatment to the wound bed, which was a clean process.The findings include:Review of the facility's policy titled, Wound Care, undated, revealed, The purpose of this procedure is to provide guidelines for the care of wounds to promote healing. The policy revealed, . 2. Wash and dry your hands thoroughly. 3. Position resident. Place disposable cloth next to resident (under the wound) to serve as a barrier to protect the bed linen and other body sites. 4. Put on exam glove. Loosen tape and remove dressing. 5. Pull…

  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 · Dcited before2025-07-03 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of facility policy, the facility failed to ensure allegations of abuse were reported to the Administrator and State Agencies immediately, but not later than 2 hours after an allegation of abuse was made for 2 of 4 residents reviewed for abuse prohibition, Resident (R)23 and R201. The findings include: Review of the facility policy titled, Resident Abuse, revised 06/30/2023, revealed, any alleged violations involving mistreatment, neglect, exploitation or abuse, including injuries of unknown source and misappropriation of resident property, must be reported to the employee's supervisor or directly to the Administrator immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury. The policy revealed, When an alleged violation, suspected case of mistreatment, exploitation or neglect is reported, or there is 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-03 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of facility document and policy, there was no documented evidence alleged violations were thoroughly investigated for 2 of 4 residents reviewed for abuse prohibition, Resident (R)42 and R201.The findings include: Review of the facility's policy titled, Resident Abuse, dated 06/30/2023, revealed, Each resident has the right to be free from abuse, mistreatment, neglect, and misappropriation of property. The policy revealed the section titled, V. Investigation, included, D. The investigation shall consist of: 1. Review of witness statements; 2. Interview with the person(s) reporting the incident; 3. Interviews with any witnesses to the incident; 4. Interview with the resident; 5. Interview with the resident's attending physician; 6. Review of the resident's medical record; 7. Interviews with the staff members on all shifts having contact with the resident during the period of the alleged incident. The policy revealed, Documentation of interviews: It is necessary for all interviews to document the name and title of the person being…

  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 · F2021-06-24 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure nursing staff had appropriate competencies and skill sets upon hire and annually to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Record review revealed the facility failed to document orientation/competency assessments. The findings include: Review of the facility's policy, Competency of Nursing Staff, revised October 2017, revealed all nursing staff must have met the specific competency requirements of their respective licensure and certification. Continued review revealed the facility and resident-specific competency evaluations would be conducted upon hire, annually and as needed based on the facility's assessment. Further review revealed licensed nurses and nursing assistants employed or contracted by the facility would participate in a facility-specific, competency-based staff development and training program; and would demonstrate specific competencies and skill sets…

  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 · Fcited before2021-06-24 · 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 facility policy, it was determined the facility failed to serve food in a sanitary manor. Observations during the survey revealed dietary staff cross contaminated food with improper hand hygiene during meal services. In addition, wash/rinse temperatures and sanitization chemical levels were not documented. The findings include: Review of the facility's policy titled, Environmental Sanitation/Infection Control, revised 2014, revealed pathogenic organisms could be transferred to hands from a variety of sources and then moved from hand to food during preparation and service. Employees involved in the storing, preparing, distributing and serving of food should wash their hands frequently using proper cleaning procedures to prevent food contamination and the spread of food borne illness. Further review revealed the policy described proper hand washing techniques as water turned on, hands rinsed under clean, soap applied and all surfaces of the hands and fingers were rubbed together vigorously with friction for at least twenty (20) seconds,…

  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

“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

$16,724 in federal fines across 1 penalty.

• $16,724 — penalty dated 2024-02-24

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.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

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 2024. 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, FY2024). 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