Somerset Nursing and Rehabilitation Facility

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

59.2% 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 81 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 71 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 123 beds and averages 117.2 residents a day — about 95% occupied, or roughly 6 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.64 is at or above 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 3.31 hrs/resident/day on weekends vs 3.90 on weekdays — 15% thinner on weekends. RN hours go from 0.34 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%. 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.

19 citations, most serious first. The 14 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2026-04-17 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of the facility's policies, the facility failed to implement the comprehensive person-centered care plan for 1 of 6 sampled residents (Resident (R)1). The findings include: Review of the facility's policy titled, Care Plan Policy, reviewed on [DATE], revealed the facility would develop and implement a person-centered care plan for each resident to include measurable objectives and time frames to meet a resident's medical, nursing, mental, and psychosocial needs as identified in the comprehensive assessment. Continued review of the facility's policy revealed each resident's Comprehensive Care Plan was designed to incorporate identified problem areas and risk factors associated with the identified problems. Review of R1's admission Record revealed the facility admitted the resident on [DATE], with diagnoses of osteoporosis, presence of right artificial hip joint, and dementia. Review of R1's Quarterly Minimum Data Set (MDS) Assessment, dated [DATE], 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 · Past Non-Compliance
• Actual harm · G2026-04-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of the facility's policies, the facility failed to provide each resident with adequate supervision to prevent accidents for 1 of 6 sampled residents (Resident (R)1). R1 sustained a fall with a fracture. The findings include: Review of the facility's policy titled, Falls Policy, reviewed [DATE], revealed the policy was to ensure the facility provided an environment as free from accident hazards as possible, over which the facility had control to prevent avoidable falls/accidents. Review of R1's admission Record revealed the facility admitted the resident on [DATE], with diagnoses of osteoporosis, presence of right artificial hip joint, and dementia. Review of R1's Quarterly Minimum Data Set (MDS) Assessment, dated [DATE], revealed the facility assessed the resident as rarely/never understood. The facility assessed R1 as severely cognitively impaired. Continued review of R1's MDS Assessment revealed the facility additionally assessed the resident'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 · Past Non-Compliance
• Actual harm · G2019-11-16 · 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 observation, interview, record review, and facility policy review, it was determined that the facility failed to ensure one (1) of sixteen (16) sampled residents (Resident #17) was protected from abuse. On 12/03/19, Resident #17 did not want staff to remove his/her dentures. State Registered Nurse Aide (SRNA) #29 told the resident, If I have to do it you know your [you're] not going to like it. Then, when the resident turned his/her head and stated, Don't do that, SRNA #29 put her fingers in the resident's mouth and attempted to jerk the resident's dentures from his/her mouth. Another staff member intervened and SRNA #29 left the room. Resident #17 cried and stated that his/her mouth hurt as a result of the incident. The findings include: Review of the facility's policy titled, Reporting Abuse to Facility Management, dated 11/02/17, revealed each resident had the right to be free from abuse and the facility did not condone abuse by anyone, including staff members. The facility defined abuse as the willful infliction of injury .with resulting physical harm or pain or 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-11-16 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, it was determined that the facility failed to ensure one (1) of sixteen (16) sampled residents (Resident #17) received the necessary care and assistance to maintain good grooming and personal hygiene. The facility failed to honor Resident #17's preference when providing oral care on 12/03/19, when the resident refused to remove his/her dentures. A State Registered Nurse Aide (SRNA) put her fingers in the resident's mouth and attempted to jerk the resident's teeth from his/her mouth. Resident #17 cried after the incident and reported that his/her mouth hurt. The findings include: Review of the facility's policy, Oral Assessment Protocol, not dated, revealed when oral care needs were identified a plan of care and treatment would be discussed with the resident and/or Responsible Party (RP). Interview with the Administrator on 12/18/19 at 10:30 AM revealed the facility did not have a policy concerning Activities of Daily Living (ADLs).…

  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 · F2021-08-11 · 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

  Based on interview and record review it was determined the facility failed to review and update the facility assessment when there was a change in facility administration and failed to address the facility's resident population with regards to a resident with bariatric needs. (Refer to F558) The findings included: Review of the Facility Assessment Tool revealed the date of the assessment was 12/07/2020. The assessment did not have the name of the current Administrator or current Director of Nursing (DON) listed as persons who were involved in completing the assessment. Further review of the assessment revealed the section titled Our Resident Profile did not include residents with bariatric needs. Observation of Resident #94 on 08/03/2021 at 10:15 AM and interview with Resident #94 on 08/04/2021 at 1:08 PM revealed the resident did not have a chair in his/her room to allow the resident time out of bed and could only receive bed baths because the facility did not have a shower chair that would accommodate the resident or another means for the resident to shower. Interview with 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-08-11 · tag F0656 — failed to write and follow a full care plan — pattern
  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 facility policy review, it was determined the facility failed to implement the plan of care for six (6) out of twenty two (22) sampled residents (Residents #1, #41, #59, #69, #96, and #101) related to personal hygiene. Review of the individualized care plans for Residents #1, #41, #59, #69, #96, and #101, revealed the residents were to have a showers twice weekly and bed baths, five (5) days per week, on the days showers were not completed. Review of the bathing documentation, revealed the Resident #1, #41, #59, #69, #96, and #101 were not receiving showers twice weekly. The findings include: Review of the facility's policy titled, Care Plan, Comprehensive, dated 08/01/2013, revealed each care plan was designed and implemented to reflect the resident's wishes regarding care and treatment goals. The policy stated assessments of residents were ongoing and care plans were revised as information about the resident and the resident's condition changed. 1. Review of…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-08-11 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, it was determined the facility failed to ensure six (6) of twenty two (22) sampled residents (Resident #1, #41, #59, #69, #96, and #101) received the necessary care and services to maintain grooming and hygiene. Review of facility bathing documentation, revealed residents were to have received showers twice weekly. However, review of bathing documentation for Residents #1, #41, #59, #69, #96, and #101, revealed the residents were not receiving showers twice weekly. The findings include: Interview conducted with the Corporate Nurse on 08/05/2021 at 11:10 AM, revealed the facility did not have a policy on showers. The Corporate Nurse revealed the expectation was for showers to be completed at least twice weekly unless the resident refused. A bed bath was to be completed on days between showers. The Corporate Nurse stated if the resident wanted a bath more frequently than twice weekly, it would be provided. 1. Review of Resident #1's closed record, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-08-11 · 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 and record review it was determined the facility failed to store and serve food in accordance with professional standards for food service safety. Interviews with residents during the survey revealed that food was often served cold and observations of the tray line on 08/03/2021 during the lunch meal revealed food items on the steam table were not held at the appropriate temperatures. Further observations in the kitchen on 08/03/2021 revealed food items in the refrigerator that were not labeled/dated with the date they were opened. Also, observations of food items in the dry storage area were opened, but not labeled/dated with the date they were opened. The findings include: Review of the facility policy titled Dietary Services (undated) revealed the purpose of the policy was to prevent the contamination of food products and therefore prevent foodborne illness. The policy further stated that steam tables must be able to maintain hot foods at temperatures of 140 degrees Fahrenheit (F) and above. Further review of the facility policy revealed the policy…

  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 · D2021-08-11 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review it was determined the facility failed to ensure one (1) of twenty-two (22) sampled residents (Resident #94) received services in the facility with reasonable accommodations of the resident's needs and preferences related to bariatric equipment (Geri Chair and Shower Bed). The findings include: A review of the facility policy for resident equipment titled Equipment Resident Use dated 08/01/2013 revealed the facility would provide routine equipment for the general use of the resident population. A review of the medical record for Resident #94 revealed the facility admitted the resident to the facility on [DATE] with diagnoses, which included Severe Morbid Obesity and Abnormalities of Gait and Mobility. A review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was assessed to be cognitively impaired with a Brief Interview for Mental Status (BIMS) score of seven (7) indicating severe cognitive impairment. Observation of…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-08-11 · tag F0573 — isolated
  Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  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 and record review, it was determined the facility failed to protect the rights of one (1) of twenty two (22) sampled residents (Resident #1). Family Member #1 who was also Resident #1's Power of Attorney (POA) verbally requested a copy of the resident's medical records, on 07/29/2021, and the family member signed the request for the medical record, on 07/29/2021. However, the family member did not receive the medical record until 08/03/2021 (3 business days after the initial request). The findings include: Interview on 08/10/2021 at 2:19 PM, with the Administrator revealed the facility did not have a policy related to providing resident medical record copies but used the form, Request for Inspection/Copy of Protected Health Information. A review of this form revealed areas to be filled out stating who requested the medical record, reason for request, and a date line. Interview with Family Member #1 on 08/03/2021 at 2:34 PM, who was also Resident #1's POA, revealed she had come to 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 · E2019-11-16 · tag F0609 — failed to report abuse allegations — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review, and facility policy review, it was determined the facility failed to report an allegation of abuse timely to the Administrator and to state agencies for one (1) of thirty-three (33) sampled residents (Resident #68). A resident abuse allegation was reported to facility staff on 10/22/19 at 5:00 PM; however, the facility failed to ensure the allegation was reported to the Administrator until 10/23/19 at 8:50 AM and to the state agencies until 11:00 AM on 10/23/19. The findings include: Review of the facility policy titled, Reporting Abuse to Facility Management, dated 11/02/17, revealed all alleged violations must be reported immediately, but no later than two (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 twenty-four (24) hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2019-11-16 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  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, medical record review, and facility policy review, the facility failed to thoroughly investigate allegations of abuse/neglect for five (5) of sixteen (16) sampled residents (Resident #7, Resident #17, Resident #45, Resident #204, and Resident #211) and an unknown number of residents who were allegedly neglected. On 12/03/19, staff reported that Resident #17 did not want staff to remove his/her dentures and State Registered Nurse Aide (SNRA) #29 told Resident #17, If I have to do it you know your [you're] not going to like it. When Resident #17 turned [his/her] head, SRNA #29 shoved her finger into the resident's mouth and jerked [his/her] top denture halfway out of the resident's mouth. The facility initiated an investigation; however, the facility unsubstantiated that abuse occurred based on interviews/assessments of other residents and interviews with staff. The facility failed to consider the resident's statements/reactions to the incident and failed to investigate the comment…

  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 · E2019-11-16 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the Administrator's job description, the facility failed to ensure the facility was administered in a manner that enabled the use of its resources effectively and efficiently. The facility was cited at F609 and F610 for failure to report and investigate allegations of resident abuse on 09/06/19. On 11/16/19, the facility was cited for failure to report an allegation of abuse (F609). In addition, during the visit on 12/20/19, the facility was again cited for failure to report and investigate allegations of abuse (F609 and F610) and for failure to review/revise the comprehensive care plan (F657). The Administrator failed to ensure plans of corrections were implemented related to cited deficiencies and failed to ensure ongoing monitoring was completed to ensure corrective actions were effective (refer to F609 and F610). The findings include: Review of the Administrator's Job Description, not dated, revealed the Administrative Functions included Plan, develop, organize, implement, evaluate, and direct all aspects of 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2019-11-16 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of the facility policy it was determined the facility failed to have an effective performance improvement program which measured the success and tracked the performance of implemented plans to ensure improvements are sustained in the facility. On 09/06/19, F609 and F610 were cited due to the facility's failure to report and investigate allegations of resident abuse, and on 11/16/19, the facility was cited again for failure to report an allegation of abuse (F609). The State Agency received a Plan of Correction (POC) on 10/11/19 for a survey exit date of 09/06/19. Per the POC, the Director of Nursing (DON) and the Quality Assurance Nurse would evaluate all incident reports for the next six months, regardless of cause, to determine if the incident needed to be investigated and the abuse protocol implemented to protect residents, which included ensuring an allegation of abuse was reported to state agencies. However, interviews with both the DON and Quality Assurance Nurse revealed they reviewed all incident reports, but did not review them…

  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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to BLUEGRASS HEALTH KY — 15 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 57 rows in the source record cover these 30 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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