St James Place Nursing Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

61.1% 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 108 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 30.4% 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 56 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 0.49 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 90 beds and averages 57.6 residents a day — about 64% occupied, or roughly 32 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 4.87 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.66 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 4.12 hrs/resident/day on weekends vs 5.17 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.37 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 13 most serious are shown; the remaining 9 are one tap away and print in full.

• Immediate jeopardy · J2024-05-31 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 interviews and record reviews, the facility failed to ensure nursing staff communicated a significant change in status to the resident's physician or family for 2 (#48, #46) of 4 (#6, #32, #46, and #48) residents reviewed for notification of change. The facility failed to ensure: 1. Nursing staff notified Resident #48's physician after low blood glucose readings were obtained, a change in breath sounds was noted, or a change in level of consciousness occurred; and 2. Nursing staff notified Resident # 46's family after a low blood glucose readings were obtained This deficient practice resulted in an Immediate Jeopardy situation on [DATE] at 5:15 a.m., when S4LPN failed to implement the standing orders for Hypoglycemic Protocol when Resident #48's blood glucose level was 49 mg/dL. S4LPN administered approximately 2 ounces of sugar water via oral swab to the resident. Upon rechecking Resident #48's blood glucose level, the reading was 53 mg/dL. S4LPN did not notify the physician of the low readings. On…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-05-31 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure a resident received treatment and care according to the resident's plan of care and physician's orders in accordance with professional standards of practice by failing to provide needed services. The facility failed to ensure: 1. S4LPN and S5LPN implemented the hypoglycemic protocol for 1 (#48) of 3 (#32, #46, and #48) residents reviewed with Diabetes; and 2. S5LPN assessed an unresponsive resident with gurgled breathing for 1 (#48) of 3 (#32, #46, and #48) residents reviewed with Diabetes. This deficient practice resulted in an Immediate Jeopardy situation on [DATE] at 5:15 a.m., when S4LPN failed to implement the standing orders for Hypoglycemic Protocol when Resident #48's blood glucose level was 49 mg/dL. S4LPN administered approximately 2 ounces of sugar water via oral swab to the resident. Upon rechecking Resident #48's blood glucose level, the reading was 53 mg/dL. S4LPN did not notify the physician of the low readings. On [DATE] at 6:00 a.m., S5LPN observed Resident #48 and…

  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
• Immediate jeopardy · J2024-05-31 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure licensed nurses had the necessary competencies and skill sets to care for a resident's needs. The facility failed to ensure: 1. S4LPN and S5LPN implemented the hypoglycemic protocol for 1 (#48) of 3 (#32, #46, and #48) residents reviewed with Diabetes; and 2. S5LPN assessed an unresponsive resident with gurgled breathing for 1 (#48) of 3 (#32, #46, and #48) residents reviewed with Diabetes. This deficient practice resulted in an Immediate Jeopardy situation on [DATE] at 5:15 a.m., when S4LPN failed to implement the standing orders for Hypoglycemic Protocol when Resident #48's blood glucose level was 49 mg/dL. S4LPN administered approximately 2 ounces of sugar water via oral swab to the resident. Upon rechecking Resident #48's blood glucose level, the reading was 53 mg/dL. S4LPN did not notify the physician of the low readings. On [DATE] at 6:00 a.m., S5LPN observed Resident #48 and found the resident had gurgled breathing and was unable to be…

  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 · Ecited before2026-01-08 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 record review and interviews, the facility failed to maintain accurate records in accordance with accepted professional standards for 3 (#1, #2 and #3) of 3 sampled residents reviewed for baths/showers. Findings:Review of the Facility's Policy titled, Documentation in Clinical Record, revised in October 2025, revealed the following, in part:Procedure:Documentation on skilled residents is required every shift with evidence supporting the skilled service.Documentation must be completed every shift for assistance with activities of daily living (ADL) by assigned CNA.Ensure documentation provides an accurate reflection of nursing care and ADL assistance for each resident, including assessments, treatments, changes in clinical status, pertinent information, which supports deliverance of quality resident care by the multidisciplinary team. Resident #1Review of Resident #1's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #1's Physician Orders revealed the following, in…

  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 · Fcited before2025-06-25 · 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 observations, interviews, and policy review, the facility failed to store serving dishes and prepare food under sanitary conditions by failing to ensure ceiling vents in two kitchen locations remained free of thick fluffy gray substance. The deficiency had the potential to affect 58 residents who were served meals from the kitchen. Findings: Review of Policy, dated 05/2012, DS Cleaning and Maintenance of Kitchen revealed: Policy Guidelines and Procedures: Ceilings, Vents, and Lights, Ceiling tiles, vents, and lights must be cleaned monthly and maintained in good condition. Ceiling tiles and vents must be dust free . When ceiling tiles, vents, and lights require cleaning, a work order will be placed with Environmental Services. Findings: On 06/23/2025 at 11:40 a.m., an observation was made with S8CS of Kitchen A which revealed ceiling vent covering above the sanitation machine had excessive fluffy gray substance visible above the clean dish rack. S8CS stated she did not know when vents were cleaned last. On 06/23/25 at 12:00 p.m., an interview and observation of Kitchen B…

  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 before2025-06-25 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 record reviews and interviews, the facility failed to maintain accurate records in accordance with accepted professional standards and practices for 1 (#32) of 3 (#1, #10, and #32) residents reviewed for Pressure Ulcer/Injury. The facility failed to ensure nursing staff accurately documented Resident #32's weekly body audits. Findings: Review of the facility's policy Documentation in Clinical Record, revised 10/2024, revealed the following, in part: Procedure: Ensure documentation provides an accurate reflection of nursing care and activities of daily living assistance for each resident, including assessments, treatments, changes in clinical status, pertinent information, which supports deliverance of quality resident care by the multidisciplinary team. Review of Resident #32's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #32's Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 05/14/2025, revealed he had one unhealed Stage II pressure…

  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 · D2025-06-25 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to ensure the Minimum Data Set (MDS) assessments accurately reflected the resident's status for 1 (#41) of 15 sampled residents reviewed for MDS. Findings: Review of Resident #41's Clinical Record revealed an admission date of 05/21/2024 with diagnoses which included Bipolar, Depression, and Anxiety. Review of Resident #41's Annual MDS with an Assessment Reference Date (ARD) of 05/21/2025 revealed in part, the following: Section N0415: Medications: Antipsychotic: No. Review of Resident #41's current Physician Orders revealed in part, the following: Start date: 04/01/2025, Risperidone 0.5mg tablet, give 1 tablet by mouth every night. An interview was conducted on 06/24/2025 at 2:00 p.m. with S4MDS. She reviewed Resident #41's Annual MDS with ARD of 05/21/2025. She confirmed Section N0415 was coded as Resident #41 not taking an antipsychotic, which was coded inaccurately. An interview was conducted on 06/25/2025 at 12:45 p.m. with S2DON. She confirmed all residents' MDS should be accurately coded for the medications they…

  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 · D2025-06-25 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  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 and record review, the facility failed to meet the following Hospice requirements by failing to maintain a system to ensure a resident's Hospice Binder contained the most recent Hospice Plan of Care for 1(#8) of 2 (#8 and #41) residents reviewed for Hospice care. Findings: A review of Resident #8's Clinical Record revealed she was admitted to the facility on [DATE]. Further review revealed Resident #8 was a patient of a local Hospice agency with an admission Date of [DATE]. A review of Resident #8's Hospice Plan of Care on file revealed the most current Plan of Care present in the Hospice Binder was from previous certification period dated [DATE] thru [DATE]. An interview was conducted on [DATE] at 1:50 p.m. with S2DON. S2DON stated she was responsible for working with hospice representatives to coordinate care to the resident provided by the facility. S2DON reviewed Resident #8 Hospice Binder. S2DON confirmed the current Plan of Care on file was expired with certification period date 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-25 · 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 observations, interviews, and record review, the facility failed to implement and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 (#254) of 2 (#48 and #254) residents observed with catheters. The facility failed to ensure Resident #254's catheter bag and tubing remained off of the floor. Findings: Review of the facility's policy titled, Catheter Insertion and Removal with a revision date of 07/2024 revealed the following, in part: Catheter Placement: Check placement of drainage bag to ensure bag does not touch floor and is below bladder level. Secure drainage bag when applicable to prevent accidental contamination. Avoid allowing any part of urinary catheter system to touch floor. Review of Resident #254's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #254's current Physician Orders revealed Foley…

  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 · D2025-06-25 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed ensure 1 (#11) of 5 (#1, #10, #11, #16, and #254) residents' records reviewed for immunizations had documentation indicating: 1. Resident or resident representative received education regarding the benefits and potential side effects of Pneumococcal and Influenza immunization; and 2. Resident either received, did not receive, or refused the Pneumococcal and Influenza immunization due to medical contraindication. Findings: Review of the facility's policy, titled Infection Control Policies And Procedures, reviewed on 06/24/2024, revised 04/11/2025, revealed, in part: Policy: The Advisory Committee on Immunizations Practices (ACIP) recommends that an Influenza vaccine be provided annually to all residents of nursing communities, prior to Influenza season. Procedure: B. If the resident/authorized representative refuses the vaccine, this will be documented .in the Electronic Health Record. C. If the resident consents to the vaccine, the procedure will be explained .the resident or resident representative will sign and date in 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0887 — isolated
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  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 and record review, the facility failed to implement policies and procedures for COVID-19 immunizations for 1 (#11) of 5 (#1, #10, #11, #16 and #254) resident's records reviewed for immunizations. The facility failed to ensure the residents' medical records included documentation that indicated: 1. Residents or resident representatives received education regarding the benefits and potential side effects of COVID-19 immunization; and 2. Residents either received the COVID-19 immunization or did not receive the COVID-19 immunization due to medical contraindication or refusal. The deficient practice had the potential to affect any of the 58 Residents residing in facility who required education and consents for immunizations. Findings: Review of Resident #11's medical record revealed he was admitted to the facility on [DATE]. Further review revealed Resident #11 was not vaccinated with the COVID-19 vaccine nor any documentation of a rationale for the resident not receiving the COVID-19 vaccine and…

  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 · Ecited before2024-10-04 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 record review and interviews, the facility failed to maintain accurate records in accordance with accepted professional standards for 3 of 3 (#1, #2, and #3) sampled residents reviewed for baths. Findings: Review of the Facility's Policy titled, Documentation in Clinical Record, dated October 2023, revealed the following, in part: Procedure: Documentation on skilled residents is required every shift with evidence supporting the skilled service. Documentation must be completed every shift for assistance with activities of daily living (ADL) by assigned CNA. Ensure documentation provides an accurate reflection of nursing care and ADL assistance for each resident, including assessments, treatments, changes in clinical status, pertinent information, which supports deliverance of quality resident care by the multidisciplinary team. Resident #1 Review of Resident #1's Clinical Record revealed the resident was admitted to the facility on [DATE]. Review of Resident #1's Care Plan revealed Resident #1 should be…

  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 · F2024-05-31 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to post the required nurse staffing information on a daily basis for 4 of 4 (Nurse's Station a, b, c, and d) Nurse's Stations reviewed for nurse staffing information. Findings: An observation of the staffing data posted at Nursing Station a revealed it did not include the resident census, the total number and the actual hours worked for resident care per shift for Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants on the following dates and times: 05/28/2024 at 8:45 a.m., 05/28/2024 at 1:40 p.m., and 05/29/2024 at 8:25 a.m. An observation of the staffing data posted at Nursing Station b revealed it did not include the resident census, the total number and the actual hours worked for resident care per shift for Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants on the following dates and times: 05/28/2024 at 11:15 a.m., 05/28/2024 at 3:20 p.m., and 05/29/2024 at 11:15 a.m. An observation of the staffing data posted at Nursing Station c revealed it did not include 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.

  Nursing and Physician Services 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

$72,485 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $72,485 — penalty dated 2024-05-31
• Medicare payment denial — starting 2024-06-29 for 5 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 15 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.

This home reported $445K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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 LA