Onyx Care of Bernice

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% 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 126 beds and averages 79.0 residents a day — about 63% occupied, or roughly 47 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 3.00 hrs/resident/day on weekends vs 3.71 on weekdays — 19% thinner on weekends. RN hours go from 0.39 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as 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 more than at the previous inspection — worsening. 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.

32 citations, most serious first. The 14 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Kcited before2023-12-18 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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 record review, observation and interview, the facility failed to ensure a resident's right to be free from resident to resident physical abuse for 4 (Residents #2, #3, #4, #5) of 5 (Residents #1, #2, #3, #4, #5) residents reviewed for abuse. The facility failed to provide sufficient, competent direct care staff to ensure resident safety was maintained in the secure unit. The Immediate Jeopardy began on 11/16/2023 as a result of the secure unit having: 1) a resident to resident physical abuse altercation on 11/16/2023 between Resident #2 and Resident #3 which occurred when Resident #2 grabbed Resident #3 by the neck and hit him in the back of the head with a closed fist. Resident #3 retaliated and hit Resident #2 with a closed fist. The incident occurred in the dining room of the secure unit. The facility failed to ensure staff monitored the television/dining room. 2) a resident to resident physical abuse altercation on 12/04/2023 between Resident #4 and Resident #5 which occurred when Resident #4…

  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 · K2023-12-18 · tag F0741 — failed to have staff trained for behavioral health — pattern
  Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
  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 reviews the facility failed to ensure sufficient staffing to assure residents safety and maintain the highest practicable physical, mental and psychosocial well-being for 4 (Residents #2, #3, #4, #5) of 5 (Residents #1, #2, #3, #4, #5) residents reviewed for abuse. The facility failed to: 1. Provide sufficient direct care staffing to ensure residents safety. 2. Interview or assess all residents on the secure unit regarding concerns of physical abuse after incidents that involved abuse. The Immediate Jeopardy began on 11/16/2023 as a result of the secure unit having: 1) a resident to resident physical abuse altercation on 11/16/2023 between Resident #2 and Resident #3 which occurred when Resident #2 grabbed Resident #3 by the neck and hit him in the back of the head with a closed fist. Resident #3 retaliated and hit Resident #2 with a closed fist. The incident occurred in the dining room of the secure unit. The facility failed to ensure staff monitored 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
• Immediate jeopardy · K2023-12-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to administer its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 4 (Residents #2, #3, #4, #5) of 5 (Residents #1, #2, #3, #4, #5) residents reviewed for abuse. The administration failed to provide sufficient, competent direct care staff to ensure resident safety was maintained in the secure unit. The Immediate Jeopardy began on 11/16/2023 as a result of the secure unit having: 1) a resident to resident physical abuse altercation on 11/16/2023 between Resident #2 and Resident #3 which occurred when Resident #2 grabbed Resident #3 by the neck and hit him in the back of the head with a closed fist. Resident #3 retaliated and hit Resident #2 with a closed fist. The incident occurred in the dining room of the secure unit. The facility failed to ensure staff monitored the television/dining room. 2) a resident to resident physical abuse altercation on 12/04/2023 between…

  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
• Actual harm · Gcited before2024-07-15 · 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 observation, record review and interview, the facility failed to protect the resident's right to be free from physical abuse and psychosocial harm by staff for 1 (#1) of 3 (#1,#2, #3) sampled residents. The deficient practice resulted in actual harm for resident #1 (who was cognitively impaired) on 06/27/2024 at 9:01 p.m. when S4CNA (certified nursing assistant) physically abused resident #1 by using her left hand to grab the back of resident #1's shirt in an attempt to pull him towards his room. At this time resident #1 turned his back to S4CNA and his left elbow made contact with S4CNA's left shoulder. S4CNA used her closed right hand to make contact with the back of resident #1's head and then wrapped both her arms around resident #1's chest. Even though there was no significant decline in mental or physical functioning, it can be determined that the reasonable person would have experienced severe psychosocial harm as a result of the physical abuse, since a reasonable person would not expect 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-05-20 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and interviews, the facility failed to maintain a safe, clean, comfortable, and homelike environment for 1 (#9) of 6 sampled residents reviewed for environment. The facility failed to ensure Resident #9's door to a shared bathroom remained in good repair. Findings:On 05/18/2026 at 8:00 a.m. and 05/19/2026 at 8:15 a.m., an observation of Resident #9's room revealed a shared bathroom between Resident #9's room and the adjacent resident room. Further observation revealed the bathroom door was unable to close completely due to the door hitting the door frame when attempting to close.On 05/19/2026 at 9:37 a.m., an observation conducted with S1Administrator confirmed Resident #9's bathroom door was unable to close completely due to door hitting the frame, and needed to be repaired.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-20 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff, and public by having various hazardous and unsanitary items accessible.Findings:Observation on 05/18/2026 at 1:52 p.m. revealed two residents sitting outside in closed courtyard area off north end of facility with no staff present. The gate on the northwest end of property was open with no staff present. Further observation revealed the following hazards and unsanitary items in proximity of residents: 1) a toilet sitting on side walk that contained dirty gloves, cigarette butts and a rags inside it. 2) various paints, calking, rusted saw blades and sharps accessible to residents. 3) There was also numerous cigarette butts observed scattered on sidewalk next to building.On 05/19/2022 at 9:20 a.m., an interview with S7RN Nurse Supervisor, confirmed the items listed above were accessible to residents and should be removed.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-20 · tag F0925 — failed to control pests — isolated
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and interviews, the facility failed to ensure it maintained an effective pest control so that the facility was free of pests by having flies throughout the facility on all days of the survey.Findings: Observations on 05/18/2026, 05/19/2026, and 05/20/2026 revealed multiple flies in the following residents' rooms for Resident's #70, #74, #75, #48, #40, #72, #23, #86, #54, #87, and #59.Further observations revealed flies in the activity room on all days of the survey. On 05/19/2026 at 3:00 p.m., S1Administrator was informed of the numerous amount of flies in resident rooms and throughout the facility observed during each day the survey.Observation on 05/18/2026 and 05/19/2026 revealed the fluorescent fly light next to exit door by the activity room was not plugged into an outlet. On 05/19/2026 at 3:30 p.m. S1Administrator confirmed the fly light was not plugged into the outlet.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-19 · 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 observations, record reviews, and interviews, the facility failed to ensure a resident who is unable to carry out Activities of Daily Living (ADL) receives the necessary services to maintain good personal hygiene for 1 (#73) of 6 (#15, #26, #27, #56, #65, and #73) residents reviewed for ADL care. The provider failed to ensure resident #73's fingernails were trimmed and cleaned. Findings: Review of the medical record revealed resident #73 was admitted to the facility on [DATE] with diagnoses that included in part, Alzheimer's disease and dementia. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed that resident #73 was severely impaired with his daily decision making skills and he required substantial/maximal assistance with personal hygiene. Review of the medical record revealed resident #73 was care planned for an ADL self-care deficit and he required extensive assistance with ADLs related to Alzheimer's disease. The documented approaches included in part, bathing/showering:…

  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 · E2025-03-19 · 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 observations, review of the Order Listing Report, and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, by 1) having exposed and unlabeled food items in the freezer and refrigerator, 2) placing contaminated food preparation utensils on top of and in direct contact with resident foods, and 3) testing the dishwasher sanitizer level with expired test strips. According to the Order Listing Report provided by S11Dietary Manager (DM), there was a total of 79 residents that received a meal tray from the kitchen. Findings: On 3/17/2025 at 8:30 a.m., an observation of the kitchen with S11Dietary Manager (DM) revealed there was one upright freezer that had one opened box of riblet pork patties and one opened box of hamburger patties that were exposed to air and not labeled with an open date. Further observation of the upright freezer revealed one opened box of chicken bread that was not labeled with an open date. Further observation of the kitchen revealed one refrigerator that had an…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-19 · 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 observations, record reviews and interviews the facility failed to ensure staff maintained infection control practices by not following Enhanced Barrier Precautions (EBP) for 2 (#61, #65) of 2 residents observed during care who were on EBP and by having staff personal items in the medication storage room. Findings: Review of the facility's EBP policy and procedure dated April 2024 revealed: Policy Subject: Enhanced Barrier Precautions Policy: Enhanced Barrier Precautions are indicated for residents with infections or colonization with a Centers for Disease Control (CDC)-targeted Multi Drug Resistant Organisms (MDRO) when contact precautions do not apply or for residents with wounds and/or indwelling medical devices without secretions/excretions that are unable to be covered/contained & are not known to be infected/colonized with any MDRO during high-contact resident care activities as these residents are at an increased risk of being infected. Definition 1. Enhanced Barrier Precautions are an infection…

  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 · E2025-03-19 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and interview the facility failed to ensure all mechanical equipment was maintained in safe operating condition by having a can opener in the kitchen with a large buildup of metal shavings and by having the deep fryer with grease buildup in lower compartment. Findings: On 03/17/2025 at 8:30 a.m. observation of the kitchen with S11Dietary Manager revealed the large commercial can opener had a large buildup of metal shavings underneath the blade. Further observation of the kitchen area with S11Dietary Manager of the deep fryer revealed there was an oil spill and buildup of thick greasy particles on the inside of the fryer's lower compartment. On 03/19/2025 at 3:25 p.m. S1Executive Director, S2Director of Nursing (DON) and S3Clinical Operations were notified of the above findings.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and interviews, the facility failed to maintain a safe, clean, comfortable and homelike environment for 2 (#51 and #70) of 5 (#35, #51, #65, #70, and #78) residents' rooms observed. The failed practice was evidenced by resident's air/heating units needed cleaning. Findings: Resident 51 On 03/17/2025 at 12:27 p.m. observation of the air/heating unit in resident #51's room revealed the vents contained a black substance. On 03/18/2025 at 1:00 p.m. observation of the air/heating unit in resident #51's room with S1Executive Director confirmed the vents contained a black substance and needed to be cleaned. Resident 70 On 03/17/2025 at 12:28 p.m. observation of the air/heating unit in resident #70's room revealed the vents contained a buildup of dust and grime. On 03/18/2025 at 1:10 p.m. observation of the air/heating unit in resident #70's room with S1Executive Director confirmed the vents contained a buildup of dust and grime and needed to be cleaned.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-19 · 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 observations, record reviews and interviews the facility failed to ensure a resident's comprehensive plan of care was implemented for 2 (#2 and #34) of 2 residents reviewed for care plans by, not providing heel protectors and /or a palm protector as ordered by the physician. Findings: Resident 34 Review of the record for resident #34 revealed an admission date of 05/17/2024 with diagnoses including cerebral infarction, contracture to right and left hand, diabetes mellitus, chronic obstructive pulmonary disease, dysphagia, heart disease, anemia, schizophrenia, right below the knee amputation, hyperlipidemia, and diabetic neuropathy. Review of the physician's orders revealed an order dated 11/04/2024 to ensure heel protectors in place every shift related to diabetes mellitus. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed resident #34 was independent with cognition for daily decision making. Resident #34 was totally dependent on staff for mobility, transfers and toilet use…

  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 · D2025-03-19 · 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 observations, record reviews, and interviews, the facility failed to ensure the Licensed Practical Nurse (LPN) must have the appropriate competencies to provide nursing and related services necessary to care for resident's needs as identified and described in the plan of care for 1 (#2) of 7 (#2, #4, #12, #15, #43, #44, and #50) residents reviewed for accidents. Findings: Review of the medical record revealed resident #2 was admitted to the facility on [DATE] with diagnoses that included in part, hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side, and schizophrenia. Review of the March 2025 Medication Administration Record (MAR) revealed an order dated 02/20/2025 to monitor placement for palm protector to left hand contractor each shift every day and night shift. Further review of the March 2025 MAR revealed S9LPN had initialed on the MAR on 03/18/2025 (day shift), to indicate that resident had been monitored for the palm protector placement to resident #2's left…

  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

$9,974 in federal fines across 1 penalty.

• $9,974 — penalty dated 2024-07-15

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

The source lists no ownership percentage for any party here — 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.

About 85% 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 $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA