Legacy Nursing And Rehabilitation Of Franklin

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.

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 39 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 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 152 beds and averages 132.8 residents a day — about 87% occupied, or roughly 19 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.08 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.15 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 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 2.62 hrs/resident/day on weekends vs 3.26 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.18 to 0.07 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%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-08-09 · 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 condition to the resident's physician and responsible party in a timely manner for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) residents reviewed for notification of change. This deficient practice resulted in an Immediate Jeopardy situation on 07/12/2024 at 6:08 p.m. for Resident #1, when Resident #1 was unable to adequately eat or drink and Resident #1's physician and responsible party were not notified. This deficient practice continued on 07/13/2024 when Resident #1 was unable to adequately eat or drink and Resident #1's responsible party was not notified. On 07/14/2024, Resident #1 was observed to be lethargic with what was described as involuntary jerky movements and was sent to the emergency room for treatment. Resident #1 was hospitalized in critical condition and diagnosed with severe dehydration, severe hypernatremia [Sodium (Na) 168], moderate acute renal failure…

  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 · J2024-08-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 maintain acceptable parameters of nutritional status/electrolyte balance for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) reviewed for nutritional status as evidence by: 1. Failing to ensure staff followed-up on and/or implemented a dietitian's recommendation (Resident #1); and, 2. Failing to ensure staff assisted a resident with maintaining their food and/or fluid intake to suit their dietary needs (Resident #1). This deficient practice resulted in an Immediate Jeopardy situation on 07/12/2024 at 6:08 p.m. for Resident #1 when Resident #1 was unable to adequately eat or drink and no adjustments were made to suit Resident #1's dietary needs. On 07/14/2024 Resident #1 was observed to be lethargic with involuntary jerky movements and was sent to the emergency room for treatment. Resident #1 was hospitalized in critical condition and diagnosed with severe dehydration, severe hypernatremia [Sodium (Na) 168), moderate acute renal…

  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 · J2024-08-09 · tag F0835 — failed to run the facility competently — isolated
  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 interviews and record reviews the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently by failing to implement a system to provide quality care to meet the needs of each resident by failing to: 1. Ensure staff communicated a resident's change in condition in a timely manner to the physician and responsible party for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) residents reviewed for notification of change; 2. Ensure staff followed-up on and/or implemented a dietician's recommendation for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) residents reviewed for nutritional status; and, 3. Ensure staff assisted a resident with maintaining their food and/or fluid intake to suit their dietary needs for 1 (Resident #1) of 3 (Resident #1, Resident #2, and Resident #3) residents reviewed for nutritional status. This deficient practice resulted in an Immediate Jeopardy situation on 07/12/2024 at 6:08 p.m. for Resident…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-07 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to protect a resident's right to privacy for 1 (Resident #49) of 4 residents investigated for resident's rights. Findings:Review of the facility's undated Resident Right's and Quality of Life Policy and Procedure revealed, in part, all residents had the right to a dignified existence. Further review revealed residents were to be treated with consideration of his/her dignity, including privacy in treatment and care for his/her personal needs. Review of Resident #49's Minimum Data Set with an Assessment Reference Date of 11/13/2025 revealed Resident #49 had a Brief Interview Mental Status score of 15, which indicated Resident #49 was cognitively intact. Further review revealed Resident #49 required assistance for showering and bathing. Observation on 01/07/2026 at 9:35AM revealed Resident #16, Resident #29, Resident #49, Resident #106, Resident #108, and Resident #113 were all in Shower Room c at the same time. Observation further revealed Resident #49 was in the shower unclothed and being assisted by…

  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 · D2026-01-07 · 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 — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to maintain a resident's right to a safe, clean, comfortable, homelike environment for 2 (Resident #22, Resident #128) of 2 sampled residents investigated for resident rights. Findings:Review of the facility's undated Bed Making, Occupied policy and procedure revealed, in part, the facility was to provide a clean and comfortable environment for residents. Review of the facility's undated Certified Nursing Assistant Job Description revealed, in part, Certified Nursing Assistants were to promote residents' rights, assist residents in making informed decisions, and to treat residents with dignity. Further review revealed Certified Nursing Assistants were to help residents with activities of daily living and to promote a safe and clean environment. Resident #22Review of Resident #22's electronic medical record revealed, in part, a diagnosis of a Stage 3 and Stage 4 pressure ulcer of the sacral region and a Stage 2 pressure ulcer of the buttocks. Review of Resident #22's Quarterly Minimum Data Set with 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to ensure a Minimum Data Set assessment was transmitted to the Centers for Medicare and Medicaid Services within 14 days of completion for 2 (Resident #14, Resident #62) of 3 sampled residents reviewed for resident assessments. Findings:Resident #14Review of Resident #14's Quarterly Minimum Data Set with an Assessment Reference Date of 12/03/2025 revealed, in part, the Quarterly Minimum Data Set was completed on 12/17/2025. Review of the facility's Validation Report dated 01/02/2026 revealed, in part, Resident #14's Quarterly Minimum Data Set with an Assessment Reference Date of 12/03/2025 was transmitted to the Centers for Medicare and Medicaid Services on 01/02/2026, which was greater than 14 days after the completion date of Resident #14's assessment. Resident #62Review of Resident #62's Annual Minimum Data Set with an Assessment Reference Date of 11/25/2025 revealed, in part, the Annual Minimum Data Set was completed on 12/09/2025. Review of the facility's Validation Report dated 12/31/2025 revealed, in part, Resident…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · 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 interview and record review, the facility failed to ensure discharge planning was reflected on the assessment for 1 (Resident #8) of 1 sampled residents investigated for discharge. Findings:Review of Resident #8's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/15/2025 revealed, in part, active discharge planning was not in progress for Resident #8. Further review of Resident #8's MDS revealed Resident #8's family did not want to talk to someone about the possibility of leaving the facility to return home to live and receive services in the community.In an interview on 01/07/2026 at 11:18AM, S2Social Services Director (SSD) indicated Resident #8's family had voiced a desire for Resident #8 to return home. S2SSD further indicated Resident #8 had been placed on the waiver registry on 08/26/2025. S2SSD further indicated Resident #8's MDS with an ARD of 11/15/2025 was miscoded. S2SSD indicated Section Q was not coded for active discharge planning and should have been.In an interview on 01/07/2026 at 1:10PM, S1Director of Nursing (DON) indicated Resident…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure staff maintained proper infection control while performing wound care for 1 (Resident #24) of 2 residents observed for wound care. Findings:Review of Resident #24's wound assessment record revealed, in part, Resident #24 had a stage 4 right hip pressure ulcer, a stage 4 sacral pressure ulcer, and a stage 3 left gluteal (buttocks) pressure ulcer. Observation on 01/06/2026 at 10:00AM, revealed S10Licensed Practical Nurse/Wound Care Nurse (LPN/Wound Care Nurse) cleaned the left gluteal wound with a 4x4 gauze and normal saline. Further observation revealed S10LPN/Wound Care nurse used the same 4x4 with normal saline to clean Resident 24's sacral wound.In an interview on 01/06/2026 at 10:30AM, S10LPN/Wound Care Nurse stated she should not have used the same 4x4 gauze to clean Resident #24's left gluteal wound and Resident #24's sacral wound. In an interview on 01/06/2025 at 2:30PM, S1Director of Nursing stated S10LPN/Wound Care Nurse should not have cleaned Resident #24's left gluteal wound and Resident…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-20 · tag F0729 — pattern
  Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to ensure a Certified Nursing Assistant (CNA) registry verification was obtained prior to hire for 1 (S7Certified Nursing Assistant [CNA]) of 5 (S4CNA, S5CNA, S6CNA, S7CNA, 8CNA) personnel records reviewed for registry verification. Findings: Review of S7CNA's personnel record revealed, in part, S7CNA had a hire date of 07/10/2024. Further review revealed a CNA registry verification with a date of 03/20/2025. There was no documented evidence, and the facility did not present any documented evidence, a CNA registry verification was obtained prior to hire for S7CNA. In an interview on 03/20/2025 at 2:06PM, S3Human Resource designee indicated a CNA registry check was not obtained prior to hire for S7CNA as required. In an interview on 03/20/2025 at 2:26PM, S1Adminitrataor indicated the facility did not have documented evidence a CNA registry verification was obtained prior to hire for S7CNA as required.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a 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 complete a Physical Therapy, Occupational Therapy, and Speech Therapy evaluation as ordered for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents review for falls, who were at risk for falls and had a history of falls. Findings: Review of the facility's incident/accident log from 01/17/2025 to 03/15/2025 revealed, in part, Resident #1 had falls on 01/17/2025, 02/08/2025, 02/09/2025, 02/10/2025, 02/24/2025, 02/28/2025, 03/02/2025, 03/03/2025, 03/05/2025, 03/07/2025, 03/08/2025, 03/09/2025, 03/11/2025, and 03/15/2025. Review of Resident #1's medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses of, in part, impulse disorder, psychosis, schizoaffective disorder, schizoaffective disorder/bipolar type, major depressive disorder, pseudobulbar affect and extrapyramidal movement disorder. Review of Resident #1's most recent Minimum Data Set with an Assessment Reference Date of 01/08/2025…

  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 · D2025-02-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to provide assistance with showering/bathing, shampooing, and shaving for dependent residents for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for activities of daily living (ADLs). Findings: Review of Resident #1's Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/23/2024 revealed, in part, Resident #1 required moderate assistance with showering/bathing, and personal hygiene. Review of Resident #1's Care Plan revealed, in part, Resident #1 require assistance with all ADLs. Further review revealed Resident #1 needed to be assisted with bathing/showering, and personal hygiene. Review of Resident #1's tasks list for bathing revealed, in part, in the last 30 days Resident #1 received a bed bath on 01/24/2025, 02/14/2025 and 02/17/2024. Further review revealed he received a shower on 01/20/2025, 01/31/2025, and 02/07/2025. Further review revealed there was no documented evidence, and the facility did not present any documented evidence Resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-07 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews, the facility failed to ensure residents identified as safe smokers maintained their rights to keep their smoking supplies and smoke at their leisure for 4 (Resident #40, Resident #51, Resident #90, and Resident #105) of 4 (Resident #40, Resident #51, Resident #90, and Resident #105) sampled residents reviewed for resident rights. Findings: Review of the facility's undated, Resident Smoking policy revealed, in part, residents who had independent smoking privileges are were permitted to keep cigarettes, e-cigarettes, pipes, tobacco, and other smoking articles in their possession. Review of the facility's smoking policy revealed, in part, that the purpose was to establish guidelines for the facility's residents' safe smoking. Further review revealed residents who were identified as safe smokers were permitted to keep cigarettes and other smoking articles in their possession. Review of the facility's smoking hours revealed, in part, smoking times were at 8:30…

  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 · E2025-01-07 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to respond and maintain documented responses to the complaints voiced during the facility's resident council meetings for 3 of 3 resident council meeting minutes reviewed. Findings: Review of the facility's undated Grievance Policy and Procedure revealed, in part, the purpose of the policy was to ensure a resident's grievance would be followed up by prompt efforts to resolve the grievance of the resident. Further review of the policy revealed the resident council minute meetings were to be given to administration after completion of the meeting and the findings were to be documented and given to the administrator or designee for review. In interviews on 01/06/2025 at 10:00 a.m., during a meeting conducted with members of the resident council, Resident #40 indicated the facility does not respond to the resident council's concerns discussed in the monthly meetings. Resident # 71, Resident #90, and Resident #101 all agreed the facility did not follow-up with a responds to the concerns discussed during the resident council…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$176,962 in federal fines across 1 penalty.

• $176,962 — penalty dated 2024-08-09

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

Part of a chain

This home belongs to LEGACY NURSING & REHABILITATION — 9 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

2 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 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 $611K 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