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Kinder Retirement And Rehabilitation Center

13938 Hwy 165, Kinder, LA 70648 · For profit - Limited Liability company · 100 certified beds · (337) 738-5671 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0605) — cited Aug 20251 immediate-jeopardy citation$14,015 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,015 in federal fines (most recent 2024-01-29)
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
110 W South St · (337) 734-3374 · Call to confirm hours
Pharmacy
904 4th Ave · (337) 738-2531 · Call to confirm hours
Grocery
1906 Main St · (337) 584-2101 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
14036 Highway 165 · (337) 738-2347

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

Overall quality measures 1 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.8%17.8%15.4%typical
Long-stay residents who lose too much weight3.1%5.2%5.4%better
Long-stay residents with a catheter left in their bladder0.7%1.2%0.9%better
Long-stay residents with a urinary tract infection0.0%2.1%2.0%better
Long-stay residents with depressive symptoms0.8%2.3%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury5.4%3.5%3.3%worse
Long-stay residents whose ability to walk worsened24.0%17.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication22.8%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.9%95.3%typical
Long-stay residents with pressure ulcers5.0%5.6%4.7%typical
Long-stay residents with worsening bladder/bowel control19.3%15.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table17.2%22.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication3.2%3.1%1.4%typical for the state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine100.0%76.3%79.4%better
Short-stay residents rehospitalized after admission41.6%28.0%22.6%worse
Short-stay residents with an outpatient ER visit24.6%14.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.142.561.67worse
Long-stay outpatient ER visits per 1,000 resident days3.002.741.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

45.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 50 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

45.0%U.S. median 51.5%
Got home and stayed home
12.5%U.S. median 10.7%
Went back to hospital
60.0%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 60.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF45.0%CMS range 30.2–61.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.5%CMS range 8.6–17.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge60.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge48.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge60.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 4.0–11.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.201.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.29
RN hours/ resident / day
0.89
LPN hours/ resident / day
2.17
Aide hours/ resident / day
3.35
Total nurse hours/ resident / day
0.20
RN hoursweekends
48.7%
Total nursing turnover
20.0%
RN turnover

How full it usually is: this home is certified for 100 beds and averages 74.3 residents a day — about 74% occupied, or roughly 26 beds typically open. It usually has some room. 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 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 2.89 hrs/resident/day on weekends vs 3.54 on weekdays — 18% thinner on weekends. RN hours go from 0.33 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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

7
deficiencies at the latest standard inspection (2025-08-06)
3
at the previous standard inspection (2024-06-18)

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.

ABCDEFGHIJKL

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

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

  • Immediate jeopardy · L2024-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the environment was as free of accident hazards as possible, by failing to ensure hot water temperatures were not greater than 120 degrees Fahrenheit on 3 of 3 halls (Hall A, Hall B, and Hall C). This deficient practice resulted in an Immediate Jeopardy situation on 01/23/2024 at 11:29 a.m., when hot water temperatures were observed to be 122 degrees Fahrenheit to 148 degrees Fahrenheit in the following rooms: 1. Hall A - Bathrooms sinks in Room A, the adjoining bathroom of Rooms B and C, and Room M; 2. Hall B - Bathroom sinks in the adjoining bathroom of Rooms D and E, the adjoining bathroom of Rooms F and G, and the adjoining bathroom of Rooms H and I; and 3. Hall C - Bathroom sink in the adjoining bathroom of Rooms J and K. 4. Resident #1 stated the water from his bathroom sink was very hot, and had been hot since the day he was admitted to the facility. 5. Resident #2 revealed the water in her bathroom was Hot. Hot. Hot, as she touched the tops of her hands repeatedly. 6. #R1 stated the hot water…

    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 · E2025-08-06 · tag F0605 — failed to not use drugs as a restraint — pattern
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure residents with an order for psychotropic medication were not subjected to chemical restraints for 7 (#9, #12, #13, #24, #25, #60, and #73) of 11 (#5, #8, #9, #10, #12, #13, #24, #25, #26, #60, and #73) residents reviewed for unnecessary medications. The facility failed to:Ensure PRN orders for psychotropic medication were limited to 14 days for Residents #9, #12, #13, #25, #60, and #73; andEnsure Resident #24 was free from chemical restraints imposed for discipline or convenience. Resident #12 Review of Resident #12’s medical record revealed an admission date of 07/17/2025 with diagnoses which included Spinal Stenosis and Pain. Review of Resident #12’s physician’s orders revealed the following, in part… 07/17/2025 Morphine Sulfate 30mg tablet by mouth every 12 hours as needed for pain. The order had no end date and was last revised on 07/17/2025. 07/17/2025 Hydrocodone-Acetaminophen 10-325mg tablet by mouth every 8 hours as needed for pain. The order had no end date and was last revised on 07/17/2025.…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-08-06 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 all care and services were provided according to accepted standards of clinical practice. The facility failed to document appropriately in Resident #25's medical record the administration of controlled medications. Total sample size was 32. Findings: Review of an undated facility policy titled, Medications-Controlled Substances revealed the following in part.All controlled substances obtained from a non-automated medication cart or cabinet are recorded on the designated usage form. Written documentation must be clearly legible with all applicable information provided. The Controlled Drug Record is a permanent medical record document and in conjunction with the MAR is the source for documenting any patient-specific narcotic dispensed from the pharmacy. Review of Resident #25's medical record revealed an admission date of 02/10/2025, with diagnoses that included in part. Chronic Obstructive Pulmonary Disease, Acquired Absence of Right Leg Below Knee, Pain, Muscle Spasm, and Hereditary and Idiopathic Neuropathy.Review…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-08-06 · tag F0697 — failed to manage pain — pattern
    Provide safe, appropriate pain management for a resident who requires such services.
    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 pain management was provided to a resident who requires such services, consistent with professional standards of practice and the comprehensive person-centered care plan for 1 (Resident #25) of 2 (Resident #9 and Resident #25) sampled residents reviewed for pain. The facility failed to ensure Resident #25, who reported pain, received a thorough pain assessment and medication or interventions to alleviate the pain.Findings: Review of an undated facility policy on 08/06/2025 at 9:47 a.m. titled, Pain Management revealed the following in part.To help the resident attain his or her highest practicable level of well-being through effective interventions for pain. Pain is subjective and complex experience. All pain is real regardless of its cause and must be treated even then the cause remains unknown. Ask the resident about pain regularly. Assess pain systematically. Believe the resident and family in their reports of pain and what relieves it. Choose appropriate pain control options for the resident, family and setting.…

    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 before2025-08-06 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to provide pharmaceutical services to ensure procedures that assure accurate acquiring, receiving, dispensing and administration of medications to meet the needs of residents for 1 (Resident #25) of 32 sampled residents. The facility failed to provide pain medications and/or biologicals to Resident #25, who complained of pain. Findings:Review of an undated facility policy on 08/06/2025 at 9:47 a.m. titled, Pain Management revealed the following part.To help the resident attain his or her highest practicable level of well-being through effective interventions for pain. Pain is subjective and complex experience. All pain is real regardless of its cause and must be treated even then the cause remains unknown. Deliver interventions in a timely, logical, and coordinated fashion. 5. For residents that are identified has having pain, further assessment will be completed and if needed, physician orders requested, and finally, a care plan developed to include medication, potential side effects from medications and other interventions…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-08-06 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted professional principles. The facility failed to ensure: Nursing carts were free of loose pills for 1 (Cart C) of 2 (Cart B and Cart C) carts reviewed; Medications were labeled with the date they were opened; Expired medications were not available for use on 1 (Cart C) of 2 (Cart B and Cart C) medication carts reviewed; and Expired medications were not available for use in 1 (Room X) of 1 medication room reviewed.Observation of Cart C on 08/05/2025 at 12:14 p.m. with oversight from S7 LPN revealed the following: One loose and unidentified tablet in the bottom of the 2nd drawer of the cart An opened and undated 16oz bottle of Geri-Tussin oral solution An opened and undated Lispro KwikPen with an expiration date of 07/29/2024 An opened and undated 30mL bottle of Morphine Sulfate oral solutionAn interview was conducted with S7 LPN at this time who confirmed a loose tablet and opened/undated medications were in Cart C, but should not have been. S7…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-06 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the resident's status for 1 (Resident #60) resident. The total sample size was 32 residents. Review of Resident #60's admission MDS with an ARD of 07/18/2025 revealed Resident #60 was not taking an opioid medication.Review of Resident #60's physician's orders revealed Oxycodone 5mg capsule by mouth every 6 hours as needed ordered on 07/15/2025.Review of Resident #60's 07/2025 MAR revealed Oxycodone 5mg was administered on 07/16/2025 and 07/17/2025. Interview with S8LPN on 08/06/2025 at 1:11 p.m. revealed Resident #60 received Oxycodone 5mg on 07/16/2025 and 07/17/2025. S8LPN confirmed Resident #60's admission MDS with an ARD of 07/18/2025 did not accurately reflect the resident's status, but should have.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-06 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infection by failing to ensure staff decontaminated reusable medical equipment between residents. Observation on 08/05/2025 from 8:00 a.m. until 8:50 a.m. revealed S7 LPN using a wrist blood pressure (BP) cuff to monitor the BP of multiple residents. The BP cuff was not decontaminated between uses on different residents. Interview with S7 LPN on 08/05/2025 at 8:50 a.m. confirmed she did not decontaminate the wrist BP cuff between uses on residents, but should have.Observation on 08/06/2025 from 8:35 a.m. until 8:55 a.m. revealed S5 LPN using a wrist BP cuff to monitor the blood pressure of a resident. The BP cuff was then returned to the medication cart, without being decontaminated. Interview with S5 LPN on 08/06/2025 at 8:55 a.m. confirmed she did not decontaminate the wrist BP cuff between uses on residents, but should have.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-13 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to maintain an accurate account of controlled drugs for 2 residents (#5 and #6) of 7 sampled residents (#1, #2, #3, #4, #5, #6 and #7). The facility had a total census of 73 residents. Findings: Review of the facility's undated policy titled, Medications-Controlled Substances revealed in part .Policy Statement. The facility shall comply with all laws, regulations, and other requirements related to handling, storage, disposal and documentation of Schedule II and other controlled substances. Policy Interpretation and Implementation. Shift Change Controlled Drug Count. 8. The nurse coming on duty and the nurse going off duty must make the count together. Resident #5: Observation of the locked controlled medication drawer and log book on Medication Cart B with S3 LPN on 03/12/2025 at 10:00 a.m., revealed Resident #5's Clonazepam 1mg tablet blister package card with a total of 55 tablets remaining. The controlled medication log book revealed 56 tablets were documented as remaining. S3 LPN confirmed the number 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-13 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure that items in the Medication Carts were properly stored by: 1. Having loose pills in all 3 medication carts. 2. Failing to remove discontinued controlled medications from Medication Cart B. There was a total of 73 residents residing in the facility. Findings: Review of the facility's undated policy titled, Medications-Controlled Storage revealed in part . Policy Statement. The facility shall store all drugs and biologics in a safe, secure and orderly manner. Policy Interpretation and Implementation. Medication Containers. 1. Drugs shall be stored in the packaging, containers or other dispensing systems in which they are received. Maintaining Storage and Preparation Areas. 2. The nursing staff shall be responsible for maintaining medication storage . in a clean, safe, and sanitary manner. Unusable Drugs or Biologicals. The facility shall not use discontinued drugs . All such drugs shall be returned to the dispensing pharmacy or destroyed. Observation of Medication Cart C with S2 RN on 03/12/2025 at 9:43 a.m., revealed…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-18 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on Interview and Record Review, the facility failed to ensure licensed nurses had the appropriate competencies and skill sets to provide nursing services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being as evidenced by the failure to ensure two transcribed verbal narcotic medication orders included the strength of the drug, failure to ensure two written narcotic orders were correctly entered into the electronic medical record, failure to ensure electronic narcotic medication orders included valid dosing instructions, failure to ensure dosing of narcotic medication on narcotic sign-out log matched dosing information on Medication Administration Record, and by failing to ensure all narcotic medication doses signed out on Narcotic Medication Record were documented as given on Medication Administration Record for 1 (#2) of 14 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13 and #14) sampled residents. Findings: Review of handwritten Physician Orders dated 09/25/2024 revealed an order for Morphine…

    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
Show the remaining 8 citations
  • Potential for harm · D2024-12-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
    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 interview, the facility failed to ensure responsible party notification was documented in the medical record of a resident who was tranferred to the hospital for 1 (#12) of 14 (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, and #14) sampled residents. The total facility census was 75 residents. Findings: Review of the facility's undated policy titled Change in a Resident's Condition Status read in part . Policy Statement: Our facility shall promptly notify the resident, his or her Attending Physician, and representative (sponsor) of changes in the resident's medical/mental condition and/or status. Procedure: 3. Unless otherwise instructed by the resident, the Nurse Supervisor/Charge Nurse will notify the resident's family or representative (sponsor) when: E. It is necessary to transfer the resident to a hospital/treatment center. If unable to contact RP, the charge nurse shall document changes on the resident's medical record 6. The Nurse Supervisor/Charge Nurse will record 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 · E2024-06-18 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    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 meet the nutritional needs of residents in accordance with established national guidelines. The facility failed to follow the menu in regard to portion size to ensure nutritional adequacy of the meal for 51 residents that received regular diets prepared by the facility kitchen. Findings: Review of the facility's undated policy titled: Menu Planning on 06/18/2024 read in part . Purpose: To assure that a variety of nutritious foods that meet the residents' needs are purchased, prepared and served to the residents. Policy: 3. All items on the menu must have a standardized recipe that has an ingredient listing which will yield the appropriate number off portions. Existing recipes must be adjusted as necessary to guarantee adequate yield. Review of the facility's approved Menu Matrix menu revealed on 06/17/2024 the facility was on week 4. The regular diet lunch to be served with serving size consisted of red beans and sausage -6 oz., steamed rice -4 oz., mustard greens -4 oz., and cornbread 1 sq. Observation 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-18 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 pureed foods were prepared according to the approved recipe by methods, which conserved nutritional value for 7 residents that are served pureed diets by the facility's kitchen. Findings: Review of the facility's undated policy on 06/18/2024 titled: Use of Recipes read in part . Policy: Recipes are to be used when preparing menu items. Procedure: 3. Cooks are expected to use and follow the recipe provided. Observation on 06/17/2024 at 11:04 a.m. revealed S3 Dietary [NAME] preparing puree meal of mustard greens, red beans/sausage, and rice. S3 Dietary [NAME] was observed placing an unmeasured amount of each food item into the blender, and did not refer to a recipe prior to preparing the items. S3 Dietary Aide stated she did not refer to the recipe as she only knew to place the food in the blender and blend until the food was blended to the appropriate thickness. S3 Dietary [NAME] stated if she had to add juices and the item came out too thin she would add thickener. Observation revealed S3 Dietary [NAME] placed (3) 3…

    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 · Dcited before2024-06-18 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 interview, the facility failed to ensure the resident's Minimum Data Set (MDS) was completed accurately for 1 (Resident #10) out of 21 sampled residents. Findings: Review of Resident #10's electronic medical record revealed she was admitted to the facility on [DATE] with diagnoses that included but not limited to, End Stage Renal Disease and Dependence on Renal Dialysis. Review of Resident #10's Quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 06/03/2024 revealed in Section O (Special Treatments, Procedures and Programs) that the resident was not coded for dialysis treatment. Review of Resident #10's June 2024 Physician Orders read in part, 05/15/2024 Dialysis Q (every) Mon (Monday)/Fri (Friday). On 06/18/2024 at 4:09 p.m., an interview and record review with S1MDSC (Minimum Data Set Coordinator) was conducted of Resident #10's MDS, with an ARD of 06/03/2024, and June 2024 physician orders. She confirmed that Resident #10 had a current order for dialysis…

    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 · D2023-05-24 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to conduct a comprehensive assessment which included the resident's cognitive patterns and mood as required for 1 (Resident #16) of 39 sampled residents. Findings: Review of Resident #16's medical record revealed an admit date of 04/13/2022 with diagnoses that included: Major Depressive Disorder, Anxiety Disorder, and Bipolar Disorder. Resident #16's Annual MDS assessment with an ARD of 04/21/2023 revealed a status of open with Section C (Cognitive Patterns) and D (Mood) not completed. Resident #16's last completed comprehensive assessment was an admission MDS with an ARD of 04/22/2022. Interview on 05/24/2023 at 11:23 a.m. with S7 LPN MDS confirmed Resident #16's Yearly MDS with an ARD of 04/21/2023 was not completed by 05/05/2023 for the RN to review and sign, but should have been.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-24 · tag F0638 — isolated
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to conduct a quarterly MDS assessment timely using the quarterly review instrument for 2 (Resident #8 and Resident #58) of 39 sampled residents. Findings: Resident #8 Review Resident #8's medical record revealed an admit date of 08/31/2016 with diagnoses that included: Insomnia, Anxiety Disorder, Unspecified Psychosis, Bipolar Disorder, Unspecified Dementia, Antisocial Personality Disorder, Restlessness and Agitation, Major Depressive Disorder, and Dysthymic Disorder. Review of Resident #8's Quarterly MDS with an ARD of 04/28/2023 revealed a status of open with Section C (Cognitive Patterns) and D (Mood) not completed. Resident #8's last completed Quarterly MDS assessment had an ARD of 01/27/2023. Resident #58 Review of Resident #58's medical record revealed an admit date of 05/09/2022 with diagnoses that included: Type 2 Diabetes Mellitus, Elevated SED Rate, Acute on Chronic Systolic Heart Failure, Pressure Ulcer of Sacrum stage 4, Dyspnea, and Chronic Obstructive Pulmonary Disease. Review of Resident #58's Quarterly MDS…

    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 · D2023-05-24 · 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

    Based on interview and record review, the facility failed to ensure a physician's order was implemented as required in the person centered plan of care for 2 (Resident #41 and Resident #43) of 39 sampled residents. The facility failed to ensure Resident #41 received an initial dose of Levaquin timely. The facility failed to ensure Resident #43 received an initial dose of Azithromycin and Prednisone as ordered for 5 days. Findings: Review of the facility's policy titled Medications - Administering revealed in part . Policy Statement Medications shall be administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation 2. Director of Nursing Services will supervise and direct all nursing personnel who administer medications and/or have related functions. 3. Medications must be administered in accordance with the orders, including any required time frame. Resident #41 Review of Resident #41's medical record revealed an admit date of 02/17/2023 with a re-admit date of 03/27/2023 with diagnoses that included: Unspecified Protein-Calorie Malnutrition;…

    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 · D2023-05-24 · 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

    Based on observation, interviews and record review, the facility failed to ensure a resident received the necessary care and services in accordance with the resident's comprehensive assessment and professional standards of practice for 1 (Resident #61) of 2 (#57, #61) residents reviewed for skin conditions out of a total sample of 39 residents. The facility failed ensure a weekly wound assessment was completed on 2 wounds for Resident #61 and failed to assess and immediately consult with the physician after a new wound was found for Resident #61. Findings: Review of the facility's policy titled Skin Program, Pressure Ulcers & Other Wounds revealed in part . Care of Residents with Wounds (Pressure & Non Pressure Related) 11. If a resident does develop a reddened area or wound, the licensed nurse will implement the following interventions: b. Notify resident, family and physician of reddened area or wound; the notification of the physician will be done during normal physician office hours unless a treatment order is needed. c. Obtain treatment order from physician if needed or…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$14,015 in federal fines across 1 penalty.

  • $14,015 — penalty dated 2024-01-29

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 RIGHTCARE HEALTH SERVICES — 13 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 →

RatingThis homeChain avg
Overall 1 of 52.9-1.9 vs chain
Health inspection 2 of 53.3-1.3 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 1 of 51.9-0.9 vs chain
The other 12 homes this chain runs (chain average 2.9★, per CMS)

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

Owner / managerTypeRoleShareSince
THE VERNICE C WRIGHT IRREVOCABLE TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15%since 09/01/2018
ABINGTON, LEONARDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR15%since 08/25/1977
DAVIS, ERICIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST8%since 01/01/2020
POSTON, ALBERT DIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR5%since 08/29/2001
POSTON, BRYAN AIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 08/29/2001
POSTON, LARRY SIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 08/29/2001
SANDERS, JACKIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL5%since 05/01/2024
STEVENS, VIKKIIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST8%since 01/01/2020
SULLIVAN, MARJORIE PIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 08/29/2001
CA DAVIS ENTERPRISES LLCOrganizationDIRECT OWNERSHIP INTERESTsince 11/01/2023
DAVIS, CRAIGIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR8%since 01/01/2020
RIGHTCARE HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2025
DOOLITTLE, SARAHIndividualADP OF THE SNFsince 04/07/2025

CMS files one row per role, so the 19 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

$7.7M
Net patient revenuemost recent cost report
+20.8%
Operating marginrevenue minus expenses
$748K
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 64%Medicare 15%Other / private 20%

This home reported $748K paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$236per resident / day
operating cost
$7,177per month
≈ monthly operating cost
$298per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Louisiana Medicaid page.

Typical monthly cost in Louisiana
$7,604/mo
Nursing home (semi-private)
$8,076/mo
Nursing home (private)
$5,163/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 195493. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-06, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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