River Oaks Retirement Manor

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: 40.7% 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 27 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 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 100 beds and averages 71.1 residents a day — about 71% occupied, or roughly 29 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 4.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.21 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.09 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.94 hrs/resident/day on weekends vs 4.76 on weekdays — 17% thinner on weekends. RN hours go from 0.24 to 0.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · K2024-08-08 · tag F0700 — pattern
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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, observations and interview, the facility failed ensure correct use and installation of bed rails to avoid the risk of entrapment. The facility failed to: 1. Identify and use appropriate alternatives prior to using bed rails; 2. Ensure appropriate dimensions of the bed based on the resident's size and weight to ensure the resident's bed frame, mattress, and bed rails were compatible prior to instillation; 3. Ensure correct installation of bed rails including adherence to manufacturer's recommendations and/or specifications for adaptive devices to prevent entrapment; 4. Adequately assess the residents' risk for entrapment and safety prior to applying modified side rails with wooden boards that were not recommended per the manufacturer; 5. Appropriately monitor and supervise residents with bed rails in place. This failed practice occurred for 5 (#1, #R1, #R2, #R3, and #R4) of 5 (#1, #R1, #R2, #R3, and #R4) residents with these modified bed rails. This deficient practice resulted in 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-08-08 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to be administered in a manner that enabled it to use its resources effectively and efficiently to provide appropriate oversight to ensure the well-being of residents. The facility failed to have a system in place for residents to ensure the appropriate use, assessment, and monitoring of bed rails according to mattress manufacturer's guidelines to prevent resident entrapment for 5(#1, #R1, #R2, #R3, and #R4) of 5 (#1, #R1, #R2, #R3, and #R4) residents. This lack of administrative oversight resulted in an Immediate Jeopardy on 07/28/2024 at 1:00 p.m. when Resident #1 attempted to climb over the boarded side rail and became entrapped between the air mattress and the modified boarded bed rail attached to the resident's bed. An x-ray revealed the resident sustained a left femoral neck fracture which required transfer to the local hospital. Resident #1 underwent surgery for a closed reduction and percutaneous pinning for the left femoral neck fracture. The…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-08-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents during provision of care for 1 (#21) of 4 (#18, #21, #55, #60) residents investigated for accidents, of a total sample of 33 residents. This deficient practice resulted in an actual harm for Resident #21 on 07/28/2023 when S7CNA and S8CNA failed to adequately supervise the resident when they lowered the side rails of the bed and walked away from the resident during ADL (Activities of Daily Living) care. S7CNA and S8CNA failed to raise the resident's side rails when they moved away from the bed and Resident #21 fell out of his bed onto the floor. Resident #21 was sent to the ER (Emergency Room) for evaluation after displaying excruciating pain. On 07/28/2023 an x-ray revealed that Resident #21 had a Trimalleolar fracture to his Left ankle. Resident #21 had an immobilizer with a boot to his lower Left extremity as the physicians have…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2025-12-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the facility failed to ensure services provided meet professional standards as evidenced by the nurse failing to follow the facility's policy for verbal orders for 1(#3) of 34 sampled residents. Findings:Review of the facility's policy titled, Verbal Orders Policy read in part, Policy: Physician orders may be received by telephone, by a licensed nurse or other licensed or registered health care specialist who are legally authorized to do so .3. Enter the order into the medical record manually or electronically .Review of Resident #3's comprehensive MDS (Minimum Data Set) dated 12/03/2025 revealed she was admitted to the facility on [DATE]. Her active diagnoses include, but not limited to stroke, dementia, and UTI (urinary tract infection). Her BIMS (Brief Interview of Mental Status) was 3, severe cognitive impairment. On 12/10/2025 at 10:30 a.m., a review of Resident #3's November 2025 MAR (Medication Administration Record) revealed the following medications:…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure the daily nurse staffing information was posted in a prominent place readily accessible to residents and visitors. This deficient practice had the potential to affect the 69 residents residing in the facility. Findings: A review of the facility's policy titled Posting Direct Care Daily Staffing Numbers which was last reviewed on 04/05/2025, read in part, Policy Interpretation and Implementation: 1. The number of licensed nurses (Registered Nurses, Licensed Practical Nurses, and Licensed Vocational Nurses) and the number of unlicensed nursing personnel (Certified Nursing Assistants and Nurses Assistants) directly responsible for resident care is posted in a prominent location (accessible to residents and visitors) and in a clear and readable format. On 12/08/2025 3:45 p.m., observations were made throughout the main prominent areas of the facility in the attempt to locate daily staffing information. This surveyor was unable to locate the staffing hours visually. After asking assistance from a staff member, this…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · 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, record review, and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections as evidenced by failing to ensure staff removed PPE (Personal Protective Equipment) prior to exiting a resident's room that was on enhanced barrier precautions for 1 (Resident #28) out of 34 sampled residents.Findings: Review of the facility's Enhanced Barrier Precautions Policy last reviewed on 04/05/2025 read in part, Policy Statement: Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents . 3. Implementation of Enhanced Barrier Precautions: d. Position a trash can inside the resident room for discarding PPE after removal. On 12/09/2025 at 8:50 a.m., S2TN (Treatment Nurse) was observed completing wound care/treatment. S2TN was observed exiting out of Resident #28's room wearing PPE (gown and gloves) that was used throughout the…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-09-18 · tag F0577 — widespread
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interviews, the facility failed to ensure resident rights were maintained as evidenced by: 1. Failing to ensure the results of the most recent complaint survey dated 08/08/2024 was available for residents, visitors or other individuals to review; and 2. Failing to ensure residents were aware of where to locate state inspection results to review for 4 (#4, #41, #49, and #71) out of 4 (#4, #41, #49, and #71) residents that attended the Resident Council meeting. The facility census was 79. Findings: Review of Resident #4's Quarterly MDS (Minimum Data Set) dated 09/04/2024 revealed the Brief Interview for Mental Status (BIMS) score of 15, indicating her cognition was intact. Review of Resident #41's Annual MDS (Minimum Data Set) dated 08/03/2024 revealed the Brief Interview for Mental Status (BIMS) score of 15, indicating her cognition was intact. Review of Resident #49's Quarterly MDS (Minimum Data Set) dated 06/18/2024 revealed the Brief Interview for Mental Status (BIMS) score of 15, indicating her cognition was intact. Review of Resident #71's…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide a safe, clean, and homelike environment for 2 (#47 and #74) of 4 (#25, #47, #74 and #78) residents investigated for environment in a final sample of 36 residents as evidenced by: 1. failing to ensure clean bed linen was provided for Resident #47, and 2. failing to ensure the toilet was in good repair for Resident #74. Findings: On 09/17/2024, a review of the facility's policy titled Homelike Environment with a last reviewed date of 09/06/2024, read in part . Policy Statement: In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment . This includes ensuring that the resident can receive care and services safely and that the physical layout of the facility maximizes resident independence and does not pose a safety risk. Policy Interpretation and Implementation: . 4. The facility will provide and maintain bed and bath linens that are clean and in good condition . 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-18 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to initiate a grievance for 1 (Resident #21) of 1 sampled residents reviewed for grievances in a final sample of 36 residents. Findings: Review of the facility's policy, Grievance/Complaint Policy, with a review date of 09/06/2024, revealed in part . residents have the right to file grievances either orally or in writing, to the facility staff. The administrator and staff will make prompt efforts to resolve grievances to the satisfaction of the resident 1. Any resident, may file a grievance or complaint to the facility that hears grievances concerning theft of property, and other concerns regarding their LTC (Long Term Care) facility stay . 4. Upon receipt of a grievance and/or complaint, the grievance official will ensure prompt investigation and resolution of the allegations. Review of Resident #21's clinical record revealed an admit date of 04/14/2022. Review of Resident #21's Quarterly MDS (Minimum Data Set) dated 08/27/2024 revealed Resident #21 had a BIMS (Brief Interview of Mental Status) score of 15 indicating intact…

  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 · Dcited before2024-09-18 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, and record review, the facility failed implement the resident's plan of care by not following a physician's order to ensure the resident's indwelling catheter was the correct size for 1 (#25) out of 2 (#19 and #25) residents investigated with Urinary Tract Infection out of a total sample of 36 residents. Findings: A review of Resident #25's record revealed the resident was admitted to the facility on [DATE] with diagnoses which included, but were not limited to Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms, Retention of Urine, Overactive bladder and Hydonephrosis with Renal and Ureteral Calculous Obstruction, and Urinary Tract Infection. A review of Resident #25's physician's orders revealed an order written on 09/10/2024 which read: Indwelling Catheter draining to GU (Genitourinary) bag. Change q (every) month and PRN (as needed) every day shift every 1 month(s) starting on the 14th for 1 day(s) for BPH w/ LUTS ( Benign Prostatic Hyperplasia with Lower Urinary…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-08-22 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review interview, and observations, the facility failed to ensure the resident's care plan and physician's order(s), were followed for 4 (#2, #18, #21, #44) out of 33 sampled residents. This was evidenced when the: 1. Facility failed to ensure Resident #21 had a right heel protector. 2. Facility staff failed to ensure Resident #2 did not exceed his 24 hour 1000 ml (Milliliters) fluid restriction. 3. Facility failed to ensure Resident #44 had bilateral hand rolls. 4. Facillity failed to ensure Resident #18 had a bed alarm. Findings: Resident #21: A review of Resident #21's record revealed an admission date of 12/29/2021. A review of wound care documentation revealed that Resident #21 had pressure ulcers to his bilateral buttocks, his right knee, right inner thigh, and right shin. A review of Resident #21's 07/21/2023 MDS (Minimum Data Set) assessment revealed that he was totally dependent on 2 staff for bed mobility and for transfers. A review of Resident #21's Care Plan revealed that he had…

  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 · E2023-08-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 that a resident with pressure ulcers received necessary treatment and services to prevent new ulcers from developing for 1 (#21) of 3 (#21, #43, #60) residents investigated for pressure ulcers, of a total sample of 33 residents. Findings: A review of Resident #21's record revealed an admission date of 12/29/2021 and diagnoses including Parkinson's disease, tremors, and a history of stroke. A review of Resident #21's care plan was conducted and included that he was planned for Pressure Ulcers/Skin Impairment related to decreased mobility, fragile aged skin, and history of skin impairment. Interventions included to use positional devices as needed i.e. foam wedges, pillow, etc. A review of S17NP's wound assessment on Resident #21 dated 08/16/2023 revealed that the NP (Nurse Practitioner) had identified and assessed 4 wounds; right buttock, left buttock, right knee, and right inner thigh. No identification of a wound to Resident #21's right mid shin was noted. A review of Resident #21's progress notes and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-22 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide the estimated cost for services for which the residents may be responsible for paying for 2 residents (#337 and #338) of 3 sampled residents for Advanced Beneficiary Notice of Non-Coverage (ABN). Findings: Residents #337 and #338 were both issued ABN notices which included elected services and reasons why Medicare may not pay for these services. Residents #337 and #338 elected Option 1. Which included in part, I want the services listed above. I understand that if Medicare does not pay, I am responsible for payment. The estimated cost for these services on the notices were incomplete. On 08/22/2023 at 9:25 a.m., an interview was conducted with S3SSD (Social Services Director) who stated that she did not include an estimated cost for services for Residents #337 and #338's ABN notices. She agreed that the residents should be notified of the amount of cost for services that they may be responsible to pay. S3SSD confirmed that there was not an estimated cost for services on the ABN signed by the resident/responsible…

  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

$99,451 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $89,681 — penalty dated 2024-08-08
• $9,770 — penalty dated 2023-08-22
• Medicare payment denial — starting 2023-09-15 for 14 days

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

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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 79% 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 $16K 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 2024. 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, FY2024). 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