The Broadway Nursing And Rehabilitation Ctr

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.

47.1% 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 69 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 34.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 32 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 0.16 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 126 beds and averages 118.3 residents a day — about 94% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.12 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.51 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 3.13 hrs/resident/day on weekends vs 3.99 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.13 to 0.08 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% 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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · L2025-02-17 · tag F0835 — failed to run the facility competently — widespread
  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

  Based on interviews, and record reviews the facility failed to ensure personnel had the appropriate state licensure to provide care and services to residents. This deficient practice was identified for 1 (S5Unlicensed Personnel) of 50 (S1Administrator, S2Director of Nursing [DON], S3Assistant Director of Nursing [ADON], S5Unlicensed Personnel, S14Agency Licensed Practical Nurse [LPN], S16LPN, S17LPN, S18Registered Nurse [RN], S19LPN, S20RN, S21Physician, S22Physician, S23Podiatrist, S24RN, S25RN, S26RN, S27RN, S28Treatment RN, S29LPN, S30LPN, S31LPN, S32LPN, S33LPN, S34LPN, S35LPN, S36Minimum Data Set [MDS]Coordinator/LPN, S37LPN, S38LPN, S39LPN, S40LPN, S41LPN, S42LPN, S43LPN, S44LPN, S45LPN, S46LPN, S47LPN, S48LPN, S49LPN, S50LPN, S51LPN, S52Quality Assurance [QA] LPN, S53Physician Assistant, S55Agency LPN, S56Agency LPN, S57LPN, S58LPN, S59LPN, S60Agency LPN, S61Agency LPN) personnel files reviewed for active and current licensure. The deficient practice resulted in an immediate jeopardy situation on 11/20/2024 when S5Unlicensed Personnel worked in the capacity of a LPN 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.

  Administration Deficiencies · Past Non-Compliance
• Immediate jeopardy · L2025-02-17 · tag F0839 — widespread
  Employ staff that are licensed, certified, or registered in accordance with state laws.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, and record reviews the facility failed to ensure personnel had the appropriate state licensure to provide care and services to residents. This deficient practice was identified for 1 (S5Unlicensed Personnel) of 50 (S1Administrator, S2Director of Nursing [DON], S3Assistant Director of Nursing [ADON], S5Unlicensed Personnel, S14Agency Licensed Practical Nurse [LPN], S16LPN, S17LPN, S18Registered Nurse [RN], S19LPN, S20RN, S21Physician, S22Physician, S23Podiatrist, S24RN, S25RN, S26RN, S27RN, S28Treatment RN, S29LPN, S30LPN, S31LPN, S32LPN, S33LPN, S34LPN, S35LPN, S36Minimum Data Set [MDS]Coordinator/LPN, S37LPN, S38LPN, S39LPN, S40LPN, S41LPN, S42LPN, S43LPN, S44LPN, S45LPN, S46LPN, S47LPN, S48LPN, S49LPN, S50LPN, S51LPN, S52Quality Assurance [QA] LPN, S53Physician Assistant, S55Agency LPN, S56Agency LPN, S57LPN, S58LPN, S59LPN, S60Agency LPN, S61Agency LPN) personnel files reviewed for active and current licensure. The deficient practice resulted in an immediate jeopardy situation on 11/20/2024 when S5Unlicensed Personnel worked in the capacity of a LPN 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.

  Administration Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-05-29 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to report alleged/witnessed physical and verbal abuse to the state survey agency within two hours for 2 (Resident #77, Resident #128) of 2 sampled residents investigated for abuse reporting. Findings:Review of the facility's undated Abuse and Neglect Policy and Procedure revealed, in part, each resident had the right to be free from abuse. Further review revealed residents must not be subjected to abuse by anyone, including other residents. Further review revealed instances of abuse of all residents, irrespective of any mental or physical condition, caused physical harm, pain, or mental anguish. Further review revealed verbal abuse included the use of oral or gestured communication regardless of a resident's age, ability to comprehend, or disability. Further review revealed physical abuse included hitting, slapping, or kicking. Further review revealed, a facility employee, who became aware of abuse, shall immediately report the matter to the facility's Administrator or Director of Nursing (DON). Further review revealed 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-29 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a referral was made to the Louisiana Office of Behavioral Health's Preadmission Screening and Resident Review (PASRR) program for a resident with a serious mental disorder for 1 (Resident #108) of 1 sampled resident investigated for PASRR. Findings: Review of Resident #108's electronic medical record (EMR) revealed, in part, Resident #108 was admitted to the facility on [DATE]. Further review revealed Resident #108 did not have a serious mental disorder at the time of admission. Review of Resident #108's Form 142 dated 07/14/2021 revealed, in part, Resident #108 did not have a serious mental disorder. Review of Resident #108's diagnosis information list dated 06/24/2024 revealed Resident #108 had diagnoses, of in part, Psychosis, Major Depressive Disorder, and Anxiety. Further review revealed there was no diagnosis of Dementia or Alzheimer's disease. Review of Resident #108's medical record revealed there was no documented evidence a PASRR…

  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 before2025-05-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to: 1. Ensure staff performed hand hygiene when assisting residents with meals (Resident #10, Resident #57, and Resident #63); 2. Ensure infection surveillance was performed after a resident tested positive for a communicable disease (Resident #104); This deficient practice was identified for 5 (Resident #10, Resident #57, Resident #63, Resident #104) of 5 (Resident #10, Resident #57, Resident #63, Resident 91, Resident #104) sampled residents reviewed for infection control. Findings: 1. Review of the facility's Hand Hygiene policy and procedure, dated February 2025, revealed, in part, hand hygiene should be performed after direct contact with residents and before and after assisting residents with meals. Observation on 05/13/2025 at 11:23AM revealed S5Certified Nursing Assistant (CNA) touched Resident #63's leg with ungloved hands then proceeded to touch Resident #63's dining utensils without performing hand hygiene. Further observation…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-14 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to ensure the facility was free of pests. Findings: Room A Observation on 05/13/2025 at 8:31AM revealed a brown colored flying insect in Room A. In an interview on 05/13/2025 at 9:23AM, Resident #36, Resident #71's roommate, indicated she had noticed brown colored flying insects in Room A. Observation of Room A 05/14/2025 at 7:50AM revealed S1Administrator tapped Resident #71's live potted plant, and a brown colored flying insect came out of the live potted plant. In an interview on 05/14/2025 at 7:51AM, S1Administrator indicated there was a fly that came out of the live potted plant in Room A. In an interview on 05/14/2025 at 9:50AM, S8Certified Nursing Assistant (CNA) indicated in the past, Resident #36 stored food in Room A, which attracted flying insects. Room B Observation on 05/14/2025 at 8:40AM revealed a brown colored flying insect flew out of a cabinet when the cabinet door was opened in Room B. In an interview on 05/14/2025 at 8:42AM, S3Assistant Director of Nursing/Infection Preventionist (ADON/IP) confirmed there…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-14 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to ensure a resident's choice to eat breakfast in the dining room was supported for 1 (Resident #53) of 4 (Resident #51, Resident #53, Resident #66, Resident #77) sampled residents investigated for choices. Findings: Review of Resident #53's Minimum Data Set with an assessment reference date of 03/13/2025 revealed, in part, Resident #53's Brief Interview Mental Status score was 11, which indicated moderately impaired cognition. Further review revealed Resident #53 used a wheel chair for mobility and required set up or clean up assistance for eating. Review of Resident #53's care plan with a target date of 06/27/2025 revealed, in part, Resident #53 required staff assistance for activities of daily living related to activity intolerance, poor endurance and shortness of breath on exertion and needed set up and/or clean up assistance with meals. Further review revealed Resident #53 required substantial/maximal assistance with transfers. In an interview on 05/12/2025 at 9:23AM, Resident #53 indicated the staff did not help her…

  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 · D2025-05-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to follow a physician's order for oxygen administration for 1 (Resident #48) of 4 (Resident #27, Resident #34, Resident #48, Resident #77) sampled residents investigated for oxygen administration. Findings: Review of Resident #48's Minimum Data Set with an assessment reference date of 03/27/2025 revealed, in part, a Brief Interview Mental Status score of 12, which was indicative of moderate cognitive impairment. Further review revealed Resident #48 had a medical history of chronic obstructive pulmonary disease, respiratory failure, shortness of breath with exertion, and oxygen therapy. Review of Resident #48's Care Plan with a target date of 07/11/2025 revealed, in part, Resident #48 had an intervention for staff to initiate Resident #48's oxygen as ordered. Review of Resident #48's May 2025 Physician's Orders dated May 2025 revealed, in part, Resident #48 to receive oxygen at a rate of 3 liters per minute (LPM) via nasal cannula (NC) continuously. to prevent hypoxia every shift related to chronic respiratory…

  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 · E2025-02-17 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a resident's physician was notified when a scheduled medication was withheld for 1 (Resident #9) of 19 (Resident #1, Resident #7, Resident #8, Resident #9, Resident #11, Resident #13, Resident #15, Resident #16, Resident #17, Resident #19, Resident #21, Resident #22, Resident #26, Resident #29, Resident #40, Resident #41, Resident #43, Resident #50, Resident #57) sampled residents reviewed for pharmacy services. Findings: Review of the facility's undated Medication Administration General Guidelines policy revealed, in part, medications were to be administered as ordered by the physician. Further review revealed if a scheduled medication was withheld, the medication would be documented as not given and an explanatory note was to be entered in the electronic document. Further review revealed if several doses of a vital medication were withheld, the physician should be notified and a response documented. Review of Resident #9's clinical record…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-17 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to ensure the required number of Certified Nursing Assistants (CNAs) were present and working per the facility assessment for 2 (02/05/2025, and 02/06/2025) of 2 (02/05/2025, and 02/06/2025) days reviewed for sufficient CNA staff. Findings: Review of the facility's assessment, dated 10/20/2024 revealed, in part, the average facility census was 116 residents. Further review revealed based on the acuity and needs of its resident population, the facility identified 19 CNAs were required on the weekday day shift, 12 CNAs were required on the weekday evening shift, and 8 CNAs were required on the weekday night shift. Review of the facility's 24 hour staffing sheets dated 02/05/2025 and 02/06/2025 revealed, in part, the day shift was from 6:00AM to 2:00PM, the evening shift was from 2:00PM to 10:00PM, and the night shift was from 10:00PM to 6:00AM. Review of the facility's Nursing Staff Directly Responsible for Resident Care form dated 02/05/2025 and 02/06/2025 revealed, in part, the facility's census was 113 residents. 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-17 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to: 1. Ensure medications were available for use for 3 (Resident #1, Resident #8, Resident #57) of 19 (Resident #1, Resident #7, Resident #8, Resident #9, Resident #11, Resident #13, Resident #15, Resident #16, Resident #17, Resident #19, Resident #21, Resident #22, Resident #26, Resident #29, Resident #40, Resident #41, Resident #43, Resident #50, Resident #57) sampled residents reviewed for pharmacy services; and, 2. Maintain a system to periodically reconcile controlled drugs for 3 (Medication Cart a, Medication Cart b, Medication Cart c) of 4 (Medication Cart a, Medication Cart b, Medication Cart c, Medication Cart d) medication carts reviewed for the reconciliation documentation of controlled substances. 1. Review of the facility's undated Medication Administration General Guidelines policy revealed, in part, medications were to be administered as ordered by the physician. Further review revealed when a medication could not be located the pharmacy…

  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 · D2025-02-17 · 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 ensure the staff properly completed the grievance report form and failed to document a resolution of the grievance for 1 (Resident #13) of 1 (Resident #13) sampled residents investigated for grievances. Findings: Review of the facility's undated Grievance policy and procedure revealed, in part, the facility administrator or designee will act as the grievance official, and all grievances made by a resident or resident's family would be documented on the grievance form by the grievance official. Further review revealed the grievance form would include the date the grievance was received, a summary statement of the resident's grievance, the steps taken to investigate the grievance, a summary of pertinent findings or conclusions regarding the resident's concerns, a statement as whether the grievance was confirmed or not confirmed, corrective action taken by the facility as a result of the grievance, and the date the written decision was issued. Review of the facility's Grievance Log from 11/2024 to 2/2025 revealed, in part,…

  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

$29,126 in federal fines across 2 penalties.

• $14,563 — penalty dated 2025-01-16
• $14,563 — penalty dated 2025-01-16

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 ELDER OUTREACH NURSING & REHABILITATION — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 72% 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 $504K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in LA