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Senior Village Nursing & Rehabilitation Center

315 Harry Guilbeau Road, Opelousas, LA 70570 · For profit - Corporation · 150 certified beds · (337) 948-4486 Medicare & Medicaid certified

Call the home — (337) 948-4486 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0609) — most recent Dec 2025
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

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.

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

Location & what’s nearby

Urgent care / clinic
4015 I 49 S Service Rd · (337) 942-6503 · Call to confirm hours
Pharmacy
3935 I 49 S Service Rd · (337) 447-4799 · Call to confirm hours
Grocery
6028 Highway 182 · (337) 942-9077 · Call to confirm hours
Park
1524 S Market St · (337) 948-2562 · Typically dawn to dusk
Place of worship
202 Our Savior's Church Blvd · (337) 678-0660

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 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 2 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 improved from 1 to 3 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 rating3★
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 increased11.4%17.8%15.4%better
Long-stay residents who lose too much weight7.8%5.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.6%1.2%0.9%better
Long-stay residents with a urinary tract infection2.2%2.1%2.0%worse
Long-stay residents with depressive symptoms0.0%2.3%6.5%check this — see note marked star 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 injury2.6%3.5%3.3%better
Long-stay residents whose ability to walk worsened16.6%17.9%16.1%typical
Long-stay residents on antianxiety or hypnotic medication24.1%23.2%18.9%worse
Long-stay residents given the seasonal flu vaccine97.5%94.9%95.3%typical
Long-stay residents with pressure ulcers6.3%5.6%4.7%worse
Long-stay residents with worsening bladder/bowel control15.6%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table20.1%22.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.7%3.1%1.4%better than state — see note marked double-dagger below the table
Short-stay residents given the seasonal flu vaccine78.7%76.3%79.4%typical
Short-stay residents rehospitalized after admission22.5%28.0%22.6%typical
Short-stay residents with an outpatient ER visit12.7%14.8%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.362.561.67better
Long-stay outpatient ER visits per 1,000 resident days2.142.741.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

48.2% 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 92 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.2%U.S. median 51.5%
Got home and stayed home
12.2%U.S. median 10.7%
Went back to hospital
35.0%U.S. median 56.6%
Met the expected recovery
0.35U.S. median 0.31
Therapy hours / resident / day
0.21hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 35.0% 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 40 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 SNF48.2%CMS range 40.6–58.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.2%CMS range 8.2–15.610.7%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 discharge35.0%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 discharge35.0%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 discharge40.0%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 stay0.0%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 worsened2.1%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 4.0–11.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 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

0.34
RN hours/ resident / day
1.03
LPN hours/ resident / day
2.51
Aide hours/ resident / day
3.88
Total nurse hours/ resident / day
0.20
RN hoursweekends
40.0%
Total nursing turnover
9.1%
RN turnover

How full it usually is: this home is certified for 150 beds and averages 127.1 residents a day — about 85% occupied, or roughly 23 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 3.88 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.34 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 3.30 hrs/resident/day on weekends vs 4.12 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.40 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 40% 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

6
deficiencies at the latest standard inspection (2025-12-03)
9
at the previous standard inspection (2024-09-10)

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.

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.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

  • Potential for harm · D2025-12-03 · tag F0605 — failed to not use drugs as a restraint — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the physician documented a Gradual Dose Reduction (GDR) was attempted or a clinical rationale for not reducing psychotropic medication recommended for GDR for 1 (#2) out of 5 (#1, #2, #4, #7, and #99) residents sampled for unnecessary medication review.Findings: A review of Resident #2's Electronic Health Record (EHR) revealed the resident was admitted to the facility on [DATE] with diagnoses which included in part, generalized anxiety disorder, bipolar disorder, and depression.A review of Resident #2's Pharmaceutical Consultant Report dated 10/24/2025 and signed by S2DON (Director of Nursing) read in part, Please evaluate the routine use of the following psychoactive medications and consider a dose reduction. If a dose reduction is not desired, please indicate below a rationale for the continued use. This resident is prescribed the following psychoactive medications:Benadryl 25 mg (milligrams) q6hrs prn itching (every 6 hours as…

    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 · D2025-12-03 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to notify the State's Long-Term Care Ombudsman of emergency transfers in writing for 1 (#7) out of 4 (#7, #62, #89, #105) residents reviewed for accidents. Findings:Review of Resident #7's Electronic Medical Record (EMR) revealed, in part, Resident #7 was admitted to the facility on [DATE]. Further review of the EMR revealed Resident #7 had an emergency transfer to a local hospital on [DATE].Review of the facility's Ombudsman notification lists of emergency transfers dated July 2025 and August 2025, failed to reveal Resident #7's transfer on 08/20/2025 and there was no further evidence the Ombudsman had been notified of the transfer. On 12/03/2025 at 12:45 p.m., a concurrent record review and interview was conducted with S1AADM (Assistant Administrator). S1AADM stated that she was partially responsible for the accuracy of the State's Long-Term Care Ombudsman list of emergency transfers. S1AADM reviewed the emergency transfer forms and confirmed they…

    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 before2025-12-03 · 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 interviews and record reviews, the facility failed to ensure the assessment accurately reflected the resident's status for 2 (Resident #1, and Resident #43) residents out of 41 sampled residents. Findings: Resident #1 Review of Resident #1's EMR (Electronic Medical Record) revealed an admission date to facility on 05/28/2025 with diagnoses including major depressive disorder, recurrent, severe with psychotic symptoms; and bipolar disorder, severe, with psychotic features. Review of Resident #1's Form 142 dated 05/08/2025 and 08/16/2025 revealed the resident was approved for admission by Level II authority. Review of Resident #1's admission MDS (Minimum Data Set) with an ARD (Assessment Reference Date) 06/05/2025 revealed: Section A1500 PASARR: the answer was no to the question, Is the resident currently considered by the state level II PASRR process to have a serious mental illness and/or intellectual disability or related condition? Review of Resident #1's Significant Change MDS with an ARD 08/08/2025…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-03 · 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 record review and interviews, the facility failed to develop and implement a comprehensive careplan for 2 (Resident #4 and Resident #62) of 41 sampled residents as evidenced by failing to: 1. ensure physician orders were implemented for wound care for Resident #4 and 2. develop a careplan for bed rails for Resident #62Findings:Review of Resident #4's electronic health record revealed an admission date of 06/24/2021 with diagnoses that included but were not limited to, age-related osteoporosis, cognitive communication deficit, and hereditary and idiopathic neuropathy. Review of Resident #4's TAR (Treatment Administration Record) for September 2025, October 2025, and November 2025 revealed an order dated 09/07/2025 for Cleanse excoriated area to left buttock with normal saline, and apply zinc oxide bid (twice a day) until resolved. Further review of Resident #4's TARs failed to reveal nurses initials or evidence that treatments were performed on the following dates: 1. September 2025 a. AM- 09/10/2025 and 09/15/2025 b. HS (at bedtime) - 09/07/2025, 09/18/2025, 09/21/2025,…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-03 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 interviews the facility failed to develop a person-centered comprehensive care plan within 7 days after completion of the comprehensive assessment for 1 (Resident #16) out of 41 sampled residents. Findings:Review of the facility's policy titled, Care Plan Process, with a last reviewed dated of 12/2024, revealed in part, Regulations require facilities to complete, at a minimum and at regular intervals, a comprehensive, standardized assessment of each resident's functional capacity and needs, in relation to a number of specified areas (e.g., customary routine, vision and continence). The results of the assessment, which must accurately reflect the resident's status and needs, are to be used to develop, review, and revise each resident's comprehensive person-centered plan of care. The RAI (Resident Assessment Instrument) will be used to determine guidelines for revisions and completion dates for the Comprehensive Care Plan.Review of the CMS (Centers for Medicare and Medicaid Services) RAI…

    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 · D2025-12-03 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure accurate administration of all drugs by failing to administer the correct dose of Zinc for 1 (Resident #79) out of 4 residents observed form medication administration. Findings: A review of the facility's policy titled Administration of Medications which was last reviewed on 03/2025, read in part, Oral Medication Administration Procedure, 3. Verify the physicians order, comparing the medication label to the MAR (Medication Administration Record) to verify the following, b. right dosage. Review of Resident #79's health record revealed he was admitted to the facility on [DATE] diagnoses which included, but were not limited to chronic kidney disease and atherosclerotic heart disease of native coronary artery without angina pectoris. Review of Nursing Home Progress Note on 11/17/2025 for Resident #79 revealed a physician order for Zinc Sulfate 220 mg (milligrams) one by mouth once a day.Review of Resident #79's MAR (Medication…

    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 before2025-06-18 · 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 and interviews, the facility failed to follow physician's orders for 1 (Resident #3) of 3 (Residents #1, #2, #3) sampled residents. The deficient practice had the potential to affect a census of 126. Findings: Resident #3 was admitted to the facility on [DATE] with diagnoses included but not limited to Unspecified Severe Protein-Calorie Malnutrition, Anorexia, Aphasia and Cognitive Communication Deficit. Review of Resident #3's Significant Change MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 05/20/2025 revealed he had a BIMS (Brief Interview for Mental Status) of 03, indicating he was severely, cognitively impaired. Review of Resident #3's current active physician's orders revealed an order with a start date of 05/19/2025 that read in part, Check oxygen saturation every shift. If less than 92% administer as needed oxygen at 2 liters per minute via nasal cannula. Review of Resident #3's MAR (medication administration record) for May 2025 and June 2025 revealed no…

    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 · Dcited before2025-06-18 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure that an injury of unknown origin was reported immediately, but not later than two (2) hours to State Survey Agency after discovering or learning of the injury for 1 (Resident #1) of 3 (Residents #1, #2, #3) sampled residents. The deficient practice had the potential to affect a total census of 126 residents. Findings: Review of the facility's policy with a review date of 05/24 titled Incident Investigation and Reporting, read in part; Injury of Unknown Origin: When all criteria are met: Source of injury was not observed by any person and the source of injury could not be explained by the resident, and the injury is suspicious due to the extent or location of the injury 3. The administrator shall report to the State Survey Agency and local law enforcement entities in which the facility is located, any allegation or reasonable suspicion of a crime against any resident. The administrator shall report no later than 2 hours after forming 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 · F2024-09-10 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to electronically submit accurate payroll information for direct care staffing as required. Finding: Review of the PBJ (Payroll Based Journal) Staffing Data Report for FY (Fiscal Year) Quarter 3 2024 (April 1- June 30) revealed triggers for Excessively Low Weekend Staffing. Review of the facility's Staff Reporting Forms provided from April to June 2024, revealed in part: Weekdays (Monday-Friday) were noted to have between 3 -6 RN's (Registered Nurses), and 7-9 LPN's (Licensed Practical Nurses), whereas the weekends (Saturday-Sunday) had 1 RN and 4 LPN's for the Day shifts. On 09/10/2024 at 10:00 a.m., an interview was conducted with S3DON (Director of Nursing), with S10ADM (Administrator) present. S3DON reported that PBJ staffing was done between S9AA (Administrative Assistant) and Corporate Human Resources. S3DON and S10ADM denied knowledge of any low staffing on weekends and stated the state requirements for staffing ratios were met. S10ADM reported S9AA was having issues with the imputing contract/agency staff in the PBJ…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-10 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, the facility failed to ensure the resident's Minimum Data Set (MDS) assessments were transmitted within 14 days after completion for 8 (# 8, #10, #23, #45, #67, #105, #112, and #122) out of 9 ( (# 8, #9, #10, #23, #45, #67, #105, #112, and #122) residents reviewed for resident assessments submission activities. Findings: Resident # 45 Review of Resident #45's Quarterly MDS, with ARD (Assessment Reference Date) of 07/25/2024, revealed it was completed on 08/08/2024, and transmitted on 09/09/2024. Resident # 10 Review of Resident #10's Quarterly MDS, with ARD of 08/06/2024, revealed it was completed on 08/20/2024, and transmitted on 09/06/2024. On 09/10/24 at 8:30 a.m., an interview and review of Resident #45 and #10's Quarterly MDS was conducted with S7MDS. She verified Resident #45's and #10's Quarterly MDS completion date and transmission date. She confirmed that the Quarterly MDS assessments were not transmitted within the required timeframe of 14 days after completion. Resident # 8 Review of Resident #8's Discharge -return not anticipated…

    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
Show the remaining 19 citations
  • Potential for harm · Ecited before2024-09-10 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on policy review, observation, record review and interview, the facility failed to store food in accordance with professional standards for food service safety by the dietary staff failing to ensure that all foods on the steam table maintained adequate holding temperature prior to being served. This deficient practice had the potential to affect 111 residents that received food from the kitchen. Total facility census was 118. Findings: A review of the facility's Monitoring Temperatures of Cooked Foods policy was conducted on 09/09/2024 at 1:30 p.m. The policy read in part . Policy: The temperature of potentially hazardous cooked foods will be monitored to insure that the foods are not in the danger zone (above 41 degrees Fahrenheit and below 135 degrees Fahrenheit) for more than six hours. Procedure: Potentially hazardous cooked foods, after being cooked to the required minimum internal temperature, will be held on hot holding equipment that will keep the food at a minimum 135 degrees Fahrenheit or higher. On 09/09/2024 at 10:50 a.m., S13Cook was observed checking the food…

    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 before2024-09-10 · 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 observations and interviews, the facility failed to maintain a clean and sanitary environment by failing to ensure the Resident's personal equipment in the resident's room were free of dust and lint for 1 (#231) of 48 sampled residents. Findings: Review of Resident #231's electronic health record revealed Resident #231 was admitted to the facility on [DATE] with diagnoses that included Sleep Apnea and Insomnia. On 09/09/2024 at 1:03 p.m., an observation revealed Resident #231's CPAP (Continuous Positive Airway Pressure) Machine, Mask Sanitizer device, a small fan on the end table, and a multi-plug extension cord on the floor were all observed to be covered with dust and lint. On 09/10/2024 at 9:15 a.m., an observation was made with S7LPN (Licensed Practical Nurse) of Resident #231's room. S7LPN confirmed Resident #231's CPAP Machine and Mask Sanitizer device, a small fan on the end table, and a multi-plug extension cord on the floor were all covered with dust and lint. She stated Housekeeping was to…

    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 before2024-09-10 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, 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) assessment was completed accurately for 1 (#9) out of 48 sampled residents. Findings: Review of Resident #9's Quarterly MDS assessment dated [DATE], indicated that the resident was coded for the use of an anticoagulant under Section N, Medications. Review of the resident's MAR (Medication Administration Record) for May 2024 revealed there was no order for an anticoagulant. Review of the resident's physician orders for May 2024 revealed no order for an anticoagulant. On 09/10/2024 at 2:33 p.m., an interview and review of Resident #9's Quarterly MDS assessment dated [DATE] was conducted with S1MDS. She stated that Resident #9 was not on an anticoagulant. S1MDS confirmed that it was incorrectly coded for the use of anticoagulant.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-10 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to develop and implement a person-centered care plan that addressed catheter care for 1 (#63) out of a total sample of 48 residents. Findings: A review of the facility's policy on 09/10/2024 titled Indwelling Catheterization with a latest revision date of 11/2017 read in part, Catheter care with soap and water each shift and PRN (As Needed) unless otherwise indicated by physician. Review of Resident #63's record revealed an admission date of 08/08/2024 with diagnoses that included Benign Prostatic Hyperplasia with Lower Urinary Tract Symptoms and Urinary Retention. Review of Resident #63's Minimum Data Set (MDS) admission assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 14, which indicated the resident's cognition was intact. Review of Resident #63's physician orders revealed an order dated 08/09/2024 for Catheter-Type (Foley); 16 French, 10cc (cubic centimeter) bulb. On 09/10/24 at 02:07 p.m., a 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to maintain acceptable parameters of nutritional status, by failing to address a recommendation from the RD (Registered Dietician) for 1 (resident #127) out of 7 residents (#47, #58, #100, #102, #109, #124, #127) investigated for nutrition out of a total sample of 48 residents. Findings: Resident #127. Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's admitting diagnoses included End Stage Renal Disease, Dependence on Dialysis, and Infection and Inflammatory Reaction due to Internal Left Knee Prosthesis. Review of the resident's weight log revealed the resident weighed 175.6 pounds on 06/14/2024 and weighed 133 pounds on 08/09/2024 for a 24.26 % weight loss in 2 months, which was a significant weight loss. Review of RD Nutrition assessment dated [DATE] at 6:30 a.m. revealed, -10% sig (significant) wt (weight) loss in 1 month. ESRD (End Stage Renal Disease) with HD…

    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 · D2024-09-10 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    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 policy review, observation and interview, the facility failed to ensure the resident's food was palatable and attractive by the dietary staff failing to prepare foods according to the recipe. This deficient practice had the potential to affect 111 residents that received food from the kitchen. Total facility census was 118. Findings: A review of the facility's Standardized Recipes policy was conducted on 09/09/2024 at 1:30 p.m. The policy read in part, Policy: Standardized recipes are used in preparation of food for control of quality, quantity, and uniformity of product. Procedure: .5. The Director of Food and Nutrition Services requires the food and nutrition service staff to follow the standardized recipes . On 09/09/2024 at 1:55 p.m., an observation was made of S12DM/Cook (Dietary Manager/Cook) prepare nectar thickened milk without the use of a recipe. She was observed adding an undetermined amount of milk in a plastic container. S12DM/Cook then poured an undetermined amount of powdered thickener in the container and stirred. She checked the consistency of the liquid 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-10 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations and interview, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition by having an air conditioner that was leaking a liquid substance for 1 (Resident #48) out of a finalized sample of 48 residents. Findings: On 09/09/2024 at 10:41 a.m., an observation of resident #48's room revealed an air conditioner attached to the wall that was leaking a liquid substance. Multiple towels were observed under the unit, all of which were wet. On 09/10/2024 at 11:21 a.m., a second observation of resident #48's room revealed an air conditioner attached to the wall that was leaking a liquid substance. Multiple towels were observed under the unit, all of which were wet. On 09/10/2024 at 4:04 p.m., an interview and observation was conducted with S6MAINT (Maintenance), he stated he was unaware of an air conditioner leaking in Resident #48's room. Upon inspection, he observed the wet towels under the air conditioner and confirmed that the unit was leaking and not in safe operating condition.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, the facility failed to ensure their grievance policy and procedure was followed. The facility failed to initiate grievances that were voiced for 1 (#3) out of 4 (#1-#4) residents investigated for grievances out of a sample of 6 (#1-#4, R1 and R2) residents. Findings: Review of the facility's policy and procedure titled, Grievances-Residents, revealed in part: The following outlines the process: Family members may also present grievances on behalf of residents . The Administrator or Designee is responsible for overseeing the grievance process, receiving and tracking grievances through to their conclusion, leading any necessary investigations by the facility . The Social Service Designee has been appointed by the Administrator . -upon receipt of a grievance/complaint, the staff receiving the complaint will initiate the Grievance/Complaint Form . Review of Resident #3's medical record revealed the resident was admitted to the facility on [DATE]. Review of facility'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 · Dcited before2023-10-10 · 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 record review and interviews, the facility failed to ensure an alleged violation of physical abuse involving staff to resident was reported immediately, but not later than 2 hours after the allegation was made to the State Survey Agency for 1 (#4) of 1 resident investigated for abuse out of a total of 6 (#1-#4, R1 and R2) sampled residents. Findings: Review of the facility's policy and procedure titled, Incident Investigation and Reporting (LA ONLY), revealed in part: Purpose: To provide guidance to the facility for investigation and reporting incidents of abuse, neglect, .and/or other reportable incidents to state department, local law enforcement and others as required by state and federal requirements. To ensure reporting reasonable suspicion of crimes against a resident within prescribed timeframes. .3 .In the event of any incident involving an allegation or suspicion of .abuse .will be reported immediately to the Administrator of the facility. The administrator shall report to the State Survey Agency and local law enforcement entities in which the facility is located,…

    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 · Dcited before2023-10-10 · 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 observation, record review and interview, the facility failed to ensure the resident's Minimum Data Set (MDS) assessments were completed accurately for 2 (#2 and #4) out of 6 (#1-#4, R1 and R2) sampled residents. Findings: Resident #2 Review of Resident #2's SM5 (5 Day admission) MDS assessment dated [DATE] revealed the resident was admitted to the facility on [DATE] and was coded under section B titled, Hearing, Vision and Speech as having adequate hearing and no hearing aid. Review of Resident #2's current care plan revealed a problem onset dated 03/14/2023, for Resident #2 being at risk for impaired communication, with an intervention to assist resident with hearing aids. On 10/10/2023 at 8:34 a.m., a phone interview was conducted with Resident #2's family member who stated the resident has had hearing aids for approximately one year. Resident #2's family member stated she visited the resident last week and confirmed the resident was wearing her hearing aids. On 10/10/2023 at 11:26 a.m., an interview…

    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 before2023-08-09 · 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 and interview the facility failed to ensure that services were provided as outlined in the comprehensive plan of care by failing to accurately document intake and output for 2 residents (#42 and #95) out of 2 sampled residents. The total sample was 49 residents. Findings: Review of the facility's policy titled Intake and Output Measurement read in part; Equipment, #1. Intake and output record form. Procedure, #11. Document intake and/or output. #12. Intake and output are totaled every twenty-four hours. #13. The nurse is responsible to evaluate the total Intake and Output per shift. If the intake and output is not adequate, notify the nursing supervisor and the physician. Resident #42 Review of Resident #42's electronic record revealed she was admitted on [DATE] with diagnoses that included Dependence on Renal Dialysis and End Stage Renal Disease. Review of Resident #42's physician orders dated 02/08/2022 revealed the following order: Intake and Output every shift. Review of Resident #42'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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure that dishware had been thoroughly cleaned as evidenced by multiple bins that were being used to hold beverages for the residents, and a bin that had just been cleaned, were noted with a black substance inside the bins. This deficiency had the potential to affect 107 residents who consumed beverages prepared in the kitchen, of a total census of 114 residents. Findings: On 08/07/2023 at 9:20 a.m., an observation was conducted of a plastic bin in the kitchen, with ice and prepared drinks sitting in the bin. A black substance was noted to the bottom inside the plastic bin that was visible under the ice where drinks were sitting. An observation of an empty plastic bin sitting next to the first bin revealed this bin also had a black substance noted to the bottom inside of bin. Concurrently, S13Kitchen stated that she had used the empty bin to hold yogurt that the residents had eaten. An observation of a third plastic bin that held ice with drinks sitting in the bin was revealed a back substance to the bottom inside of bin,…

    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 · E2023-08-09 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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 reviews and interviews, the facility failed to ensure resident medical records accurately reflected the resident's and/or RP's (Responsible Party) wishes for Advanced Directives for 3 (#91, #100, #108) of 4 (#91, #100, #108, and #273) residents investigated, out of a total sample of 49 residents. Findings: Resident #91 On [DATE] at 2:36 p.m., a review of Resident #91's record was conducted. An admission date of [DATE] and diagnoses including Rhabdomyolysis, and Chronic Obstructive Pulmonary Disease were noted. Further review of Resident #91's record revealed a document titled Resident/Family consent for Cardiopulmonary Resuscitation. The document included We ask that you mark ONE of the decisions below, accompanied by your signature and date. A box on the document indicating that CPR (Cardiopulmonary Resuscitation) should be done on the resident had been checked. The form was dated [DATE], and was signed by Resident #91's representative. A review Resident #91's Echart (Electronic chart) 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-09 · 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 observations and interviews, the facility failed to ensure residents' equipment was kept clean and in good repair for 3 (#27, #92 and #115) out of 5 (#16, #27, #86, #92 and #115) residents investigated for environment as evidenced by: 1. Resident #27's left hand roll observed unclean with brown stains noted to the strap secured on top of the resident's hand. 2. The sink in Residents' #92 and #115 bathroom observed with a moderate amount of green and white buildup and water splattered stains to both knobs. The spout of the sink's faucet was covered in a thick white buildup. This deficient practice had the potential to affect the 114 residents who resided in the facility. Findings: 1. Resident #27 Resident #27 was admitted to the facility on [DATE] with the following pertinent diagnoses: Alzheimer's Disease, Aphasia, Unqualified Visual Loss- Both Eyes and Pressure Ulcer of Other Site- Stage 2. On 08/07/2023 at 10:56 a.m., an initial observation was made of Resident #27 resting in bed with a hand roll 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-09 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure each residents Minimum Data Set (MDS) assessment was transmitted within 7 days of completion for 1 (#112) out of 1 resident reviewed for Resident Assessment. Findings: Review of Resident #112's electronic medical records revealed that she was admitted to the facility on [DATE] and discharged on 05/24/2023. Further review revealed that the resident's discharge MDS was submitted on 05/24/2023 and rejected. There was no evidence that another attempt was made to resubmit said MDS. On 08/09/2023 at 3:30 p.m., an interview was conducted with S16NCP/LPN. She reviewed the resident's electronic record and confirmed a discharge MDS was completed for the resident on 5/24/2023. She confirmed that the resident's discharge MDS was submitted on 05/24/2023 and was rejected. She stated that someone should have determined why it was rejected and resubmitted the discharge MDS.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure that a resident admitted to a facility without pressure ulcers received care to prevent the development of an avoidable pressure ulcer for 1 (#27) out 5 (#3, #27, #33, #53 and #54) residents investigated for pressure ulcers out of a total sample of 49 residents. Findings: Resident #27. Review of the resident's electronic clinical record revealed that the resident was admitted to the facility on [DATE] with the following pertinent diagnoses: Alzheimer's Disease, Aphasia, Unqualified Visual Loss- Both Eyes, Dysphagia, Generalized Osteoarthrosis-Multiple Sites Further review of the resident's electronic clinical record revealed a diagnosis of Pressure Ulcer of Other Site- Stage 2 with an onset date of 05/19/2023. Review of the resident's quarterly MDS (Minimum Data Set) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 99 indicating the resident was unable to complete the interview. Review of Section G: Functional…

    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 · D2023-08-09 · tag F0725 — failed to have enough nursing staff — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to have sufficient nursing staff to provide nursing and related services to each resident as evidenced by: 1. Staff failing to provide ADLs (Activities of Daily Living) in a timely manner for resident (#86) who was dependent on staff for ADLs for 1 out of 49 sampled residents and 2. Staff failing to pass ice on Hall C during the 6 a.m. to 2 p.m. shift on 08/07/2023 and 08/08/2023. Findings: 1. Resident #86. Review of the resident's electronic clinical record revealed the resident was admitted to the facility on [DATE]. The resident's diagnoses included Atherosclerotic Heart Disease, Edema, and Nontraumatic Intracranial Hemorrhage. Review of the resident's quarterly MDS (Minimum Data Set) dated 8/1/2023 revealed the resident's BIMS (Brief Interview for Mental Status) score was 12 for mildly impaired for cognition. The resident was coded total dependence with 2 plus person physical assist for bed mobility, transfer, toilet use, and coded total…

    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 · D2023-08-09 · tag F0800 — isolated
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure cold foods were stored at the appropriate temperature as evidenced by supplement shakes and milk being served to the residents that were held at temperatures above 41 degrees. This deficient practice had the potential to affect the 107 residents who consumed cold food served from the kitchen, out of the entire census of 114 residents. Findings: A review of the facility's policy and procedure titled Resident Tray Service and Delivery. Procedures included: 2d. Cold hazard foods are held at or below 41 degrees F (Fahrenheit); and 2e. Food chilled for palatability should be held on ice or in appropriate cooling/holding equipment to maintain temperature. On 08/07/2023 at 11:15 a.m., an interview was conducted with S10DM. She stated that the lunch drinks had already been brought to the dining room and were being served to residents. Concurrently, S10DM entered the dining room with a thermometer to take the temperatures of the beverages that were in the process of being served to the residents. Some of the beverages were…

    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 · D2023-08-09 · 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 observations and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable disease and infections as evidenced by failing to ensure hand hygiene was performed between distributing each resident's meal tray for 3 (#40, #41, #116) residents out of a final sample of 49 residents Findings: Review of the facility's policy titled Hand Hygiene read in part .1. When to use alcohol-based hand rub .e. Before entering a resident's room. F. Before exiting a resident's room. On 08/07/2023 at 12:06 p.m., an observation was made of S9CNA (Certified Nursing Assistant) as she distributed lunch trays to residents eating in their rooms on Hall A. S9CNA removed a covered meal tray from the meal cart, and delivered the tray to Resident #116. She exited the room and did not wash or sanitize her hands. S9CNA then proceeded to remove a second covered meal tray from the cart. She distributed the meal tray to Resident #40. S9CNA did not sanitize or wash…

    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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to THE BEEBE FAMILY — 48 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 3 of 52.8+0.2 vs chain
Health inspection 3 of 53.0≈ chain avg
Staffing 3 of 53.3-0.3 vs chain
Quality measures 2 of 52.0≈ chain avg
The other 47 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Gulfport Care CenterGulfport, MS 1 of 5Heritage Manor Of Baton Rouge IIBaton Rouge, LA 1 of 5Heritage Manor Of OpelousasOpelousas, LA 1 of 5Humphreys Co Nursing CenterBelzoni, MS 1 of 5Lawrence Co Nursing CenterMonticello, MS 1 of 5Lexington HouseAlexandria, LA 1 of 5Riverview Care CenterBossier City, LA 1 of 5Southern Hills Healthcare And RehabilitationShreveport, LA 1 of 5The SummitAlexandria, LA 1 of 5Tishomingo ManorIuka, MS 2 of 5Attala County Nursing CenterKosciusko, MS 2 of 5Heritage Manor WestShreveport, LA 2 of 5Highland HomeRidgeland, MS 2 of 5Landmark Nursing Center HammondHammond, LA 2 of 5Landmark Of DesotoHorn Lake, MS 2 of 5Matthews Memorial Health Care CenterAlexandria, LA 2 of 5Myrtles Nursing Center, LLCColumbia, MS 2 of 5Perry County Nursing CenterRichton, MS 2 of 5Sardis Community NhSardis, MS 2 of 5Tunica County Health & Rehab, LLCTunica, MS 3 of 5Clarksdale Nursing CenterClarksdale, MS 3 of 5Copiah Living CenterCrystal Springs, MS 3 of 5Heritage Manor Of Ville PlatteVille Platte, LA 3 of 5Heritage Manor of HoumaHouma, LA 3 of 5J G Alexander Nursing CenterUnion, MS 3 of 5Landmark Of RayneRayne, LA 3 of 5Landmark of Baton RougeBaton Rouge, LA 3 of 5Landmark of Lake CharlesLake Charles, LA 3 of 5Washington Care CenterGreenville, MS 4 of 5Audubon Health and RehabThibodaux, LA 4 of 5Brandon CourtBrandon, MS 4 of 5Camellia EstatesMcComb, MS 4 of 5Forest Manor Nursing and Rehabilitation CenterCovington, LA 4 of 5Heritage House Nursing CenterVicksburg, MS 4 of 5Heritage Manor Of SlidellSlidell, LA 4 of 5Heritage Manor Of Stratmore Nursing & Rehab CtrShreveport, LA 4 of 5Heritage Manor SouthShreveport, LA 4 of 5Hillcrest Nursing CenterMagee, MS 4 of 5Landmark Of AcadianaSaint Martinville, LA 4 of 5Landmark Of CollinsCollins, MS

Showing 40 of 47; lowest-rated first.

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
ACT INVESTMENTS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15%since 01/01/2010
MEDICO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL85%since 01/01/2010
DAVID & FELICIA STALLARD CHILD TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 01/01/2010
ELTON GLYNN BEEBE JR. & NANCY DOTY BEEBE IRRV TR UAOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 01/01/2010
GERARD AND ALISON DANOS CHILDRENS TROrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2010
JOSEPH & ALISON SADLER CHILDREN TROrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2010
PARKINSON, TONIIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
ACCOUNT MANAGEMENT SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
ADMINISTRATIVE SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
PATHWAY MANAGEMENT OF LOUISIANA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2013
PROVIDENCE CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2020
PROVIDER PROFESSIONAL SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2010
TRISTAR REHAB INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
BEEBE, BOBBYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2013
BEEBE, ELTONIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2010
BURNELL, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/05/2014
HEWITT, DALEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/15/2013
STALLARD, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2020
ALISONS 2016 FAM TR NO 2OrganizationADP OF THE SNFsince 01/01/2025
ARIA CARE MANAGEMENT LLCOrganizationADP OF THE SNFsince 08/01/2022
BEEBE 2013 CHILDRENS TR NGOrganizationADP OF THE SNFsince 01/01/2025
FELICIAS 2016 FAM TR NO 2OrganizationADP OF THE SNFsince 01/01/2025
LECC OPELOUSAS LLCOrganizationADP OF THE SNFsince 01/01/2025
LOUISIANA EXTENDED CARE CENTERS LLCOrganizationADP OF THE SNFsince 01/01/2025
LTC HIM CONSULTING INCOrganizationADP OF THE SNFsince 04/01/2007
PHARMACEUTICAL CONSULTING SERVICES OF AMERICA LLCOrganizationADP OF THE SNFsince 12/31/2010
QSST TR FOR ALISON BEEBE SADLER DANOS AND HER DESCENDANTSOrganizationADP OF THE SNFsince 01/01/2025
VERDIN ENTERPRISES, LLCOrganizationADP OF THE SNFsince 11/01/2021

CMS files one row per role, so the 41 rows in the source record cover these 28 parties — each is shown once here with every role it holds. Nothing is omitted.

22 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.

$12.3M
Net patient revenuemost recent cost report
+5.3%
Operating marginrevenue minus expenses
$1.5M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 72%Medicare 9%Other / private 19%

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 $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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

$277per resident / day
operating cost
$8,409per month
≈ monthly operating cost
$292per 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 195318. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-03, 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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