Claiborne Healthcare Center

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.

Therapy staffing: this home’s payroll records show 0.08 therapist hours per resident per day in 2026Q1 — more than 4% 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 81 beds and averages 63.1 residents a day — about 78% occupied, or roughly 18 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 3.23 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.25 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.84 hrs/resident/day on weekends vs 3.38 on weekdays — 16% thinner on weekends. RN hours go from 0.27 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 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.

40 citations, most serious first. The 16 most serious are shown; the remaining 24 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-06-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews the facility failed to ensure residents received adequate supervision to prevent elopement for 1 (#1) of 3 (#1, #2, #3) residents reviewed for elopement. The facility failed to provide adequate supervision for Resident #1 who was a known elopement risk. This deficient practice resulted in an immediate jeopardy situation for Resident #1 on 04/03/2026 at 5:31p.m., when he eloped from the facility through the front door unnoticed by staff while following visitors out of the building. Resident #1 had a history of exit seeking behaviors, had been identified as an elopement risk, and wore a wander guard ankle bracelet. Resident #1 was picked up by a local police officer about 0.9 miles from the facility on the interstate highway. Resident #1 was returned, uninjured, to the facility at approximately 6:45 p.m. on 04/03/2026. As a result of the investigation, it was determined the cause to be more than likely a staff member entered the door code in the system 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · Lcited before2024-02-22 · tag F0684 — failed to provide proper treatment and quality of care — widespread
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and video footage review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice by failing to follow the facility's accident policy by moving a resident after a fall and failing to assess 1 (Resident #2) of 2 (Resident #2, #3) residents after a fall. The deficient practice resulted in an Immediate Jeopardy for Resident #2 on 02/14/2024 at approximately 5:35:22 a.m. (per video footage observed) when S3 Van Driver attempted to load Resident #2 on the van lift without following the manufacturer's guidelines for that van lift. S3 Van Driver tried to lift Resident #2's wheelchair over the side of the van lift instead of wheeling Resident #2 on to the front of the lift, as per manufacturer's guidelines. When S3 Van Driver grabbed the front left leg of the wheelchair to get over the side of the van lift, the wheelchair flipped over backwards with Resident #2 in the chair and landed on the concrete. S3 Van Driver called…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2024-02-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interviews, and video review, the facility failed to ensure the residents' environment remains as free of accident hazards as possible for each resident who is transported in the facility's van via wheelchair. The facility's staff failed to follow the guidance of the manufacturer's 'Step by Step Wheelchair Lift Operation Guide' in the loading of wheelchaired residents for 1 (Resident #1) of 2 (Resident #2 and #3) residents reviewed for falls. The deficient practice resulted in an Immediate Jeopardy for Resident #2 on 02/14/2024 at approximately 5:35:22 a.m. (per video footage observed) when S3 Van Driver attempted to load Resident #2 on the van lift without following the manufacturer's guidelines for that van lift. S3 Van Driver tried to lift Resident #2's wheelchair over the side of the van lift instead of wheeling Resident #2 on to the front of the lift, as per manufacturer's guidelines. When S3 Van Driver grabbed the front left leg of the wheelchair to get over the side of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2024-02-22 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews and video footage review, the facility failed to ensure the van driver possessed the competency to load a resident on to the facility van correctly and nursing staff possessed the competency to assess residents after a fall for 1 (Resident #2) of 2 (Resident #2 and #3) residents reviewed for falls. The deficient practice resulted in an Immediate Jeopardy for Resident #2 on 02/14/2024 at approximately 5:35:22 a.m. (per video footage observed) when S3 Van Driver attempted to load Resident #2 on the van lift without following the manufacturer's guidelines for that van lift. S3 Van Driver tried to lift Resident #2's wheelchair over the side of the van lift instead of wheeling Resident #2 on to the front of the lift, as per manufacturer's guidelines. When S3 Van Driver grabbed the front left leg of the wheelchair to get over the side of the van lift, the wheelchair flipped over backwards with Resident #2 in the chair and landed on the concrete. Did you observe hiS3 Van Driver called…

  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
• Immediate jeopardy · L2024-02-22 · 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 record review, interview and video footage review, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being for 1 (Resident #2) of 2 (Resident #2 and #3) residents after a fall: 1. by failing to ensure a system was in place to safely transport Resident #2 in the facility van; 2. by failing to ensure the van driver possessed the competency to load a resident on to the facility van correctly and nursing staff possessed the competency to assess residents after a fall; and 3. by failing to ensure a system was in place to provide necessary care and treatment in accordance with professional standards of practice to Resident #2 after an incident on 02/14/2024. The lack of administrative oversight resulted in an Immediate Jeopardy for Resident #2 on 02/14/2024 at approximately 5:35:22 a.m. (per video footage observed) when S3 Van Driver attempted to load Resident #2 on the van lift without following the manufacturer's guidelines for…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-04-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure residents were free from accident hazards during transport resulting in a fall for 1 (#1) of 3 (#1, #2, #3) sampled residents who required transportation to appointments. S7Van Driver, S8Van Driver and S4Transportation CNA (Certified Nurse Assistant) failed to ensure Resident #1's mode of transportation was verified by his nurse which led to his fall. This deficient practice resulted in an actual harm for Resident #1 on 04/09/2024 at 1:45 p.m., when S7Van Driver attempted to load Resident #1 via wheelchair onto the facility van for a doctor's appointment when he was required to be transported by ambulance on a stretcher. S7Van Driver reported Resident #1's wheelchair tilted backwards after loading it onto the van lift. S7Van Driver further reported Resident #1's wheelchair fell backwards and slid down the front of her legs to the ground with his head resting on her foot. Resident #1 reported feeling increased anxiety prior to and during other…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-06-05 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to ensure each resident was treated with respect and dignity in a manner and in an environment that promotes or enhances his or her quality of life for 1 (#6) of 6 (1, #2, #3, #4, #5, #6) sampled residents. The facility failed to ensure communication by staff was dignified and respectful while assisting Resident #6 with care. Findings:Review of the facility's Resident Rights policy (revised 04/2017) revealed:Facilities shall have a written policy on resident rights and shall post and distribute a copy of those rights. In addition to the basic civil and legal rights enjoyed by other adults, residents shall have the rights listed below. Facility policies and procedures must be in compliance with these rights. Residents shall: .b. Be treated as individuals in a manner that supports their dignity; . Review of Resident #6's medical record revealed and initial admission date of 06/17/2025 with diagnoses including, in part, acquired absence of left leg above knee, Diabetes Mellitus due to underlying condition with diabetic…

  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 · Ecited before2026-03-18 · 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

  Based on record review and interview the facility failed to develop a comprehensive care plan for 1 (#14) of 1 resident reviewed for urinary tract infection. Findings:Review of the facility's Care Plans, Comprehensive, Person-Centered policy, last review date 06/02/2025 revealed the following, in part:Policy Statement: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs is developed and implemented for each resident. Review of Resident #14's medical record revealed an admit date of 06/17/2025 with a diagnosis of personal history of urinary tract infections (UTI). Review of S6Nurse Practitioner progress note created 01/27/2026 revealed the following, in part:Levofloxacin Oral Tablet 750 MG, Give 1 tablet by mouth one time a day for wound infection for 14 Days, 750 milligrams, active, 01/22/2026 to 02/05/2026. Cranberry-Vitamin C-Inulin, UTI-Stat Oral Liquid, Give 30 milligrams by mouth two times a day related to personal history of urinary tract infections, active,…

  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 · E2026-03-18 · tag F0732 — pattern
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations and interviews the facility failed to ensure nurse staffing data information was posted daily and retained for a minimum of 18 months. Findings:Observation on 03/16/2026 at 1:15 p.m. failed to reveal nurse staffing data information was posted. Observation on 03/17/2026 at 1:00 p.m. failed to reveal nurse staffing data information was posted. During an interview on 03/17/2026 at 1:09 p.m. S1 Interim Administrator reported the daily nurse staffing data information was not posted and should be. During an interview on 03/17/2026 at 2:00 p.m. S1 Interim Administrator reported she was unable to locate the daily staffing data information postings since 08/27/2025 and the daily postings should have been retained at least 18 months.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-18 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to accommodate the needs of 1(#29) resident of 2 residents reviewed for environment. The facility failed to ensure resident's call light remained within reach. Findings: Review of the facility's Resident Call System policy with review date of 03/28/2023 revealed in part: Residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized workstation. Policy interpretation and implementation:1. Each resident is provided with a means to call staff directly for assistance from his/her bed, from toileting/bathing facilities and from the floor. Review of Resident #29's 12/29/2025 Quarterly MDS assessment revealed in part, Resident #29 had a BIMS score of 00 which indicated severe cognitive impairment and did not have any functional impairment to upper or lower extremities. An observation on 03/16/2026 at 8:25 a.m. revealed Resident #29 lying in bed with dresser positioned at foot of bed. Further observation revealed Resident #29's call light lying on…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-18 · tag F0814 — failed to dispose of garbage properly — isolated
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review, observation and interview the facility failed to ensure the outside dumpster lids were closed. Findings:Review of the provider's Food-Related Garbage and Refuse Disposal policy, reviewed and revised 03/05/2026 revealed the following, in part:7. Outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter. Observation on 03/16/2026 at 8:14 a.m. revealed both of the dumpster's lids were completely open to the backside of the dumpster. During an interview on 03/16/2026 at 8:15 a.m., S4Dietary Manager verified both of the dumpster lids were completely open to the backside of the dumpster.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-02 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 protect resident's right to be free from verbal abuse by a staff member for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents. The facility implemented corrective actions which were completed prior to the State Agency's investigation, thus it was determined to be a Past Noncompliance citation. Findings: Review of the facility's Abuse Prohibition Policy dated 05/17/2024 revealed in part: Intent: Each resident has the right to be free from abuse, mistreatment, neglect, corporal punishment, involuntary seclusion, and financial abuse. Policy: 1. The facility will prohibit neglect, mental or physical abuse, including involuntary seclusion and the misappropriation of property or finances of residents. Definitions: Verbal abuse is defined as the use of, oral, written or gestured language that willfully includes disparaging or derogatory terms to resident or their families, or within their hearing distance regardless of their age,…

  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 · Past Non-Compliance
• Potential for harm · D2025-04-02 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 implement written policies and procedures for 1 (Resident #1) of 2 (Resident #1, Resident #3) residents reviewed with incidents in the past 4 months. An incident report was not completed for a verbal abuse incident involving Resident #1. Findings: Review of the facility's Policy for Resident and Visitor Accident Report dated as reviewed June 2024 revealed in part: A. Procedure Reporting of Resident Incidents and Visitor Accidents: An Incident Report must be completed by the person reporting the incident or the supervisor on the shift that the incident occurred. B. Resident Incident/Accidents: 1. Licensed nurse must: e. Notify the physician family, legal representative. 5. Document in the medical record -Date and Time of Incident -Nature of injury -Circumstances surrounding the incident (FACTS ONLY) -Resident's account of the incident -Names of witnesses -Time that the physician and family were notified -Physician orders received -Condition of resident…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-29 · 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

  Based on observations, interviews and record reviews the facility failed to develop and implement a comprehensive person-centered care plan for each resident to meet resident's medical and nursing needs for 1 (#265) of 26 sampled residents. The facility failed to ensure: 1.) Resident #265 had an order and was care planned for left knee immobilizer and non-weight bearing to left leg. 2.) Resident #265 received diuretic as ordered by the physician due to diuretic not being reordered timely as per policy. Findings: Review of Resident #265's medical record revealed an admission date of 01/10/2025 with diagnoses that included, in part, other fracture of left femur sequela, unspecified fracture of lower end of left femur subsequent encounter for closed fracture with routine healing, type 2 Diabetes, morbid (severe) obesity due to excess calories, chronic obstructive pulmonary disease, chronic combined systolic (congestive) heart failure, atherosclerotic heart disease of native coronary artery with unspecified angina pectoris, and chronic kidney disease unspecified. Review of Resident…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-29 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interviews, the facility failed to provide services that met professional standards for 1 (#36) of 26 sampled residents. The facility failed to ensure safe oral medication administration practices by leaving medications at the bedside. Findings: Review of the facility's Medication Administration policy dated 07/08/2024 revealed in part: 27. Residents may self-administer their own medications only if the attending physician, in conjunction with the interdisciplinary care planning team, has determined that they have the decision-making capacity to do so safely. Review of Resident #36's medical record revealed an admit date of 03/02/2022 with diagnoses that include in part anxiety disorder, encephalopathy, hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side and arthropathy. Review of Resident #36's MDS (Minimum Data Set) assessment dated [DATE] revealed a BIMS (Brief Interview for Mental Status) score of 15 indicating intact cognition.…

  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 before2025-01-29 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 residents' medical records reflected the resident's wishes for 1 (#20) of 26 residents reviewed for advance directives. The facility failed to ensure Resident #20's medical records were consistent with resident's wishes for DNR (Do Not Resuscitate). Findings: Review of undated policy titled Do Not Resuscitate Order revealed: Policy Statement Our facility will not use cardiopulmonary resuscitation and related emergency measures to maintain life functions on a resident when there is a Do Not Resuscitate Order in effect. Policy Interpretation and Implementation 1. Do not resuscitate orders must be signed by the resident's attending physician on the physician's order sheet maintained in the resident's medical record. Review of Resident #20's medical record revealed an admission date of 07/11/2024 with diagnoses that included, in part, metabolic encephalopathy, type 2 diabetes mellitus with diabetic nephropathy, acquired absence of left and right leg above the knee, other specified peripheral vascular diseases,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$128,887 in federal fines across 3 penalties.

• $15,940 — penalty dated 2026-03-18
• $15,665 — penalty dated 2024-04-30
• $97,282 — penalty dated 2024-02-05

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 NEXION HEALTH — 51 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 14 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

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

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $407K 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