Pierremont 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.

44.4% 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 26 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 180 beds and averages 112.8 residents a day — about 63% occupied, or roughly 67 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 0.26 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.44 hrs/resident/day on weekends vs 4.05 on weekdays — 15% thinner on weekends. RN hours go from 0.29 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 1 administrator has left in the past year.

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 unchanged from the previous inspection. 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.

47 citations, most serious first. The 18 most serious are shown; the remaining 29 are one tap away and print in full.

• Immediate jeopardy · Kcited before2024-11-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure residents at risk for pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, and/or to prevent the development of new ulcers unless the individual's clinical condition demonstrated they were unavoidable for 1 (Resident #25) resident reviewed for transmission based precautions. The deficient practice resulted in an Immediate Jeopardy for Resident #25 on 11/01/2024 when Resident #25 was admitted to the hospital when bilateral heel boot protectors were removed and a border dressing to the left heel dated 5/17 was found to be in place. Resident #25's dressing to his left heel was removed and assessment revealed a large area of superficial ulceration over the dorsal right foot measuring 7.0 cm (centimeter) x 7.0 cm in diameter with numerous areas of superficial ulcerations to dorsal aspect of the right foot, lateral right forefoot, and lateral left forefoot and posterior…

  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 · Kcited before2024-11-15 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, 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 #25) resident reviewed for transmission based precautions. The facility failed to ensure Resident #25 received complete and timely skin assessments and proper ADL (Activities of Daily Living) care. The deficient practice resulted in an Immediate Jeopardy for Resident #25 on 11/01/2024 when Resident #25 was admitted to the hospital when bilateral heel boot protectors were removed and a border dressing to the left heel dated 5/17 was found to be in place. Resident #25's dressing to his left heel was removed and assessment revealed a large area of superficial ulceration over the dorsal right foot measuring 7.0 cm (centimeter) x 7.0 cm in diameter with numerous areas of superficial ulcerations to dorsal aspect of the right foot, lateral right forefoot, and lateral left forefoot and posterior heel with green purulent drainage…

  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
• Immediate jeopardy · Lcited before2024-02-06 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  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 observations, record reviews and interviews, the facility failed to protect the residents' right to be free from physical abuse by staff for Resident #1, free from physical and verbal abuse and psychosocial harm by staff for Resident #5, and free from verbal abuse by staff for Residents #10, #11, and #12 (5 residents) out of 11 (#1, #2, #3, #4, #5, #6, #10, #11, #12, #14 and #15) sampled residents reviewed for abuse. The deficient practice resulted in an Immediate Jeopardy when: 1. On 12/23/2023 at approximately 7:30 p.m., S3CNA (Certified Nursing Assistant) physically abused Resident #1 by hitting Resident #1 on right shoulder and right cheek and slapping Resident #1's lower arm. Resident #1 is cognitively impaired and nonverbal, with the exception of the word Si. Resident #1 is capable of answering questions by nodding yes/no, using hand gestures and saying Si for yes. Resident #1 was able to communicate S3CNA hit her on the right shoulder and twice on the right cheek. Resident #1 acknowledged…

  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
• Immediate jeopardy · Lcited before2024-02-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY I. Based on interview and record 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 5 (#1, #5, #10, #11, and #12) of 11 residents (#1, #2, #3, #4, #5, #6, #10, #11, #12, #14 and #15) reviewed for abuse: 1. by failing to ensure a system was in place to protect Resident #1 from physical abuse by staff, Resident #5 from verbal abuse and psychosocial harm by staff, and Residents #10, #11, and #12 from verbal abuse by staff, prevent abuse from happening again and ensure all residents were free from abuse; 2. by failing to ensure a system was in place to provide ongoing staff training to identify vulnerable residents at risk for abuse and address residents with behaviors, dementia, and low BIMS (Brief Interview for Mental Status) scores. The deficient practice resulted in an Immediate Jeopardy when: 1. On 12/23/2023 at approximately 7:30 p.m., S3CNA…

  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
• Immediate jeopardy · Kcited before2024-02-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews and interviews, the facility failed to ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, and/or to prevent the development of new ulcers unless the individual's clinical condition demonstrated that they were unavoidable for 2 (#16, #17) of 6 (#7, #8, #9, #13, #16, #17) residents reviewed for pressure ulcers. The deficient practice resulted in an immediate jeopardy for Resident #16 on 12/15/2023 when S7 Wound Care FNP assessed Resident #16's sacral wound as deteriorating and with s/s (signs and symptoms) of infection. On 12/15/2023, S7 Wound Care FNP wrote a new order to change the wound care treatment and increase the frequency of Resident #16's sacral pressure ulcer wound care dressing changes from M/W/F (Monday/Wednesday/Friday) to every day. The facility did not provide wound care every day as ordered from 12/16/2023 to 12/25/2023 and instead provided wound care 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2024-02-06 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews the facility failed to ensure nursing staff possessed the competency to provide nursing related services as evidenced by failing to enter physician orders as written and provide care as ordered for 2 (#16, #17) of 6 (#7, #8, #9, #13, #16, #17) residents reviewed for pressure ulcers. The deficient practice resulted in an immediate jeopardy for Resident #16 on 12/15/2023 when S9 Wound Care Nurse failed to enter Resident #16's wound care order timely and accurately leading to a delay in care, resulting in a decline and worsening of Resident #16's sacral pressure ulcer and impending hospitalization on 12/25/2023. Resident #16's 12/15/2023 wound care order was entered: 1. on 12/20/2023, five days after the order was written, 2. utilizing wound cleanser instead of the ordered 0.125% Dakin's Solution, and 3. with a frequency of M/W/F (Monday/Wednesday/Friday) instead of daily. The immediate jeopardy continued for Resident #17 on 01/05/2024 when S9 Wound Care Nurse failed to enter…

  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
• Actual harm · Gcited before2025-01-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  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 physical abuse by a staff member for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents. The deficient practice resulted in actual harm of Resident #1 on 01/10/2025 at 9:15 p.m. when S4 CNA (Certified Nursing Assistant) bent Resident #1's fingers back to her wrist. Resident #1 was assessed by S6 LPN (Licensed Practical Nurse) on the morning of 01/11/2025 and found to have swelling and bruising to her right hand. Resident #1's right hand x-ray dated 01/11/2025 revealed findings consistent with acute fracture of mid aspect of middle phalanx 2nd digit right hand with acute fracture of distal 2nd metacarpal. 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…

  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
• Actual harm · Gcited before2024-04-04 · 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, interviews, and video evidence review the facility failed to ensure 1 (#4) of 1 (#4) residents reviewed for accidents received the necessary supervision and assistive devices to each resident to prevent avoidable accidents including a fall. The deficient practice resulted in actual harm for Resident #4 on 03/19/2024 at 8:11 p.m. when Resident #4 suffered a major injury when he fell out of the bed to the floor when incontinence care was being administered. S2 CNA (Certified Nursing Assistant) was providing incontinence care to Resident #4 and when S2 CNA turned to get an item out of a bedside table drawer, Resident #4 rolled off the bed and to the floor. Resident #4 was sent to a local hospital ER (Emergency Room) on 03/19/2024 and the hospital records showed Resident #4 suffered a closed non-displaced fracture of the right patella (kneecap). Resident #4 returned to the facility on [DATE]. The facility implemented corrective actions which were completed prior to the State Agency'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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Ecited before2026-06-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, observations and interviews the facility failed to provide appropriate infection control practices for 1 (#3) of 1 resident reviewed with an indwelling catheter. The facility failed to provide privacy and use appropriate infection control practices when removing Resident #3's catheter. Findings:Review of facility's Urinary Catheter Policy with a revision date of June 2025 revealed in part;Purpose: The purpose of this procedure is to prevent catheter-associated urinary tract infections.Preparation: 2. Assemble the equipment and supplies as needed.General Guidelines: 1. Following aseptic techniques of the urinary catheter, maintain a closed drainage system. Use Enhanced barrier precautions. Changing Catheters:Equipment and SuppliesThe following equipment and supplies will be necessary when performing this procedure:1. Wash basin;2. Soap and water;3. Wash cloth;4. Towel;5. Bed protector; and6. Gown, gloves and mask (follow Enhanced Barrier Precautions.)Steps in the Procedure:3. Fill the wash basin one-half (1/20) full of warm water. Place the wash basin on 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-10 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, and interviews, 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 infection. The facility failed to ensure:Enhanced Barrier Precautions (EBP) posted outside the resident's room for 1 (Resident #2) of 3 residents reviewed for EBP, Suctioning supplies were stored properly for 1 (Resident #1) of 3 residents who needed respiratory care, including tracheostomy care Findings: Review of the facility's Enhanced Barrier Precautions (EBP) policy dated 04/01/2024 revealed in part:Enhanced Barrier Precautions refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO) that employ targeted gown and glove use during high contact resident care activities.EBP are indicated for residents with any of the following:Wounds and/or indwelling medical devices even if the resident is not known to be infected or…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews the facility failed to accommodate the needs of 2 (#5, #100) out of 4 (#5, #15, #21, #100) residents reviewed for environment. The facility failed to ensure:Resident #5 had a cord on the wall light next to the bed.Resident #100's bathroom emergency call light was functional.Findings:Resident #5Review of Resident #5's record revealed Resident #5 had a BIMS score of 14 indicating intact cognition. During an interview on 02/10/2026 at 7:59 a.m., Resident #5 reported the wall light next to her bed didn't work. Observation on 02/10/2026 at 7:59 a.m. revealed Resident #5's over-bed light on the wall did not have a pull cord to turn it on. During an interview on 02/10/2026 at 8:17 a.m., S17 CNA confirmed Resident #5's wall light did not have a pull cord to turn it on. Observation on 02/12/2026 at 8:18 a.m. revealed Resident #5's wall light did not have a pull cord to turn it on. During an interview on 02/12/2026 at 8:20 a.m., S17 CNA reported they told S1 Administrator on 02/11/2026…

  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 before2026-02-12 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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, observations, and interviews, the facility failed to provide services to prevent further contractures and potential decline in range of motion for 2 (#24, #81 ) of 2 residents reviewed for positioning & mobility. Findings: Resident #24 Review of Resident #24's medical record revealed an admit date of 11/01/2019 with diagnoses, including in part: hemiplegia and hemiparesis following cerebral infarction affecting right dominant side and contracture right hand. Review of Resident #24's MDS assessment dated [DATE] revealed a functional status of dependent on dressing, toileting, bed mobility, transfers, shower/bathe, eating and personal hygiene. Review of Resident #24's Physician's orders revealed orders dated 12/31/2025 for resident to wear right elbow extension hand splint, on before breakfast, off after lunch or as tolerated. Resident to receive RNP services at least 6 x week for PROM and splinting due to diagnosis of CVA. Review of Resident #24's comprehensive care plan 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 reviews, observations, and interviews, the facility failed to provide adequate supervision to prevent accidents and ensure the residents' environment remained free of hazards for 1 (#83) of 1 residents reviewed for smoking. The facility failed to:1. Ensure Resident #83 was supervised while smoking according to the facility's policy and the residents' plan of care;2. Ensure Resident #83's smoking materials were secured according to the facility's policy and the residents' plan of care, and;3. Ensure Resident #83's smoking safety evaluations were conducted quarterly according to the facility's policy. Findings: Review of the Facility Smoking Policy - Supervised and Unsupervised - latest revision date of 07/01/2025 revealed in part:This policy is intended to minimize the risks to residents who smoke, including possible adverse effects on treatment .Residents wishing to smoke while at the facility will have a Smoking Safety Evaluation completed by the interdisciplinary team to determine 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide appropriate and sufficient services, treatment and care, based upon current standards of practice and the resident's comprehensive assessment and care plan to prevent urinary tract infections. The facility failed to provide suprapubic catheter care for 1 (#122) of 3 residents reviewed for urinary catheter or UTI.Findings: Review of Resident #122's medical record revealed an admit date of 02/26/2024 and discharge date of 05/06/2025 with the following diagnoses, including in part: quadriplegia C1-C4 complete, other retention of urine, UTI, and neuromuscular dysfunction of bladder unspecified. Review of Resident #122's comprehensive care plan revealed resident has indwelling catheter -suprapubic catheter care as ordered and prn.Review of Resident #122's Physician's orders revealed an order dated 05/15/2024 for suprapubic catheter care every shift and as needed for patency.Review of Resident #122's April 2025 TAR failed to reveal suprapubic catheter care was provided on the following shifts: day shift on 04/04/2025 and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview the facility failed to store food in accordance with professional standards for food service safety. The facility failed to ensure resident snack/nourishment refrigerators contained sealed, dated, labeled and dated food items from residents. Findings: Review of Policy titled Food: Safe Handling for Foods from Visitors (reviewed 08/08/2025) revealed, in part:Policy StatementResidents will be assisted in properly storing and safely consuming food brought into the facility for residents by visitors.Procedures .4. When food items are intended for later consumption, the responsible facility staff member will: .Ensure that the food is stored separate or easily distinguishable from the facility food.Ensure that foods are in a sealed container to prevent cross contamination.Label foods with the resident name and the current date.5. Refrigerator/freezers for storage of foods brought in by visitors will be properly maintained and: .Daily monitoring for refrigerated storage…

  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 before2026-02-12 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, and interview, the facility failed to provide appropriate treatment and services for 1 (#90) of 2 (#90, #3) residents reviewed for tube feeding. The facility failed to ensure Resident #90's tube feeding and water bags were labeled correctly.Findings:Review of Resident #90's record revealed an admit date of 04/21/2025 and diagnoses including dysphagia following cerebral infarction, type 2 diabetes mellitus with other specified complication, moderate protein-calorie malnutrition, and encounter for attention to gastrostomy.Review of Resident #90's physician orders revealed orders including:- 01/05/2026 - Enteral feed every shift - Tube Feeding Continuous: Formula Osmolite 1.5 at 60cc/hr for 22 hours and 150cc H20 flush every 4 hrs to allow for ADL care.- 06/09/2025 - Jevity 1.5 maybe used as needed if Osmolite isn't available -04/30/2025 - Enteral Feed - every night shift Change feeding syringe, bag/bottle and tubing every 24 hrs or as directed by product manufacturer.Observation on 02/09/2026 at 10:00 a.m. revealed Resident #90 lying in bed with…

  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 · D2025-01-30 · 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 reviews and interviews the facility failed to ensure staff reported alleged violations regarding abuse immediately to the proper facility authority as per facility policy for 1 (#1) of 3 ( #1, #2, #3) sampled residents. 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. 2. The facility will conduct an investigation of alleged or suspected abuse, neglect, or misappropriation of property, and will provide notification of information to the proper authorities according to state and federal regulations. Definitions: -Abuse means the willful infliction of injury, withholding or misappropriating property or money, unreasonable confinement,…

  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 before2025-01-08 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 baseline care plans had been developed and implemented by failing to identify interventions to minimize falls for 3 (#3, #5, and #6) of 6 sampled residents assessed as being at risk for falls. Findings: Review of Policy titled Fall Prevention Program reviewed 06/10/2024 revealed: Policy: All residents will be assessed for the risk for falls at the time of admission, on a quarterly basis, and upon significant change in condition thereafter. Based on the results of this assessment, specific interventions will be implemented to minimize falls, avoid repeat falls and minimize falls resulting in significant injury. A. Procedure 1. All residents will be screened for risk for falls utilizing the Fall Risk Assessment. This will be done at the time of admission, quarterly, after each fall upon significant change in condition. 2. Residents identified at being at risk will have interventions identified in their plan of care to minimize falls. 3. The following is a list of commonly used interventions that may be considered 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 Assessment and Care Planning 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

$422,178 in federal fines across 4 penalties.

• $12,425 — penalty dated 2025-01-30
• $225,456 — penalty dated 2024-11-15
• $16,801 — penalty dated 2024-04-04
• $167,496 — penalty dated 2023-12-06

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 20 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 $765K 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