Grace Nursing Home

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.

53.4% 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 52 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.1% 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 28 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 0.24 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 128 beds and averages 117.3 residents a day — about 92% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.20 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.14 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 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 2.74 hrs/resident/day on weekends vs 3.39 on weekdays — 19% thinner on weekends. RN hours go from 0.16 to 0.09 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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.

34 citations, most serious first. The 12 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-09-05 · 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 interviews and record reviews, the facility failed to protect a resident's right to be free from neglect for 1 (#1) of 4 (#1, #2, #3, and #4) residents reviewed for neglect. The facility failed to ensure an effective system was in place for staff to identify whether a resident was out of the facility on pass or missing, which resulted in Resident #1 being left outside overnight without required care. This deficient practice resulted in an Immediate Jeopardy (IJ) situation on 08/26/2024 at 5:44 p.m., when Resident #1, a severely cognitively impaired resident who required extensive assistance, self-propelled outside the facility without staff knowledge. From 5:44 p.m. until the next morning at 8:15 a.m., staff assumed the resident was out of the facility on pass with family. When Resident #1 was found, she was lethargic, wet with urine, and her vital signs were pulse 119, blood pressure 155/54, and blood glucose of 287. Resident #1 was transferred to the hospital and admitted for Hypertensive Urgency,…

  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
• Actual harm · Gcited before2025-06-12 · 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 observation, interviews and record reviews, the facility failed to ensure each resident had the right to be free from neglect for 1 (#1) of 3 (#1, #2 and #3) sampled residents reviewed for neglect. S3CNA and S4CNA neglected Resident #1 when they failed to verify Resident #1's transfer status prior to transferring Resident #1, who required mechanical lift for transfer. This deficient practice resulted in actual physical harm on 05/13/2025 at approximately 12:30 p.m., when S3CNA and S4CNA transferred Resident #1, who required a mechanical lift, by using a draw sheet without verifying what type of transfer assistance Resident #1 required. Following the transfer, Resident #1 yelled out in pain and an x-ray of the left shoulder was ordered. Resident #1 was diagnosed with a Closed Displaced Fracture of Proximal End of Left Humerus and was sent to the local emergency room for evaluation and treatment. After returning to the facility, Resident #1 continued to have pain and required her left arm to remain in a…

  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 before2025-12-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 a resident who required assistance with ADLs received the necessary services to maintain good grooming and personal hygiene for 1 (#23) of 2 residents reviewed for ADL's. The facility failed to trim and clean Resident #23's fingernails. Review of the facility's policy dated 02/2025 and titled, Fingernails/Toenails, Care of, revealed the following, in part:Policy: To promote cleanlinessPurpose: The purpose of this procedure is to clean the nail bed, to keep nails trimmed, and to prevent infections. General Guidelines1. Nail care includes daily cleaning and regular trimming.Review of the Resident #23's Medical Record revealed he was admitted to the facility on [DATE] with diagnoses, which included Chronic Obstructive Pulmonary Disease, Chronic Diastolic Congestive Heart Failure, and Depression. Review of Resident #23's Quarterly MDS with ARD of 10/07/2025 revealed BIMS of 15, which indicated he was cognitively intact. Review 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
• Potential for harm · D2025-12-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and interviews, the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to prevent complications of enteral feeding for 1 of 1 (#102) residents reviewed for tube feeding. The facility failed to ensure:1. The enteral feeding flush bag was appropriately labeled with an opened date and time; and2. The enteral feeding pump was on and running continuously in accordance with physician orders.Review of Resident #102's clinical record revealed he was admitted to the facility on [DATE] with diagnoses, which included Gastrostomy, Dysphagia, Disturbances of Salivary Secretion, and Gastro-Esophageal Reflux Disease. Review of Resident #102's current Physician Orders revealed, in part, the following: Order date: 08/19/2025 - Enteral Feed Order: Peptamin 1.5 @ 60 mL/hr continuous every 24 hours, flush peg with 40 mL/hr via auto flush system. On 12/08/2025 at 10:01 a.m., an observation was made of Resident #102 in his room,…

  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 · Dcited before2025-12-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure each resident received necessary respiratory care consistent with professional standards of practice for 2 (#39 and #68) of 3 residents reviewed for respiratory care. The facility failed to ensure:1. Resident #39's Oxygen tubing was labeled with the date last changed on her portable oxygen tank.2. Resident #39's portable oxygen tank administered the appropriate amount of oxygen in accordance with physician orders.3. Resident #68's pre-filled water reservoir was labeled with the date last changed. Review of the facility's policy with a revision date of 03/2025 and titled Departmental (Respiratory Therapy) revealed the following in part: General Guidelines 1. Pre-filled water reservoir packs used in respiratory therapy must be dated when opened and discarded every thirty (30) days, or when the water level becomes low. Steps in the procedure Infection Control Considerations Related to Oxygen Administration: 2. [NAME] the bottle…

  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 · Dcited before2025-12-10 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles. The facility failed to ensure medication rooms were free of expired medications / supplements for 1 (MR2) of 2 medication rooms reviewed. There were 119 residents residing in the facility.Findings: On 12/08/2025 at 9:22 a.m., an observation was made of MR2 with S3LPN. The following items were found:1 Bottle of Senna Liquid 8.8 mg / 5 ml Chocolate Flavor with an expiration date of 04/2025;1 Bottle of Adult Vitamin Tablets with an expiration date of 05/2025;1 Bottle of Adult Vitamin Tablets with an expiration date of 07/2025;2 Bottles of Adult Vitamin Tablets with an expiration date of 09/2025; and1 Bottle of Adult Vitamin Tablets with an expiration date 10/2025. On 12/08/2025 at 9:22 a.m., an interview was conducted with S3LPN. S3LPN confirmed the aforementioned medications /supplements were expired. S3LPN confirmed expired medications / supplements should not be kept in the 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 · Dcited before2025-06-12 · 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 an allegation involving neglect was reported to the State Survey Agency in the required timeframe for 1 (#1) of 3 (#1, #2 and #3) sampled residents reviewed for neglect. Findings: Review of the facility's policy titled Abuse Investigation and Reporting with a revision date of 06/2022, revealed the following in part: Reporting: 1. All alleged violations involving neglect will be reported by the facility Administrator, or his/her designee, to the following persons or agencies: a. The State licensing/certification agency responsible for surveying/licensing the facility; 2. An alleged violation of neglect will be reported immediately, but not later than: a. Two (2) hours if the alleged violation involves abuse OR has resulted in serious bodily injury; or b. Twenty-four (24) hours if the alleged violation does not involve abuse AND has not resulted in serious bodily injury. Review of the facility's policy titled Identifying Neglect with a revision…

  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 before2025-06-12 · 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 record review and interviews, the facility failed to implement a comprehensive person-centered care plan for 1 (#1) of 3 (#1, #2 and #3) residents reviewed in the sample. The facility failed to ensure Resident #1 was transferred properly using the mechanical lift with two person assistance. Findings: Review of Resident #1's Clinical Record revealed she was admitted to the facility on [DATE], with diagnoses which included but were not limited to Parkinson's Disease, Unspecified Osteoarthritis, History of Falling, Presence of Left Artificial Knee Joint and Acquired Absence of Right Leg Below the Knee. Review of Resident #1's Quarterly MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 05/16/2025, revealed a BIMS (Brief Interview for Mental Status) of 3, which indicated the resident was severely cognitively impaired and her cognitive skills for daily decision making were severely impaired. Further review revealed in Section GG that the resident was dependent in chair/bed transfers. Review 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-01 · 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 interviews and record review, the facility failed to develop a Comprehensive Person-Centered Care Plan for 1 (#2) of 3 (#1, #2, #3) sampled residents reviewed. This was evidenced by the facility failing to ensure Resident #2's Comprehensive Person-Centered Care Plan was accurately updated to reflect his current Physician's Orders. Findings: Review of Resident #2's Clinical Record revealed he was admitted on [DATE] with diagnoses including, in part, the following: Dysphagia following Cerebral Infarction and Gastrostomy. Review of Resident #2's Quarterly Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 02/04/2025 revealed the provider assessed the resident as having a Brief Interview for Mental Status (BIMS) of 2, which indicated the resident had severe cognitive impairment. Review of Resident #2's current active Physician's Orders revealed the following, in part: Enteral feeds - every shift related to Hyperglycemia, Glucerna 1.5 @ 60 cc/hr continuous per Percutaneous Endoscopic Gastrostomy…

  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 before2024-10-16 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interviews, the facility failed to ensure drugs and biologicals used in the facility were stored in accordance with currently accepted professional principles. The facility failed to ensure expired medications were not available for administration to residents on 1 (Med Cart 1) of 4 (Med Cart 1, 2, 3, and 4) medication carts observed. Findings: Review of the facility's policy titled Medication Labeling and Storage dated 02/2023 revealed the following: Medication Storage: 2. Nursing staff was responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner. An observation was made on 10/14/2024 at 2:37 p.m. with S4LPN of Cart 1. The following was observed: 1 bottle of lubricant eye drops dated 08/21/2024, no expiration date; 1 bottle of eye drops dated 08/10/2024, no expiration date; 1 nasal inhaler with an expiration date of 08/17/2024. An interview was conducted with S4LPN on 10/14/2024 at 2:40 p.m. She reviewed the aforementioned two bottles of eye drops and stated eye drop medications were only…

  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 before2024-10-16 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary environment to help prevent the development and transmission of infection for 3 (#35, #107, and #271) of 3 (#35, #107, and #271) residents reviewed for infection control. The facility failed to ensure: 1. Staff implemented appropriate EBP (Enhanced Barrier Precautions) for Resident #107 and #271); and 2. Staff used proper hand hygiene during wound care for Resident #107, 3. Staff used proper infection control technique when providing catheter care for Resident #35. Findings: Review of the facility's policy titled Enhanced Barrier Precautions, dated August 2022, revealed the following, in part: Policy Interpretation and Implementation: 1. EBPs are used as an infection prevention and control intervention to reduce the spread of multi-drug resistant organisms MDRO (Multi-Drug Resistant Organism) to residents. 3. Examples of high- contact 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-16 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure each resident was treated with respect and dignity in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for 1(#50) of 24 residents reviewed in the final sample. The facility failed to ensure Resident #50's urinal was emptied in a timely manner prior to meals being served in the resident's room. Findings: Review of Resident #50's Clinical Record revealed he was admitted to the facility on [DATE] with diagnoses which included, Acquired Absence of Right and Left Leg Above the Knee, Anxiety, and Post Traumatic Stress Disorder. Review of Resident #50's most recent MDS (Minimum Data Set), with an ARD of 09/24/2024, revealed a BIMS (Brief interview for Mental Status) of 15, indicating Resident #50 was cognitively intact. Review of Resident #50's Progress Notes revealed, in part: Nutritional Note dated 09/24/24 at 3:00 p.m. - Resident eats all of his meals in his room. On 10/15/2024 at…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$48,357 in federal fines across 2 penalties.

• $9,110 — penalty dated 2025-06-12
• $39,247 — penalty dated 2024-09-05

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.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

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

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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

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