Park Avenue Health Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

44.6% 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 110 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.6% 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 53 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 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 89 beds and averages 75.8 residents a day — about 85% occupied, or roughly 13 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.02 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 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 3.40 hrs/resident/day on weekends vs 3.67 on weekdays — 8% thinner on weekends. RN hours go from 1.15 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

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

• Immediate jeopardy · Jcited before2024-11-19 · 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 records reviewed, interviews and observations for one of six sampled residents (Resident #1), the Facility failed to ensure they provided an adequate level of staff supervision to prevent an incident of elopement, resulting in injuries. 1) On 11/02/24, Resident #1 who had severe cognitive impaired, and was assessed as being at increased risk for elopement, exhibited increased exit seeking behaviors including making multiple attempts to leave the Facility through alarmed exit doors on the unit, asked staff members for a ride home and required constant redirection by staff. Sometime before lunch, Resident #1 was redirected by a staff member to go to an activity going on in the day room. However, that was the last time staff recall seeing Resident #1, and it was not until staff noticed that his/her lunch tray was untouched that staff determined he/she was no longer in the Facility. Resident #1 was found the next day at a convenience store located in the next town (3.6 miles away from the Facility).…

  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 · J2023-10-11 · 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 review, and interview the facility failed to protect one Resident (#2) from neglect out of a total sample of 22 Residents. Specifically, the facility failed to ensure that nursing staff identified multiple treatment orders for one wound and neglected to implement treatments ordered by the physician as instructed by the Wound Clinic for his/her coccyx wound from May 2023 through September 2023. Subsequently, Resident #2's wound deteriorated significantly. In July 2023 Resident #2 was hospitalized and was diagnosed with Stage IV decubitus ulcer with osteomyelitis (an infection of the bone) and erosion of the distal sacrum and proximal coccyx. Findings include: Neglect, as defined at §483.5, means the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress. The American Nurses Association (ANA), Scope of Nursing Practice, Third Edition, indicated Nursing is the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-10-11 · tag F0658 — failed to meet professional standards of care — isolated
  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 observation, record review, and interview the facility failed to implement physician orders related to pressure ulcers for one Resident (#2) out of a total sample of 22 residents. Specifically, the facility failed to implement treatments ordered by the physician as instructed by the Wound Clinic for his/her coccyx wound from May 2023 through September 2023. Subsequently, Resident #2's wound deteriorated. In July 2023 Resident #2 was hospitalized and was diagnosed with Stage IV decubitus ulcer with osteomyelitis (an infection of the bone) and erosion of the distal sacrum and proximal coccyx. Findings include: Review of the Lippincott Manual of Nursing Practice, 11th Ed. (2019) indicated: Scope of Practice, Licensure, and Certification: The professional nurse's scope of practice is defined and outlined by the State Board of Nursing that governs practice. The National Council of State Boards of Nursing and the NLN have developed standards that guide each State Board in the development of their licensure…

  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
• Immediate jeopardy · Jcited before2023-10-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to implement interventions related to pressure ulcers for two Residents (#2, #27) out of a total sample of 22 Residents. Specifically: 1. For Resident #2, the facility failed to implement treatments to promote healing ordered by the physician as instructed by the Wound Clinic for his/her coccyx wound from May 2023 through September 2023. Subsequently, Resident #2's wound deteriorated. In July 2023, Resident #2 was hospitalized and was diagnosed with Stage IV pressure injury with osteomyelitis (an infection of the bone) and erosion of the distal sacrum and proximal coccyx. Additionally: 2. For Resident #27, the facility failed to follow the recommendations from the wound physician related to his/her heel wound. Findings include: Review of the facility's Pressure Ulcers/Skin Breakdown Clinical Protocol policy dated April 2018 indicated: *The physician will order pertinent wound treatments, including pressure reduction surfaces, wound cleansing…

  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
• Actual harm · Gcited before2026-06-22 · 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 records reviewed and interviews, for one of three sampled residents (Resident #1), who required the use of a mechanical lift with transfers, the Facility failed to ensure his/her safety was maintained during a mechanical lift transfer to prevent an incident/accident resulting in serious injury. On [DATE], during a transfer the mechanical lift stopped functioning with Resident #1 suspended up in the air in lift sling, staff tried to physically move the mechanical lift to position him/her over the bed, Resident #1's body began to sway in the lift sling, and his/her head struck the bedrail. Resident #1 sustained a head laceration, was transferred to the Hospital Emergency Department for evaluation and he/she required five staples to close the wound. Findings include:The Facility Policy, titled Safe Lifting and Movement of Residents, dated as revised [DATE], indicated staff responsible for direct resident care would be trained in the use of mechanical lift devices, and only staff with documented training 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
• Actual harm · Gcited before2025-04-29 · 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 records reviewed and interviews for one of three sampled residents (Resident #1), who was an elopement risk and resided on a secured unit, the Facility failed to ensure he/she was provided with an adequate level of staff supervision to prevent an incident of elopement, when on 04/08/25 around 2:15 P.M. Resident #1 was able to exit his/her unit and the Facility, undetected by staff and was found sitting on the curb in front of the Facility. Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation and was diagnosed with a fractured left elbow. Findings include: Review of the Facility Policy titled Wandering and Elopements, dated as last revised 03/2019, indicated that the Facility would identify residents who are at risk for unsafe wandering and strive to prevent harm while maintaining the least restrictive environment for the residents. Review of the Facility Policy titled, Safety and Supervision of Residents, dated as last revised 07/2017, indicated that the Facility strives…

  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 · D2026-06-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews, for one of three sampled residents, (Resident #1), who per staff interviews has always been transferred via two person assist with the use of a mechanical lift, the Facility failed to ensure his/her comprehensive person-based plan of care related to transfer status indicated his/her dependence on the use of a mechanical lift device, that included interventions, goals and outcomes.Findings include:The Facility Policy, titled Comprehensive Person-Centered Care Plans, dated as revised in March 2022, indicated the comprehensive person based care plan would describe the services that were to be furnished to the resident.The Facility Policy, titled Safe Lifting and Movement of Residents, dated as revised July 2017, indicated nursing staff would document resident transferring and lifting needs in the care plan.Resident #1 was admitted to the Facility in March 2023, diagnoses included progressive multiple sclerosis (an autoimmune disease that affects the central nervous system, leading to damage of the myelin sheath that protects nerve fibers,…

  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 before2025-12-03 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview the facility failed to maintain accurate medical records for three residents (#35, #5 and #69), out of a total sample of 18 residents. Specifically,1. For Resident #35 the facility failed to ensure Certified Nursing Assistants (CNAs), accurately documented a. wandering and b. walking on his/her activities of daily living (ADLs) flow sheets. 2. For Resident #5, the facility failed to ensure CNAs, accurately documented wandering on his/her ADLs flow sheets. 3. For Resident #69 the facility failed to ensure CNAs, accurately documented his/her wandering behaviors, resulting in the development of an inaccurate Minimum Data Set (MDS) assessment. Findings include: Review of the facility's policy titled, Charting Errors and/or Omissions, dated as revised December 2006, indicated that accurate medical records shall be maintained by this facility. 1. Resident #35 was admitted to the facility in April 2025 with diagnoses including major depression, anxiety, and failure to thrive. Review of the most recent Minimum Data Set assessment, dated…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-03 · tag 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 observations, record reviews, and interviews, the facility failed to implement the facility's abuse policy for one Resident #35 out of a total sample of 18 residents. Specifically, for Resident #35 the facility failed to ensure Certified Nurse Assistant (CNA #1), who was accused of neglect, left the facility after she was suspended (placed on leave). Findings include:Review of the facility policy titled, Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, dated as revised September 2022, indicated that all reports of resident abuse, neglect, exploitation, or theft/misappropriation of resident property are reported to local, state, and federal agencies, and thoroughly investigated by facility management. -Reporting Allegations to the Administrator and Authorities:6.Upon receiving any allegations of abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source, the administrator is responsible for determining what actions are needed for the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-03 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to revise the plan of care after two Minimum Data Set assessments for one Resident (#7) out of a total sample of 5 Residents selected for the unnecessary medication review. Specifically for Resident #7, the facility failed to revise three separate care plans related to diuretic use (medication used to decrease fluid) when his/her diuretic was discontinued on 5/19/25 and nursing documented his/her care plans were reviewed on 8/12/25 and 10/27/25. Findings include: Review of the facility policy titled, Care Planning - Interdisciplinary Team, dated as revised March 2022, indicated the interdisciplinary team is responsible for the development of resident care plans.1.Resident care plans are developed according to the timeframes and criteria established by S483.21. Resident #7 was admitted to the facility in November 2022 with diagnoses including Alzheimer's disease, atrial fibrillation, diabetes, and muscle weakness. Review of the Minimum Data Set assessments, dated 7/10/25 and 10/7/25, indicated the Resident #7 was not…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-03 · tag 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

  Based on observation, interview, and record review the facility failed to ensure assistance with Activities of Daily Living (ADLs) was provided for one Resident (#47) out of a total sample of 18 residents. Specifically, for Resident #47 the facility failed to ensure one-to-one staff assistance was provided with meals.Findings include: Resident #47 was admitted to the facility in April 2023 and has diagnoses that include Alzheimer's disease, dysphagia, and dementia with psychotic disturbance. Review of the most recent Minimum Data Set (MDS) assessment, dated 9/25/25, indicated Resident #47 had severe cognitive impairment as evidence by a Brief Interview for Mental Status (BIMS) score of 6 out of 15. The MDS further indicated Resident #47 requires set-up or clean-up with assistance with eating. Review of the active physician orders indicated Resident #47 is a 1:1 (one-to-one) feed as of 8/29/25. Review of the Activities of Daily Living care plan, dated as revised 10/1/25, indicated Resident #47 had the following interventions:-Eating: The resident is assist- totally dependent on staff…

  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 · D2025-12-03 · 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 observation, interview, and record review the facility failed to ensure that the administration of enteral nutrition is consistent with and follows the practitioner's orders for one Resident (#47) out of a total sample of 18 residents. Specifically, for Resident #47 the facility failed to ensure the tube feeding was delivered at the frequency it was ordered.Findings include:Review of the facility's policy titled, Enteral Nutrition, dated as revised November 2018, indicated that adequate nutritional support through enteral nutrition is provided to residents as ordered. Resident #4 was admitted to the facility in August 2025 and has diagnoses including stroke, dysphagia, gastrostomy status (nutrition provided through a tube inserted into the stomach), and congestive heart failure. Review of the most recent Minimum Data Set (MDS) assessment, dated 11/6/25, indicated Resident #4 was rarely/never understood and a staff assessment for Brief Interview for Mental Status indicated severe cognitive impairment.…

  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 · D2025-12-03 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  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, interview, and record review the facility failed to ensure a therapeutic diet was provided for one Resident (#4) out of a total sample of 18 residents. Specifically, for Resident #4 the facility failed to ensure a 1200 mL (milliliter) fluid restriction was followed.Findings include:Review of the facility policy titled Encouraging and Restricting Fluids, dated as revised October 2010, indicated the purpose of this procedure is to provide the resident with the amount of fluids necessary to maintain optimum health. This may include encouraging or restricting fluids. Restricting fluids:-Record the amount of fluid consumed on the intake side of the intake and output record. Record fluid intake in milliliters (mLs). Resident #4 was admitted to the facility in August 2025 and has diagnoses that include stroke, dysphagia, gastrostomy status (nutrition provided through a tube inserted into the stomach), and congestive heart failure. Review of the most recent Minimum Data Set (MDS) assessment, dated…

  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 · D2025-08-28 · tag F0726 — failed to have competent, trained nursing staff — isolated
  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 records reviewed and interviews for one of three sampled residents (Resident #1), who was found unresponsive by staff, and required staff to initiate a Code Blue, the Facility failed to ensure that Licensed Nursing Staff were competent in the process of calling and responding in the event of a Code Blue situation. Findings include:Review of the Facility Policy titled, Emergency Procedure, Cardiopulmonary Resuscitation (CPR), dated as last revised 02/2018, indicated that personnel have completed training on the initiation of CPR and Basic Life Support (BLS).The Policy further indicated that if an individual is found unresponsive, briefly assess for abnormal or absence of breathing. If sudden cardiac arrest is likely, begin CPR;-Instruct a staff member to activate the emergency response system (CODE BLUE) and call 911;-Instruct a member to retrieve that automatic external defibrillator;-Verify or instruct a staff member to verify the Do Not Resuscitate (DNR) or code status of the individual; and-Initiate…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, for one of three sampled residents (Resident #3), the Facility failed to ensure they maintained a complete and accurate medical record, when there was no nursing documentation related to wound measurements for six days following his/her readmission on [DATE], after a hospital stay. Findings include: The Facility Policy, titled Charting and Documentation, dated as revised 07/2017, indicated all services provided to the resident, progress towards the care plan goals, or any changes in the resident's medical, physical, functional or psychological condition would be documented in the resident's medical record. The Facility Policy, titled admission Assessment and Follow Up: Role of the Nurse, dated as revised 09/2012, indicated nursing would conduct an admissions assessment upon admission which included a skin assessment. The Facility Protocol, titled Pressure Ulcers/Skin Breakdown, dated as revised 04/2028, indicated nursing would describe and document a full assessment 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 · E2024-10-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, policy review, and interview, the facility failed to handle food in accordance with professional standards for food service safety. Specifically, the facility failed to ensure that staff did not contaminate ready to eat food during service. Findings include: Review of the facility's policy titled Food Preparation and Services, revised April 2022, indicated, but was not limited to, the following: - Food preparation staff adhere to proper hygiene and sanitary practices to prevent the spread of foodborne illness. - Bare hand contact with food is prohibited. Gloves are worn when handling food directly and changed between tasks. Disposable gloves are single-use items and are discarded after each use. The surveyor made the following observations on 10/17/24 from 11:34 A.M. until 11:52 A.M. during the lunch tray line: - The cook contaminated his gloves by taking lids off pans and by grabbing pan lids stored under the table. The cook then further contaminated his gloves by removing the plastic wrap from the top of two pans, and by grabbing the handles of serving…

  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

“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

$113,612 in federal fines across 3 penalties.

• $12,948 — penalty dated 2025-04-29
• $16,801 — penalty dated 2024-11-07
• $83,863 — penalty dated 2023-10-11

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 BEST CARE SERVICES — 10 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 22 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

8 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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 MA