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Life Care Center Of Auburn

14 Masonic Circle, Auburn, MA 01501 · For profit - Limited Liability company · 154 certified beds · (508) 832-4800 Medicare & Medicaid certified

Call the home — (508) 832-4800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent Jan 2025Behavioral-health or dementia-care citations — no harm found (F0740, F0758)2 actual-harm citations$29,738 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • lower-than-typical staff turnover (30% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (36) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $29,738 in federal fines (most recent 2024-04-10)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
813 Southbridge St · (508) 832-0173 · Call to confirm hours
Pharmacy
861 Southbridge St · (508) 832-8800 · Call to confirm hours
Grocery
711 Southbridge St · (508) 832-5841 · Call to confirm hours
Park
4 Thayer Pond Dr · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.2%16.4%15.4%better
Long-stay residents who lose too much weight8.1%5.1%5.4%worse
Long-stay residents with a catheter left in their bladder0.2%0.8%0.9%better
Long-stay residents with a urinary tract infection0.5%1.8%2.0%better
Long-stay residents with depressive symptoms4.2%15.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.2%3.4%3.3%better
Long-stay residents whose ability to walk worsened5.7%15.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication25.3%19.5%18.9%worse
Long-stay residents given the seasonal flu vaccine96.7%94.8%95.3%typical
Long-stay residents with pressure ulcers6.0%4.2%4.7%worse
Long-stay residents with worsening bladder/bowel control30.7%21.2%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table18.3%21.4%17.1%typical
Short-stay residents who newly got an antipsychotic medication2.5%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine87.4%77.7%79.4%better
Short-stay residents rehospitalized after admission25.3%25.7%22.6%worse
Short-stay residents with an outpatient ER visit12.8%11.9%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.261.881.67worse
Long-stay outpatient ER visits per 1,000 resident days1.001.501.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 339 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.5%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
69.3%U.S. median 56.6%
Met the expected recovery
0.51U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 69.3% 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 124 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 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.5%CMS range 51.7–65.651.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 8.1–13.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge69.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge55.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge60.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified95.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 4.3–9.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.121.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.60
RN hours/ resident / day
1.15
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.83
Total nurse hours/ resident / day
0.44
RN hoursweekends
30.1%
Total nursing turnover
31.3%
RN turnover

How full it usually is: this home is certified for 154 beds and averages 135.3 residents a day — about 88% occupied, or roughly 19 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 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 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 3.22 hrs/resident/day on weekends vs 4.08 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.66 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below 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

4
deficiencies at the latest standard inspection (2025-06-18)
10
at the previous standard inspection (2024-04-10)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

36 citations, most serious first. The 12 most serious are shown; the remaining 24 are one tap away and print in full.

  • Actual harm · G2024-04-10 · 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, interview, record and policy review, the facility failed to provide care consistent with professional standards to prevent and treat a pressure ulcer (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device) and prevent further skin and pressure injury for one Resident (#85), out of a total sample of 25 residents. Specifically, the facility staff failed to: -Assess the fit and use of an orthopedic surgical shoe (type of shoes that provides support and stability for the foot after an injury or surgery) for Resident #85 who had a high risk of developing pressure ulcers due to a history of Diabetes (condition that result in too much sugar [glucose] in the blood). -Provide skin care and treatments timely for ulcers on the right plantar foot, back of right ankle and right heel, resulting from the use of an orthopedic surgical shoe. Findings include: Review of the facility policy titled Skin Integrity and Pressure…

    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 · G2024-04-10 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 provide pain management that was consistent with professional standards of practice for one Resident (#18) out of a total sample of 25 residents. Specifically, the facility staff failed to offer Resident #18 prescribed pain medication prior to an identified painful dressing change procedure. Findings include: Review of the facility policy titled, Pain Assessment and Management dated 9/12/23, indicated the following: -The facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. -Based on the assessment, the facility, in collaboration with the attending physician/prescriber, other health care professionals, and the resident and/or his/her representative, develops, implements, monitors, and revises as necessary interventions to prevent or manage each individual resident's pain, beginning at admission. These interventions may be integrated…

    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 · D2026-04-23 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on records reviewed and interviews for one of three residents (Resident #1), whose Physician's Orders indicated he/she was NPO (nothing by mouth) with medications to be administered via his/her percutaneous endoscopic gastrostomy tube (PEG tube, a flexible tube inserted through the abdominal wall into the stomach to deliver nutrition, fluids and medications directly), the Facility failed to ensure he/she was free from a significant medication error when Nurse #1 administered a medication to him/her orally instead of through his/her PEG tube placing him/her at risk for aspiration (when food, liquid, or saliva enters the airway and lungs).Findings include:Review of the Facility Policy titled Administration of Medications, dated as revised on 09/09/25, indicated the Facility will ensure medications are administered safely and appropriately per physician order to address residents' diagnoses and signs and symptoms.Review of the Facility's Incident Report, dated 03/28/26, indicated that Resident #1 was found by his/her 7:00 A.M. - 3:00 P.M. nurse having a blue crushed substance in…

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

    Pharmacy Service Deficiencies · Past Non-Compliance
  • Potential for harm · D2025-06-18 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, and record reviews, the facility failed to notify the state mental health authority (Pre-admission Screening and Resident Review [PASRR] Office) promptly of the need for Resident Review for one Resident (#12) out of a total sample of 30 total residents, when the Resident experienced a significant change in his/her mental condition from his/her initial Level I PASRR. Specifically, the facility failed to notify the PASRR Office of the need for Resident Review when Resident #12, who was diagnosed with Depression, acquired new diagnoses of Delusional Disorders and Hallucinations during his/her stay at the facility and a new medication treatment of Seroquel (antipsychotic medication) was implemented. Findings include: Resident #12 was admitted to the facility in February 2024 with diagnoses including Depression. Review of Resident #12's Level I PASRR dated 2/2/24, indicated the following: -no documented diagnosis of a mental illness or disorder (MI/D: Schizophrenia, Somatoform Disorder, Delusional Disorder, Mood, PTSD, Severe Anxiety/Panic Disorder, Schizoaffective…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to identify a change in condition relative to bilateral lower extremity edema (swelling) in a timely manner, for one Resident (#37) out of a total sample of 30 residents. Specifically, the facility failed to: -identify the onset of Resident #37's bilateral lower extremity edema in a timely manner when the Resident had previously been assessed to have no edema. -assess the Resident's bilateral lower extremity edema timely once the bilateral lower extremity (BLE) edema was identified, putting the Resident at risk for delayed assessment and treatment. Findings include: Review of the facility's Policy and Procedure titled Heart Failure, Long-Term Care, revised 1/13/25, indicated the following: -In Residents with Chronic Heart Failure, . drug therapy, diet changes, and activity restrictions usually help control symptoms. -Nursing interventions: >Inspect dependent areas, including the lower extremities for edema, note the amount and degree 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 · Dcited before2025-06-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, the facility failed to adhere to infection control standards of practice to prevent contamination and the spread of infections for two Residents (#101 and #4) out of a total sample of 30 residents. Specifically, 1) for Resident #101, the facility failed to ensure that appropriate Personal Protective Equipment (PPE: items such as gowns and gloves worn to prevent the spread of infection) was worn as required for the Resident on Enhanced Barrier Precautions (EBP), and that hand hygiene was performed before donning (putting on) PPE and during provision of urinary catheter care, placing the Resident at increased risk of contamination and the spread of infections. 2) for Resident #4, the facility failed to ensure that the appropriate PPE was worn as required when providing urinary catheter care, placing the Resident at increased risk of the spread of infections. Findings include: Review of CDC Guideline for Frequently Asked Questions (FAQs) about Enhanced Barrier…

    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 · D2025-01-03 · 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

    Based on interviews and records reviewed, for two of five sampled residents (Residents #2 and #3), the Facility failed to ensure staff implemented and followed the Facility Abuse Prohibition Policy, when Resident #2 and the family member of Resident #3 (Family Member #1) reported allegations of abuse by Housekeeper #1 to multiple staff members and staff did not immediately report the allegations to their immediate Supervisor, Administrator or designee. Findings include: The Facility Policy titled Abuse-Reporting and Response-No Crime Suspected, last reviewed 6/17/24, indicated that all associates are mandated to immediately report suspected resident abuse/neglect to their immediate supervisor and/or Facility representative. 1) Resident #2's medical record indicated he/she was admitted to the Facility during December of 2022. Resident #2's most recent Minimum Data Set (MDS) Assessment, dated 12/06/24, indicated his/her cognitive patterns were intact. During an interview on 1/03/25 at 12:20 P.M., Housekeeper #2 said that at some point after 11/15/24 (exact date unknown), Resident #2…

    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 · D2025-01-03 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and records reviewed, for two of five sampled residents (Residents #1 and #4), the Facility failed to ensure they reported allegations of abuse by Housekeeper #1 to the Department of Public Health (DPH) as required, when after being notified by staff that Housekeeper #1 potentially sexually abused Residents #1 and #4, the Director of Nursing and the Administrator did not report the allegations to the DPH, as required. Findings include: The Facility Policy titled Abuse-Reporting and Response-No Crime Suspected, last reviewed 6/17/24, indicated that all alleged violations, must be reported to the administrator of the Facility and to other officials in accordance with State law through established procedures, including the State Survey and Certification Agency. 1) Resident #1's medical record indicated he/she was admitted to the Facility during August of 2020. Resident #1's most recent Minimum Data Set (MDS) Assessment, dated 10/30/24, indicated his/her cognitive patterns were severely impaired. During an interview on 1/03/25 at 1:20 P.M., Certified Nurse Aide (CNA)…

    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 · D2025-01-03 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and records reviewed, for two of five sampled residents (Resident #1 and #4), the Facility failed to ensure that after being made aware of allegations of potential sexual abuse by a staff member that they obtained and maintained evidence that a thorough investigation was completed, including conducting and documenting assessments of both residents and obtaining and documenting staff member interviews. Findings include: The Facility Policy titled Abuse-Conducting an Investigation, last reviewed 6/17/24, indicated that all allegations of abuse are promptly and thoroughly investigated. The Policy indicated alleged victims will be examined for signs of injury, including a physical examination or psychosocial assessment. The Policy indicated the investigation was expected to include, although not be limited to, interviews with the alleged victim and their representative, the alleged perpetrator and witnesses. The Facility Policy titled Abuse-Reporting and Response-No Crime Suspected, last reviewed 6/17/24, indicated that at the time that an incident is reported, 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 · Ecited before2024-04-10 · tag F0580 — failed to tell family and doctor about changes — pattern
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record and policy review, the facility failed to notify the Physician/Non Physician Practitioner (NPP: Nurse Practitioner) of a significant change in physical status for one Resident (#102) out of a total sample of 25 residents, resulting in a lack of medical evaluation of the Resident's status relative to weight loss. Specifically, the facility staff failed to notify Resident #102's NPP of the Resident's severe weight loss (greater than five percent (%) in one month and greater than seven point five % in three months) when: a. Staff identified the Resident had a severe weight loss. b. The NPP requested to be notified if the severe weight loss was verified. Findings include: Review of the facility's policy titled Changes in Resident's Condition or Status, dated 11/26/18 and reviewed 8/9/23, indicated the following: -Facility would notify a resident's primary care provider (PCP: Physician/NPP) of changes in the resident's condition or status. -Notable changes included weight loss in excess of 5% of a resident's body weight. Review of the facility's policy titled…

    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 · E2024-04-10 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, record and policy review, the facility failed to provide nutrition care and services for one Resident (#102) out of a total sample of 25 residents, with a history of weight loss. Specifically, facility staff failed to do the following when Resident #102 experienced severe weight loss (greater than: five percent[%] in one month, 7.5% in three months, and 10% in six months): a. Obtain weekly weights as ordered by the Physician. b. Monitor weights weekly as recommended by the Registered Dietician (RD). c. Coordinate care among the facility's interdisciplinary team (IDT), to include Resident #102's Physician/Non Physician Practitioner (NPP). d. Evaluate for causative factors relative to Resident #102's severe weight loss to determine if the Resident's weight loss was avoidable. Findings include: Review of the facility's policy titled Weights and Heights: Weight Monitoring, Long-Term Care, dated 8/21/23, indicated: -Residents were weighed as ordered by their Physician. -Weighing a resident in a Long-Term Care facility was an important part of assessing 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-10 · 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

    Based on observation, interview, record and policy review, the facility failed to ensure that staff adhered to infection control standards for four residents (#18, #95, #58, and #44) out of a total sample of 25 residents, on two out of three Units observed (Primrose and Magnolia). Specifically, the facility staff failed to: 1. Wear appropriate Personal Protective Equipment (PPE) while performing nephrostomy care (nephrostomy-an artificial opening between the kidney and the skin which allows for the drainage of urine) and wound care for Resident #18, who was on Enhanced Barrier Precautions (EBP-an infection control intervention used to reduce transmission of multidrug-reisitant organisms [MDRO-an umbrella term for bacteria and other microorganisms that are resistant to antibiotics and other drugs designed to kill them] that employs targeted gown and glove use during high contact resident care activities), on the Primrose Unit. 2. Wear appropriate PPE while performing wound care for Resident on #95, who was on EBP, on the Magnolia Unit. 3. Perform appropriate hand hygiene for two…

    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
Show the remaining 24 citations
  • Potential for harm · Dcited before2024-04-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to provide treatment, services and care that met professional standards of quality for one Resident (#18) out of a total sample of 25 residents. Specifically, the facility staff failed to provide the correct topical wound medication as ordered by the Physician resulting in removal and re-application of the dressing causing additional discomfort to the Resident. Findings include: Review of the facility policy titled Treatment of Wounds, dated 3/31/23 indicated the following: -Policy: It is the intent of this center that a resident having a wound receives necessary medical treatment to prevent infection, deterioration, or development of wounds in keeping with the resident's medical condition. -Procedure: This facility will utilize the Lippincott procedures: Traumatic wound care: abrasion, lacerations, and puncture wounds. Review of the Lippincott Manual of Nursing Procedures -9th Edition (2023), Traumatic Wound Management indicated the following: -Apply antibacterial ointment, if prescribed, following safe…

    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 before2024-04-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    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 observation, interview, and record review, the facility failed to provide services and to assist with obtaining a specialist consultation for one Resident (#102), out of a total sample of 25 residents. Specifically, the facility staff failed to provide assistance for Resident #102, who had an indwelling urinary catheter (flexible tube inserted into the bladder to drain urine), to obtain a consultation with a Urologist (Physician who specializes in treatment of the urinary tract) when: a. The Resident developed a Ventral Erosion (complication of an indwelling urinary catheter that can result in a partial or full thickness wound and can increase one's risk for urinary tract infection [UTI]) of his/her [genitalia]. b. The Resident's Physician ordered facility staff to obtain a consultation appointment with a Urologist for Resident #102. Findings include: Resident #102 was admitted to the facility in October 2021 with diagnoses including: Neuromuscular Dysfunction (lack of muscle control) of the Bladder and Retention of Urine (when the bladder does not completely empty upon…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-10 · 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

    Based on observation, interview, and record reviewed the facility failed to provide sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for one Resident (#18) out of a total sample of 25 residents. Specifically, the facility failed to: -ensure that Nurse #1 had the specific competencies and skills necessary to provide appropriate pain management prior to administering dressing change procedure resulting in poor pain control for Resident #18. -ensure that Nurse #1 had the specific competencies and skills necessary to perform wound care during a dressing change resulting in the Physician orders not being followed for the wound treatment procedure and potential compromise of healing for the Resident. Findings include: According to the Board of Registration in Nursing, 244 CMR 9.00 &10.00: Standards of Conduct, Definitions and Severability; a competency is defined as the application 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-10 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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, interview, and policy review, the facility failed to adhere to professional standards of practice for food service safety in the facilty's main kitchen, and for one Resident (#86) out of a total sample of 25 residents. Specifically, the facility staff failed to: 1. Ensure that three Dietary Staff (#3, #4, and #2) wore hair restraints while they worked in the food preparation and food service areas of the facility's main kitchen, increasing the risk for contamination of food and the spread of foodborne illness. 2. Re-heat Resident #86's meal in a safe and appropriate manner to prevent accidental burns and kill microorganisms that may cause foodborne illness. Findings include: 1a. Review of the facility policy titled, Associate Conduct and Dress Code dated December 2022, indicated: -Dietary staff must wear hair restraints; hair net, hat and/or beard restraint, to prevent hair from contacting food. 1. On 4/7/24 at 7:20 A.M., the surveyor observed the following in the main kitchen during the initial kitchen visit: -Dietary Staff #3 was covering small bowls 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-05 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interviews and record reviews, the facility failed to ensure its staff provided a Notice of Transfer and Discharge to the Resident and/or Resident Representative in writing upon transfer from the facility for four Residents (#7, #140, #122 and #78), out of a sample of 29 residents. Findings include: 1. For Resident #7, the facility failed to ensure its staff provided the necessary notices of transfer/discharge to the Resident and/or his/her Representative. Resident #7 was admitted to the facility in February 2017. Review of a Nurse Progress Note, dated 6/9/22, indicated Resident #7 was transferred to the hospital. Review of the clinical record indicated no documented evidence that a Notice of Discharge was provided to the Resident and/or his/her Representative, as required. 2. For Resident #140, the facility failed to ensure its staff provided the necessary notices of transfer/discharge to the Resident and/or his/her Representative. Resident #140 was admitted to the facility in October 2022. 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-05 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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, record reviews, and policy review, the facility failed to ensure its staff provided the Resident and/or the Resident Representative with a written notice regarding the facility's Bed-Hold Policy upon transfers out of the facility for three Residents (#7, #140 and #122), out of a total of 29 sampled residents. Findings include: Review of the facility policy titled Bed-Hold Policy, dated 8/16/22, indicated the facility will provide written information to the Resident or Resident Representative of the nursing facility policy on bed-hold period and the residents return to the facility to ensure that the Residents are made aware of the facility's bed-hold and reserve bed payments policy before and upon transfer to a hospital or when taking a therapeutic leave of absence from the facility. 1. Resident #7 was admitted to the facility in February 2017. Review of a Nurse Progress Note dated 6/9/22, indicated Resident #7 was transferred to the hospital. Review of the clinical record indicated no…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-12-05 · 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

    Based on observations, interviews, and record reviews, the facility failed to ensure its staff: 1) implemented recommendations for infection control and prevention relative to the use of personal protective equipment (PPE), 2) implemented their policy relative to monitoring vital signs and respiratory symptoms three times a day while providing care to one Resident (#292) who had confirmed COVID-19 infection, out of three residents reviewed, 3) disinfected resident care equipment between resident use on one of three resident care units observed, 4) appropriately handled soiled items in order to help prevent the transmission of infections, including COVID-19, and 5) followed the guidance of contact precautions required when managing an intra-venous (IV) catheter. Findings include: Review of the Center for Disease Control and Prevention (CDC) Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic, dated 9/23/22, indicated Health Care Personnel who enter the room of a patient with suspected or confirmed…

    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 · D2022-12-05 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and policy review, the facility failed to ensure its staff provided dignity and privacy for one Resident (#30), out of a total sample of 29 residents, relative to placement of a sign over the Resident's bed indicating the Resident's care needs. Findings include: Review of the facility policy titled, Preservation of Resident's Rights, revised 10/6/22, indicated the following: -Residents should not be excluded from conversations -nor should associates discuss residents in settings where others can overhear private or protected health information -or document in charts/electronic health records where others can see a resident's information. Resident #30 was admitted to the facility in September 2022. On 11/29/22 at 10:48 A.M., the surveyor observed the Resident lying in his/her bed with a sign displayed above him/her that indicated the following: -Please don't leave drinks for (Resident's Name) to drink by him/herself. -He/she is nectar thick (nectar thick means liquids needed to be thickened to the consistency of nectar to avoid choking) and needs to…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-05 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review, the facility failed to ensure its staff provided notification of a change in condition for one Resident (#30), out of 29 sampled residents. Specifically, failure to notify the Resident's invoked (putting into effect) health care proxy (HCP, the Physician determined the Resident did not have the mental capacity to make their own health care decisions) when the Resident required diagnostic testing. Findings include: Review of the facility policy titled, Changes in Resident's Condition or Status, reviewed on 8/18/22 indicated that the facility will notify the resident, his/her primary care provider, and resident representative of changes in the resident's condition or status. Resident #30 was admitted to the facility in September 2022. Review of the Resident's care plan dated 10/5/22, indicated his/her HCP was invoked. Review of the Resident's medical record included a handwritten Nurse Practitioner's (NP) order, dated 11/30/22, that indicated to obtain a chest x-ray-2 views on 12/1/22. Further review of the Resident's medical record included 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-05 · 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 observations, interviews, and record reviews, the facility failed to ensure its staff developed and/or implemented the plan of care for four Residents (#90, #105, #35 and #125), out of a sample of 29 residents. Specifically, 1) failure to implement the Physician's Orders relative to the administration time of scheduled medications for Resident #90, 2) failure to accurately implement the Physician's Order for the administration of Oxygen for Resident #105, 3) failure to create a written plan of care when Resident #35 signed onto Hospice services, and 4) failure to initiate a comprehensive care plan related to mood and behavior for Resident #125. Findings include: 1. Resident #90 was admitted to the facility in March 2020 with diagnoses including Anxiety Disorder and low back pain. Review of the December 2022 Physician's Orders indicated the following orders: -Xanax (anti-anxiety medication) 0.5 milligrams (mg), give 0.5 mg at bedtime -Percocet 5-325 mg, give 1 tablet twice daily- do not give within four hours of Xanax Review of the November 2022 and December 2022 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-05 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure its staff provided activities designed to support the physical, mental, and psychosocial well-being for one Resident (#30), out of 29 sampled residents. Specifically, the facility failed to ensure the staff offered and/or provided an activity program customized to the preferences and interests of Resident #30, who had limited ability to speak, was unable to sit upright for greater than 30 minutes at a time, and was at increased risk of isolation due to spending most of his/her time in his/her room. Findings include: Resident #30 was admitted to the facility in September 2022. Review of the admission Activities Evaluation, dated 9/26/22, indicated the following activities were very important to Resident #30: -animals -arts and crafts -music (radio) -reading -religious services -watching television Further review of the Evaluation indicated the sections which inquired about the Resident's preferred frequency of activities, preferred location, time of activities, preferred wake up and bedtime,…

    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 before2022-12-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to ensure its staff provided timely care and treatment for a chronic ulcer (open area) located on one Resident (#104)'s lower extremity when a change in the treatment was recommended by the Wound Specialist, out of a total of 29 sampled residents. Findings include: Review of the facility policy titled Treatment Orders, revised 4/19/22, indicated treatment orders were written per Physicians Orders. The policy also included: - quality of care was a fundamental principle that applied to all treatment and care provided to facility residents - based on the comprehensive assessment of the resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices. Resident #104 was admitted to the facility in July 2021 with diagnoses including Chronic Peripheral Venous Insufficiency (when veins in the lower extremities/legs don't allow blood to flow back to the heart) and non-pressure…

    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 · D2022-12-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    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 observations, interviews, and record review, the facility failed to ensure its staff provided appropriate treatment and services to address one Resident's (#30) limited range of motion, out of a sample of 29 residents. Specifically, the facility failed to ensure its staff evaluated the Resident who was admitted to the facility with an existing contracture (a fixed tightening of muscles, tendons, ligaments, or skin which prevents normal movement of the associated body part), resulting in failure to appropriately assess the contracture, putting the Resident at risk for pain and further immobility of the affected body part. Findings include: Resident #30 was admitted to the facility in September 2022 with a diagnosis of Parkinson's Disease (a disorder of the central nervous system that affects movement which can result in tremors, slow movement, stiffness, and loss of balance). On 11/29/22 at 10:48 A.M., the surveyor observed the Resident lying in bed. A foam wedge was under the Resident's left shoulder,…

    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 · D2022-12-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure its staff assessed the safety of one Resident (#42), out of 29 sampled residents, to self-administer Albuterol (a medication used to treat and prevent difficulty breathing, wheezing, shortness of breath, coughing and chest tightness). Inapproriate use of this medication could result in tachycardia (rapid heart rate), palpitations (fluttering heart), blurred vision, chest pain, high or low blood sugar and low potassium levels in your blood. Findings include: Resident #42 was admitted to the facility in September 2022 with diagnoses including Acute and Chronic Respiratory Failure and Asthma (a respiratory condition in which a person's airways become inflamed (bronchospasm), narrow and swell, making it difficult to breathe). Review of the facility policy titled, Self-Administration of Medication, revised 10/13/21 indicated the following: - The facility will ensure that each resident who requests to self-administer medications is assessed by the interdisciplinary team (IDT) to determine if the 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-05 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure its staff provided care and services according to professional standards of practice, related to the use of indwelling catheters (a tube used to drain urine from the bladder to a collection bag outside the body) for three Residents (#4, #128 and #104), out of a total sample of 29 residents. Findings include: Review of the facility titled Indwelling Urinary Catheter (Foley) Management, reviewed 8/22/22, indicated the facility will ensure the following: -a resident admitted with a urinary catheter, or determined to need a urinary catheter for a medical indication will have the following areas addressed: --documentation of the involvement of the resident/resident representative in the discussion of the risks and benefits for the use of the catheter, removal of the catheter when criteria or indication for use is no longer present, and the right to decline the use of a catheter, --timely and appropriate assessments related to 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 · D2022-12-05 · 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

    Based on observations, interviews, and record review, the facility failed to ensure its staff provided appropriate care and services relative to respiratory care for one Resident (#42), out of 29 sampled residents. Specifically, failure to ensure: 1) a Physician's order was in place for the use of a Continuous Positive Airway Pressure (CPAP- a type of non-invasive device which uses mild air pressure to keep the airways open, typically used by patients who have breathing problems during sleep), 2) respiratory equipment was stored in such a manner to prevent contamination and risk of infection, and 3) provide supplemental Oxygen at the rate ordered by the Physician, placing the Resident at risk for respiratory compromise. Findings include: Resident #42 was admitted to the facility in September 2022 with diagnoses including Obstructive Sleep Apnea (OSA- a breathing disorder that causes one to repeatedly stop and start breathing while asleep), Asthma (a condition that causes one's airways to become inflamed and narrowed at times, making it difficult to breathe), and dependence 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
  • Potential for harm · D2022-12-05 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    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 its staff provided comprehensive behavioral health services for one Resident (#4), out of a total sample of 29 residents. Specifically, obtaining a consultation for psychiatric (psych) services as ordered by the Physician. Findings include: Resident #4 was admitted to the facility in [DATE] with diagnoses of Depression and Anxiety Disorder. Review of the [DATE] Physician's Orders indicated the following handwritten order: -psych consult for anxiety/depression, dated [DATE] Review of the [DATE] Physician's Orders indicated: - a handwritten order dated [DATE] for a psych referral. Review of Resident #4's medical record indicated no evidence that a psych consult had been obtained for the Resident. Further review of the Medical Record indicated that Resident #4 declined psych services on [DATE]. Review of a Physician's Progress Note, dated [DATE], indicated that Resident #4 had lost his/her close family members to COVID-19 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 · D2022-12-05 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure its staff obtained orders for a PRN (as needed) antipsychotic medication (medication used to manage psychotic disorders) that were limited to 14 days, for two Residents (#35 and #54), out of a sample of 29 residents. Findings include: Review of the facility policy titled Area of Focus: Psychotropic (medications that alter mood and behavior symptoms) Management, reviewed 11/23/22, indicated the following: -Limiting PRN psychotropic medications, which are antipsychotic medications, to 14 days and not entering a new order without first evaluating the resident. 1. Resident #35 was admitted to the facility in April 2019 with diagnoses including Anxiety Disorder, Vascular Dementia with agitation, and he/she was on Hospice services. Review of the November 2022 Order Summary Report indicated Resident #35 had an order for: -Ativan Benadryl Haldol Gel (ABH gel-a topical gel made from the combination of the Ativan- an anti-anxiety medication, Benadryl- an antihistamine medication, and Haldol- an antipsychotic medication used…

    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 · D2022-12-05 · 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 interviews and record review, the facility failed to ensure its staff maintained accurate documentation for one Resident (#128), out of a total of 29 sampled residents. Specifically, failure to accurately document the turning and positioning required of the Resident who was at risk for skin breakdown. Findings include: Resident #128 was admitted to the facility in July 2022. Review of the Resident's Care Plan included the following: -Activities of Daily Living (ADL) Care Plan, dated 7/21/22, indicated the Resident required the assistance of two persons with mobility and ADLs and required assistance with his/her bed mobility, noting this information also carried over to the Certified Nursing Assistant's (CNA) [NAME] (a system used to communicate pertinent patient information to relevant staff members). - Skin Care Plan, dated 7/21/22 and revised 7/29/22, indicated the Resident was at risk for break in skin integrity. Review of the August 2022 Certified Nursing Assistant (CNA) documentation relative 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
  • Potential for harm · D2022-12-05 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure its staff maintained a record that contained the most recent plan of care from Hospice and Hospice documentation that could be utilized by facility staff to collaborate care between Hospice and the facility for one Resident (#35), out of a total of 29 sampled residents. Findings include: Review of the facility policy titled Hospice Coordination of Care, reviewed 8/18/22, indicated the following: -The facility will .Obtain the most recent hospice plan of care specific to each resident. -A communication process, including how the communication will be documented between the long term care facility and the Hospice provider . Resident #35 was admitted to the facility April 2019. Review of the November 2022 Order Summary indicated Resident #35 was admitted to Hospice services on 3/2/22. Review of the Resident's medical record and the Resident's Hospice chart indicated: -only written recommendations from Hospice nursing staff with the last note dated 8/24/22. -There was no Hospice Plan of Care -or any additional…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-05 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review, the facility failed to ensure its staff maintained a medical record that included documentation that residents were offered, received or declined the pneumococcal immunization (a vaccine used to prevent possible life-threatening Pneumonia) for one Resident (#106), out of a total of five sampled residents. Findings include: Review of the facility policy titled Influenza Vaccine, Pneumococcal Vaccine, and Flu Outbreak Management, dated 7/30/19, indicated the following: -Each resident is offered a pneumococcal immunization unless the immunization is medically contraindicated, or the resident has already been immunized. -The resident or the resident's representative has the opportunity to refuse immunization. -The resident's medical record includes documentation that indicates, at a minimum, the following: a) the resident or resident's representative was provided education regarding the benefits and potential side effects of pneumococcal immunization; and b) that the resident either received the pneumococcal immunization or did not receive 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2025-06-18 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and interviews, the facility failed to complete Comprehensive Minimum Data Set (MDS) Assessments that accurately reflected the status of two Residents (#14 and #141) out of a total sample of 30 residents. Specifically, 1. For Resident #14, the facility failed to accurately code for Hospice services when Resident #14 was ordered for and had been receiving Hospice services during the assessment period. 2. For Resident #141, the facility failed to accurately code for discharge return anticipated when the Resident was transferred to the hospital for evaluation of an acute change in health status. Findings include: Review of the CMS Resident Assessment Instrument (RAI) Manual 3.0, located at CMS.gov included but was not limited to: -The RAI process has multiple regulatory requirements which require the assessment accurately reflects the resident's status. 1. Resident #14 was admitted to the facility in December 2016, with diagnoses including Multiple Sclerosis (MS) and Dementia. 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
  • No harm found · C2024-04-10 · tag F0640 — widespread
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to accurately complete, encode and transmit Minimum Data Set (MDS) Assessments as required for three Residents (#101, #164, and #131) out of a total sample of 25 residents. Specifically, the facility failed to: 1. Elecronically transmit a Discharge MDS Assessment for Resident #101, within 14 days of completing the Discharge MDS Assessment. 2. Complete a Death in Facility Tracking Record for Resident #164, when the Resident expired at the facility. 3. Complete a Discharge MDS Assessment for Resident #131, within 14 days of the Resident's discharge from the facility when the Resident's return to the facility was not anticipated. Findings include: 1. Resident #101 was admitted to the facility in [DATE] with a diagnosis of Congestive Heart Failure (CHF - a condition in which the heart does not pump blood the way it should resulting in fluid build-up in the lungs, arms, feet and other organs). Review of Resident #101's MDS Assessment, dated [DATE], indicated…

    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
  • No harm found · Bcited before2022-12-05 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to ensure Minimum Data Set (MDS) Assessments were coded accurately for two Residents (#111 and #8), out of a total of 29 sampled residents. Findings include: 1. For Resident #111 the facility failed to ensure its MDS staff coded the use of Oxygen correctly on a Comprehensive MDS Assessment. Resident #111 was admitted to the facility in September 2022 with diagnoses of Chronic Respiratory Failure with hypoxia (deficiency of the amount of oxygen reaching the tissues), Chronic Obstructive Pulmonary Disease (COPD- a chronic condition of the lungs), and dependence on supplemental Oxygen. Review of the most recent Comprehensive MDS assessment dated [DATE], indicated Oxygen use within the facility was coded NO (not used during the 14 day look back period). Review of the September 2022 and October 2022 Medication Administration Records (MARs) indicated the Resident utilized Oxygen 14 out of 14 days during the look back period from September 19, 2022 through…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$29,738 in federal fines across 1 penalty.

  • $29,738 — penalty dated 2024-04-10

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 LIFE CARE CENTERS OF AMERICA — 194 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.4-0.4 vs chain
Health inspection 3 of 52.8+0.2 vs chain
Staffing 3 of 53.3-0.3 vs chain
Quality measures 4 of 54.5-0.5 vs chain
The other 193 homes this chain runs (chain average 3.4★, per CMS)
1 of 5Garden Terrace At Overland ParkOverland Park, KS 1 of 5Hammond-Whiting Care CenterWhiting, IN 1 of 5Life Care Center Of AndoverAndover, KS 1 of 5Life Care Center Of Cape GirardeauCape Girardeau, MO 1 of 5Life Care Center Of GrayGray, TN 1 of 5Life Care Center Of HixsonHixson, TN 1 of 5Life Care Center Of Mount VernonMount Vernon, WA 1 of 5Life Care Center Of RenoReno, NV 1 of 5Life Care Center Of Sierra VistaSierra Vista, AZ 1 of 5Life Care Center Of The WillowsValparaiso, IN 1 of 5Life Care Center Of TucsonTucson, AZ 1 of 5Life Care Center of Coeur d'AleneCoeur d'Alene, ID 1 of 5Life Care Center of ElkhornElkhorn, NE 1 of 5Life Care Center of Hilton HeadHilton Head Island, SC 1 of 5Life Care Center of OmahaOmaha, NE 1 of 5Life Care Center of PlainwellPlainwell, MI 1 of 5Life Care Ctr Of LawrencevilleLawrenceville, GA 1 of 5Rensselaer Care CenterRensselaer, IN 2 of 5Canon Lodge Care CenterCanon City, CO 2 of 5Darcy Hall Of Life CareWest Palm Beach, FL 2 of 5Desert Cove Nursing CenterChandler, AZ 2 of 5Evergreen Nursing HomeAlamosa, CO 2 of 5Garden Terrace Healthcare Center of HoustonHouston, TX 2 of 5Hallmark ManorFederal Way, WA 2 of 5Lane House, TheCrawfordsville, IN 2 of 5Life Care Center Of Altamonte SpringsAltamonte Springs, FL 2 of 5Life Care Center Of AthensAthens, TN 2 of 5Life Care Center Of BridgetonBridgeton, MO 2 of 5Life Care Center Of BrookfieldBrookfield, MO 2 of 5Life Care Center Of ClevelandCleveland, TN 2 of 5Life Care Center Of ColumbiaColumbia, SC 2 of 5Life Care Center Of Coos BayCoos Bay, OR 2 of 5Life Care Center Of Federal WayFederal Way, WA 2 of 5Life Care Center Of GrandviewGrandview, MO 2 of 5Life Care Center Of KirklandKirkland, WA 2 of 5Life Care Center Of Merrimack ValleyBillerica, MA 2 of 5Life Care Center Of Morgan CountyWartburg, TN 2 of 5Life Care Center Of PuyallupPuyallup, WA 2 of 5Life Care Center Of Red BankChattanooga, TN 2 of 5Life Care Center Of South Las VegasLas Vegas, NV

Showing 40 of 193; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
DEVELOPERS INVESTMENT COMPANY INCOrganizationDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 08/29/2017
FONTAIN, CATHRINEIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2025
LONG, ZOFIAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 03/15/2004
SZABO, SHERRYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/31/2023
CROSS, CINDYIndividualCORPORATE OFFICERsince 11/01/1994
HENRY, TERRYIndividualCORPORATE OFFICERsince 08/16/1999
LAY, LISAIndividualCORPORATE OFFICERsince 02/09/2018
SWANKER, RICHARDIndividualCORPORATE OFFICERsince 04/01/2011
THURMOND, JOANIndividualCORPORATE OFFICERsince 09/22/2000
LIFE CARE CENTERS OF AMERICA, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2025
FLETCHER, TODDIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/13/2024
LACERDA DE LA CRUZ, ELIESELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2025
PRESTON, AUBREYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/13/2024
ZIEGLER, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/13/2024
PRESTON, FORRESTIndividualADP OF THE SNFsince 11/14/2000

CMS files one row per role, so the 22 rows in the source record cover these 15 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.

2 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.

$18.7M
Net patient revenuemost recent cost report
+2.6%
Operating marginrevenue minus expenses
$2.0M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 50%Medicare 18%Other / private 32%

This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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

$367per resident / day
operating cost
$11,169per month
≈ monthly operating cost
$377per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Massachusetts Medicaid page.

Typical monthly cost in Massachusetts
$14,448/mo
Nursing home (semi-private)
$15,817/mo
Nursing home (private)
$9,600/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 225661. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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