M I Nursing & Restorative Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

54.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 197 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.5% 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 135 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 250 beds and averages 189.7 residents a day — about 76% occupied, or roughly 60 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 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 3.47 hrs/resident/day on weekends vs 3.97 on weekdays — 12% thinner on weekends. RN hours go from 0.85 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% 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

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

Inspection deficiencies

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

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

25 citations, most serious first. The 12 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · G2025-10-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, for one of one sampled residents (Resident #1) who required assistance of two staff members with bed mobility and incontinence care, the facility failed to ensure Resident #1 was free of incidents/accidents resulting in serious injury when care was rendered by one staff, resulting in a humeral (upper arm bone) fracture that required surgical repair. Findings include:Resident #1 was admitted to the facility in April 2022 with diagnoses including Alzheimer's Disease and the presence of a right artificial shoulder joint. Review of Resident #1's most recent Minimum Data Set (MDS) dated [DATE] indicated the Resident had a 99 on the Brief Interview for Mental Status (BIMS) which indicated he/she did not participate. The MDS also indicated Resident #1 was dependent on staff for all bed mobility and toileting tasks. On 09/30/25 at approximately 8:30 A.M., Resident #1 was observed lying in bed with his/her right arm in a sling. The Resident was not able to be…

  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 · G2023-09-27 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews for one of three sampled residents (Resident #1), whose diagnoses included diabetes mellitus and had Physician's orders for insulin to manage the condition, the Facility failed to ensure he/she was free from significant medication errors, when on 09/07/23, after the Physician wrote a new order for insulin, nursing misread and did not clarify the order, and it was transcribed incorrectly onto his/her Medication Administration Record. As a result, from 09/08/23 to 09/11/23, nursing administered 30 units (10 x the dose ordered) of insulin to Resident #1 instead of the 3 units as ordered by his/her Physician. On 09/12/23, Resident #1 was noted to be lethargic, unresponsive, was hypoglycemic (low blood sugar), was transferred to the Hospital Emergency Department for evaluation and was admitted to the Hospital for treatment. Findings Include: Review of the Facility Policy titled Medication Order/Reorder Procedure, dated as revised 12/2018, indicated a medical practitioner's…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-29 · tag F0550 — failed to protect resident dignity and rights — pattern
  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 observation and interview, the facility failed to 1. provide a dignified dining experience on the 4A nursing unit and 2. ensure staff did not speak in a foreign language while providing care on the nursing units. Findings include: 1. Review of the policy titled the person centered dining approach undated, indicated: Person centered care and hospitality services, including dining, will be a vital part of everyday living. The person-centered dining approach will focus on each individual's needs related to food, nutrition and dining. 1. Each person will be treated like a special individual with a focus on personalizing all interactions and interventions, including nutrition care, food, beverages and dining. 13. Individuals at the same table will be served and assisted at the same time. The following was observed on the 4A unit, (a certified dementia unit): On 1/28/26 at 8:07 A.M., on the 4A unit, the surveyor observed 15 residents seated in the dining area. Three tables had residents who had not been served their meals and were watching their tablemates eat. At 8:10 A.M., 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-29 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to develop and implement a comprehensive person-centered plan of care for five Residents (#171, #4, #11, #3 and #14) out of a total sample of 38 Residents. Specifically,1. For Resident #171 the facility failed to implement heel booties (specialty booties utilized to relieve pressure on the heels). 2. For Resident #4 the facility failed to implement bilateral lower extremity ace wraps.3. For Resident #11 the facility failed to implement bilateral lower extremity compression stockings.4. For resident #3 the facility failed to implement bilateral fall mats while the Resident was in bed.5. For Resident #14 the facility failed to develop a comprehensive plan of care for a pacemaker. Findings include: Review of the facility policy titled Baseline Care Plan, not dated, indicated that the facility will develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-29 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to ensure staff stored drugs and biologicals in accordance with State and Federal requirements. Specifically,For one Resident (#23) the facility failed to ensure medications were not unsecured and stored at the bedside, out of a total sample of 38 residents.The facility failed to ensure that treatment and medication carts were locked when unattended on two units (2B and 3A) out of six units.The facility failed to ensure medications were not left unattended at the nurse's station.Findings include:Review of facility policy titled Medication Storage, undated, indicated the following: -It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control segregation and security. -All drugs and biologicals will be stored in locked compartments (i.e. medication carts, cabinets, draws, refrigerators, medication rooms) under…

  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 · D2026-01-29 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure Advance Directives (written documents that instruct health care providers of the decisions for specific medical treatment if a person was unable to speak or lacked the capacity to make decisions for themselves) were able to be located in the medical record for one Resident (#28) out of a total sample of 38 residents. Findings include:Resident #28 was admitted to the facility in May 2023 with diagnoses that included encounter for palliative care, congestion heart failure, Alzheimer's disease, dysphagia, and chronic kidney disease. Review of Resident #28's most recent Minimum Data Set (MDS) assessment, dated 1/13/26, indicated he/she scored a 3 out of a possible 15 on the Brief Interview for Mental Status (BIMS) indicating severe cognitive impairments. Further review of the MDS indicated he/she is a DNR, DNI, DNH (Do not hospitalize). Review of Resident #28's physician order, dated 5/23/23, indicated Advance Directive: DO NOT RESUSCITATE (DNR) DO NOT INTUBATE (DNI) Transfer to Hospital. Review of Resident #28's…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure staff implemented physician orders for on Resident (#87) out of a total of 38 sampled residents. Specifically, for Resident #87, the facility failed to implement physical therapy and occupational therapy services per the physician orders. Findings include: Review of [NAME], Manual of Nursing Practice 11ed, dated 2019 indicated the following: The professional nurse's scope of practice is defined and outlined by the State Board of Nursing that governs practice. Review of the Massachusetts Board of Registration in Nursing Advisory Ruling on Nursing Practice, dated as revised April 11, 2018, indicated the following: Nurse's Responsibility and Accountability: Licensed nurses accept, verify, transcribe, and implement orders from duly authorized prescriber that are received by a variety of methods (i.e., written, verbal/telephone, standing orders/protocols, pre-printed order sets, electronic) in emergent and non-emergent situations.…

  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 before2026-01-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to provide one Resident (#7), who is unable to carry out activities of daily living, nail care out of a total sample of 38 residents. Findings include:Resident #7 was admitted to the facility in February 2024 with diagnoses including dementia, schizoaffective disorder and adult failure to thrive. Review of the Minimum Data Set assessment dated [DATE] indicated that Resident #7 is moderately cognitively impaired evidenced by a score of 12 out of a possible 15 on the Brief Interview for Mental Status exam. Further review indicated that Resident #7 is dependent on staff for all activities of daily living. Review of the current care plan indicated a focus for self-care deficit with interventions including: 1. The resident prefers dressing/grooming routine in early morning. 2. Is dependent of 1-2 (staff) with his/her grooming needs. Further review failed to indicate that Resident #7 refused care. Review of the progress notes failed to indicate that…

  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 · D2026-01-29 · 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 observation, interviews and records reviewed, the facility failed to ensure treatment and care in accordance with professional standards for one Resident (#74) out of a total sample of 38 residents. Specifically, the facility failed to ensure Resident #74 received appropriate assessment, monitoring, treatment, and care planning for multiple skin integrity issues, in accordance with the resident's assessed needs and hospice status. Findings include: Review of the facility policy titled Skin Program dated as revised 7/2024, indicated but was not limited to the following:-All residents will have daily skin inspection done by the Nursing Assistant (CNA) skin issues will be referred to the team leaders immediately for further assessment.-All residents will have a weekly skin inspection done by the team leader and documented in PCC (electronic medical record) in weekly wound notes.-Inspect skin for changes/concerns daily by CNA and notify Team Leader.Resident #74 was admitted to the facility in May 2022 with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · 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 observations, interviews and records reviewed, the facility failed to provide necessary treatment and services consistent with professional standards of practice, to promote healing, and prevent new pressure ulcers from developing for three Residents (#74, #3, and #48), out of a total sample of 38 residents. Specifically,1. For Resident #74 who has a history of and is at risk for the development of pressure ulcers, the facility failed to implement an air mattress as recommended by nurse practitioner resulting in the development of a Stage 2 Pressure Injury and failed to implement treatment orders for the newly developed Stage 2 Pressure Injury.2. For Resident #3, who has a pressure ulcer on his/her left heel the facility failed to implement a skin intervention of implementing Prevalon (off-loading) boots as ordered.3. For Resident #48, who has a history of and is at risk for the development of pressure ulcers, the facility failed to implement Prevalon (off-loading) boots and maintain air mattress…

  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 · D2026-01-29 · 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 observation, record review and interview, the facility failed to ensure nursing implemented a splinting device as ordered for contracture prevention for one Resident (#187) out of a total sample of 38 residents. Specifically, the facility failed to ensure Resident #187 was utilizing a resting hand splint as ordered and recommended by the therapy department. Findings include:Resident #187 was admitted to the facility in May 2024 with diagnoses that included hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. Review of the most recent Minimum Data Set (MDS) assessment, dated 11/26/25, indicated a Brief Interview for Mental Status (BIMS) score of 13 out of 15, indicating intact cognition. Further review of the MDS indicated that the resident exhibited functional limitations in range of motion to the upper extremity with impairment on one side. On 1/27/26 at 8:28 A.M., the surveyor observed Resident #187 sitting up in bed, awake. His/her left hand was in a fist,…

  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 before2026-01-29 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide respiratory care services in accordance with professional standards of practice for one Resident (#74) out of a total sample of 38 residents. Specifically, the facility failed to ensure oxygen tubing was changed/dated as necessary, the oxygen concentrator filter was cleaned weekly and b.) ensure oxygen therapy was implemented as ordered by the physician.Review of the facility policy titled Equipment [NAME]/Disinfection undated, indicated:d. Oxygen Concentrators: Rinse and dry the external filter weekly and PRN when visibly dusty. Wipe compressor down for soiling PRN (as needed). -Nebulizers, Aerosols/Humidifiers: Every 7 days / PRN for soiling.Resident #74 was admitted to the facility in May 2022 with diagnoses including congestive heart failure, anemia, dorsalgia (pain in the back), protein-calorie malnutrition, parkinson's disease with dyskinesia, and adult failure to thrive.Review of the most recent Minimum Data Set…

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

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

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

Fines & penalties

$17,011 in federal fines across 2 penalties.

• $9,110 — penalty dated 2025-10-02
• $7,901 — penalty dated 2023-09-27

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 COVENANT HEALTH — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

About 79% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $651K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in MA