Hathaway Manor Extended Care

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.

58.1% 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 268 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 28.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 112 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 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 142 beds and averages 133.9 residents a day — about 94% occupied, or roughly 8 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 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.12 hrs/resident/day on weekends vs 3.90 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.75 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

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

Inspection deficiencies

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

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

31 citations, most serious first. The 15 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2023-12-28 · 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 records reviewed and interviews, for one of three sampled residents (Resident #1), who was a Diabetic, had experienced an acute episode of hypoglycemia (low blood sugar) and required administration of glucose gel for treatment, the Facility failed to ensure Resident #1 was provided nursing care and treatment in accordance with professional standards of practice, when on 11/29/23, after Nurse #1 administered the glucose gel, she failed to recheck Resident #1's blood glucose level, left him/her unattended in his/her bed and later found Resident #1 (who was unable to transfer or ambulate without the physical assistance from staff) lying on the bathroom floor. Resident #1 was later diagnosed with hypoglycemia, acute right pubic bone fractures and was admitted to the Hospital. Findings include: Review of the Facility Policy titled, Diabetic Management Protocol, dated as revised April 6, 2018, indicated the following: -residents who have diabetes will receive care according to accepted standards of care…

  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 · Past Non-Compliance
• Actual harm · G2023-12-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was severely cognitively impaired, required physical assistance from staff for transfers and mobility, and who had been administered medication by nursing to treat an acute episode of hypoglycemia (low blood sugar), the Facility failed to ensure he/she was provided adequate supervision by nursing in an effort to maintain his/her safety to prevent an incident/accident resulting in an injury. On 11/29/23, Nurse #1 administered glucose gel to Resident #1 to treat his/her low blood sugar, however Nurse #1 failed to recheck his/her blood glucose level, left him/her unattended in his/her bed and later found Resident #1 lying on the bathroom floor crying out in pain when range of motion was attempted to his/her right leg. Resident #1 was transferred to the Hospital Emergency Department (ED) for evaluation of his/her injury, was diagnosed with hypoglycemia, acute right pubic bone fractures and was admitted to the Hospital.…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2023-12-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records reviewed and interviews, for one of three sampled residents (Resident #2), who had undergone a right total hip arthroplasty, had a history of arthritis of the hip and required pain management, the Facility failed to ensure nursing adequately assessed and effectively helped manage his/her complaints of increased pain. On 12/10/23, at approximately 8:30 A.M., Resident #2 complained of increased right hip pain after being repositioned in bed, and had requested pain medication, however Nurse #2 did not administer pain medication to Resident #2 until two and half hours after his/her initial complaints of increased right hip pain. An x-ray was obtained of Resident #2's right hip and he/she was found to have mild soft tissue swelling and an acute periprosthetic fracture of his/her right hip. Finding include: The Facility's Policy, titled Pain Management, dated as revised 6/16/2022, indicated the following: - the Facility ensures that pain management is provided to residents who require such services,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews, for one of three sampled residents (Resident #1), who was cognitively intact, the Facility failed to ensure he/she was free from verbal and mental abuse from a staff member when on 10/28/23, Certified Nurse Aide (CNA) #1 responded to Resident #1's call light and request for assistance with care, and per Resident #1, CNA #1 was rude, angry, abrupt, and intimidated him/her. Resident #1 became distressed, was tearful when recounting the incident with other staff members, and reported that he/she was afraid of CNA #1. Although CNA #2 said she witnessed CNA #1 verbally abuse Resident #1, she also said she did not intervene or attempt to stop the abuse, but instead stood in the doorway and watched to protect the resident. Findings include: Review of the Facility's Policy titled Resident Abuse Prevention, Investigation, and Reporting, dated as revised 10/1722, indicated the following: - Verbal abuse includes, but is not limited to, threats of harm and/or making statements to frighten resident, - Mental abuse includes humiliation, harassment,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-29 · 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 records reviewed and interviews, for one of three sampled residents (Resident #1), who was cognitively intact and required supervision to minimal assistance to meet his/her care needs, the Facility failed to ensure staff implemented and followed their Abuse Policy, when on 10/28/23, after an alleged incident of verbal abuse and mental abuse of Resident #1 by Certified Nurse Aide (CNA ) #1 that occurred during the provision of care, was witnessed by one staff member (CNA #2), and Resident #1 who was emotionally distressed by how he/she had been treated by CNA #1 also reported the incident of alleged abuse to three other staff members (CNA #3, CNA #4 and Unit Secretary #1), however none of them immediately reported the abuse to their supervisor as required, and as a result CNA #1 continued to work in the Facility for several days placing Resident #1 and other residents at risk for abuse. Findings include: Review of the Facility's Policy titled Resident Abuse Prevention, Investigation, and Reporting, dated as revised 10/1722, indicated the following: - When a covered…

  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 · D2026-06-16 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and records reviewed, for one of three sampled residents (Resident #1) who was severely cognitively impaired, unable to make their needs known and was dependent on staff for bed mobility, the Facility failed to ensure Resident #1 was free from the use of physical restraints when, on 5/27/26 during the overnight shift, Certified Nurse Aide #1 observed and reported to Nurse #1, that Resident #1, who was in bed, had each corner of the bed sheet that was on top of him/her, tied to the straps emanating (originating) from the beds air mattress, that was beneath him/her. Resident #1 was unable to untie and remove the bed sheet, which was therefore restraining him/her from getting up, if desired.Findings include:Review of the Facility Policy titled Resident Abuse Prevention, most recently revised 10/17/22, indicated that it was the policy of the Facility to ensure an environment free of abuse, which included freedom from physical restraints not medically required to treat the resident's condition.Review of Resident #1's clinical record indicated he/she was admitted 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-06-16 · 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 one of three sampled residents (Resident #1) who had been observed by two staff members restrained in bed when the bed sheet that was on top of him/her was tied (secured) to his/her mattress at each corner, the Facility failed to ensure staff consistently implemented and followed the Facility Abuse Policy, when the staff members did not immediately report the allegations to their shift supervisor or the Administrator/Designee, as required. Findings include:Review of the Facility Policy titled Resident Abuse Prevention, most recently revised 10/17/22, indicated that it was the policy of the Facility for all individuals to identify and report immediately to their supervisor any allegation of abuse. The Policy indicated that unreasonable confinement or restraint is considered physical abuse.Review of Resident #1's clinical record indicated he/she was admitted to the Facility during January 2024 and his/her diagnoses included Alzheimer's Disease.Review of Resident #1's most recent Minimum Data Set Assessment, dated 4/21/26, indicated his/her…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · E2026-04-21 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 for one Resident (#11), out of a total sample of 26 residents, that each resident's drug regimen was free from unnecessary psychotropic medications to promote or maintain the Resident's highest practicable mental, physical, and psychosocial well-being. Specifically, the facility failed to ensure a physician's order for an as needed Trazodone (antidepressant) medication contained a duration of use and failed to ensure the prescriber reassessed the Resident's condition and documented a clinical rationale for the continued use of as needed Trazodone medication as required.Findings include:Review of the facility's policy titled Psychotropic Medications, last revised 9/18/24, indicated but was not limited to:-Psychotropic medications can affect mood and behavior and include, but are not limited to, the following classes of medications: antidepressants. -As with all medications, psychotropics shall only be administered following an order by a physician or other person lawfully authorized to prescribe medications (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 · E2026-04-21 · 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

  Based on observation, interview, and record review, the facility failed to ensure a person-centered individualized comprehensive care plan was developed and implemented for two Residents (#90 and #80), out of a total sample of 26 residents. Specifically, the facility failed:1. For Resident #90, to develop a care plan for a cervical (upper neck) fracture; and2. For Resident #80, to develop a care plan for smoking. Findings include: Review of the facility's policy titled Care Planning, dated as last revised 2/15/25, indicated but was not limited to the following: -The facility will develop and implement a comprehensive person-centered care plan to include measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. -The standardized care plans must be individualized for the resident by adding care needs/preferences, interventions, and resident specific strategies based on the assessment of a resident's needs, strengths, goals, life history, and preferences. 1. Resident #90 was…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-21 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility's Consultant Pharmacist failed to identify irregularities during the monthly Medication Regimen Review (MRR) related to the administration of an antidepressant medication for one Resident (#11), out of a total sample of 26 residents. Findings include:Review of the facility's policy titled Drug Regimen Review/Medication Regimen Review, last revised 10/6/22, indicated but was not limited to:-In accordance with State and Federal Regulations, the Consultant Pharmacists will review each resident's clinical chart monthly, or more frequently depending on the resident's condition and the risks for adverse consequences related to current medications.-This review of the clinical chart shall be comprehensive, and findings shall be documented on the Consultant Pharmacist Review/Signature sheet in the chart (or in the electronic medical record (EMR) if applicable).-Apparent irregularities including, but not limited to, the use of any drug that meets criteria for an unnecessary drug will be reported in writing to the Director of Nursing, Medical…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-21 · 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 record review and interview, the facility failed to ensure a complete and accurate medical record was maintained for two Residents (#90 and #8), out of a total sample of 26 residents. Specifically, the facility failed to ensure:1. For Resident #90, a cervical fracture diagnosis was accurately documented; and2. For Resident #8, accurate COVID-19 test results were scanned into the medical record. Findings include:Review of the facility's policy titled Documentation-Clinical, dated as last revised 12/29/25, indicated but was not limited to the following:-Resident status, including change in condition, nursing or other services provided and resident response or progress will be documented as warranted.-Purpose is to ensure accuracy and completeness of clinical records. 1. Resident #90 was admitted to the facility in March 2025 with diagnoses which included dementia, arthritis, failure to thrive, and history of falling. Review of the Minimum Data Set (MDS) Assessment, dated 12/29/25, indicated Resident #90…

  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 before2026-03-17 · 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

  Based on records reviewed and interviews for one of three sampled residents (Resident #1), the facility failed to ensure they maintained complete and accurate medical record when nursing documentation in Resident #1's Electronic Medication Administration Record (MAR) and the Controlled Substance Register was found to be incomplete and did not accurately reflect what medications were or were not administered.Findings include:Review of the Facility's Policy titled, Administration Procedure for all Medications, dated 09/20/13, indicated the following:- Check the MAR for order;-after administration, return to cart, and document administration in the MAR.Review of the Facility's Policy titled, Clinical Documentation, revised 12/29/25, indicated the following:-the licensed nurse notes the time and date of all medications administered in the MAR;- the nurse who administers the medications must document it in the resident's record;-if a scheduled medication is withheld or not given as ordered, the nurse documents this and lists the reason for the resident not receiving 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 · E2025-01-16 · tag F0791 — failed to provide routine dental services — pattern
  Provide or obtain dental services for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviewed, for one Resident (#50) of 26 sampled residents, the facility failed to provide timely dental services. Specifically, for Resident #50, the facility failed to initiate replacement of lost/missing dentures timely. Findings include: Review of the facility's policy titled Dental Services, dated 10/19/2017, indicated but was not limited to the following: -Within 3 days following confirmation of lost or damaged dentures social services or their designee must make a referral for appropriate dental services for repair and/or replacement. -Social Services or their designee will maintain contact with dental services, the resident and/or representative if applicable until the problem is resolved and the dentures are replaced and repaired. Review of the Minimum Data Set (MDS) assessment, dated 11/22/24, indicated that Resident #50 was severely cognitively impaired as evidenced by a Brief Interview for Mental Status (BIMS) score of 3 out of 15. Review of the progress note, dated 5/22/24, completed by the Registered Dietitian, indicated Resident #50 needed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0551 — isolated
  Give the resident's representative the ability to exercise the resident's rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on records reviewed and interviews for one Resident (#122) out of 26 sampled residents, who had a court appointed legal guardian due to incapacitation (the inability to make his/her own health care decisions), the facility failed to ensure that his/her Legal Guardian was fully informed in advance and given information including the risk and benefits of psychotropic medications (medications that can affect mood and behavior) prior to their use. Findings include: Review of the facility's policy titled Psychotropic Medications, dated 5/3/2005, indicated but was not limited to the following: -Each of the following elements: purpose of administering the psychotropic medication, prescribed dosage, route of administration, known benefits and side effects of medication of the informed consents documents must be discussed with the prescriber, and the resident or the resident's legal representative. -In a case where a legal guardian is assigned, the guardian has the authority to consent to the use of psychotropic medications except antipsychotic medications. Resident #122 was admitted…

  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 · D2025-01-16 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, for one Resident (#138), of two closed records reviewed, the facility failed to document the recapitulation of the Resident's stay that included his/her course of illness/treatment. Findings include: Review of the facility's policy titled Care Planning, revised 10/28/22, indicated but was not limited to the following: 2. Once discharge is planned, process will be as follows utilizing Discharge Checklist: -Day/night prior to discharge a. initiate post-acute Discharge Transition Summary Form b. Complete Discharge Medication List form and place in packet c. Copy MOLST and place original in packet/copy in chart d. Copy most recent lab/diagnostic testing and place in packet e. Complete medication reconciliation -Day of Discharge a. Review discharge packet and medication list b. Gather medications/treatments c. Review packet/medications/treatments with resident and/or responsible party d. Obtain resident and/or responsible party sign [sic] packet and medication list/s e.…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$34,887 in federal fines across 3 penalties.

• $11,629 — penalty dated 2023-11-24
• $11,629 — penalty dated 2023-11-24
• $11,629 — penalty dated 2023-11-24

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 INTEGRITUS HEALTHCARE — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

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

This home reported $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in MA