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St. Mary's Nursing Center INC

21585 Peabody Street, Leonardtown, MD 20650 · Non profit - Corporation · 160 certified beds · (301) 475-8000 Medicare & Medicaid certified

Call the home — (301) 475-8000 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Mar 2026
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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.

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

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
25480 Point Lookout Rd · (301) 997-0909 · Call to confirm hours
Pharmacy
25500 Point Lookout Rd · (240) 434-7351 · Call to confirm hours
Grocery
Food Lion1.4 mi
40955 Merchants Ln · (301) 475-9104 · Call to confirm hours
Park
41675 Baldridge St · Typically dawn to dusk
Place of worship
25550 Point Lookout Rd · (301) 475-7200

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 held steady at 5 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 rating5★
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 increased21.0%20.4%15.4%worse
Long-stay residents who lose too much weight1.9%5.4%5.4%better
Long-stay residents with a catheter left in their bladder0.4%0.5%0.9%better
Long-stay residents with a urinary tract infection1.3%1.5%2.0%better
Long-stay residents with depressive symptoms14.8%22.8%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained1.0%0.0%0.1%worse than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury5.1%2.4%3.3%worse
Long-stay residents whose ability to walk worsened13.5%22.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication13.0%16.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.6%95.3%typical
Long-stay residents with pressure ulcers2.3%5.9%4.7%better
Long-stay residents with worsening bladder/bowel control26.3%25.0%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table5.5%13.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine95.0%80.6%79.4%better
Short-stay residents rehospitalized after admission17.8%21.0%22.6%better
Short-stay residents with an outpatient ER visit13.6%9.8%12.0%worse
Long-stay hospitalizations per 1,000 resident days0.991.331.67better
Long-stay outpatient ER visits per 1,000 resident days1.531.201.80better

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.

68.1% 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 266 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

68.1%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
73.7%U.S. median 56.6%
Met the expected recovery
0.25U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 73.7% 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 156 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 0.25 therapist hours per resident per day in 2026Q1 — more than 34% 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.

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 SNF68.1%CMS range 62.7–73.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 8.4–13.410.7%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 discharge73.7%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 discharge66.0%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 discharge80.8%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 identified85.6%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 setting95.3%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 discharge100.0%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 stay0.0%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 hospitalization4.5%CMS range 2.7–7.17.1%Oct 2023–Sep 2024better than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.831.02Oct 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

0.54
RN hours/ resident / day
0.91
LPN hours/ resident / day
2.07
Aide hours/ resident / day
3.52
Total nurse hours/ resident / day
0.37
RN hoursweekends
46.1%
Total nursing turnover
35.3%
RN turnover

How full it usually is: this home is certified for 160 beds and averages 117.7 residents a day — about 74% occupied, or roughly 42 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 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.09 hrs/resident/day on weekends vs 3.69 on weekdays — 16% thinner on weekends. RN hours go from 0.60 to 0.37 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

4
deficiencies at the latest standard inspection (2026-03-12)
6
at the previous standard inspection (2024-11-22)

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.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

  • Potential for harm · D2026-03-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on administrative review and interviews with facility staff it was determined the facility failed to ensure staff reported allegations of abuse timely after bruising of unknown origin on a resident was discovered This was found to be evident in 1(#74) of 6 residents' facility reported incidents reviewed during the annual Medicare/Medicaid survey. The findings include:Intake # 2657368 was reviewed on 3/11/26 at 11:00AM for resident # 74 for an injury of unknown origin. Intake details indicate that the resident was noted with bruising to the right arm and reported that an aide was rough with him/her. The abuse allegations were unsubstantiated.Further review of the facility's investigation on the same date revealed a statement interview form signed by GNA (#25) that on 10/30/25 she went to get Resident #74 changed and ready for bed. The resident complained right shoulder was hurting. The GNA saw the resident's arm and reported it to the nurse (#17), and the nurse went to assess it.Review of another interview statement signed by Registered Nurse (RN) (#17), revealed that 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-12 · 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

    Based on observation, record review, and interview, the facility failed to ensure medications were administered as ordered by the physician and according to accepted standards of nursing practice, including administering medications at the correct time. This was evident for 3 (#127, #58, #128) of 4 residents observed and reviewed for medication administration. According to accepted standards of nursing practice, including the patient medication rights outlined in the Maryland Nurse Practice Act, medications must be administered according to the right time, meaning medications should be administered at the time intended by the prescriber to maintain therapeutic effectiveness. The Findings Include: 1. A medication administration observation was conducted on 03/10/2026 at 10:05 AM for Resident #127. Staff #15, a Licensed Practical Nurse (LPN), reviewed the electronic medication administration record (eMAR) as she prepared medications for the resident. The computer screen displayed -Senna-S oral tablet 8.6-50 mg with a scheduled administration time of 8:00 AM. Staff #15 administered 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 · Dcited before2026-03-12 · 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 and staff interview it was determined the facility failed to ensure safe medication administration and proper assessment for self-administration. This was evident for 1 (#110) of 4 residents reviewed for medication administration.The findings include:Medication pass observation was conducted on 3/9/26 at approximately 11:14 AM. Licensed Practical Nurse (LPN), Staff #22, was observed administering medications to residents. At that time, Resident #110 was observed entering his/her room via wheelchair holding medication in hand.Staff #22, accompanied by the surveyor, entered the resident's room and asked if the medication had been taken. Resident #110 responded, yes. Staff #22 retrieved the medication, identified as Saline Mist Nasal Spray, and returned to the medication cart.When questioned by the surveyor regarding how much medication the resident had administered, Staff #22 stated, I don't know, I should have observed (him/her). Staff #22 further acknowledged that she was attending to multiple residents and should have administered the medication rather than…

    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 · D2026-03-12 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, observation, and staff interview, the facility failed to ensure a medication was clinically indicated and evaluated for continued need. This occurred for 1 (#32) of 5 residents reviewed for unnecessary medications during the annual survey.The findings include:Review of the medical record for Resident #32 on 3/10/2026 revealed the resident was receiving Enoxaparin Sodium Solution 40 mg/0.4 mL, administered 40 mg subcutaneously once daily for deep vein thrombosis (DVT) prophylaxis.Further review of the medical record revealed the resident was admitted to the facility in February of 2026 with documentation indicating immobility. The clinical record revealed the resident was evaluated by Physician Assistant-Certified (PA-C) staff # 28 on 3/5/2026. However, review of the clinical record lacked documentation identifying the clinical rationale for the continued use of Enoxaparin (Lovenox) after the resident was no longer immobile.During an interview with Resident #32 on 3/9/2026 at 12:17 p.m., the resident stated s/he did not know why s/he was receiving 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-11-22 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 and interview, it was determined that the facility failed to ensure the facility was in good repair. This was evident for 5 resident rooms observed on the 4th floor nursing unit during the survey. The findings include: On 11/20/24 at 08:31 AM, an observation of room [ROOM NUMBER] revealed that the A bed (the bed closest to the entry door) had several vertical, abraded wall markings. These markings varied in length and width which resembled scratch-like marks behind the headboard of the bed. On 11/20/24 at 01:51 PM, an observation of room [ROOM NUMBER] revealed that the A bed (the bed closest to the entry door) had several vertical, abraded wall markings. These markings varied in length and width which resembled scratch-like marks behind the headboard of the bed. On 11/20/24 at 01:52 PM, an observation of room [ROOM NUMBER] revealed that the B bed (the bed closest to the window) had several vertical, abraded wall markings. These markings varied in length and width which resembled scratch-like…

    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 · D2024-11-22 · 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 and interviews with facility staff, it was determined that the facility failed to ensure residents were treated with respect and dignity when requesting assistance and by failing to ensure a Foley drainage bag was covered. This was found to be evident for 2 out of 40 (Resident #47 and Resident #461) sampled residents reviewed during the survey. The findings include: 1.) On 11/19/22 at approximately 9:00 AM a record review was conducted by the surveyor for sampled residents residing on the second floor. While at the nurse station the surveyor visibly observed and audibly heard Resident #47 call light alarm at 9:09 AM, and Environmental Services Staff (EVS) #7 went into the resident room. The call light was off prior to Staff #7 exiting the room. Staff # 7 went across the hall into the kitchen and began wiping down counter areas. Moments later GNA # 8 walked the hallway pushing a linen cart and EVS #7 approached the GNA. After the two staff talked for a few moments, GNA #8 walked down the hallway with the linen cart past Resident #47's room. The surveyor went…

    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 · D2024-11-22 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview with staff it was determined that the facility failed to ensure a resident was offered the opportunity to participate in their care planning process by being invited to their care plan meetings. This was evident for 2 (Resident #12 and #31) out of 4 residents investigated for care planning during the survey. The findings include: A care plan is used to summarize a person's health conditions, specific care needs, and current treatments and outlines what needs to be done to plan, assess, and manage care. This helps to evaluate the effectiveness of the resident's care. 1.) On 11/18/2024 at 11:44AM, during an interview conducted with Resident #31, the Surveyor was informed that the resident was unaware of care plan meetings and would like the opportunity to participate in their plan of care. On 11/20/2024 at 8:57AM, a review of Resident #31's electronic and paper medical record failed to reveal a care plan meeting in which the resident was invited since 7/11/2023. Further review failed to reveal an explanation as to why Resident #31 did not…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-22 · 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 — the official record, unedited, may be distressing

    Based on complaint, review of medical records, and staff interview, it was determined that the facility failed to transcribe a physician's order that directed nurses to obtain a wound care consult for a resident. This was evident for 1 (Resident #313) out of 40 sampled residents reviewed during the survey. The findings include: Review of complaint MD00211390 and Resident # 313's medical record on 11/20/24 at 1:55pm revealed the following: A change in skin note dated 10/5/24, which stated moisture associated skin damage between buttocks. A new order was given by the physician to turn the resident every 2 hours and obtain a wound care consult. Further review of the medical record on 11/20/24 at 3pm failed to reveal a wound consultation was done. During interview with the Director of Nursing on 11/21/22 at 2pm she stated the nurse failed to carry over the order for the wound consultation; therefore, it was missed. During interview with the Quality Assurance Nurse on 11/21/24 at 2:10pm she stated all nursing staff were re-in serviced on the transcription of physician orders.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, it was determined that the facility failed to ensure: 1) a resident's safety was maintained during a transfer. This was evident for 1 of 2 residents (Resident #6) reviewed for accidents and 2) an order for seizure precautions on a resident were correctly maintained. This was evident for 1 of 2 residents (Resident #21) reviewed for position and mobility. The findings include: 1) Review of Resident #6's medical record on 11/19/24 revealed the resident has resided at the facility for several years, was alert and oriented with a A Brief Interview for Mental Status (BIMS) of 15, and able to verbally communicate. Resident #6 was dependent on staff for mobility transfers. A Brief Interview for Mental Status (BIMS) is a tool used to screen and identify the cognitive condition of residents in a long-term care facility. The BIMS assessment uses a points system that ranges from 0 to 15 points. A score of 13-15 indicates cognitively intact. On 11/19/24 at 08:10 AM, an interview with Resident #6 revealed she/he recently had a fall 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 · Dcited before2024-11-22 · 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 documentation review it was determined that the facility staff failed to ensure the walk-in refrigerator temperatures were documented accurately. The findings include: An initial environmental kitchen food services inspection was conducted on 11/18/24 at 8:20am. The walk-in refrigerator temperature logs were not found/observed hanging near the refrigerator. The Dietician staff #13 (who oversees the kitchen) was asked about the temperature log, and she responded, the logs were kept in a book on the side of a table located near her office. During review of the walk-in refrigerator temperature log on 11/18/24 at 9am revealed the refrigerator temperature was documented as 42 for the morning of 11/18/24; however, the thermometer located inside of the refrigerator was reading 38 degrees. The Dietician stated the thermometer inside of the refrigerator is the correct temperature. She stated the thermometer located on the outside of the refrigerator is sometime inaccurate. During a follow-up inspection of the kitchen by the surveyor of the walk-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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-07-26 · tag F0623 — isolated
    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

    Based on medical record review and interview, the facility failed provide adequate notice to a resident (resident #1) prior to discharge. This was evident in 1 of 5 residents reviewed during a complaint survey. Findings include: Review of resident #1's medical records on 7/25/24 at 9:30am revealed that on 7/17/24, the resident was transferred from the facility for emergency treatment after the resident's family observed that the resident moved slower than usual. Further review of resident #1's medical records on 7/25/24 at 10:00 am revealed that on 7/18/24, the resident was admitted to the local hospital for observation for sepsis (systemic infection) caused by a urinary tract infection. Continued review of resident #1's medical records on 7/25/24 at 11:00am revealed no evidence of the facility providing the resident/resident representative with notice prior to discharge from the facility. Interview with the complainant/resident #1's power of attorney (POA) on 7/25/24 at 11:30am revealed that on 7/18/24, the complainant/POA requested a care conference to discuss the 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-26 · tag F0624 — isolated
    Prepare residents for a safe transfer or discharge from the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and interview, the facility failed prepare a resident (resident #1) for discharge. This was evident in 1 of 5 residents reviewed during a complaint survey. Findings include: Review of resident #1's medical records on 7/25/24 at 9:30am revealed that on 7/17/24, the resident was transferred from the facility for emergency treatment after the resident's family observed that the resident moved slower than usual. Further review of resident #1's medical records on 7/25/24 at 10:00 am revealed that on 7/18/24, the resident was admitted to the local hospital for observation for sepsis (systemic infection) caused by a urinary tract infection. Continued review of resident #1's medical records on 7/25/24 at 11:00am revealed no evidence of the facility providing the resident/resident representative with notice prior to discharge from the facility. Interview with the complainant/resident #1's power of attorney (POA) on 7/25/24 at 11:30am revealed that on 7/18/24, the complainant/POA requested a care conference to discuss the care of the resident after discharge…

    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 · D2024-07-26 · tag F0626 — isolated
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and interview, the facility failed to allow a resident (resident #1) to return to the facility after transfer for emergency treatment. This was evident in 1 of 5 residents reviewed during a complaint survey. Findings include: Review of resident #1's medical records on 7/25/24 at 9:30am revealed that on 7/17/24, the resident was transferred from the facility for emergency treatment after the resident's family observed that the resident moved slower than usual. Further review of resident #1's medical records on 7/25/24 at 10:00 am revealed that on 7/18/24, the resident was admitted to the local hospital for observation for sepsis (systemic infection) caused by a urinary tract infection. Continued review of resident #1's medical records on 7/25/24 at 11:00am revealed no evidence of the facility providing the resident/resident representative with notice prior to discharge from the facility. Interview with the complainant/resident #1's power of attorney (POA) on 7/25/24 at 11:30am revealed that on 7/18/24, the complainant/POA requested a care conference 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 · D2024-07-26 · tag F0835 — failed to run the facility competently — isolated
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and interview, the facility's administration failed to provide leadership to facility staff to ensure CMS regulations are being followed when involuntarily discharging a resident (resident #1). This was evident in 1 of 5 residents reviewed during a complaint survey. Findings include: Review of resident #1's medical records on 7/25/24 at 9:30am revealed that on 7/17/24, the resident was transferred from the facility for emergency treatment after the resident's family observed that the resident moved slower than usual. Further review of resident #1's medical records on 7/25/24 at 10:00 am revealed that on 7/18/24, the resident was admitted to the local hospital for observation for sepsis (systemic infection) caused by a urinary tract infection. Continued review of resident #1's medical records on 7/25/24 at 11:00am revealed no evidence of the facility providing the resident/resident representative with notice prior to discharge from the facility. Interview with the complainant/resident #1's power of attorney (POA) on 7/25/24 at 11:30am revealed that 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-26 · 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 medical record review and interview, the facility failed to document the discharge of a resident (resident #1). This was evident in 1 of 5 residents reviewed during a complaint survey. Findings include: Review of resident #1's medical records on 7/25/24 at 9:30am revealed that on 7/17/24, the resident was transferred from the facility for emergency treatment after the resident's family observed that the resident moved slower than usual. Further review of resident #1's medical records on 7/25/24 at 10:00 am revealed that on 7/18/24, the resident was admitted to the local hospital for observation for sepsis (systemic infection) caused by a urinary tract infection. Continued review of resident #1's medical records on 7/25/24 at 11:00am revealed no document that the facility discharged the resident nor was there evidence that the facility provided the resident/resident representative with notice prior to discharge. Interview with the complainant/resident #1's power of attorney (POA) on 7/25/24 at 11:30am revealed that on 7/18/24, the complainant/POA requested a care conference…

    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 · E2019-08-27 · 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 medical record review, observation and staff interview, it was determined facility staff failed to ensure that comprehensive person-centered care plans with measurable goals were developed 1) for participation in activities that enhance resident's quality of life for Residents #123, #125 and #35; and 2) for Resident #68 who used a lap buddy. This was evident for 4 of 50 residents whose care plans were reviewed during the survey. The findings include: 1. Review of Resident #123's medical record on 8/26/19 at 10:00 AM revealed an activity assessment dated [DATE] that indicated it had been completed via interview with the resident. The assessment rated the question, how important is it to you to have books, newspapers, and magazines to read? as 'very important.' The assessment rated the question, How important is it to you to do things with groups of people? as 'not very important.' The additional comments at the end of the assessment state, Resident prefers to stay in his/her room in a quiet atmosphere…

    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 before2019-08-27 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interviews it was determined that the facility staff failed to ensure that food was stored and prepared in sanitary manner. This practice has a potential of effecting all residents in facility. Finding includes: During the initial tour of the kitchen took place on 08/20/19 at 3:00 P.M. accompanied by the Registered Dietitian who verified all surveyor observed finding. On 08/20/19 at 03:00 p.m. observed during tour of kitchen in clean dry dish area 1- clean 1/4 pan that was dirty with water and dried food though out the pan with RD and dietary supervisor verified finding. On 08/22/19 at 10:26 a.m. observed in clean pan rack observed 2-8-ounce size ice cream scoopers with white residue covering both scoops. The following clean cooking pans observed dried old food with white smeared reside in 1- full size steam, 2 - 8th size steam table pans and 2- full size steam table pans. On 08/22/19 10:51 a.m. observed with Registered Dietitian with the kitchen cook supervisor verified all writer's observations Administrator, Director of Nursing were made aware 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 · Dcited before2019-08-27 · 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 observation, staff interview and review of medical records and other pertinent documentation, it was determined a nursing staff member failed to ensure adequate supervision was provided to Resident #198 when assisting him/her to stand. This was evident for 1 of 40 residents reviewed for falls during the survey. The findings include: Beginning on 8/21/19 at 3:14 PM, the medical record for Resident #198 was reviewed along with other pertinent documentation regarding a fall in November 2018. According to the facility's Sailboat Symbol/Hoyer Lift Policy and Procedure, a sailboat symbol is placed above each resident's bed within 8 hours of admission. The sailboat has a number placed on it to indicate how many staff members are required to assist the resident when transferring from one position to another such as from the bed to a chair. According to a facility report of the fall incident, Geriatric Nursing Assistant (GNA) #5 answered a call light for Resident #198 who asked for help to put on a clean gown. According to the report, the sailboat on the resident's wall had a symbol…

    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 · D2019-08-27 · 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

    Based on observation, review of pertinent documentation and staff interview it was determined the facility failed to ensure a nursing staff member washed her hands appropriately after passing medications to Residents #46 and #7. This was evident for 2 of 4 times nursing staff were observed for handwashing. The findings include: On 8/22/19 at 8:22 AM Certified Medicine Aide (CMA) #1 was observed passing medications to Resident #46 and then washing her hands. She was observed scrubbing her hands around 7 seconds. After administering medications to Resident #7 she was observed scrubbing her hands around 10 seconds. When CMA #1 was asked how long she is supposed to scrub her hands, she stated it was 20 seconds. According to the Centers for Disease Control and Prevention (CDC) at https://www.cdc.gov/handwashing/when-how-handwashing.html, the following steps should be used when washing hands: -Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap. -Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands,…

    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 · C2019-08-27 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview with facility staff, it was determined that the facility failed to ensure survey results from the most recent Federal survey were readily accessible to residents without having to ask staff. This practice had the potential to affect all residents. The findings include: During an observation of the fourth floor that took place on 8/20/19 at 12:45 PM, a binder labeled survey results was found. However, instead of a printout of survey results, the binder contained the following note: You have the right to view, upon request, any surveys, certifications and/or complaint investigations made respecting the Facility during the three preceding years. Please make your request at the Reception Desk. The facility receptionist was interviewed on 8/21/19 at 3:27 PM. During the interview, the receptionist stated that the survey book was kept behind the receptionist's desk and was available upon request. The survey book was shown to the survey team and contained the most recent federal survey. During an interview with five members of the resident council…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction

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

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

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
KAUR, KIRANDEEPIndividualCONTRACTED MANAGING EMPLOYEEsince 06/23/2010
HALL, TRACEIndividualW-2 MANAGING EMPLOYEEsince 11/20/2019
HODGES, LOISIndividualW-2 MANAGING EMPLOYEEsince 01/01/2017
BURTON, CHARLESIndividualCORPORATE DIRECTORsince 01/22/2020
DENSFORD, JOSEPHIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/28/2017
FARRELL, JAMESIndividualCORPORATE DIRECTORsince 11/25/2019
KUBINEC, TRACYIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/28/2017
LANCASTER, HARRYIndividualCORPORATE DIRECTORsince 04/01/2024
MORGAN, CHRISTINEIndividualCORPORATE DIRECTORsince 04/01/2024
MORTENSEN, DENISEIndividualCORPORATE DIRECTORsince 02/01/2016
PROCHNOW, TERRYIndividualCORPORATE DIRECTORsince 04/01/2024
VIAR, WILLARDIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/28/2017
STERLING, JUDITHIndividualCORPORATE OFFICERsince 06/28/2017

CMS files one row per role, so the 16 rows in the source record cover these 13 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.

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.

$14.9M
Net patient revenuemost recent cost report
-0.2%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 64%Medicare 11%Other / private 25%

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$375per resident / day
operating cost
$11,388per month
≈ monthly operating cost
$374per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 MD

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 Maryland Medicaid page.

Typical monthly cost in Maryland
$12,927/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$7,173/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 215013. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-12, 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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