Allendale Nursing and Rehabilitation Community

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.

48.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.57 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 60 beds and averages 50.4 residents a day — about 84% occupied, or roughly 10 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 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 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 3.25 hrs/resident/day on weekends vs 3.84 on weekdays — 15% thinner on weekends. RN hours go from 0.95 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

34 citations, most serious first. The 12 most serious are shown; the remaining 22 are one tap away and print in full.

• Actual harm · G2026-03-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intakes # 2801558 and 2807946Based on interview and record review, the facility failed to provide care following professional standards of practice and facility policy to prevent the development and/or worsening of pressure injuries for 3 of 5 residents (Resident #100, #42, and #41) reviewed for pressure injury prevention and management, resulting in a stage IV sacral decubitus ulcer with exposed bone and presumed osteomyelitis for R100.Findings:Resident #100 (R100)Review of an admission Record revealed R100 was a [AGE] year-old female, originally admitted to the facility on [DATE] and readmitted following a hospitalization from 6/12/25-6/26/25, with pertinent diagnoses which included: frontal brain mass resection, urinary incontinence, cognitive communication deficit, and need for assistance with personal care. Further review of the admission Record revealed R100's spouse was Emergency Contact #1.Review of R100's SLUMS Evaluation (St. Louis University Mental Status Exam to determine…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-02-12 · 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 observation, interview, and record review the facility failed to implement ordered safety precautions for two (Resident #43 and Resident #41) of three residents reviewed for accidents, resulting in Resident #43 eating meals unsupervised, choking and aspirating, and requiring emergency medical attention and hospitalization. Findings: Resident #43 (R43)Review of a Face Sheet revealed R43 was a [AGE] year-old female, last readmitted to the facility on [DATE] following hospitalization for a stroke that caused dominant (right sided) facial, arm, and leg weakness and paralysis. R43 depended on staff to meet all of her daily needs. Review of a Speech Language Therapy Evaluation for R43, completed 02/02/26, recommended 1:1 staff assistance for safety during all meals due to reduced oral motor skills and overt signs and symptoms of aspiration.Review of a Therapy Communication form dated 02/04/26, revealed the following safety recommendations for R43: please provide 1:1 assist with all feeding due to intermittent…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-30 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #3006042Based on interview and record review, the facility failed to have safeguards and systems in place to ensure the proper storage, dispensing, administering, and reconciliation of controlled substances for 1 resident (Resident #3), reviewed for pharmacy services.Findings:Resident #3 (R3) Review of an admission Record revealed R3 was a [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: traumatic brain injury (TBI).Review of R3's Order Summary dated 2/23/26-4/20/26 revealed he was to receive one 10mg methylphenidate (improves cognitive function following a TBI) tablet in the morning and one 5mg methylphenidate tablet at 3:00 PM.Review of the 4/14/26 and 4/15/26 staffing schedule revealed the following nurses provided care for R3:On 4/14/26 Agency Registered Nurse (RN) J worked 1st shift.On 4/14/26 Agency RN K worked 2nd shift.On 4/14/26 RN L worked 3rd shift.On 4/15/26 Licensed Practical Nurse (LPN) M worked 1st shift.The licensed…

  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 plan of correction
• Potential for harm · Fcited before2026-02-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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 record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:During an observation beginning on 2/9/2026 at 8:30 AM, the door to the kitchen at the facility was observed open from a dining room. No staff were present in the kitchen at this time. Hair nets were not present at the entrance of the kitchen above a handwashing sink. Dirty dishes and scraps of food were noted on a two-shelf cart and on a dining room table outside the kitchen. During the initial kitchen tour starting on 2/9/2026 the following were observed:The microwave oven was opened and dried food debris were noted within the microwave and on the inside of the microwave door. According to the 2022 FDA Food Code section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils. (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. (B) The FOOD-CONTACT SURFACES of cooking EQUIPMENT…

  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 · Ecited before2026-02-12 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow physician ordered parameters for one resident (Resident #42) and failed to follow professional standards and facility policy for narcotic accounting for one resident (Resident #50) of four residents reviewed. Findings:Resident #42 (R42) Review of a Face Sheet revealed R42 was a [AGE] year-old male, last readmitted to the facility on [DATE], with pertinent diagnoses of orthostatic hypotension (low blood pressure when changing position), diabetes, high blood pressure, muscle weakness and lack of coordination. Review of an Emar (electronic medication administration record) reflected an order for R42 to take Midodrine 10 mg (milligrams) three times daily with ordered parameters of: hold medication if systolic blood pressure (top number) is greater than 130. Further review of the Emar dated February 2026 reflected that the medication Midodrine was given outside physician ordered parameters on (a) 2/6/26 at 8:00 AM BP (blood pressure)…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-12 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to secure three of four medication carts and properly store a medication pass supplement. Findings:During an observation on 02/09/26 at 8:47 AM the 200-hall low side medication cart sat unlocked and unattended by nursing staff. A glargine insulin pen for resident #42 was not dated and was opened. Six loose unidentified pills were found in the bottom of the second drawer. Registered Nurse (RN) B returned to the cart at 8:56 AM. During an observation on 2/10/2026 at 6:10 AM, the main 100 Hall medication cart and the split 100 Hall medication cart were observed unlocked and unattended by a licensed nurse. During an interview on 2/20/2026 at 6:20 AM, Registered Nurse (RN) J reported that she was responsible for both medication carts and knew that they should have been locked when unattended. During an observation on 2/10/2026 at 6:30 AM, RN J prepared a dose of an as needed narcotic medication for a resident. Upon completion of the medication preparation, RN J closed the drawer to the medication cart and proceeded…

  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 · Ecited before2026-02-12 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to utilize enhanced barrier precautions for 2 residents (R13 and R27), perform appropriate hand hygiene during care for one resident (R27), and provide a cleanable wheelchair for one resident (R20), of 3 residents reviewed for infection control.Findings include:Resident #13 (R13) Review of a Face Sheet revealed R13 admitted to the facility on [DATE] with pertinent diagnoses of pressure ulcers. During an observation and an interview on 2/9/26 at 11:48 AM, Licensed Practical Nurse (LPN) C was in R13's room providing dressing changes to his pressure ulcers. Outside the room there was a sign posted for staff to use Enhanced Barrier Precautions (EBP) when providing care. The EBP included the use of a gown and gloves. LPN C was observed with no gown on. When LPN C was done with R13's dressing change, a Certified Nursing Assistant (CNA) entered the room without a gown on to assist R13 with incontinence care. When LPN C was completed with his…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-12 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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, the facility failed to maintain general cleanliness and repair of the facility, resulting in an increased potential for contamination and a possible decrease in satisfaction of living for residents. Findings Include:On 02/09/26 at 12:40PM, the following was observed in the spa shower room across from room [ROOM NUMBER]: (a) a bag of soiled linens laid on the floor, (b) fecal matter was smeared on the blue shower chair, and (c) fecal matter sat on one of the shower chair legs.On 02/10/2026 at 2:25PM, observed particle board shelving in the janitor closet next to the housekeeping office had peeling laminate, swelling of particleboard and a mold-like in appearance growth on the exposed particleboard. At time of observation Maintenance Director (MD) S indicated he was unaware of shelving damage. On 02/10/2026 at 2:26PM, observed the mop sink had a large gap between the mop sink and the wall, allowing water to splash out of the mop sink and then run down the wall and accumulate 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-12 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide an effective way to communicate for 1(R52) of one resident reviewed for communication.Findings include:Resident #52 (R52)Review of a Face Sheet revealed R52 admitted to the facility on [DATE] and her preferred language was Castilian Spanish. During an observation and an interview on 2/9/26 at 11:07 AM, R52 was lying on her bed receiving intravenous therapy. R52 was asked some questions but responded in a different language. With verbal gestures and hand signaling, she indicated she could not speak English. At this time, she reached for a handheld device in her drawer and tried to turn it on. The window of the device indicated it needed a Wi-Fi connection and R52 did not know how to use this device at this time. During an interview on 2/9/26 at 11:39 AM, Licensed Practical Nurse (LPN) C reported R52 could speak a little English but is fluent in Spanish. The facility utilizes a telephone translator service and LPN C reported R52 can…

  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 · D2026-02-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and record review, the facility failed to provide routine hand hygiene for two (Resident #43 and Resident #2) of three residents reviewed. Findings: Resident #43 (R43)Review of a Face Sheet revealed R43 was a [AGE] year-old female, last readmitted to the facility on [DATE], with pertinent diagnoses of a recent stroke that caused right sided facial, arm, and leg weakness and paralysis and difficulty speaking. R43 was dependent on a staff person for all hygiene and activities of daily living. During an observation on 02/09/26 at 10:07 AM, R43's fingernails had a thick brownish substance under them. During an observation on 02/10/26 at 9:11 AM, R43's fingernails had the thick brownish substance still under them. Resident #2 (R2)Review of a Face Sheet revealed R2 was a [AGE] year-old male, last admitted to the facility on [DATE], with pertinent diagnoses of a stroke that caused difficulty speaking and right sided weakness and paralysis. R2 depended on staff for his personal care and hygiene.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure safe and proper positioning was maintained for one (Resident #43) of three residents reviewed for quality of care. Findings:Resident #43 (R43) Review of a Face Sheet revealed R43 was a [AGE] year-old female, last admitted back to the facility on [DATE], with pertinent diagnoses of a stroke that caused right sided facial, arm, and leg weakness and paralysis. R43 required assistance from two staff persons to move and reposition in the bed. During an observation on 02/09/26 at 10:07 AM, Licensed Practical Nurse (LPN) F entered R43's room and raised the head of the bed (HOB) to administer medications. R43 slid down in the bed when the HOB was raised. LPN F did not check R43's position in the bed before leaving the room. During the same observation, R43's feet pressed against the footboard. During an observation and interview on 02/09/26 at 10:56 AM, R43's feet pressed against the footboard. R43 stated no she could not move her legs and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-12 · tag F0756 — failed to review each resident's drug regimen — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure it received, acted upon and maintained, a record of a pharmacy report after a pharmacist Medication Regimen Review (MRR) for one resident (R1) out of 5 residents reviewed for high-risk medications. Findings Include:Review of a facility Face Sheet reflected R1 admitted to the facility on [DATE] with diagnoses that included type 2 diabetes, bipolar disorder, atrial fibrillation, chronic obstructive pulmonary disease (COPD), seizure disorder, high blood pressure, weakness and anemia (too few red blood cells). Review of a Pharmacist Drug Regimen Review dated 1/20/2026 reflected the pharmacist had recommendations based on the review as evidenced by a notation Please take the following action described below. The space below the request for action Please take the following actions: See report. Review of the Documents tab in the Electronic Medical Record (EMR) did not reveal any pharmacy records. During an interview on 2/11/2026 at 3:46 PM, 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.

  Pharmacy Service 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

No federal fines in the current CMS record.

Part of a chain

This home belongs to ATRIUM CENTERS — 26 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 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in MI