Caretel Inns of Tri-Cities

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.

52.8% 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 148 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 52 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 55.8 residents a day — about 93% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 3.42 hrs/resident/day on weekends vs 3.97 on weekdays — 14% thinner on weekends. RN hours go from 0.89 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above 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.

43 citations, most serious first. The 18 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-02-14 · 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 interview and record review, the facility was placed in Immediate Jeopardy on [DATE]. The facility failed to initiate Cardiopulmonary Resuscitation (CPR) and call Emergency Services (911) for one resident (Resident #1) who began choking during medication administration resulting in Resident #1's death. Immediate Jeopardy (IJ): The Immediate Jeopardy began on [DATE]. The Immediate Jeopardy was identified on [DATE]. The Administrator was notified of the Immediate Jeopardy on [DATE]. The abatement plan was received on [DATE]. The Immediate Jeopardy was removed on [DATE]. The abatement plan was verified on [DATE]. Findings include: Resident #1: On [DATE], at 9:00 AM, a record review of Resident #1's electronic medical record revealed a progress note on [DATE] signed by (Nurse B)that revealed: [DATE] 04:30 Late Entry: Note Text: Guest awake & alert laying in bed. Guest accepted scheduled Tylenol crushed in applesauce. When offered water via straw guest initially was unable to suck on straw. Guest began…

  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 before2026-05-11 · 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 This citation pertains to Intake Number 2999812.Based on interview and record review the facility failed to implement care plan interventions and provide appropriate supervision for feeding assistance for one resident (Resident #2) of three residents reviewed for feeding assistance, resulting in Resident #2 sustaining a burn on the abdominal area.Findings include: Resident #2 (R2):R2 is [AGE] years old and initially admitted to the facility on [DATE], with diagnoses that include muscle weakness, dementia, chronic pain and dysphagia. R2 has a brief interview for mental status (BIMS) score of 5, indicating severe cognitive impairment.On 5/7/26 at 12:27pm, R2 was observed in the dining room for the lunch meal, she is seated in the assisted area of the dining room. R2 is in a Broda chair, positioned upright and centered in the chair. Staff reports that R2 just returned from the wound care clinic. R2 was pleasant and open to conversation, however, R2 is not following the line of questioning and does not answer…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2025-12-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 Number 2677656. Based on interview and record review, the facility failed to reconcile enteral feeding (tube feeding) orders for one resident (Resident #1) of two residents reviewed for enteral feeding resulting in approximately 19 hours of no enteral feeding/nutrition and rehospitalization. Findings include: Resident #1: On 12/17/25, at 9:30 AM, a record review of Resident #1's electronic medical record (EMR) revealed a readmission on [DATE] with diagnoses that included Chronic Hypoxic Respiratory Failure, Severe protein-calorie malnutrition, Septic shock, Diabetes Type 2 and Gastrostomy. Resident #1 had severely impaired cognition. A review of the . admission Assessment Date: 10/17/2025 12:46 . revealed Resident #1 was readmitted at 12:46 PM. There was no hospice documents scanned into the EMR that clarified when the hospice company/nurse visited the resident on 10/17/25. A review of the Physician orders revealed no order for enteral feeding/nutrition for Resident #1 and the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-07-24 · 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 1) Prevent bruising and sling indentations on both thighs during a mechanical transfer for 1 resident (Resident #102), and 2) Ensure that 1 resident (Resident 106) was free of injury of an unknown origin (fracture of the leg) of 2 residents observed for transfer and injury of unknown origin, resulting in 2 sling indentations on the thighs and a bruise on the outer right knee with the possibility of developing skin breakdown and a fracture of the leg, pain and hospitalization.Findings Include:Resident #102: Review of the face Sheet, care plans dated 6/25, nursing notes dated 7/23/25 and physician orders dated 7/23/25, revealed Resident #102 was [AGE] years old, alert but not able to make her own healthcare decisions, immobile, and totally dependent on staff for all Activities of Daily Living/ADL’s. The resident was receiving Hospice services at the facility and malnourished weighting 74.6 pounds. The resident’s diagnosis included,…

  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 before2025-07-24 · 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 This Citation Pertains to Intake Numbers 1256062 and 2564418.Based on observation, interview, and record review, the facility failed to implement and operationalize policies and procedures for fall prevention for two residents (Resident #101 and Resident #105) of three residents reviewed, resulting in a lack of planned interventions, a lack of implementation of meaningful interventions to prevent falls, resulting Resident #101 and Resident #105 experiencing falls with injuries necessitating emergency medical treatment, unnecessary pain, and a decline in overall health status. Findings include: Resident #101: Review of Intake documentation revealed concerns that on 6/24/25 a staff member was giving Resident #101 a bed bath and the Resident rolled out of the bed because there was only one staff member assisting the Resident when they required the assistance of two staff per their care plan. As a result of the fall, Resident #101 suffered a broken hip which required emergency surgery. On 7/22/25 at 12:50 PM,…

  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 before2025-06-13 · 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 Intake Number MI00153516. Based on observation, interview and record review, the facility failed to prevent two (2) Stage II (blisters) pressure injuries for one resident (Resident #102) of 3 residents reviewed for pressure ulcers, resulting in two (2) upper left shoulder, Stage II pressure ulcers, pain/discomfort, wound treatments and the likelihood for a decline in overall health. Findings include: A Stage II pressure ulcer is partial-thickness skin loss involving epidermis or dermis, or both. The ulcer is superficial and presents as an abrasion, shallow center or blister. High risk residents (immobile, bed bound) should be assessed weekly, when a condition, change or as needed and preventive measures should be in place including pressure relieving devices, position changes, and dietary supplements. National Pressure Ulcer Advisory Panel (NPIAP). Resident #102: In an observation on 6/13/25 at 9:50 AM, Resident #102 was observed seated up in reclining Broda chair in the main area 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-01-21 · 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 intake Numbers MI00149500 and MI00149604. Based on observation, interview and record review, the facility failed to implement appropriate interventions timely to prevent a pressure ulcer for one resident (Resident #1) of three residents reviewed for pressure ulcers, resulting in an unstageable coccyx pressure injury (full-thickness pressure injury where the base of the wound is covered by a layer of dead tissue, making it impossible to determine the stage of the injury), pressure ulcer infection and hospitalization. Findings include: Resident #1: On 1/17/25, at 12:30 PM, a record review of Resident #1's electronic medical record revealed an admission on [DATE] with diagnoses that included aftercare following surgery on the circulatory system, need for assistance with personal care and Dysphagia. According to the Minimum Data Set assessment on admission, Resident #1 required 2-person assistance for bed mobility and had moderate cognitive impairment. A review of the Braden Scale admission…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-07-21 · 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 provide supervision to prevent falls/accidents for five residents (Resident #5, Resident #6, Resident #37, Resident #155, Resident #203,), resulting in injuries, pain, and hospitalizations. Findings include: Record review of the facility provided CMS 672 upon entrance to the survey on 7/19/2023 revealed a resident census of 54. record review of facility provided CMS 802 revealed 26 out of 54 Residents were identified as having a fall (F), fall with injury (FI), or fall with major injury (FMI). 26 Residents divided by total 54 Residents equals 48% fall rate. Record review of facility 'Safety and Supervision of Residents' policy dated 9/2022 revealed the facility strives to make the environment as free from accident hazards as possible. Resident safety and supervision and assistance to prevent accidents are facility-wide priorities . Monitoring the effectiveness of interventions shall include the following: (a.) Ensuring that interventions…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake Number 2677656. Based on interview and record review the facility failed to clarify admission orders, reconcile medications, provide medications timely, and coordinate with hospice and the physician for two residents (Resident #1, Resident #3) of three residents reviewed for nursing care resulting in delayed care and rehospitalization. Findings include. Resident #1: On 12/17/25, at 9:30 AM, a record review of Resident #1's electronic medical record (EMR) revealed a readmission on [DATE] with diagnoses that included Chronic Hypoxic Respiratory Failure, Severe protein-calorie malnutrition, Septic shock, Diabetes Type 2 and Gastrostomy. Resident #1 had severely impaired cognition. A review of the . admission Assessment Date: 10/17/2025 12:46 . revealed Resident #1 was readmitted at 12:46 PM. There was no hospice documents scanned into the EMR that clarified when the hospice company/nurse visited the resident on 10/17/25. A review of the Physician orders revealed no order for enteral…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-07 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure food palpability and preferred temperature for a total of 8 resident's (Resident's #2, #13, #22, #26, #63 and #66), and follow provided food menu for a census of 53 of 53 resident's, resulting in the potential for weight loss, dislike of facility served foods, anger towards dietary department and management, refusing to eat served foods, and relying on family member's to bring in favored foods. Findings Include: Observation made on 8/6/25 at 10:26 a.m., in the main dining room revealed the facility food menu posted was dated July, 2025. Resident #26:Review of Face Sheet and Minimum Data Set/MDS dated 3/25, revealed Resident #26 was admitted to the facility 3/25, and was alert and able to be interviewed.During an interview done on 8/5/25 at 12:19 p.m., the resident revealed she did not like what the facility served, she often requested a cheeseburger which was overcooked and hard to chew. The resident said the facility serves the same foods over and over again.Resident #2:Review of Face Sheet and Minimum…

  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 · Fcited before2025-08-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prepare and store food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents that consume food in the kitchen.Findings include: On 08/05/2025 at 9:30AM During the kitchen tour with the Manager of Kitchen V, observed the inside of the ice machine visibly soiled with black residue in the sub kitchen in [NAME] hallway. When interviewed about the cleaning schedule of the ice machine, the Manager of the Kitchen V stated Maintenance is supposed to clean it. and proceeded to tell staff not to use the ice in that machine. On 08/05/2025 at 11:45AM during lunch observation, observed [NAME] W removing gloves and then proceeding to don gloves without washing hands while preparing lunch. According to the 2022 Food Code 4-602.11 Equipment Food-Contact Surfaces and Utensils, Surfaces of utensils and equipment contacting food that is 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-07 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  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, interview and record review, the facility failed to 1) maintain clean wheelchairs for 5 resident's (Resident's #6, #15, #38, #41 and #44), 2) ensure a clean and comfortable environment for randomly selected resident rooms and 3 of 4 hallways (Hall's 100, 200, and 400), and 3) maintain plumbing in good repair, for a census of 53 resident's, visitors and staff, resulting in the potential for cross contamination, resident illness, complaint's of resident environment cleanliness, and flooding concerns regarding plumbing. Findings Include: DPS 2 Based on observation and interview the facility failed to maintain plumbing in good repair. This deficient practice increases the likelihood of contamination of the water supply, potentially affecting any or all staff, residents, and visitors in the facility. Findings include: Observation of 100 hall was done on 8/5/25, starting at approximately 9:20 a.m., the following was found: -In the hallway (at 10:07 a,m,), numerous black scuff marks on walls 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-07 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Bassed on observation, interview and record review, the facility failed to ensure a dignified dining experience and follow care planned interventions for 6 residents (#22, 27, 28, 29, 33, 38 and 44) out of 10 residents reviewed during dining task, resulting in no assistance offered, food spills on clothing, fluids not offered, meals not served timely and in a dignified manner with the likelihood of overall decreased nutritional intake. Findings include:On 8/05/2025, at 12:20 PM, During dining task in the small dining room the following observations were made: On 8/05/2025, at 12:18, during dining task, Resident #38 was sitting at table alone asking if he can have some more pop. Resident #33 had a cup of soup that had spilled down his shirt, pants and all over the table. Resident #33 did not have on a clothing protector. There were no staff in the area. On 8/05/2025, at 12:19, Resident #33 was sitting alone at another table. There was an empty cup of soup with a spoon and no napkin. Resident #33 had spilled soup…

  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 · E2025-08-07 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 interview and record review the facility failed to consistently provide scheduled showers to four (#15, #35, #35, #37) residents of four reviewed for Activities of Daily Living. Resulting in, unmet care needs and feelings of frustration. Findings Include: Resident #15On 8/6/2025 at approximately 8:20 AM, Resident #15 reported her shower days are Mondays and Thursdays, but she did not receive one this Monday. She continued if she does not ask if she is being showered on her scheduled day, many aides will not mention anything about it. Resident #15 stated she did refuse one shower as it was closer to midnight when the aide offered.On 8/6/2025, a review of the last 30 days of Resident #15's showers were completed. Within the 30-day period, Resident #15 was provided with one shower on 7/20/25. There was one progress note related to a shower provided on 8/1/2025 that was not listed in the 30-day look back document. On 8/7/2025 at approximately 3:45 PM, a review was conducted of Resident #15's medical…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview the facility failed to ensure 3 of 4 medication carts were maintained clean and sanitized, free of crushed pills, pieces of loose papers and dust in the drawers, resulting in the likelihood of cross contamination, low medications count with increased cost and missed resident medications. Findings Include: Observation was made on [DATE] at 11:32 a.m., with Nurse, LPN I of the 300 Hall medication cart. During the observation the following was found: -Resident's #1 and #16 had partly used insulin pen's with no expiration date written on the sticker (sticker with open and expiration date spaces to fill in) on the pen. During an interview done on [DATE] at 11:32 a.m., Nurse I was unable to tell this surveyor when the insulin's expired, and why there was no expiration date on the resident's insulin pens. Nurse I stated yes, they need a expiration date. -In the med cart's third drawer on the bottom was a large area of a sticky substance, crushed medication, dust, small pieces 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-07 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain general cleanliness of clean linen and sanitary supply storage. This resulted in an increased potential for contamination and a possible decrease in the satisfaction of living, for any residents in the 100 and 300 hallways. Findings include: On 08/05/2025 at 12:26PM during the environmental tour with the Housekeeping Manager M and Director of Maintenance T, the cleaning supply room floor was visibly soiled with debris. During the interview with the Housekeeping Manager M, when asked what the cleaning schedule is, they stated they are coming in and sweeping the floor on a regular basis. On 08/05/2025 at 1:00 PM observed clean linens stored on the floor of the clean linen room in 300 hall. Housekeeping Manager M proceeded to pick up the clean linens from the floor and removed them from the clean linen closet. On 08/05/2025 1:05PM observed unused urinal on floor along with other trash in the clean linen closet in the 100 hall. The Housekeeping Manager M proceeded to pick up the urinal and trash and removed them from…

  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 · Dcited before2025-08-07 · 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 interview and record review the facility failed to ensure one resident (#6) of one reviewed for behavioral health had an accurate mental health diagnosis.Findings Include:On 8/7/2025 at 10:40 AM, Social Worker P was queried regarding Resident #6's diagnosis of paranoid schizophrenia and current medication regime. She reported he is not prescribed any medications for his schizophrenia diagnosis. She was asked to provide further documentation on if his diagnosis was long standing or newly added. We reviewed his diagnosis list that revealed the Paranoid Schizophrenia diagnosis was initiated upon admission and the physician note dated 5/3/24 that stated, history of paranoid schizophrenia. Social Worker P reported after investigation it was found it was an incorrect diagnosis as it was unsubstantiated from the Level II OBRA completed in May 2025 and unsubstantiated by their contracted psychiatric group who evaluated him as well. Social Worker P was asked why the diagnosis was indicated if it was inaccurate…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-07 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to provide food items per scheduled menu for all residents and failed to provide milk per menu for Resident's #22, 63, 64, 65 and 66) of a census of 53 out of 53 residents who eat facility provided meals, resulting in frustration, no breakfast egg, no milk and overall likelihood of hunger. Findings include. Resident #63 On 8/06/2025, at 8:28 AM, Resident #63 was resting in bed with their breakfast tray on their overbed table untouched. There was no egg on their breakfast sandwich. There was no milk provided. A record review of their meal ticket revealed . EGG, SAUSAGE & CHEESE SANDWICH . 2% MILK . On 8/06/2025, at 8:38 AM, Resident #22 was in bed flat. Their breakfast meal was on their overbed table and slightly pushed in front of them. Resident #22 complained they couldn't eat their oatmeal because they needed milk. There was no egg on their breakfast sandwich. There was no brown sugar on the tray. A record review of their meal ticket revealed . EGG, SAUSAGE & CHEESE SANDWICH . [NAME] Sugar was written on 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.

  Nutrition and Dietary 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

$134,784 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $54,100 — penalty dated 2025-07-24
• $38,961 — penalty dated 2025-05-08
• $41,723 — penalty dated 2024-02-14
• Medicare payment denial — starting 2025-08-21 for 28 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to SYMPHONY CARE NETWORK — 7 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 13 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $781K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in MI