Carriage House Nursing and Rehabilitation

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.

55.4% 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 178 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.2% 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 98 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 0.31 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 120 beds and averages 109.4 residents a day — about 91% occupied, or roughly 11 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 3.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.27 hrs/resident/day on weekends vs 4.08 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.66 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

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 · Gcited before2026-04-06 · 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 interview and record review, the facility failed to ensure appropriate supervision for one resident (Resident #1) of three residents reviewed for falls, resulting in three unwitnessed falls causing an elbow skin tear and a hand laceration, resulting in a hospital visit for sutures. Finding include:Resident #1:On 4/6/2026, at 12:10 PM, a record review of Resident #1's electronic medical record revealed an admission on [DATE] with diagnoses that included Wedge compression fracture of T7-T8 Vertebra, fracture of first thoracic vertebrae, Vascular Dementia and Anxiety. Resident #1 had a Brief Interview for Mental status (BIM) assessment on 3/26/2026 which resulted the resident had severely impaired cognition. Resident #1 required extensive assistance with Activities of Daily Living (ADL's).A review of the Fall Assessment Date: 3/30/2026 . revealed the resident was High Risk for falls.A review of the I am at risk for falls care plan related to: Vascular Dementia, history of falls with injuries prior 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-06 · 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 timely interventions, provide appropriate supervision and ensure that staff assisted with transfers to prevent recurrent falls for one resident (Resident #5), resulting in a forehead laceration requiring emergency care and neck and rib fractures. Finding include: Resident #5: On 3/4/24, at 11:00 AM, a record review of Resident #5 electronic medical record (EMR) revealed an admission on [DATE] with diagnoses that included Stroke, unsteadiness on feet and Parkinson's disease. Resident #5 required assistance with all activities of daily living (ADL) and had severely impaired cognition. The Fall Assessment, Date 12/28/2023, revealed that Resident #5 was at High Risk for falls. A review of the Incident reports for Resident #5 revealed the following falls: 2/4/2024 12:44 (12:44 PM) Incident Description . This took place on 2/3/24 Resident was sitting on his bed and was attempting to get up and into his w/c (wheelchair) with help 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-13 · 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 who consume food from the kitchen. Findings include: On 05/11/2026 at 5:37am during the initial kitchen tour, shredded lettuce with a best buy date of 5/5/26 was observed in the walk-in cooler. On 05/11/2026 at 5:37am parmesan cheese blend with a use by date of 5/10/26 in walk in cooler was observed. During this observation, Dietary Manager S was interviewed on how long the parmesan cheese blend is kept and he stated it's kept for a week.According to the 2022 Food Code, 3-501.18 Ready-to-Eat, Time/Temperature Control for Safety Food, Disposition, Time/temperature control for safety refrigerated foods must be consumed, sold or discarded by the expiration date.On 05/11/2026 at 5:45am chlorine to the low temperature dishwasher was tested and the result was zero. The sanitizer bucket feeding the dishwasher was very low and Dietary Manager S replaced the sanitizer bucket with a full one. During…

  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 before2026-05-13 · tag F0880 — failed to prevent and control infections — widespread
  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 follow Infection Control Practices for enhanced barrier precautions (EBP) during high contact cares for two residents (Resident #3, Resident #16) of two residents reviewed for EBP precautions; appropriately transport clean and dirty linen throughout the facility; and to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP); resulting in the likelihood of contamination of the environment and the likelihood to spread multi-drug resistant organisms causing infection and an increased risk of respiratory infection among all residents in the facility. Findings include. On 05/12/2026 at 10:20am Maintenance Director T tested free chlorine residual on hot water, and the result was zero at the hand sink in lakeview room. In addition, Maintenance Director T tested free chlorine residual on cold water, and the result was zero at the same hand sink. On 05/12/2026 at 11:16am interview with…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-13 · tag F0806 — failed to honor food preferences — pattern
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 records review, the facility failed to 1) Provide palatable food products for 8 of 10 residents during the dining task, 2) Follow resident preferences in choices in dining for one resident (Resident #13) of 10 residents reviewed for food quality and preferences and, 3) Address food complaints received during resident council meeting, resulting in multiple food/meal complaints of cold food, no condiments with meals, poor taste and appearance of meals and one resident R13 not receiving the meal choice ordered timely. Findings include: Record review of the facility 'Tray Line Service' policy/procedure undated revealed that select menu (which is now the meal ID card/ticket) will be placed on the tray to be used by other tray line associates to complete meal assembly. Accuracy of meals according to the menu will be checked. In an observation and interview on 05/11/2026 at 8:04 AM-Observation of breakfast trays on the 500/600 units was performed. A resident in room [ROOM NUMBER] was…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-13 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide Advanced Beneficiary Notice of Non-coverage (ABN) notices for 2 residents (#7 & #87) of 3 residents reviewed, resulting in the lack of disclosure related to Medicare rights and the inability to appeal the discharge in the time frame allotted by Medicare. Findings include: Record review of the facility-provided 'For Instructions Advance Beneficiary Notice of Non-coverage (ABN,) pages 1 through 7, revealed when Medicare is not likely to cover a specific item or service, health care providers and suppliers must use ABN to let patient (residents) know whey may be financially liable before they get the items or services. Notifiers must: Deliver the ABN to the patient or their representative before providing the items or services; review the ABN with the patient or their representative and answer any questions before it's signed; deliver the ABN far enough in advance that the patient or representative has time to consider the options and make an informed choice; give a copy to the patient or representative, if requested,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-13 · tag F0656 — failed to write and follow a full care plan — isolated
  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 interview and records review, the facility failed to follow the comprehensive care for post fall interventions for 1 resident (Resident #7) of 2 residents reviewed, resulting in Resident #7's post fall interventions of monitoring every 2 hours and PRN (as needed) with no documentation of the actual monitoring being performed by facility staff. Resident #7:Observation and interview on 05/11/2026 at 9:24 AM of Resident #7 revealed a right wrist with black splint in place. Resident #7 stated that she did fall but does not remember how it happened. In an interview on 05/11/2026 at 9:35 AM, Licensed Practical Nurse (LPN) V stated that Resident #7 had a fall in April 2026 right at shift change. Resident #7 herself transferred and had fallen and fractured her right wrist. The right wrist started to swell so we sent her out to the hospital. Record review of Resident #7's fall incident reports: 12/20/2025 at 6:30AM found on floor by bathroom, stool noted on floor, no injuries. 1/8/2026 at 7:00AM found on floor,…

  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 before2026-05-13 · 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, interview and record review, the facility failed to provide adequate grooming/showers per residents' preferences for three residents (#7, #16, #75) of 6 residents reviewed for Activities of Daily Living (ADL), resulting in resident complaints and unkempt appearances. Findings include: Resident 7: Observation on 05/11/2026 at 5:52 AM of Resident #7 was asleep with rolling walker at bedside with room door closed. Observation revealed an elderly resident asleep with hair that appeared uncombed and a right-hand black splint. Record review of resident #7's medical diagnosis list included: adult failure to thrive, moderate protein-calorie malnutrition, dementia, fracture wrist, anxiety, psychotic disturbance, unsteadiness on feet, personality disorder. Record review of Resident #7's resident care guide Kardex for Bathing/Showering: requires set-up assistance by 1 staff with bathing/showering. Prefers a shower. Record review of Resident #7's care plans revealed that the resident preferred 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to prevent the formation of a contracture for one resident (Resident 9) of four residents reviewed for range of motion. Findings Include:Resident #9: On May 12, 2026, at approximately 1:30 PM, a review was conducted of Resident #9's medical record and it revealed he was admitted to the facility on [DATE] with diagnoses that included, Hemiplegia and Hemiparesis, Dysphagia, Acute Respiratory Failure, Aphasia and Hypertension. Further review of the chart yielded the following:There was nothing located in Resident #9's Care Plan, Kardex or Progress Notes that indicated any decline, formation of stiffness or contractures.Room Change:Upon admission Resident #9 was placed in room [ROOM NUMBER]-1. On 10/13/25 he was relocated to room [ROOM NUMBER]-1 and he remained there until 12/9/2025 when he was moved back to room [ROOM NUMBER]-1.On 5/13/2026 at 8:51 AM, PT (Physical Therapist) DD stated when Resident #9 discharged from therapy services in 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
• Potential for harm · D2026-05-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 timely notify the physician of a positive urine sensitivity result for one resident (Resident #107) of one resident reviewed for Urinary Tract Infections (UTI), resulting in complaints of stomach pain, and a positive urine culture going untreated for approximately 24 hours. Findings include:Resident #107: On 5/11/2026, at 5:55 AM, Resident #107 was resting in their bed. On 5/11/2026, at 11:30 AM, Resident #107 was sitting in their wheelchair in their room. Resident #107 complained that they recently had went to the hospital. On 5/12/2026, at 9:30 AM, a record review of Resident #107's electronic medical record revealed an readmission on [DATE] with diagnoses that included acute cystitis, Diabetes Mellitus and unsteadiness on feet. Resident #107 required assistance with activities of daily living and had intact cognition. A review the progress notes revealed the following: 4/22/2026 . resident stated he was not feeling well at 1355 (1:55…

  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 · D2026-05-13 · tag F0691 — failed to provide colostomy / ostomy care — isolated
  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to assess and monitor an ileostomy for one resident (Resident #108) of one resident reviewed for ostomy care, resulting in delayed physician's orders for assessment and care. Findings include: Resident #108: On 5/12/2026, at 9:54 AM, a record review of Resident #108's electronic medical record revealed an admission on [DATE] with diagnoses that included total colectomy with ileostomy, Left leg fracture and cerebral palsy. The resident required assistance with all Activities of Daily Living and had intact cognition. A review of the Physician orders revealed the following: Colostomy care every shift and as needed . Start Date 5/7/2026 Change colostomy appliance every 3 days & prn (as needed) . Start Date 5/7/2026 A review of the TREATMENT ADMINISTRATION RECORD 5/1/2026 - 5/31/2026 revealed the ostomy appliance was not changed until 5/8/2026; seven days after admission and colostomy care was not provided until the evening on 5/7/2026; 6 days…

  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 before2026-05-13 · tag F0761 — failed to label and store drugs safely — isolated
  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, interview, and record review, the facility failed to 1) Label open biologic medications with resident and dates for two residents (Resident #113 and Resident #67) that were refrigerated in two of three medication rooms viewed for medication storage and 2) Secure medications stored in two of three carts reviewed for medication storage, resulting in the potential risk of resident safety, misappropriation and integrity of medications. Findings include: On 05/11/2026 at 5:29AM, Upon entry to the facility an observation was made of medication cart for 400 Hall residents, which was stationary in front of the nurses' station unattended and unlocked, all drawers were able to be accessed when pulled open. There was a medication cup sitting on top with applesauce in it and a crushed red substance swirled in it. There is an undated apple sauce sitting next to the cup. There was no staff in the area. Also located at the same nurses' station was the medication cart for the 300 hall residents, it was…

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

  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 PREFERRED CARE — 13 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 16 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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