Regency at Canton

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.

64.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 386 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 27.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 159 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 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 141 beds and averages 134.1 residents a day — about 95% occupied, or roughly 7 beds typically open. It runs essentially full — expect a waiting list. 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 3.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.70 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 3.11 hrs/resident/day on weekends vs 3.73 on weekdays — 17% thinner on weekends. RN hours go from 0.51 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-06-25 · 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 3027558.Based on observation, interview, and record review the facility failed to provide adequate supervision and follow elopement protocol resulting in R101 leaving the facility unknown to staff and sustaining a fall out of a wheelchair resulting in a facial hematoma, an abrasion to the left hand and right toes for one resident (R101) at risk for immediate jeopardy out of six residents reviewed for supervision.Further investigation of the incident revealed facility staff failed to supervise a severely cognitively impaired resident (R101) with a high elopement risk and respond appropriately to a door alarm (Emergency Door) on the Ridge Unit. R101 was determined to have exited emergency door number 10 at approximately 3:01 PM on 5/20/2026 after setting off the emergency exit door alarm at approximately 3:00 PM. Emergency door number 10 was located on the northwest corner of the building not near a regularly used entrance or parking lot or frequently used driveway. Housekeeper F…

  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 plan of correction
• Immediate jeopardy · Jcited before2025-07-02 · 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 MI00153910. Based on observation, interview and record review, the facility failed to assess a cognitively impaired resident (R401) after expressing desire to leave the facility and an attempt to exit a back door of the facility on 6/19/25. On 6/23/25 at approximately 8:30 PM, R401 was found after exiting the facility unbeknownst to staff. R401 was located outside the facility in a hospital gown pushing their wheelchair. This resulted in an Immediate Jeopardy due to the facility's failure to identify, assess, and implement interventions to provide resident safety and prevent elopement for residents at risk. The Immediate Jeopardy (IJ) began on 6/19/25. The facility was notified of the IJ on 7/1/25 at 2:30 PM and a removal plan was requested. Findings include: Review of an intake revealed on 6/26/25 an anonymous complainant reported on the evening of 6/23/25 at around 8:30pm, R401 walked out of the front door of the facility, The resident walked out of the facility and continued…

  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
• Immediate jeopardy · Jcited before2023-08-14 · 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 MI00138511. Based on observation, interview, and record review, the facility failed to fully implement the elopement procedure when an alarm sounded but staff neglected to conduct an adequate search of the facility grounds, resulting in the likely occurrence of a serious adverse outcome to one resident (R101) who had a diagnosis of Dementia, was assessed at risk for elopement related to exit seeking and wandering, and had severely impaired cognition out of three residents reviewed for elopement. A citizen called the facility after Resident #101 (R101) was observed unattended outside of the facility at approximately 7:15 PM about 100 feet from a busy two-lane highway in one direction and a 6-to-7-foot drop into wetlands in the other direction. The Immediate Jeopardy (IJ) started on 7/13/2023 when a door alarm sounded but staff neglected to conduct an adequate search of the facility grounds. The Director of Nursing (DON) was notified of Immediate Jeopardy on 8/10/2023 at 4:51 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-06-08 · 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 Intakes MI00134521 and MI00134705. Based on observation, interview, and record review, the facility failed to ensure a proper pivot transfer for one resident (R23) of 6 residents reviewed for accidents resulting in an acute spiral lower leg fracture. Findings include: On 6/5/23 at approximately 8 AM R23 was observed lying in bed dressed, hair combed, and basic Arabic translation sheet at head of bed. On 6/05/23 at 11:57 AM the clinical record for R23 was reviewed and revealed that R23 was admitted into the facility on 7/15/2019 with diagnoses of dementia, and weakness with primary language of Arabic. R23 readmitted to facility on 2/10/23 with of diagnosis of closed fracture of distal end of left tibia with routine healing unspecified fracture morphology and closed fracture of distal end of right radius with routine healing, unspecified fracture morphology. The Minimum Data Set (MDS) assessment dated [DATE] revealed R23 was a 2-person transfer and had a Brief Interview for Mental Status…

  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 before2026-04-14 · 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 2970985.Based on interview and record review, the facility failed to implement interventions during a Hoyer lift transfer for one resident (R104) of five residents reviewed for falls, resulting in a fall without injury.Findings include: Review of a progress note dated 03/30/2026 by Nurse G revealed, cna assisting resident to bed for a brief change via Hoyer lift resident was over the bed but top half was sliding to the left cna attempted to get resident legs in the bed, but resident left side of face was against the nightstand, to avoid injury to face cna lowered resident to the floor.On 04/14/2026 at 2:55p.m., Certified Nursing Assistant (CNA) F was interviewed and stated, I used the Hoyer lift by myself. I know I am supposed to have two people. I didn't have anyone to help me. I lowered R104 to the floor after realizing the sling wasn't on right. On 04/14/2026 at 3:15p.m., he Director of Nursing (DON) was interviewed and stated, CNA F was transferring R104 back into bed 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 before2025-07-02 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to report an incident of resident elopement for one resident (R401) of three residents reviewed for elopement. This failure resulted in the facility not identifying or responding to a situation in which a resident exited the facility without supervision, posing a potential risk to residents' health and safety. Findings include: On 6/30/25 at 12:50 PM, during an interview, the Director of Nursing (DON) denied any residents had eloped from the facility. The DON said there was a resident that had attempted to elope but did not actually elope. Upon further interview the DON confirmed R401 had exited the building and was found in front of the facility. On 6/30/25 at 1:00 PM, the Nursing Home Administrator (NHA) was interviewed. The NHA said they did not consider the incident with R401 to be an elopement because R401 did not leave the premises. The NHA was unable to present any evidence where R401 was found or how R401 exited the building or how long the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 that an incident involving a resident elopement was reported, investigated, and documented in accordance with federal regulations. This failure affected one resident (R401) of three residents reviewed for elopement and had the potential to place the resident at risk due to inadequate supervision and failure to follow established protocols for investigating and reporting incidents. Findings include: On 6/30/25 at 12:50 PM, during an interview, the Director of Nursing (DON) denied any residents had eloped from the facility. The DON said there was a resident that had attempted to elope but did not actually elope. Upon further questioning the DON confirmed R401 had exited the building and was found in front of the facility. On 6/30/25 at 1:00 PM, the Nursing Home Administrator (NHA) was interviewed. The NHA said they did not consider the incident with R401 to be an elopement risk because R401 did not leave the premises. The NHA was unable to present…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-25 · 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 1. Consistently maintain the kitchen in a clean and sanitary condition; 2. Properly date and label food in the refrigerator; 3. Ensure food is properly stored in the freezer. 4. Ensure the use of hair restraints of staff working in the kitchen. These deficient practices had the potential to affect all the residents who consumed food from the kitchen, resulting in an increased risk for food borne illness. Findings include: On 6/23/25 beginning at 9:05 a.m., the initial tour of the kitchen was conducted with Certified Dietary Manager, (CDM) G. Upon entering the kitchen, Sous Chef H was observed near the tray serving line and steam table with a grown-out beard that was not covered with a beard guard. During the tour, the following items were observed in the walk-in refrigerators and freezer: Walk-in Refrigerators: -Upon entering the walk-in refrigerator, the entire floor was wet. -Wilted, wet lettuce and other food particles were on the floor. -Wilted lettuce was exposed in a partially opened box. - In the second…

  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 · D2025-06-25 · 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 timely nail care for one resident (R17) and scheduled showers for one resident (R51) out of three residents reviewed for activities of daily living, resulting in resident dissatisfaction. Findings include: R17 On 6/23/25 at 11:06 AM, R17 was observed awake and in bed. R17 was wearing a splint/brace on the right hand. R17's right hand appeared to be bent at the wrist and the fingers were noted to be flexed over and towards the palm. R17 stated, The nails on my right hand stabs my palm. They don't cut my nails. A review of the clinical record for R17 documented an initial admission date of 2/14/22 and readmission date of 3/24/25. R17's diagnoses included contracture of right hand and wrist. A Minimum Data Set assessment dated [DATE] documented intact cognition and functional limitation in range of motion on one side of his upper extremity. Review of the Certified Nurse Aide (CNA) plan of care for R17 documented to keep fingernails…

  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 · D2025-06-25 · tag F0687 — failed to care for feet properly — isolated
  Provide appropriate foot care.
  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 podiatry services in a timely manner for one resident (R62) out of one resident reviewed for podiatry services, resulting in unmet care needs. Findings include: During an observation and interview on 6/25/25 at 10:24 AM of R62's feet, Licensed Practical Nurse/Unit Manager (LPN/UM) C described the condition of the toenails on R62's right foot as raised, long, thicken, discolored, darkened, fungal like, and in need of trimming. The skin around R62's toes was dry and scaly. LPN/UM C described the condition of the toenails on R62's left foot as follows, the 1st, 2nd, 3rd, and 4th digits were thick and long and in need of trimming. There was some toe discoloration and skin dryness around the toes but not as much as the right foot. LPN/UM C indicated R62's insurance did not cover in-house podiatry services, and they have been working on getting her podiatry services. LPN/UM C was unable to provide documentation of attempts to secure…

  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 before2024-06-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to: 1. Ensure the dishmachine was in good working order; 2. Ensure pans and lids were properly cleaned and allowed to air dry before stacking; 3. Ensure the floor of the walk-in cooler was cleaned. 4. Store a plastic crate containing cartons of milk on a clean floor; 5. Ensure expired food was not stored with active food stock; 6. Properly date-label food stored in the walk-in cooler, walk-in freezer, and resident refrigerators; 7. Ensure proper cooling of cooked, potentially hazardous (time-temperature for safety) food, goulash and sausage gravy; and 8. Ensure staff food was not commingled with residents' food. These deficient practices had the potential to affect all the residents who consumed food from the kitchen, resulting in the potential for food-borne illness. Findings include: On 6/11/24 at 7:25 AM, during the initial tour of the kitchen with Dietary Manager (DM) B the following was observed: The temperature log for the dishmachine…

  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 · D2024-06-13 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 complete an assessment for the self-administration of medication for one resident (R51), out of 40 residents reviewed for medication administration, resulting in the potential for inappropriate medication administration. Findings include: On 6/11/24 at 9:30 AM, Resident #51 (R51) was sitting on the side of his bed. An overbed table was in front of the resident as he was eating breakfast. R51 said a podiatrist did minor surgery on his toe. A 30 cc (cubic centimeter) cup with white cream was observed on the overbed table. When queried about the contents, R51 stated, It's a pain lotion. I put it on myself. On 6/11/24 at 9:39 AM, Licensed Practical Nurse (LPN) K indicated she was the nurse for R51. R51's medications were reviewed with LPN K, and R51 had a prescription for diclofenac sodium topical gel 1%. This medication was to be applied to left foot topically three times a day for pain. LPN K said R51 puts the medicated lotion on his toe…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-13 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 notify the physician of an acute change in condition for one resident (R152). Findings include: A review of the clinical record revealed Resident #152 (R152) was initially admitted to the facility on [DATE] and readmitted on [DATE]. R152's diagnoses included chronic obstructive pulmonary disease, major depressive disorder, anxiety disorder, hypertension, congestive heart failure (CHF), and gastro-esophageal reflux disease. A Minimum Data Set assessment dated [DATE] documented intact cognition. On 6/13/24 at 10:55 AM, when a review of R152's clinical record was conducted with the Director of Nursing (DON), the following was noted: 1. Nurse progress note dated 4/7/24 at 12:57 PM: Resident refusing food and pills this AM. Requested to go to the hospital r/t (related to) stomach pain. 2. According to the April 2024 Medication Administration Record for R152, 9:00 AM medications refused by on 4/7/24 included: Bupropion (for depression), Duloxetine (for…

  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 · Dcited before2024-06-13 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to administer a transdermal patch in accordance with the manufactures guidelines and physician's orders for two residents (R211 and R257) out of forty residents reviewed during medication administration, resulting in the potential for excessive medication dosage delivery and inadequate pain relief. Findings include: R211 On 6/12/2024 at 09:18 a.m. Medication Administration (Med Pass) for R#211 was performed with Licensed Practical Nurse (LPN) R. During the med pass, LPN R was informed by R211 that a right hip Lidoderm patch was not applied on 6/11/2024. LPN R observed a Lidoderm patch dated 6/11/2024 on R211's left hip. LPN R said the Lidoderm patch was put on the wrong hip. LPN R removed the left hip Lidoderm patch and placed another Lidoderm patch on R211's right hip. LPN R was asked was the physician's order written for the Lidoderm patch to be placed on the right hip. LPN R stated, Yes, the Lidoderm patch should have been on the side the…

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

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

“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

$17,345 in federal fines across 1 penalty.

• $17,345 — penalty dated 2025-06-25

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 CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 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 11 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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 $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

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