The Laurels of Carson City

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

62.7% 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 120 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.5% 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 58 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 82 beds and averages 74.8 residents a day — about 91% occupied, or roughly 7 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 3.22 hrs/resident/day on weekends vs 3.74 on weekdays — 14% thinner on weekends. RN hours go from 1.30 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% 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 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.

27 citations, most serious first. The 13 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Kcited before2024-05-02 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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 Based on observation, interview and record review, the facility failed to accurately assess, provide treatments as ordered, and ensure physician oversite for wounds for 2 residents (Resident #276 and #64) out of 18 residents reviewed for alterations in skin integrity/pressure injuries, resulting in an immediate jeopardy when on 12/21/23, an alteration in skin integrity was identified on R276's left heel. R276 was not provided care in accordance with professional standards of practice and facility policy to treat and prevent the deterioration pressure injuries, did not have an accurate assessment of the pressure injury, and was not provided the necessary treatment for a deteriorating pressure injury resulting in the development of osteomyelitis. Additionally, upon return from a hospitalization, R276 was not provided the ordered treatments to prevent the worsening of his pressure injury and/or infection. R64 experienced the worsening/deterioration of the wound on his right heel and developed an additional wound 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 · Hcited before2024-05-02 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation is related to intake #MI00140932 Based on interview and record review, the facility failed to 1.) promptly identify an outbreak of acute respiratory illness and implement facility infection prevention and control policies and procedures, 2.) implement transmission-based precautions for residents with signs and symptoms of acute respiratory illness to prevent the spread of infection, 3.) ensure prompt testing for residents with signs and symptoms of acute respiratory illness, 4.) investigate the outbreak and document the surveillance of respiratory infections, and 5.) follow transmission based precautions for suspected Clostridum difficle (C-diff). This deficient practice resulted in the widespread transmission and infection of residents and staff with COVID-19, Influenza, and Respiratory Syncytial Virus. Findings: Review of the facility policy Infection Prevention Program Overview last revised 9/9/22 revealed, INFECTION PREVENTION PROGRAM-MISSION OF PROGRAM- The facility establishes a program under…

  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
• Actual harm · G2024-05-02 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 provide the pneumococcal immunization per consent and the recommendation by the Centers for Disease Control and Prevention (CDC) for 1 (Resident #287) out of 5 reviewed for immunizations, resulting in residents not receiving the pneumococcal immunization. Findings: Resident #287 (R287) Review of an admission Record revealed R287 was an [AGE] year-old female, admitted to the facility on [DATE]. Review of R287's Pneumococcal Immunization Consent revealed R287 consented/requested the pneumonia vaccine on 1/23/24. Review of R287's Nurses Notes dated 2/7/2024 revealed, (name omitted), an ER (emergency room) nurse from (hospital), called and stated that the guest was being admitted r/t (related to) RSV (Respiratory Syncytial Virus), right lobe pneumonia, CXR (chest x-ray) showing failure . Review of R287's Nursing Summary dated 2/9/24 revealed, Guest out to the hospital for 2 overnights due to community acquired pneumonia and diagnosed with RSV . During an…

  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 · D2026-06-24 · 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 This citation pertains to Incident 3042858Based on interviews and record review, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of an allegation of abuse in accordance with section 1150B of the Act for one (R18) of four residents reviewed for abuse. Findings Include:R26Review of the Minimum Data Set (MDS) dated [DATE] revealed R26 was admitted to the facility 5/22/2026 with diagnosis that included Alzheimer's disease and Dementia. The MDS Brief Interview for Mental Status (BIMS) reflected a score of 0 out of 15 which indicated the Resident was severely cognitively impaired. The MDS reflected R26 was independently ambulatory.R18Review of the MDS date reflected R18 admitted to the facility 5/5/2024 with diagnoses that included Dementia. Review of the MDS BIMS reflected a score of 4 out of 15 which indicated R18 was severely cognitively impaired. The MDS reflected R18 was non-ambulatory and wheelchair dependent.A review was conducted of the initial report…

  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 · Past Non-Compliance
• Potential for harm · Dcited before2026-06-24 · 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 Based on interview and record review, the facility failed to prevent the development of a pressure ulcer for one resident (R7) of two residents reviewed for treatment of pressure ulcers.Findings include:Review of an admission Record revealed R7 admitted to the facility on [DATE] with pertinent diagnoses which included atrial fibrillation (a heart arrhythmia characterized by an irregular and often rapid heartbeat), depression, anxiety, and type 2 diabetes mellitus.Review of a current skin risk Care Plan for R7, initiated upon admission on [DATE], revealed R7 was at risk for impaired skin integrity/pressure injury related to urinary incontinence and type 2 diabetes mellitus, with an intervention initiated to cue to reposition self as needed and provide assistance to reposition as needed.Review of R7's Skin Issues note, dated 6/13/2026, revealed R7 had no new skin issues. Further review of the Electronic Medical Record (EMR) revealed R7 had no identified active skin issues on 6/13/2026.Review of R7's Nurses Notes,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 obtain a physician order for a continuous positive airway pressure (CPAP) machine and schedule cleaning for a CPAP machine for one resident (R88) of three residents reviewed for respiratory care. Findings include:Review of an admission Record revealed R88 admitted to the facility on [DATE] with pertinent diagnoses which included hypertension, sleep apnea, and chronic obstructive pulmonary disease. In an observation and interview on 6/22/2026 at 11:34 AM, R88 was lying in bed in her room. R88 had a CPAP machine that sat on her bedside stand and the mask sat on top of the machine uncovered. R88 reported that she used the CPAP machine the last three nights. R88 reported that the CPAP mask or humidifier container had not been cleaned or covered since her admission. Review of an Order Summary dated 6/22/26 at 12:43 PM, revealed no physician order for R88's CPAP machine or for the cleanliness of the CPAP machine. In an observation and interview…

  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 · D2026-06-24 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the physician reviewed monthly drug regimen review recommendations for 1 resident (R20) of 5 residents reviewed for unnecessary medications. Findings include:Review of an admission Record revealed R20 admitted to the facility on [DATE] with pertinent diagnoses which included heart failure, hypertensive heart disease, and dementia. Review of R20's drug regimen review Note to Attending Physician/Prescriber dated 5/6/2026 revealed .This resident has received cranberry for prevention of UTI (urinary tract infection). Please re-evaluate the continued use of cranberry supplement. Further review of a drug regiment review Note to Attending Physician/Prescriber dated 6/4/2026, revealed .This resident has advanced dementia with a BIMS (brief interview for mental status) of 3 (indicating severe cognitive impairment), and receives Aricept and Aspirin which may be of limited benefit in advanced dementia. There was no indication that the physician had…

  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 · D2026-04-15 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 Complaint 2975929Based on interview and record review, the facility failed to ensure appropriate caregiver/support availability for an incapacitated resident who did not have a guardian/Power of Attorney and implement a safe discharge plan for one resident (Resident #1) out of 4 residents reviewed for discharge planning. Findings include:Resident #1 (R1)Review of the admission Record reflected R1 was admitted to the facility on [DATE] and again on 1/16/26 with diagnoses that included unspecified dementia, unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, a wedge compression fracture of the T11-T-12 vertebra, and hypertensive heart disease without heart failure. Review of an admission Minimum Data Set (MDS) assessment dated [DATE] reflected R1 had a Brief Interview for Mental Status (BIMS) score of 13/15 indicating intact cognitive function. R1 did not have any mood disturbances or indicators of psychosis. A discharge, return not…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-25 · 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 1) use Personal Protective Equipment (PPE) according to Transmission Based Precaution (TBP) orders for 1 resident (R61) of two residents reviewed for TBP, 2) implement the facility water management policy/procedure, and 3) dispose of soiled linens in a sanitary manner for 1 resident (R25) of 18 residents reviewed. Findings include: PPE- R61 Review of an admission Record revealed R61 admitted to the facility on [DATE] with pertinent diagnoses which included dementia and muscle weakness. Review of R61's Physician's Orders, initiated 4/23/2025, revealed an order for contact precautions related to suspected Methicillin-resistant Staphylococcus aureus (MRSA) in his heel wound. In an observation on 4/23/2025 in the hallway outside R61's room, contact precaution signage was on the outside of his door directing staff to don gloves and a gown prior to entering his room. In an observation on 4/24/2025 at 7:57 AM in the hallway outside R61's room,…

  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 · E2025-04-25 · 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 Based on observation, interview, and record review, the facility failed to ensure dignified care for four residents (R50, R11, R4, R75) of six reviewed for dignity. Findings include: Review of the admission Record reflected R50 was admitted to the facility 1/24/25 with diagnoses that included: Debilitating Cardiorespiratory Conditions, Muscle Weakness, History of Stroke and Aphasia (difficulty in speaking). Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 10 out of 15 which indicated the Resident was moderately cognitively impaired. Section GG (Functional Abilities and Goals) reflected R50 was dependent on staff for bed mobility and all transfers. On 4/24/25 at 9:34 AM an interview was conducted with R50 in his room. R50 reported delayed call light response when he needed to get cleaned up after episodes of incontinence, R50 stated delayed care makes me feel like crap. During a second interview conducted 4/24/25 at 1:28 PM R50 reported during the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-25 · 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 interview and record review, the facility failed to hold blood pressure medication according to the physician's order for 1 resident (R69) of 18 residents reviewed. Findings include: Review of an admission Record revealed R69 admitted to the facility on [DATE] with pertinent diagnoses which included sepsis, congestive heart failure, and endocarditis (an infection of the heart's inner lining usually involving the heart valves). Review of R69's Physician's Orders active 4/30/2025 revealed an order to give hydralazine (a medication used to treat high blood pressure) HCI 25 milligrams by mouth twice a day, hold for systolic blood pressure (the top number in a blood pressure reading, representing the pressure in your arteries when your heart beats and pumps blood) less than 140. Review of R69's April 2025 Medication Administration Record (MAR) revealed hydralazine given with the systolic blood pressure (SBP) less than 140 at the following times by different nurses: -on 4/3/2025 at 12:00 PM with SBP of 138…

  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 · D2025-04-25 · 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 utilize an intervention to enhance the comfort and functionality for one of three residents (Resident #25) reviewed for range of motion. Findings: Resident #25 (R25) Review of an admission Record revealed R25 was a [AGE] year-old female, last admitted to the facility on [DATE] with pertinent diagnoses of dementia and right sided weakness and paralysis following a stroke. During an observation on 04/23/25 at 11:07 AM, R25 laid in bed resting with her eyes closed. R25's right hand was contracted into a bent fist position and R25 did not have a splint on her right hand. A splint sat on the bedside table in R25's room. During an observation on 04/24/25 at 9:15 AM, R25 laid in bed and did not have a splint on her right hand. The splint sat on the bedside table in the resident's room. During an interview at the same time, R25 stated no staff had not asked her today if they could put the splint on her. During an observation on 04/24/25 at 11:54…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-02 · 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 This Citation pertains to Intake Number MI00145232. Based on interview and record review the facility failed to ensure adequate assessment and monitoring of a resident having chest pain and using nitroglycerin for one resident (Resident #101) of 3 residents reviewed for change of condition, resulting in incomplete information being communicated to the medical practitioner, the potential for unnoticed cardiovascular compromise, and the potential for residents to not meet their highest practicable physical, mental, and psychosocial well-being. Findings include: Resident #101: Review of an admission Record revealed Resident #101 admitted to the facility on [DATE] with pertinent diagnoses which included congestive heart failure and hypertensive heart (complications of high blood pressure that affect the heart). Review of a Minimum Data Set (MDS) assessment for Resident #101, with a reference date of 6/15/2024 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which…

  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

“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

$121,908 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $121,908 — penalty dated 2024-05-02
• Medicare payment denial — starting 2024-06-05 for 13 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 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 19 rows in the source record cover these 10 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.

5 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 $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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.

What families pay in MI