Riverside Commons Rehab and Nursing Center, LLC

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.

63.1% 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 260 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.8% 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 119 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% 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 196 beds and averages 99.0 residents a day — about 51% occupied, or roughly 97 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.07 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.30 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 2.64 hrs/resident/day on weekends vs 3.24 on weekdays — 19% thinner on weekends. RN hours go from 0.57 to 0.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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.

23 citations, most serious first. The 13 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · Gcited beforedisputed · IDR2026-06-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 3034793.Based on observation, interview and record review, the facility failed to lock one resident's bed and failed to stop repositioning a resident at their request during a brief change for one (R504) of three residents reviewed for falls, resulting in R504 falling from the bed, injuring their head and knee with subsequent hospitalization related to a fracture.Findings include:A review of an intake submitted to the State Agency revealed the following: Complainant (Family Member A) states that (R504) fell about two weeks ago, maybe longer. (Family Member A) states the aide (Certified Nurse Aide), (CNA D) was changing (R504) brief, rolled (R504) over, the bed wasn't locked so (R504) rolled to the floor. (Family Member A) states (R504) hit the floor hard and hit (their) head and there was no follow up to examine for injury. (Family Member A) states (R504) been complaining of a lot of pain since the fall, migraine, pain in her back, shoulder and lower legs. (Family Member A)…

  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
• Actual harm · G2026-03-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake 2961759.Based on interview and record review, the facility failed to implement interventions and skin treatments as prescribed to prevent the development or worsening of pressure ulcers for two (R703 and R708) of five residents reviewed for pressure ulcers resulting in R703 and R705 developing stage 3 pressure ulcers (total loss of skin, exposing fatty tissue) to the coccyx area while in the facility.Findings include:The State Agency received a complaint that R708 developed a pressure ulcer at the facility.R708:According to R708's closed Electronic Health Record (EHR), R708 re-admitted to the facility on [DATE] with multiple diagnoses that included surgical repair in the cervical region of C3-C6, diabetes, and metabolic encephalopathy. On 12/12/25, the Clinical admission Assessment Section 5 - Skin Condition indicated R708 had no ulcers, no skin problems, and no skin treatments. A skin assessment dated [DATE] identified R708 to have MASD (moisture associated skin disorder) on the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-02-29 · 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 ensure a safe wheelchair transport for one (R15) of seven residents reviewed for accident hazards, resulting in a fracture with subsequent wound, pain, and decreased activities of interest due to the inability to participate. Findings include: On 2/27/2024 at 9:58 AM R15 was observed in bed wearing a hospital gown. R15's heel boots were observed on R15's wheelchair. When R15 was asked the purpose of the heel boots, R15 stated, The boots are for my feet when I sit in my wheelchair, so my feet don't slip off the footrests. When asked have your feet slipped off the foot rests, R15 replied, Yes I broke a bone and now I can't get up. My ankle hurts. When asked what happened to her left ankle R15 replied, Activities (staff) were bringing me back to my room and my left boot fell off the footrest and pulled my ankle and foot. That was the most painful thing I have had to put up with. The bad part is I can't get out of bed now because I'm waiting…

  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 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

  This citation pertains to intake 3034793.Based on interview and record review, the facility failed to perform a post-fall assessment in a timely manner and failed to ensure a radiology exam was completed for one (R504) of four residents reviewed for a change in condition resulting in the delay of medical care/treatment.Findings include:Review of an intake submitted to the State Agency revealed the following: Complainant (Family Member A) states that (R504) fell about two weeks ago, maybe longer. (Family Member A) states the aide (Certified Nurse Aide), (CNA D) was changing (R504) brief, rolled (R504) over, the bed wasn't locked so (R504) rolled to the floor. (Family Member A) states (R504) hit the floor hard and hit (their) head and there was no follow up to examine for injury. (Family Member A) states (R504) been complaining of a lot of pain since the fall, migraine, pain in her back, shoulder and lower legs. (Family Member A) states requested facility to send (R504) to the emergency, resident was sent to (the hospital on) 6/4/26.On 6/23/26 at 9:45 AM, Family Member A 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-06-24 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to intake 3034793.Based on interview and record review the facility failed to ensure an X-Ray was completed in a timely manner for one resident (R504) of three residents reviewed for physician orders, resulting in radiology orders not being executed for R504 after a fall. Findings include:On 5/23/26 at 9:45AM, Family Member A was asked about R504's fall. Family Member A said R504 fell off the bed during care. Family Member A said the facility did not send R504 to the hospital until (Family Member A) insisted they (the facility) send R504 to the hospital. Family Member A said R504 did not return to this facility after hospitalization. R504 was admitted to another long-term care facility.A review of R504's electronic medical record (EMR) revealed an admission to the facility on 3/11/26 with the diagnosis of Intracerebral Hemorrhage (bleeding inside the brain), Muscle Weakness, Falls, Cerebral Infarction (an ischemic stroke, is the pathologic process that results in an area of necrotic tissue in the brain) Hemiplegia and Hemiparesis affecting left dominant side…

  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.

  Administration Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Fcited before2026-04-09 · 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 maintain best practices in the food service area and maintain cleanliness of ice machines resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 04/07/2026 at 9:17 AM observed a container with unidentified food inside and no date or label in the main walk-in cooler. Dining Director (DD) A removed the bin to be labeled.According to the 2022 FDA Food Code section 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. (A) Except when PACKAGING FOOD using a REDUCED OXYGEN PACKAGING method as specified under S 3-502.12, and except as specified in (E) and (F) of this section, refrigerated, READY-TOEAT, TIME/TEMPERATURE CONTROL FOR SAFETY FOOD prepared and held in a FOOD ESTABLISHMENT for more than 24 hours shall be clearly marked to indicate the date or day by which the FOOD shall be consumed on the PREMISES, sold, or discarded when held at a…

  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 · E2026-04-09 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to store insulins in accordance with pharmacy and manufacturer's recommendation in two of six medication carts reviewed for safe storage of medications and biologicals resulting in the potential for decreased efficacy of the insulin.Findings include:On [DATE] at 8:53 AM during inspection of medication cart #3 on Unit A with Licensed Practical Nurse (LPN) M, 8 of 14 insulin Kwik Pens (disposable, prefilled, multi dose injection device to deliver insulin) in the medication cart were not stored in accordance with pharmacy recommendations labeled on the Kwik Pen. Both the Kwik Pens and the bags they were stored in had pharmacy labels that read: Keep Refrigerated and Good for 28 days after opened. Five Kwik Pens were observed to be opened and in use without any 'open date' on them. LPN M acknowledged there was no 'open date' and therefore no way to determine how long the Kwik pens had been in use.One Kwik Pen was open, had an 'open date' of…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 assist the resident in developing and implementing an advance directive upon admission for one (R118) of five residents reviewed for advance directives. Findings include:On [DATE] at approximately 10:00 AM, R118 was observed in their room preparing for a doctor's appointment. The resident was alert and answered questions appropriately. R118's family member was at the bedside. A record review was conducted of R118's electronic health record (EHR) and revealed a most recent admission date of [DATE] with diagnoses that included chronic obstructive pulmonary disease, Parkinson's disease, hypertension, anemia, bipolar disorder, major depressive disorder, restless leg syndrome, and chronic pain. A physician order in the EHR dated [DATE] indicated Full Code (a term used to communicate to staff to start chest compressions or other life-saving measures if a person's heart or breathing stops). The EHR did not contain any documents or statements by…

  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 · D2026-04-09 · 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 immediately report an injury of unknown origin to the State Agency for one vulnerable resident (R83) of one resident reviewed for abuse.Findings include:On 04/07/2026 at 12:17 PM, R83 was observed in bed with their eyes closed. R83 did not answer to name called. On 04/08/2026 at 09:45 AM, R83 was observed sitting in the dining room in their wheelchair. R83 was asked how they were feeling and if they remembered how they hurt their hip. R83 was not able to respond appropriately to questions.A review of R83's electronic medical record (EMR) revealed an initial admission to the facility on [DATE] with the diagnoses of Dementia, Dysphagia, Fracture of Right Foot, Fracture of Humerus, Seizure, Right Knee Osteoarthritis, And History of Falls. R83 was readmitted to the facility on [DATE] with the diagnosis of a Fracture of Superior Rim off the Right Pubis, (a type of break in a person's pelvis; pelvic ring break are usually caused by falls in elderly patients…

  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 · D2026-04-09 · 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 toileting assistance in a timely manner for one (R43) of two residents reviewed for ADLs (Activities of Daily Living), resulting in R43 having an incontinence episode in the bed. Findings include:On 4/07/2026 at 9:03 AM, R43 was observed in their room, seated on the edge of their bed looking out the doorway with the call light on. R43 stated, I'm waiting for her to come back with the lift. I have to go to the bathroom. I put the light on, and they come in here turn it off and say they will be right back with the lift and another CNA, but it takes a while. I have waited about 10 minutes already, so I put the light back on. At 9:06 AM, Certified Nurse Assistant (CNA) H entered the room, turned the call light off and said, I haven't forgot about you. I have to get help. I'll be back in a minute. At 9:14 AM, CNA H came back in the room and said, Another resident is using the lift right now. Do you want to use a bed pan instead? R43…

  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 · D2026-04-09 · 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 provide nebulizer treatments as ordered for one resident (R57) of three residents reviewed for respiratory care.Findings include:On 4/07/2026 at 10:23 AM, R57 was observed in his room sitting in a wheelchair. R57's nebulizer mask was observed on the floor near the nightstand. When R57 was asked about the nebulizer mask R57 stated, They don't always give the nebulizer to me and I need it. I was taking it daily at home and in the hospital. It helps. I'm short of breath when I move around. R57 was alert and oriented to person, place, and time during the interview.On 4/08/2026 at 1:20 PM, R57 was interviewed about his nebulizer treatment and said he did not get the treatment. R57 stated, I was on the nebulizer at home for six years, I'm always short of breath I want the nebulizer it helps. They stopped giving it to me. I've asked them, I asked the nurse for it.On 4/08/2026 at 2:20 PM, Licensed Practical Nurse (LPN) N was interviewed and said…

  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 · D2026-04-09 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 promptly notify the health care provider of laboratory results for one (R118) of one resident reviewed, resulting in a potential delay in treatment. Findings include:On 4/7/2026 at approximately 10:00 AM, R118 was observed in their room preparing for a doctor's appointment. The resident appeared alert and communicated appropriately during the interaction. R118's family member (FM T) was at the bedside and said they thought R118 had a urinary tract infection but was unsure if an antibiotic was ordered. On 4/8/2026 at approximately 12:05 PM, R118 was asked if they were still experiencing burning with urination, and they responded yes. A record review was conducted of R118's electronic health record (EHR) and revealed a most recent admission date of 3/28/2026 with diagnoses that included chronic obstructive pulmonary disease, Parkinson's disease, hypertension, anemia, bipolar disorder, major depressive disorder, restless leg syndrome, and chronic pain. There was no physician order for an antibiotic. A nursing…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0880 — failed to prevent and control infections — isolated
  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 communicate transmission-based precautions for one resident (R48) of four residents reviewed for infection prevention and control, resulting in the potential for spread of infection among residents, staff, and visitors. Findings include:On 4/8/2026 at approximately 9:20 AM, R48 was observed in their room, in bed. An equipment caddy was observed mounted to R48's door which held personal protective equipment (PPE). The PPE observed in the caddy included gloves, face masks, and gowns. There was no signage on the door indicating what type of transmission-based precautions were in place or what type of PPE was to be worn to enter the room and provide care. On 4/8/2026 at approximately 1:10 PM, Licensed Practical Nurse K (LPN K) was interviewed regarding R48's transmission-based precautions. LPN K confirmed R48 had influenza A and staff were to wear PPE upon entering the room. When asked how she knew what type of precautions were needed, LPN K…

  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

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2024-03-27 for 33 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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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