Autumnwood of Deckerville

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.

41.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 37 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.5% 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 23 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 0.17 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 84 beds and averages 79.9 residents a day — about 95% occupied, or roughly 4 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 3.37 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 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 2.93 hrs/resident/day on weekends vs 3.55 on weekdays — 18% thinner on weekends. RN hours go from 1.01 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 27% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

18 citations, most serious first. The 13 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2025-08-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake Number 1316000. Based on observation, interview and record review, the facility failed to provide adequate supervision, ensure comprehensive investigations of falls, and implement meaningful interventions to prevent falls for two residents (# 701 and #702) of three residents reviewed, resulting in falls with injury including nasal bone fractures, the necessity for emergency medical treatment, and unnecessary pain. Findings include: Resident #701:On 8/6/25 at 12:30 PM, Resident #701 was observed in their room in bed with their eyes closed in the locked dementia unit of the facility. The Resident's call light was next to the Resident's bed and not within easy reach.Record review revealed Resident #701 was admitted to the facility on [DATE] with diagnoses which included mood disorder, major depressive disorder, anxiety, and dementia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the Resident was severely cognitively impaired and required set up to moderate…

  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 · G2024-07-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 MI00145606. Based on observations, interviews and record review, the facility failed to protect Resident #2's right to be free from sexual abuse by Resident #1 for one resident (Resident #2) of four residents reviewed for abuse, resulting in Resident #1 being observed to make non-consensual contact with Resident #2's perineal area, with a finger in Resident #2's brief, while Resident #2 was lying in bed, resulting in psychosocial harm, trauma and/or fear using the reasonable person concept and the potential for injury. Findings include: Resident #1: A review of Resident #1's medical record revealed an admission into the facility on 2/5/24 with diagnoses that included stroke, depression, anxiety disorder, adjustment disorder with depressed mood, cognitive communication deficit and intracranial injury. A review of the Minimum Data Set (MDS) assessment revealed the Resident had a Brief Interview of Mental Status (BIMS) score of 15/15 that indicated intact cognition,…

  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
• Actual harm · Gcited before2024-03-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This Citation Pertains to Intake Number MI00137710. This Citation has two Deficient Practice Statements (DPS). DPS #1: Based on observation, interview and record review, the facility failed to ensure that appropriate interventions were in place to secure a resident in a van during a transport to prevent a fall with serious injury for one resident (Resident #8) of 5 residents reviewed for falls and accidents, resulting in Resident #8 falling out of a wheelchair in a facility van and sustaining two right leg fractures. Findings Include: Resident #8: Accidents A record review of the Face sheet and Minimum Data Set (MDS) assessment for Resident #8 revealed the resident was admitted to the facility on [DATE] with diagnoses: history of a brain tumor, morbid obesity, heart disease, fibromyalgia, depression, chronic pain, and neuropathy. The MDS assessment dated [DATE] indicated the resident had full cognitive abilities with a Brief Interview for Mental Status (BIMS) score of 14/15 and the resident needed some…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-22 · 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

  Based on observation, interview and record review, the facility failed to fulfill residents' rights by ensuring that 1) Call lights were in reach, 2) Vital signs and medications were administered/performed during the lunch time meal in the dining area with care plans not individualized, 3) Nail care was performed routinely, 4) Sanitary storage of urinals, and 5) Personal medical records were protected for 4 residents (10, 18, 56, and 58) of 8 residents reviewed for dignity, activities of daily living and residents observed during dining observation.Findings include:Resident 10 (R10):On 4/20/26 at 9:26 AM, an interview was conducted with R10, who was lying down on his bed with the head of the bed elevated. The Resident was asked questions but answers were unreliable and the Resident engaged in limited conversation. When asked about their call light, the Resident was unsure where it was at but looked for it. The call light was positioned on the chair next to the resident's head of the bed with a shoe positioned on top of it. The Resident was asked if he could reach it, but 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 before2026-04-22 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 obtain informed consent prior to providing a psychotropic medication for one resident (Resident #71) of 5 residents reviewed for medications. Findings Include: Resident #71: A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #71 was admitted to the facility on [DATE] with diagnoses: Alzheimer's dementia, history of a stroke, psychosis and adjustment disorder. The MDS assessment dated [DATE] revealed the resident had severe cognitive loss with a Brief Interview for Mental Status/BIMS score of 0/15 and needed some assistance with care. A review of the Care Plans for Resident #71 identified the following: (Resident #71) has an actual behavior problem r/t (related to): Alzheimer's dementia, with progression of dementia, (Resident #71) has been exhibiting an increase in psychosis with delusional though process. He has been exhibiting an increase in anger, agitation and aggression. date initiated and created 10/16/2025…

  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 · D2026-04-22 · 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 interview and record review, the facility failed to revise care plans regarding advance directives for three residents (R5, R82, R83) of three residents reviewed for advance directives. Findings include:Resident #5: R5 is [AGE] years old admitted to the facility on [DATE] with diagnoses that include type 2 diabetes, depression, chronic kidney disease and congestive heart failure. On 04/20/2026 at11:36AM, record review revealed a signed do not resuscitate (DNR) form dated 11/7/25 and a physician's order for a DNR. Record review revealed a care plan that indicates R5 is a full code and it is dated 9/15/25. Resident #82: R82 is 87 years and is discharged from the facility. On 04/21/2026 at 12:31PM, record review revealed a physician's order for a DNR, dated 2/13/26 and a signed document dated 2/18/26 that indicates that R82 has chosen to be a DNR. The care plan for advance directives indicated R82 was a full code, dated 1/21/26. SW was made aware that the care plan for the closed record was not correct.…

  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 · D2026-04-22 · 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

  Based on observation, interview and record review, the facility failed to ensure that assessment, monitoring and treatments were completed/administered for two wounds on the left forearm and one wound on the right forearm for one resident (Resident #10) of one resident reviewed for wound care.Finding include:Resident #10:On 4/20/26 at 9:26 AM, an interview was conducted with Resident 10 (R10) who was lying in bed. The Resident was asked questions, but answers were unreliable and the Resident engaged in limited conversation. An observation was made of a large bandage on the Resident's right wrist area with a date of 4/15 and the resident had two bandages on the left arm that were not dated. All three bandages had blackened areas where it looked like they had bled into the bandage and dried. When asked why he had bandages, the Resident reported they kept bleeding. The Resident was not sure when the staff had put on the bandages on the left arm and stated, They put those on quite a while ago, and indicated it was not today.A review of R10's medical record revealed the Task:…

  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 · D2026-04-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide necessary management and care of an indwelling urinary catheter for 1 resident (Resident #47) of 3 residents reviewed for urinary catheters. Findings Include: Urinary CatheterResident #47: A review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #47 was admitted to the facility on [DATE] with diagnoses: Dementia, heart disease, diabetes, chronic kidney disease, anxiety, history of bladder inflammation with bleeding, surgically placed supra pubic urinary catheter (a catheter inserted through the abdomen into the bladder). The MDS assessment 3/30/2026 revealed the resident had moderate cognitive loss with a Brief Interview for Mental Status/BIMS score of 8/15 and the resident needed assistance with care.On 4/21/2026 at 9:34 AM, Resident #47 was observed lying in bed awake. A urinary catheter bag was observed sitting on the floor; a blue cloth cover was half over the catheter bag. The resident was asked about…

  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 · D2026-04-22 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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 1) Failed to date 5 of 7 bottles of liquor, liqueurs, and cocktail additives, used for Happy Hour for the residents, were opened, 2) Failed to label and date 2 of 2 clear containers of yogurt left in Resident #15's room and 3) Failed to ensure that Freezer and Refrigerator temperatures in the A-Wing Nourishment room were within an acceptable range for 1 of 2 Nourishment rooms . Findings Include: Kitchen: On 4/20/2026 at 9:55 AM, during a tour of the kitchen storage room with Dietary Aide B and [NAME] D a crate with opened liquor bottles, liqueurs and cocktail additives was stored on a shelf. A bottle of opened Grenadine (a red, sweet syrup used in cocktail mix) was opened and not dated when opened; a 1/2 gallon bottle of Rum was 3/4's empty and was not dated when opened; a bottle of Amaretto ( a sweet liqueur) was opened and not dated when opened; Agave nectar was opened and not dated when opened; a bottle of Agave silver tequila was 1/2 empty 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-06 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 three residents' (#42, #68 & #75) responsible parties of initiation and changes to their medication regime of five residents reviewed for unnecessary medications. Findings Include: Resident #42: On 3/5/2025 at 9:00 AM, a review was conducted of Resident #42's clinical records and it indicated the resident admitted to the facility on [DATE] with diagnoses that included, Dementia, Adjustment Disorder, Delusional Disorder, Depression, Anxiety and Schizophrenia. Resident #42 was deemed incapable of making decision for herself and a guardian was appointed. Further review was completed of Resident #42's Cymbalta (antidepressant medication) and Buspirone (antianxiety medication) orders and changes since admission which yielded the following: Physician Orders: Buspirone: Started on 2/12/2025. Give 5 mg (milligrams) by mouth two times a day for anxiety. Cymbalta: Started on 10/2/2025. Give one-20 mg capsule by mouth one time a day for depression. Started…

  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 · D2025-03-06 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review, the facility failed to initiate a change in condition/PASSAR follow up for one resident (Resident #3) of five residents reviewed for PASSAR's. Findings include: Resident #3: On 3/04/25, at 11:51 AM, a record review of Resident #3's electronic medical record revealed an admission on [DATE] with diagnoses that included Diabetes, Stroke and Mental illness. Resident #3 had impaired cognition and required extensive assistance with Activities of Daily Living. A review of the Preadmission SCREENING (PAS)/ANNUAL RESIDENT REVIEW (ARR) Date 01/03/2025 revealed the Hospital Exemption Discharge was check marked. The boxes for Mental Illness were check marked. A review of the OBRA PASARR CORRESPONDENCE January 21,2025 revealed Based on review of the available information, the recipient was admitted to the nursing facility with a hospital exemption. Although the resident remains at the nursing facility, there is a tentative discharge date scheduled within 2 weeks. Therefore, a level II…

  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 · D2025-03-06 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 initiate a restorative therapy program to provide services to maintain or improve range of motion and mobility for one resident (Resident #76) of one resident reviewed for therapy and restorative services. Findings include: Resident #76: A review of Resident #76's medical record, revealed an admission into the facility on 1/23/25 with diagnoses that included adjustment disorder, heart failure, muscle weakness, difficulty in walking, and acquired absence of right toe(s). A review of the Minimum Data Set assessment revealed the Resident had a Brief Interview of Mental Status score of 8/15 that indicated moderately impaired cognition, and the Resident needed partial/moderate assistance with toileting hygiene, bathing, dressing, sit to stand mobility and needed supervision or touching assistance with bed to chair transfer, toilet transfer and walk 10 feet. On 3/4/25 at 11:42 AM, an interview was conducted with Resident #76 and Confidential Person J in Resident #76' room. The Resident was dressed and sitting 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
• Potential for harm · Dcited before2024-03-20 · tag F0550 — failed to protect resident dignity and rights — isolated
  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 This Citation pertains to Intake Number MI00138266. Based on observation, interview and record review, the facility failed to ensure the provision of residents' rights and dignified living conditions for three residents (Resident #11, Resident #12, and Resident #39), out of a sample of 18 residents, resulting in Resident #11 and Resident #12 having strong offensive odors in their room and bathroom and potential lack of availability of the phone for Resident #39 and feelings of embarrassment, shame, frustration, isolation, and loneliness. Findings include: Resident #11: A Review of Resident #11's medical record revealed an admission into the facility on [DATE] with re-admission on [DATE] with diagnoses that included Alzheimer's disease, dementia, psychotic disorder, mood disorder, depression, anxiety and glaucoma. A review of the Minimum Data Set (MDS) assessment revealed the resident had severely impaired cognitive skills for daily decision making and needed moderate assistance with activities of daily living…

  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

“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

$61,621 in federal fines across 2 penalties.

• $26,813 — penalty dated 2024-07-22
• $34,808 — penalty dated 2024-03-20

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 13 rows in the source record cover these 6 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.

2 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 $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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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