Grandvue Medical Care Facility

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.

54.7% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% 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 32 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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 113 beds and averages 94.8 residents a day — about 84% occupied, or roughly 18 beds typically open. It usually has some room. 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 4.39 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.84 is at or above 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 4.12 hrs/resident/day on weekends vs 4.49 on weekdays — 8% thinner on weekends. RN hours go from 1.03 to 0.67 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% 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.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · Gcited before2026-01-21 · 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 deficient practice pertains to Intake 2711152.Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from verbal abuse by a staff member for one Resident (#1) of three residents reviewed for abuse and neglect. This deficient practice resulted in psychosocial harm and mental anguish for Resident #1 based on the reasonable personal concept.Findings Include:Resident #1 (R1)Review of the Electronic Medical Record (EMR) revealed R1 was a [AGE] year-old male who admitted to the facility on [DATE] with diagnoses including dementia, aphasia (a language disorder that impairs a person's ability to communicate, affecting speaking and understanding), overactive bladder, urinary incontinence, and need for assistance for personal care. Review of Section C: Cognitive Patterns in R1's most recent Minimum Data Set (MDS) assessment, dated 12/15/25, revealed his, cognitive skills for daily decision making were severely impaired.Review of an Incident Summary to the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-12-17 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 monitor and record accurate weights per standard practice of care for one Resident (R1) of three residents reviewed for weight loss. This deficient practice resulted in R1 having a significant weight loss with no interventions. Findings include: This citation pertains to intake 2690422Review of R1's Electronic Medical Record (EMR) revealed admission to the facility on 9/25/25 with diagnoses including Alzheimer's disease. R1's Care Plan revealed R1 was independent with cueing and supervision as needed. R1 received a 3/15 on the Brief Interview for Mental Status (BIMS) in September 2025, indicating severe cognitive impairment. Review of the Facility Reported Incident read, in part, On December 3, 2025, the resident was found to have a 25.5 lb. (pound) weight loss. Upon further investigation, it was discovered the same staff member had charted weights on this resident for the last 8 weekly weights .Staff recorded inaccurate weights for 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 date of correction
• Actual harm · G2025-03-20 · 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 Based on interview and record review, the facility failed to follow physician orders for readmission to the facility in two Residents (#25 and #15) of three residents reviewed for quality of care following hospitalization. This deficient practice resulted in rehospitalization for excessive clotting times following a history of GI bleed for R25 and rehospitalization with worsening urosepsis for R15. Findings include: Resident #25 (R25) A nursing progress note in the Electronic Medical Record (EMR) dated [DATE] at 3:06 PM documented R25 had hypoxia (low oxygen level), a gray color to the skin, increased confusion, and a blood pressure of 92/52. The physician was notified and R25 was transferred to the Emergency Department (ED) and admitted to the hospital. A hospital Discharge summary dated [DATE] documented R25 with an INR result of 12.9 upon arrival to the ED on [DATE]. The discharge summary recapped concerns identified in the hospital including acute blood loss anemia, acute GI (gastrointestinal) bleeding, and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen.Findings Include:On 4/20/2026 at 11:42 AM observed Certified Nursing Assistant (CNA) P use a probe thermometer to take temperatures of a food item they were reheating in the microwave. The probe thermometer was observed to not have a protective sheath covering on it as it was being pulled from storage in the drawer. CNA P wiped the thermometer with an alcohol wipe prior to inserting it in the food product. Prior to placing the thermometer back into the drawer, CNA P wiped the thermometer again but did not place a protective sheath onto the cleaned thermometer prior to placing it in the drawer. On 4/20/2026 at 3:18 PM observed four plastic wine goblets being stored in the cabinet below the Courtyard ice machine. One of the goblets was observed directly touching the open drain line pipe where the ice machine drain line discharges into the floor drain. On 4/21/2026 10:25 AM…

  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 before2026-04-22 · 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 Based on interview and record review, the facility failed to protect residents' rights to be free from verbal and mental abuse by a resident for two Residents (#4 & #62) of four residents reviewed for resident-to-resident abuse.Findings include:Resident #62 (R62)Review of the Electronic Medical Record (EMR) revealed R62 was originally admitted to the facility on [DATE], with diagnosis including generalized anxiety disorder, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. The Minimum Data Set (MDS) assessment dated [DATE], indicated a Brief Interview for Mental Status (BIMS) score of 12/15, revealing that R62 had moderate impairments with thinking and memory.During an initial interview on 4/20/26 at 10:45 AM R62 stated residents had been wandering into her room. R62 stated recently Resident #9 (R9) had come into her room swearing and yelling at her to get out. R62 stated R9 had even called her names using swear words. R62 did not like R9 cursing at her or calling her names…

  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 · D2026-04-22 · 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 observation, interview, and record review, the facility failed to notify the State Agency (SA) of verbal and physical resident-to-resident altercations for three Residents (#4, #9, & #10) of four residents reviewed for abuse.Findings include: Resident #10 (R10) Review of R10's Electronic Medical Record (EMR) revealed initial admission to the facility on 3/26/25 with diagnoses including dementia with behavioral disturbance, delirium, restlessness and agitation, and psychotic disorder. Review of Section C: Cognitive Patterns in R10's most recent Minimum Data Set (MDS) assessment, dated 3/20/26, revealed her cognitive skills for daily decision making as, severely impaired-never/rarely made decisions. Further review of MDS Section E: Behaviors revealed R10 exhibited physical behavioral symptoms directed toward others (e.g., hitting, kicking, pushing, scratching, grabbing, abusing others sexually), verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at…

  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 · D2026-04-22 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to investigate resident-to-resident abuse for three Residents (#4, #9, & #62) of four residents reviewed for investigation of abuse.Findings include:During an initial interview on 4/20/26 at 10:45 AM Resident #62 (R62) stated residents had been wandering into her room. R62 stated recently Resident #9 (R9) had come into her room swearing and yelling at her to get out. R62 stated R9 had even called her a (expletive, expletive). R62 did not like that R9 had called her that or been in her room.While conducting an initial interview with Resident #4 (R4) on 4/20/26 at 11:21 AM, R4 stated R9 came into their room last week and stated, get the (expletive) out of my room. R4 indicated he asked R9 to leave the room as it was not R9's room but his. R9 then pushed R4's wheelchair across the room and raised his fist at R4 swearing at R4 some more, before R9 left the room. R4 stated he is now uneasy around R9 and afraid of what R9 may do.A review of R4's Electronic Medical Record (EMR) indicated a progress note on 4/14/26 that read Resident…

  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 · D2026-04-22 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the Long-Term Care Ombudsman was notified of a resident's discharge from the facility and ensure pertinent medical records were sent to the receiving provider upon transfer for two Residents (#3 & #6) of two residents reviewed for discharge practices. Findings include: Resident #3 (R3)Review of the Electronic Medical Record (EMR) for R3 indicated a transfer to the emergency department occurred on 3/12/26. Review of the documentation provided to the Long-Term Care Ombudsman in March, indicated they were not notified of the resident's discharge from the facility.Further review of R3's EMR revealed the facility failed to ensure medical documentation was communicated to the receiving hospital.Resident #6 (R6)Review of the EMR for R6 indicated a transfer to the emergency department occurred on 1/1/26. Review of the documentation in R6's EMR revealed the facility did not send medical documentation to the receiving provider.On 4/21/26 at 4:20 PM, an interview was conducted with the Nursing Home Administrator (NHA) who…

  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 F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to provide hospice documentation for one Resident (#8) of one resident reviewed for hospice care services. This deficient practice resulted in the potential for uncoordinated care between the provider and the hospice care service. Findings include: Review of R8's Electronic Medical Record (EMR) revealed admission to the facility on 7/17/25 with active diagnoses that included frontotemporal neurocognitive disorder (a progressive brain disorder that primarily affects the frontal and temporal lobes). R8 was unable to complete the 4/28/26 Brief Interview for Mental Status (BIMS) score on the Minimum Data Set (MDS) assessment but was noted to have severely impaired cognition. The MDS assessment also documented R8's participation in hospice care.Review of R8's Physician Orders read, in part, ADMIT to [Hospice Name] .Active 10/13/25. On 4/21/26 at approximately 11:33 AM, review of R8's EMR revealed a Hospice Care Plan created on 7/21/25. Review of the MISC (miscellaneous) tab in the EMR found no Hospice Health Aide visit 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-22 · 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

  Based on observation, interview, and record review the facility failed to store respiratory equipment in a sanitary manner for two Residents (#35 & #47) of two residents reviewed for respiratory care.Findings include:Resident #35 (R35)On 4/20/26 at 11:21 AM, an observation was made of R35's nebulizer mask intact (put together) and sitting on the nightstand not stored in a bag. R35 was asked when the last time he used his nebulizer mask to which he replied, I used it yesterday. R35's nebulizer medication cup was noted to have some condensation remaining inside.During an observation on 4/21/26 at 10:15 AM, R35's nebulizer mask was sitting on their nightstand intact, open to air and not stored in a bag. On 4/22/26 at 10:04 AM, R35's nebulizer mask was observed intact and sitting on his night stand not stored properly in a bag.Resident #47 (R47)On 4/20/26 at 11:04 AM, an observation was made of R47's room. R47 was absent from her room, and her nasal cannula tubing was observed lying on the floor. The floor where the nasal cannula was lying had visible dirt and crumbs. R47's nebulizer…

  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 · D2025-05-15 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This deficient practice pertains to Facility Reported Incident (FRI) MI00153071. Based on observation, interview, and record review, the facility failed to maintain a complete and accurate medical record following an unwitnessed fall for one Resident (#1) of 3 residents reviewed for medical records. Findings include: Resident #1 (R1) Review of R1's electronic medical record (EMR) revealed initial admission to the facility on 8/21/23 with diagnoses including dementia, repeated falls, bone density disorder, and cognitive communication deficit. Review of R1's most recent Minimum Data Set (MDS) assessment, dated 5/9/25, revealed a Brief Interview for Mental Status (BIMS) score of 2/15, indicative of severe cognitive impairment. Review of the facility investigation report received by the State Agency (SA) on 5/14/25 at 1:39 PM read, in part: Incident Summary: On May 4, 2025, [R1] was discovered on the floor in another resident room .During the early morning hours of May 6, staff noted a bruise to [R1's] left heel . an x-ray was ordered. At 11:04 AM, on May 7, the x-ray results returned…

  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 · F2025-03-20 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) committee met at least once per quarter with the required committee members resulting in the potential for quality-of-care concerns for all 93 residents in the facility. Findings include: A review of the facility QAPI sign in sheets on 3/30/25 at 11:00 a.m., revealed the following: Meetings were held on4/17/24, 5/15/24, 6/19/24, 7/17/24, 10/16/24, 11/20/24, 12/18/24, 1/15/25, and 2/19/25. The meeting held on 7/17/24: The Medical Director or designee did not attend. The facility did not have a QAPI meeting in August 2024 or September 2024. The Medical Director or designee, who is a required committee member, did not attend the QAPI meeting during the quarter of July, August, and September. During an interview on 3/20/25 at 11:26 a.m., the Director of Nursing (DON) reported she was unaware the Medical Director did not attend the meeting and offered to provide proof the Medical Director did attend via zoom for the 7/17/24 meeting. The missing attendance record…

  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 · E2025-03-20 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interview and record review, the facility failed to notify the resident and/or resident representative in writing with the reason for a transfer out of the facility for four Residents (#15, #25, #87, #34) of four residents reviewed for transfer and/or discharge. Findings include: Resident #87 (R87) Review of R87's electronic medical record (EMR) revealed initial admission to the facility on [DATE] with diagnoses including dementia and Parkinson's disease. Review of the facility census report revealed R87 was hospitalized from [DATE] - 3/13/25. Review of a progress note dated 3/11/25 at 12:39 PM read, in part: Resident being transported to [acute care hospital] d/t (due to) swelling in LLE (left lower extremity) and thigh . Review of a facility document titled, Notification of Transfer and Bed Hold Authorization, dated 3/11/25, did not reveal the reason for transfer for R87. Resident #34 (R34) Review of the Minimum Data Set (MDS) assessment, dated 2/28/2025, revealed R34 was admitted to the facility on…

  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

No federal fines in the current CMS record. 2 Medicare payment denials on record.

• Medicare payment denial — starting 2026-01-21 for 23 days
• Medicare payment denial — starting 2025-04-18 for 18 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

CMS files one row per role, so the 17 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 87% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $114K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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.

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