Christian Park Health Care Center

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.

46.2% 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 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.4% 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 33 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 25% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 99 beds and averages 79.5 residents a day — about 80% occupied, or roughly 20 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 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.10 hrs/resident/day on weekends vs 3.50 on weekdays — 11% thinner on weekends. RN hours go from 0.86 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as 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.

27 citations, most serious first. The 16 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · H2026-04-09 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to implement a complete infection control program as evidenced by failure to:Effectively mitigate outbreaks of COVID-19 and Influenza A resulting in widespread dissemination of infection disease throughout the facility.Properly disinfect and store multiple-resident use glucometers and individual insulin pens following use.Maintain clean and sanitary medication carts, andProperly clean and sanitize resident bed pans for 5 of the 5 residents in the facility that use bed pans.This deficient practice resulted in the harm when COVID-19 and Influenza A outbreaks in January and February 2026, respectively, spread throughout all Halls of the facility, infecting 25 Residents with one death for COVID-19, infecting 10 Residents with one death for Influenza A, and a decreased quality of life. Findings include: 1. Outbreak Mitigation Failure/Infection Control Surveillance and Tracking/Timely Implementation of Contact Precautions. During an interview on 4/8/2026 at 11:00 a.m., Licensed Practical Nurse (LPN) U, was observed…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-04-09 · 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 observation, interviews, and record review, the facility failed to protect the residents' right to be free from willful neglect in answering a call light for one Resident (8) of 4 residents reviewed, resulting in Resident #8 waiting for over 20 minutes to be addressed while moaning, crying out and thrashing. Based on the reasonable person concept Resident #8 exhibited signs and symptoms of extreme pain and overwhelming anxiety caused by this extended time of unmet needs.Findings include: Review of a facility Abuse Prohibition Policy dated 10/14/2022 read in part: Policy-Each guest/resident shall be free from abuse, neglect, mistreatment, exploitation, and misappropriation of property. To assure guests/residents are free from abuse, neglect, exploitation, or mistreatment, the facility shall monitor guest/resident care and treatments on an on-going basis. It is the responsibility of all staff to provide a safe environment for the guests/residents. Allegations of guest/resident abuse, exploitation,…

  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 · G2026-04-09 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Complaint # 2972928.Based on interview, and record review, the facility failed to timely readmit one Resident (#1) of three residents reviewed for admission, transfer, and discharge rights, resulting in Resident #1 feeling of unnecessary separation from family and friends and uncertainty related to continued medical care and financial stress, as well as psychological stress and anxiety.Findings include:Resident (R1)Review of an admission Record revealed R1 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: respiratory failure.Review of the Minimum Data Set (MDS) assessment for R1 dated 2/12/2026 revealed a Brief Interview for Mental Status (BIMS) score of 14/15 indicating R1 was cognitively intact.Review of R1's EMR read in part: Date of Service 3/19/2026 14:16 Behavioral Health Visit Type Psychiatry Follow up - His Brief Interview for Mental Status (BIMS) score is 14.Review of a State Agency Complaint dated 4/2/2026 at 1:51 PM., read in part:…

  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
• Actual harm · G2025-12-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake: 2674136Based on interview and record review, the facility failed to implement preventative measures, promptly assess and treat constipation for 1 resident (Resident #1) of 3 residents reviewed for quality of care and prevent further medical complications from constipation. This failure resulted in actual harm when R1was hospitalized for a small bowel obstruction, leading to acute kidney injury and sepsis.Findings include:According to Legal and Ethical Issues in Nursing, 4th Edition, ([NAME], G, 2006), a major responsibility of all health care providers is that they keep accurate and complete medical records. From a nursing perspective, the most important purpose of documentation is communication. The standards for record keeping attempt to ensure patient identification, medical support for the selected diagnoses, justification of the medical therapies used, accurate documentation of that which has transpired, and preservation of the record for a reasonable time-period.…

  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 F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure necessary treatment and services to promote healing and prevent wound infection for two Residents (R57 & R71), out of four residents reviewed for pressure injuries. This deficient practice resulted in harm with delay and/or removal of recommended pressure relieving mattresses, delayed healing, and worsening of condition with the development of osteomyelitis for R71. Findings include: This deficiency pertains to Intake MI00140165. Resident R71 During a telephone interview on 2/22/24 at 4:19 p.m., Confidential Complainant C (a licensed, medical professional) expressed concern regarding the facilities failure to timely implement pressure injury interventions to promote healing. Complainant C stated, What the (specialty) wound clinic had ordered the facility has not implemented (timely) . [R71] went septic (extreme response to an infection) and was diagnosed with osteomyelitis (a serious bone infection) . I don't think [R71] would be…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-11 · 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 is linked to intake #MI00139805 Based on observation, interview, and record review the facility failed to care for multiple pressure wounds according to physician orders for three Residents (R4, R5, & R6) out of three residents reviewed for pressure ulcer care. This deficient practice resulted in R6 developing infection, deterioration of pressure wound, hospitalization, wound debridement, and sepsis. Findings include: Resident #6 (R6) Review of R6's progress note, dated 7/12/23 at 10:46 AM, read in part, Nursing noticed during morning medication pass that patient was difficult to arouse. Resident will fall asleep suddenly during conversation . (Providers name) notified of patient's current condition. Advised to continue to monitor. Review of R6's progress note, dated 7/12/23 at 12:01 PM, read in part, .Writer in to assess, will only arouse with deep sternal rub, very weak and lethargic .New orders obtained for x-ray of coccyx to rule out osteomyelitis . Review of R6's progress note, dated 7/12/23…

  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 · D2026-05-29 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to complaint intake #3010662.Based on interview and record review, the facility failed to notify the state agency of a resident-to-resident altercation to the State Agency (SA) for two Residents (#1 and #5) of five residents reviewed for abuse. Findings include: Resident #1 (R1)Review of Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on 1/14/26. R1 scored 15/15 on the Brief interview for Mental Status (BIMS) reflective of intact cognition.Resident #5 (R5)Review of MDS assessment dated [DATE], revealed admission to the facility on [DATE]. R5 scored 15 of 15 on the BIMS assessment reflective of intact cognition.During a phone interview on 5/28/26 Certified Nurse Aide (CNA) E reported, On the evening of May 1st I was charting on the hallway where I was working and [R1] had entered the room where [R5] was receiving personal care from another CNA and opened the privacy curtain and exposed the resident.During an interview on 5/28/26 at 2:20 p.m., the Director…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited 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

  Based on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen. Findings include:On 4/6/2026 at 1:17 PM observed the large stand mixer covered with a plastic bag. DM A was asked why the bag was covering the mixer and they stated that the bag meant that the mixer had been cleaned and covered to show that it was ready to use again. The covering was removed and food debris was noted on the protective wire bowl guard and on the underneath splash zone area where the beater is attached to the unit.According to the 2022 FDA Food Code section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils. (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. On 4/7/2026 at 10:04 AM observed upon opening the door to the exterior walk-in freezer that the stainless-steel covering on the interior of the door is completely missing and the foam…

  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 · F2026-04-09 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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 and interview, the facility failed to maintain general repair of patient equipment and the premises resulting in an increased potential for contamination and a possible decrease in satisfaction of living affecting all residents of the facility. Findings Include:On 4/7/2026 at 8:25 AM in room [ROOM NUMBER] Bed A, observed that the headboard was broken away from the bed and sitting askew with the left corner of the headboard sitting on the floor. During this observation, resident 1 stated that they had requested this be repaired three to four months ago and nothing had been done yet. On 4/7/2026 at 09:29 AM observed duct tape on the handle of the hopper water hose that is used to rinse out soiled linens. During this observation, Maintenance Director (MD) E stated that the duct tape was to give the handle some traction so it would hang in the bracket above the bowl without falling out. On 4/7/2026 at 10:04 observed peeling sealant on exterior soffits on the two hundred wing and just to the left…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-09 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure Medication Regimen Reviews (MRRs) were addressed by the physician in a timely manner and maintained in the clinical record for three Residents (#5, #45, and #52) of five residents reviewed for MRRs.Findings include:Resident #45 (R45) Review of R45's admission Minimum Data Set (MDS) assessment, dated 6/25/25, revealed R45 was admitted on [DATE] with active diagnoses that included the following, in part: Non-Alzheimer's dementia, anxiety disorder, and restlessness and agitation, Resident R45 scored a 15 of 15 on the Brief Interview for Mental Status (BIMS) reflective of intact cognition, with no documented behaviors. Medications administered upon admission included an antipsychotic and antidepressant. Review of R45's MRR Recommendations (to Physician), provided by the facility, revealed the following, in part: Review of R45's Electronic Medical Record (EMR) revealed MRR documentation was not present or not addressed by the physician for 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · 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 interview and record review, the facility failed to ensure accurate advanced directive information was in place for one Resident (7) of two residents reviewed for accuracy of advanced directives (legal documents that allow a person to identify decisions about end-of-life care ahead of time).Findings include:According to Legal and Ethical Issues in Nursing, 4th Edition, ([NAME], G, 2006), a major responsibility of all health care providers is that they keep accurate and complete medical records. From a nursing perspective, the most important purpose of documentation is communication. The standards for record keeping attempt to ensure patient identification, medical support for the selected diagnoses, justification of the medical therapies used, accurate documentation of that which has transpired, and preservation of the record for a reasonable time period. Documentation must show continuity of care, interventions used, and patient responses. Nurses' notes are to be concise, clear, timely, 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure unnecessary psychotropic medications were not administered for an extended duration and without appropriate indications for use for 2 Residents (R45 & R59) of 5 residents reviewed for unnecessary medications/chemical restraints. This deficient practice resulted in administration of antipsychotic medications for an extended duration, administration of antipsychotic medication without appropriate diagnoses for use, and lack of timely gradual dose reductions (GDRs). Findings include:Resident R45Review of R45's admission Minimum Data Set (MDS) assessment, dated 6/25/25, revealed R45 was admitted on [DATE] with active diagnoses that included the following, in part: Non-Alzheimer's dementia, anxiety disorder, restlessness and agitation, Resident R45 scored a 15 of 15 on the Brief Interview for Mental Status (BIMS) reflective of intact cognition, with no documented behaviors. Medications administered upon admission included an antipsychotic 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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, interviews, and record review, the facility failed to implement its Abuse Program Policy and Procedure and immediately protect other this and other residents from neglect, for 1 Resident (#8) from 4 residents reviewed for abuse/neglect. This deficient practice resulted in the potential for continued resident abuse/neglect. Findings include:Review of a facility Abuse Prohibition Policy dated 10/14/2022 read in part: Policy-Each guest/resident shall be free from abuse, neglect, mistreatment, exploitation, and misappropriation of property. To assure guests/residents are free from abuse, neglect, exploitation, or mistreatment. Allegations of guest/resident abuse, exploitation, neglect, misappropriation of property, adverse event, or mistreatment shall be thoroughly investigated and documented by the Administrator and reported to the appropriate state agencies.Neglect is the failure of the facility, its employees or service providers to provide goods and services to a guest/resident that are…

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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review the facility failed to investigate a report of neglect for 1 Resident (#8) of 4 residents reviewed for abuse/neglect, resulting in the potential for continued abuse and/or neglect of residents residing in the facility to go unrecognized.Findings include:Review of a facility Abuse Prohibition Policy dated 10/14/2022 read in part: Policy-Each guest/resident shall be free from abuse, neglect, mistreatment, exploitation, and misappropriation of property. To assure guests/residents are free from abuse, neglect, exploitation, or mistreatment. Allegations of guest/resident abuse, exploitation, neglect, misappropriation of property, adverse event, or mistreatment shall be thoroughly investigated and documented by the Administrator and reported to the appropriate state agencies.Neglect is the failure of the facility, its employees or service providers to provide goods and services to a guest/resident that are necessary to avoid physical harm, pain, mental anguish or…

  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 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake Complaint # 2972928.Based on interview and record review, the facility failed to fully implement their policy and procedure and provide applicable bed hold policy information, written transfer notifications, and required hospital documents for 1 (Resident #1) of four residents reviewed for hospitalizations resulting in worry, fear and frustration for R1 and the delay in his re-admission from a lengthy out of state hospitalization.Findings include:Resident (R1)Review of an admission Record revealed R1 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: respiratory failure.Review of a Minimum Data Set (MDS) assessment for R1 with a reference date of 2/12/2026 revealed a Brief Interview for Mental Status (BIMS) score of 14/15 which indicated R1 was cognitively intact.Review of R1's Electronic Medical Record (EMR) read in part: 3/26/2026 19:19 . (R1) No BM (bowel movement) For 3 Days Sent to (Local emergency department-name omitted) .During an…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 a PASARR (Preadmission Screening/Annual Resident Review) prior to admission for one Resident (#3) of two residents reviewed for PASARR screening.Findings include:Resident #3 (R3)Review of Minimum Data Set (MDS) assessment dated [DATE], revealed admission to the facility on [DATE] with diagnoses that included: anxiety disorder, depression, bipolar disorder, and schizophrenia. R3 scored 15 of 15 on the Brief Interview for Mental Status (BIMS) reflective of intact cognition.Review of R3's Electron Medical Record (EMR) revealed a PASARR was not completed until 2/21/26.During an interview on 4/7/26 at 2:22 p.m., the Director of Nursing (DON) reported, PASARR's are completed when the residents are admitted to the facility. The DON acknowledged the PASARR had not been completed upon admission.During an interview on 4/8/26 at 2:42 p.m., the DON and Nursing Home Administrator (NHA) acknowledged the concern regarding PASARR's not being completed and the…

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

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance

“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

$36,651 in federal fines across 1 penalty.

• $36,651 — penalty dated 2024-02-29

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 14 rows in the source record cover these 7 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.

3 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 $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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