Medilodge of Livingston

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.

49.0% 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 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.5% 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 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 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 44% 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 125 beds and averages 97.1 residents a day — about 78% occupied, or roughly 28 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 4.40 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 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 3.72 hrs/resident/day on weekends vs 4.68 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.25 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Actual harm · Gcited before2025-02-11 · 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 MI00149991 and MI00150073. Based on interview, and record review, the facility failed to assess the integrity of a mechanical transfer sling for one resident (R901) reviewed of three for accidents resulting in an avoidable fall requiring emergent transfer to a higher level of care and surgery for fractures sustained to the left and right lower extremities and pain. Findings include: A review of complaint reported to the State Agency included an allegation R901 was dropped from a mechanical (Hoyer) lift and sustained a fracture because the sling was not safe for use. On 2/11/25, a clinical record reviewed revealed R901 was readmitted to the facility on [DATE] with a medical history of atrial fibrillation (abnormal heart rhythm) and required Eliquis (blood thinning medication), chronic osteomyelitis, and diabetes. R901 had an ADL (Activity of Daily Living) self-care deficit related to muscle weakness, reduced mobility, and morbid obesity. R901 required two persons assist and use of…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2026-01-07 · 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 maintain sanitary conditions in the kitchen and pantry in accordance with professional standards for food service safety. This deficient practice had the potential to affect all residents that consume food from the facility. Findings include:On 1/5/26 during an initial observation of the kitchen and pantry between 8:35 AM-9:15 AM, an observation of the main kitchen was conducted with the Certified Dietary Manager (CDM 'H') and the Corporate Registered Dietician (RD 'G'). The following items were observed:The ice machine located near the meal prep area was observed to have black vents on the right and left sides of the unit that were visibly soiled with a thick layer of dust. When asked about who maintained the ice machine, CDM 'H' reported that was the responsibility of the maintenance staff.The reach in freezer had a cardboard box that was opened and inside was a clear plastic bag with frozen beef patties. The clear plastic bag was not sealed and open with visible ice crystals on the tops of the beef patties.…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-07 · 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

  This citation pertains to Intake 2670486.Based on observation, interview and record review the facility failed to provide proper hand hygiene procedure during medication administration for two (R112, R09) of four residents reviewed for medication administration.Findings include:On 1/6/26 at 9:38 AM, a medication administration observation was conducted with Licensed Practical Nurse (LPN) B for R112 and was observed donning clear gloves in the bathroom without washing hands prior. LPN B then placed the right gloved hand to pull the privacy curtain, then proceed to inject insulin into their left lower abdomen.LPN B was then observed at the medication cart, after using hand sanitizer, opened their blue zipper shoulder bag, retrieved a marker to date the bottle, rezipped the bag, moved items on the cart, then opened the new bottle puncturing the safety seal and prepared the medication (Miralax-laxative medication) without cleaning hands.At 9:49 AM LPN B was observed providing medication and administering a health shake to R09 with no hand hygiene.On 1/6/26 at 10:10 AM, a medication…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-07 · tag F0557 — isolated
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  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 promote the resident's right to be treated with dignity and respect for one (R96) reviewed for dignity, resulting in facility staff searching a resident's personal possessions without giving the resident the opportunity to decline.Findings include:Clinical record review documented R96 was admitted to the facility on [DATE] requiring dialysis (medical procedure to remove waste products from the blood) because of acute kidney failure due to rhabdomyolysis (muscle breaks down and releases toxins into the blood and kidneys). R96's Skilled Medical Assessment documented on 12/25/25 confirmed R96 was orientated to person, place, date, and time.On 1/5/26 at 11:25 AM, during initial interview and introduction, R96 was observed sitting on the side of the bed, with the center of their white mustache colored yellow as if nicotine stained, had a faint odor of cigarettes and was visibly upset. When inquired, R96 revealed just prior to this interview, they went…

  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 · D2026-01-07 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 prompt efforts to resolve a complaint/grievance regarding the disposal of fresh purchased personal food items for one resident (R29) of one reviewed for grievances.Findings include:R29 was admitted to the facility on [DATE], with end stage kidney disease, required in house hemodialysis, and was legally blind. A Brief Interview of Mental Status (BIMS) score assessed on 12/19/25 totaling 13/15 indicated R29 was cognitively intact.On 1/5/26 at approximately 11:30 AM, during initial introductions and interview, R29 voiced approximately two months ago, they had ordered a delivery for JETS Pizza. The following day when requested to have their leftovers, R29 was informed the kitchen staff had thrown the pizza into the garbage because it was not dated. R29 said he is blind and relied on the staff to label his food. R29 remarked the Nursing Home Administrator (NHA) said they would reimburse $40.00 for the cost of the meal and Certified Dietary Manager…

  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 before2026-01-07 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to meet professional standards of quality for medication administration for two (R114, R09) of four residents reviewed for the medication administration task.Findings include:On 1/6/26 at 9:55 AM, an observation of Licensed Practical Nurse (LPN) D was at the C-Hall medication cart #1 reading aloud from the computer screen the Medication Administration Record (MAR) orders for R114's morning medications to LPN B who was observed at C-Hall medication cart #2, pulling the medications as LPN D read them off.On 1/6/26 at 12:07 PM, a record review of R09's MAR was reconciled from the earlier medication administration observation with LPN B and revealed the medications were documented as signed off by LPN D. LPN B was interviewed and when the MAR was reviewed, they had identified that it was their error, had not signed in under their log in, and charted on another nurse's credentials.On 1/6/26 at 12:07 PM, an interview with the Director of Nursing (DON) acknowledged the medications that were pulled for R114 should have…

  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 · Dcited before2026-01-07 · 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 Based on observation, interview and record review, the facility failed to conduct a Safe Smoking Assessment of one resident (R96) of one reviewed for smoking.Findings include:Clinical record review documented R96 was admitted to the facility on [DATE] requiring dialysis (medical procedure to remove waste products from the blood) because of acute kidney failure due to rhabdomyolysis (muscle breaks down and releases toxins into the blood and kidneys). R96's Skilled Medical Assessment documented on 12/25/25 confirmed R96 was orientated to person, place, date, and time.On 1/5/26 at 9:22 AM, the Nursing Home Administrator (NHA) confirmed at Entrance Conference, that the facility was a non-smoking facility, no residents currently resided that smoked, and if residents are smokers, they can receive a nicotine patch.On 1/5/26 at 11:25 AM, during initial interview and introduction, R96 was observed sitting on the side of the bed, with the center of their white mustache colored yellow as if nicotine stained, had a faint…

  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 · D2026-01-07 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to ensure accurate accounting for an administered controlled medication (refers to drugs that are regulated due to their potential for abuse and dependance) for one resident (R09) of one reviewed for controlled medication administration.Findings include:On 1/6/26 at 9:38 AM, a medication administration observation was conducted with Licensed Practical Nurse (LPN) B for R09 who was to receive Ativan (a benzodiazepine classified as a controlled medication to treat anxiety, insomnia, and other related conditions) 0.5 milligram (mg) every 12 hours. Review of the controlled substance binder for the medication identified the nurse who last administered the medication identified as LPN C did not document the date or time the medication was last administered. LPN B proceeded to fill in the blank areas stating the nurse did not do it.On 1/6/26 at 9:41 AM, LPN B saw the Nursing Home Administer (NHA) in proximity and was observed telling the NHA they need to call LPN C because they did not sign out their narcotic book.On 1/6/26 at 1:10 PM,…

  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 · D2025-10-30 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 2647121Based on interview and record review, the facility failed to provide behavioral health services for one resident (R901) of three residents reviewed for Changes in condition. Findings include:On [DATE] a concern submitted to the State Agency was reviewed which alleged R903 did not have any support services while at the facility. On [DATE] the medical record for R903 was reviewed and revealed the following: R903 was initially admitted to the facility on [DATE] and had diagnoses including Opioid dependence, depression and Dependence on renal dialysis. A Psychiatry Initial Evaluation dated [DATE] revealed the following: Chief Complaint-Depression, anxiety and insomnia-History of Present Illness- .was initially admitted to [Name of facility] on 5-9-2025 for long-term care due to requiring 24-hour assistance with ADLs (activities of daily living), skilled nursing care, and medication management. Social worker requested psychiatric evaluation regarding patient's increased…

  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 · D2025-08-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake #2584966Based on observation, interview and record review the facility failed to ensure residents received scheduled showers for one (R801) out of one resident reviewed for ADL (activities of daily living) care. Findings include:A complaint was filed with the State Agency (SA) that alleged there were not enough staff at the facility to ensure they received their showers.On 8/27/25 at approximately 9:30 AM, R801 was observed lying in bed. The resident was alert and able to answer all questions asked. When quired as to whether they received scheduled showers, R801 replied that they finally got a shower yesterday (8/26/25) but was not regularly receiving them and often only received a bed bath. R801 noted that they need a shower to ensure cleanliness.A review of R801's clinical record revealed the resident was initially admitted to the facility on [DATE] with diagnoses that included: type II diabetes and acute respiratory failure. A review of the resident's Minimum Data Set (MDS)…

  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 before2025-08-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Complaint #2588818.Based on interview and record review, the facility failed to perform respiratory assessments upon admission and before and after breathing treatment administration for one (R802) of one resident reviewed for a change in condition. Findings include: A review of R802's clinical record revealed R802 was admitted into the facility on 5/23/25, readmitted on [DATE], and discharged on 8/11/25 with diagnoses that included: chronic respiratory failure with hypoxia (low oxygen level), chronic obstructive pulmonary disease (COPD), history of lung cancer, and end stage renal disease (ESRD). R802 was dependent on a mechanical ventilator for breathing, had a tracheostomy (a surgical hole in the windpipe to assist with breathing), and received renal dialysis. A review of a Minimum Data Set (MDS) assessment dated [DATE] revealed R802 had severely impaired cognition and was dependent on staff for care. Further review of R802's clinical record revealed R802 was transferred 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MEDILODGE — 53 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 16 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

About 71% 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 $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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