The Laurels of Hudsonville

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.

56.4% 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 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 108 beds and averages 92.1 residents a day — about 85% occupied, or roughly 16 beds typically open. It runs fairly full. 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 3.00 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.77 hrs/resident/day on weekends vs 3.09 on weekdays — 11% thinner on weekends. RN hours go from 0.77 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 44% 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.

37 citations, most serious first. The 14 most serious are shown; the remaining 23 are one tap away and print in full.

• Actual harm · Gcited before2026-06-02 · 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 intakes: 2794208, 3001098, 3005108 and 2711826 Based on interview and record review, the facility failed to 1.provide care and services to ensure abnormal laboratory values were addressed, 2. Implement resident directed care for CHF (congestive heart failure) and bacteremia sepsis (blood infection), 3. Recognize, assess, and address the resident's condition, 4. Monitor, evaluate, and revise responses to interventions as appropriate, 5. Provide appropriate physician oversight, and 6. Honor the advance directives for two (R1 and R13) of 3 residents reviewed for quality of care, resulting in the unexpected death of a resident (R31) and medication not being provided as ordered (R1). Findings include:Review of a Face Sheet revealed R13 admitted to the facility on [DATE] with pertinent diagnoses of congestive heart failure, cognitive communication deficit, cardiomyopathy, enterococcus (bacterial infection) unspecified, and diabetes (as listed for primary admission). Review of an Advance…

  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 before2025-08-07 · 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 interview and record review, the facility failed to consistently implement ordered preventative skin measures, accurately and thoroughly assess a facility acquired pressure ulcer, create and initiate new care plan interventions based on the resident's current condition, and monitor and perform weekly skin assessments for one (Resident #13) of three residents sampled for pressure injuries, resulting in an infected left hand requiring emergency room intervention and surgery. Findings:Resident #13 (R13)Review of an admission Record revealed R13 was a [AGE] year-old female, last re-admitted to the facility on [DATE], with pertinent diagnoses of dementia and Parkinson's disease with severe contractures of both hands. Review of an Order Summary for R13 reflected a physician order for (R13) to wear bilateral palm protectors during the day for 3-4 hours, start date 4/12/25. Review of an Occupational Therapy (OT) note dated 4/14/25 reflected: created hand out with visuals on proper wear of bilateral palm…

  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 · G2025-08-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow the policy and procedures and implement measures to prevent a fall for one (R10) of 4 residents reviewed for falls, resulting in a fall with a major injury.Findings include:Review of a Face Sheet revealed R10 originally admitted to the facility on [DATE] and has pertinent diagnoses of vascular dementia with behaviors, hemiplegia/hemiparesis (one sided weakness) and lack of coordination. Review of the Care Plan for R10 revealed: AMBULATION/WALKING: (R10) requires: Partial/moderate assist with THERAPY STAFF ONLY and HEMI-WALKER, initiated 2/18/25. No other modes of mobility are documented. Review of the Order Summary for R10 revealed on 5/23/25 he had orders for 5 mg (milligrams) of Warfarin/coumadin (blood thinner). Review of the last Physical Therapy discharge summary recommendations dated 12/27/24 for R10 revealed: Recommended that patient use his hemi walker at all times.Patient continues to be at high risk for falls and injury due to poor…

  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 before2024-11-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake MI00147718 Based on observation, interview, and record review, the facility failed to prevent the development and worsening of pressure injuries for one resident (Resident #1) out of 4 residents reviewed for pressure injury, resulting in worsening of pressure injury, serious infection, and delayed wound healing. Findings include: Resident #1 (R1) Review of an admission Record reflected R1 admitted to the facility on [DATE] with diagnoses that included enterovirus, anemia, high blood pressure, chronic kidney disease, chronic congestive heart failure (CHF), atrial fibrillation with the presence of automatic (implantable) cardiac defibrillator, history of stroke, cognitive communication deficit, and muscle weakness. Review of a Minimum Data Set (MDS) admission assessment dated [DATE] reflected R1 was cognitively intact as evidenced by a Brief Interview for Mental Status (BIMS) assessment score of 13/15. R1 required partial to moderate assistance with rolling left and right, sitting…

  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 · Fcited before2026-06-02 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to intakes 2794208 Based on interview and record review, the facility failed to ensure all nursing staff and nursing aides received competency training upon hire/annually. This deficient practice affects all 86 residents who reside in the facility. Findings Include: Review of 6 employee files that included 3 nurses and 3 certified nursing assistants (CNAs), revealed none of the six had skills checks completed upon hire and/or annual skills checks. Of the employee files reviewed, only one nurse was still employed at the time of this review. In an interview on 5/28/26 at 8:54 AM, the Human Resource Manager (HR) Q verified that the 6 employee files reviewed did not contain completed competency skills checks. When asked about whether the current staff had completed competencies, HR Q stated that the previous DON had not completed any competencies either, and they were trying to develop a system to ensure completion. The new Assistant Director of Nursing (ADON), who had been at the facility for only 2-3 months, would be working on this. HR Q confirmed that no…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-02 · 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 This citation pertains to intake 2794208. Based on interview and record review, the facility failed to honor a resident's DNR (do not resuscitate) wishes for one (R13) of 3 residents reviewed for advance directives, resulting in CPR (cardiopulmonary resuscitation) attempt after found unresponsive. Findings include: Resident #13 (R13)Review of a Face Sheet revealed R13 admitted to the facility on [DATE] with pertinent diagnoses of congestive heart failure, cognitive communication deficit, cardiomyopathy, enterococcus (bacterial infection) unspecified, and diabetes (listed as for primary admission). R13 passed away on [DATE]. Review of an Advance Directive document signed by R13 on [DATE] and by the physician on [DATE] revealed R13 requested no CPR (cardiopulmonary resuscitation). Review of the Order Summary in the EMR for R13 revealed the resident was documented as being a Full Code. Review of a LATE ENTRY Nursing Progress note ENTERED [DATE] at 11:43 AM for R13, back dated to [DATE] at 8:00 AM revealed: 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.

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · D2026-06-02 · 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 number 3021098Based on interview and record review, the facility failed to formulate a safe discharge plan for 1 Resident (R12) of 3 Residents reviewed for discharge.Findings included:R12Review of R12's admission record dated 6/2/26 revealed he was admitted to the facility on [DATE] from an acute care hospital with diagnoses that included: peripheral vascular disease, pressure ulcer of left ankle (unstageable), pressure ulcer of left heel (unstageable), frontotemporal neurocognitive disorder, diabetes mellitus 2, with diabetic neuropathy (nerve damage), and acquired absences of right leg above knee (amputation of right leg). He was listed as his own responsible party.Review of R12's Brief Interview of Mental Status (BIMS), dated 4/13/26 revealed he scored 10/15 indicating he had moderate cognitive impairment.Review of R12's 72 Hour admission Conference dated effective 4/7/26 revealed the boxes for Attendees were checked for: Responsible Party/Family, Resident/Patient, Care…

  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 before2026-06-02 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 intakes 3021098 and 2794208. Based on interview and record review, the facility failed to develop and implement a person-centered care plan for two (R13 and R12) of 3 residents reviewed for care plans. Findings include: R12 Review of R12's admission record dated 6/2/26 revealed he was admitted to the facility on [DATE] from an acute care hospital with diagnoses that included: peripheral vascular disease, pressure ulcer of left ankle (unstageable), pressure ulcer of left heel (unstageable), frontotemporal neurocognitive disorder, diabetes mellitus 2 with diabetic neuropathy (nerve damage), and acquired absences of right leg above knee (amputation of right leg). He was listed as his own responsible party. Review of R12's Brief Interview of Mental Status (BIMS), dated 4/13/26 revealed he scored 10/15 indicating he had moderate cognitive impairment. Review of R12's hospital discharge paperwork revealed R12 named a family member Y his DPOA, Durable Power of attorney for medical on 3/5/24.…

  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 before2026-06-02 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 intakes 2794208. Based on interview and record review, the facility failed to ensure the appropriate antibiotic was implemented for one (R13) of one resident reviewed for antibiotics. Findings include Review of a Face Sheet revealed R13 admitted to the facility on [DATE] with pertinent diagnoses of congestive heart failure, cognitive communication deficit, cardiomyopathy, enterococcus (bacterial infection) unspecified, and diabetes (as listed for primary admission). Review of the Hospital Transfer of Care Document for R13 with a discharge date of 6/13/25 revealed:Discharge Instructions: Continue IV (intravenous) antibiotics that were ordered prior to his admission, 2 weeks of abx (antibiotics) from 6/8 (EOT 6/22).-ampicillin 2 g (grams) in sterile water 14.8 ml (milliliters), Infuse 2g over 3 minutes into a venous catheter every 12 (twelve hours. Indications: Enterococcal Bacteremia (blood infection). (No cultures provided and was discontinued upon admission to the Facility.) Review 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-26 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to report an allegation of abuse to the State Agency for one of four residents (Resident #1) reviewed. Findings:Resident #1(R1)Review of an admission Record revealed R1 was a [AGE] year-old female who was admitted to the facility on [DATE].Review of a Nursing Progress Note dated 08/24/25 revealed .Resident used her phone and called 911. CNA (certified nurse aide) walking by saw her on her phone and went in to investigate and noticed 911 was talking to her. CNA explained (to 911 dispatch) that resident was confused, and the call was an accident. Dispatch stated they needed to send an officer out to do a well-check. During an interview on 08/26/25 at 12:10 PM, the Administrator/Abuse Coordinator stated that she was not aware that R1 had called 911 on 08/24/25 nor was she aware that police came to the facility to interview R1 shortly after the call to 911. During an interview on 08/26/25 at 1:35 PM, Ottawa County Sherrif Deputy G reported that the narrative…

  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 · Ecited before2025-08-07 · tag F0658 — failed to meet professional standards of care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow physician ordered parameters for one resident (Resident #3) out of five reviewed for professional standards. Findings:Resident #3 (R3)Review of an admission Record revealed R3 was a [AGE] year-old female, re-admitted to the facility on [DATE] with pertinent diagnoses of chronic kidney disease and hypertensive (high blood pressure) heart disease and heart failure. Review of an Electronic Medication Administration Record (Emar) for R3, dated May 2025, reflected the following medication order: Metoprolol 25 mg (milligrams) one tablet in the morning for high blood pressure-HOLD if heart rate is less than 70. On 5/15/25 R3s heart rate was documented as 68 and the medication was administered. On 5/25/25 R3's heart rate was documented as 60 and the medication was administered. On 5/26/25 R3's heart rate was documented as 62 and the medication was administered. R3 was sent to the emergency room on [DATE] for decreased level of consciousness and a blood…

  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 · Ecited before2025-08-07 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 to obtain labs and monitor values for coumadin use, reapproach or find a root cause to a resident refusal of labs, document pertinent information, and notify the physician/guardian for 1 (R10) of 3 residents reviewed for coumadin use. Findings include:Review of a Face Sheet revealed R10 is [AGE] years old and originally admitted to the facility on [DATE] and has pertinent diagnoses of vascular dementia with behaviors, hemiplegia/hemiparesis (one sided weakness) and lack of coordination. Review of the Order Summary for R10 revealed on 5/23/25 he had orders for 5 mg (milligrams) of Warfarin/coumadin (blood thinner) and reordered again on 7/16/25 when he returned from the hospital to prevent clots. Review of the Order Summary for R10 revealed on 4/11/25 an order to check weekly PT (prothrombin time)/INR every Friday for atrial fibrillation. Document and notify the provider of the results. The time for this task is ordered for 5:00…

  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 · E2025-08-07 · tag F0755 — failed to provide safe pharmacy services — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow standards of practice for narcotic reconciliation for three residents (Resident #21, Resident #34, Resident #51) out of 5 reviewed for pharmacy services. Findings:Resident #21 (R21) Review of an admission Record revealed R21 was a [AGE] year-old female, last re-admitted to the facility on [DATE], with pertinent diagnoses of chronic pain. Review of an Electronic Medication Administration Record (Emar) for R21 dated August 2025 reflected the following documentation for the medication Norco 7.5-325 mg (milligrams) one tab four times daily for chronic pain: (1) on 8/4/25 the medication was not administered to the resident at noon. Review of a Controlled Drug Receipt/Record/Disposition Form (CDRRDF) for R21 reflected documentation that one tablet of Norco 7.5-325 mg was signed out and administered to R21 at 1:00 PM on 8/4/25. Resident #34 (R34)Review of an admission Record revealed R34 was an [AGE] year-old-female, originally admitted to the facility…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-07 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 implement and revise care plan interventions for 1 (Resident #88) of 5 Residents reviewed for care plans, resulting in the resident feeling scared and the increased potential for falls during self-transfers.Findings include: Resident#88 (R88)Review of an admission Record revealed Resident #88 is a [AGE] year-old female admitted to the facility on [DATE] with pertinent diagnoses of Rheumatoid Arthritis, Muscle Weakness, Abnormalities of Gait and Mobility, asthma and vitamin D deficiency. Review of the Minimum Data Set (MDS) dated [DATE] revealed Resident #88 had a Brief Interview for Mental Status (BIMS) indicating she is cognitively intact and is independent using a slide board for transfers and toileting. During an interview on 08/06/2025 at 9:57 AM, R88 stated, Since they polished the floors in my room, I fell due to them being so slippery. Resident, revealed she transfers independently using a slide board to transfer to her wheelchair…

  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

“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

$31,005 in federal fines across 1 penalty. 2 Medicare payment denials on record.

• $31,005 — penalty dated 2025-08-07
• Medicare payment denial — starting 2026-07-01 for 27 days
• Medicare payment denial — starting 2025-09-04 for 15 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.

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 15 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.

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

Follow the money — this home’s finances

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

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

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