Cascade Senior 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.

54.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 111 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.9% 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 74 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 0.42 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 79.2 residents a day — about 73% occupied, or roughly 29 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 4.27 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.75 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.94 hrs/resident/day on weekends vs 4.41 on weekdays — 11% thinner on weekends. RN hours go from 0.63 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · L2023-03-21 · tag F0839 — widespread
  Employ staff that are licensed, certified, or registered in accordance with state laws.
  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 eight residents (Resident #14, #15, #23, #27, #31, #36, #39, and #47) received skilled nursing services including medication administration and assessments by a licensed nurse, resulting in Immediate Jeopardy when an unlicensed staff member administered medications, performed assessments, and falsified medical records to reflect the skilled nursing services were performed by a Registered Nurse (RN). Findings include: Review of the facility staff list revealed Staff Member J was a Nurse Grad. In an interview on 03/15/23 at 1:43 PM, Staff Member J self reported she was the facility's scheduler and wound nurse. Staff Member J identified herself as a Registered Nurse. When asked why the staff list identified her as a Nurse Grad, Staff Member J reported she still had to take her nursing boards. Staff Member J reported she was not licensed as a Licensed Practical Nurse (LPN) or RN. Review of Staff Member J's personnel file revealed she…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2023-03-21 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Breakfast was observed on the Meadow's unit, a dementia care unit, on 3/13/23; the breakfast meal cart was delivered to the unit at 7:43 AM. Seven rooms had droplet precaution signs and isolation kits with personal protective equipment (PPE), including gowns and gloves, on the front of the resident room doors. There were no goggles/face shields or N95 respirator masks noted in any of the 7 isolation kits hung resident doors on the unit. A cart for soiled linen and another cart for trash were noted in the center of hallway, placed next to each other, in front of room [ROOM NUMBER], both carts had lids that were attached. Resident #26 (R26) On 3/13/23 at 7:28 AM, R26's door to his room was open, a Droplet precautions sign was posted on the door, and personal protection equipment kit was hanging on the door that included gloves and gowns. R26 was observed lying in bed on left side. Licensed Practical Nurse (LPN) E was observed giving oral medication and told R26 she was going to apply his medication patch on his…

  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 · Gcited before2025-06-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to assess and monitor respiratory status for one (R51) of one reviewed, resulting in R51 being discovered unresponsive and pronounced deceased . Findings include: A Progress Note for [DATE] at 11:58 PM reflected R51 arrived to the facility, from the hospital, via ambulance, at 11:10 PM. The ambulance company reported R51 was hypoxic (low oxygen level), with an oxygen saturation level in the 70's. The note further reflected the ambulance company applied a non-rebreather mask (delivers high concentrations of oxygen) and gave instructions to begin BiPAP (Bilevel Positive Airway Pressure/machine that helps breathing) upon arrival to the facility. BiPAP was initiated with four liters of oxygen per minute. R51's oxygen saturation remained in the 70's, and their respiratory rate was 30 breaths per minute. R51's oxygen was increased to ten liters per minute. Their oxygen saturation increased to 82 percent (%), their respiratory rate was 34 breaths per minute, and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure tow out of two emergency (ER) crash carts (used to house CPR -Cardiopulmonary Resuscitation equipment) were checked daily and stocked with life sustaining items. Record review of an ER CART AUDIT FORM/CHECK LIST, placed on a crash cart on the Meadows Unit, and another on the Rehab/Nursing Unit, documented all the items required to be on each of the crash carts upon nursing performing a nightly check of the crash carts. The form revealed, Initial when checked at the top of the form. Observation of the Meadows Unit crash cart revealed a one-liter bag of normal saline (NS) that did not have a sticker on it, nor did it have an expiration date. Upon returning to the same crash cart at 4:00 PM for another observation revealed that the crash cart was missing the blood pressure cuff, paper, one IV (intravenous) start kit, one 1-liter bag of normal saline, and one 500 milliliters (ML) bag of 5% dextrose.Per the ER CART AUDIT FORM/CHECK LIST…

  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 · D2026-02-05 · 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 Based on interview and record review, the facility failed to provide assistance with Activities of Daily Living for one resident (R200) of three dependent residents reviewed.Findings include:Review of the clinical record revealed R200 was admitted into the facility on [DATE] with diagnoses that included: malnutrition, postprocedural complications and disorders of digestive system and had an abdominal surgical wound present. According to the Minimum Data Set (MDS) assessment dated [DATE], R200 scored 13/15 on the Brief Interview for Mental Status exam (which indicated intact cognition). In a telephone interview with Family Member K on 2/05/26 at 8:31 AM, it was reported that R200 did not receive assistance getting showers while in the facility and was often found to be soiled with urine and not cleaned up for the day.A review of the shower logs for R200, provided by the facility revealed R200 did not receive a shower or bed bath until 12/22/25, 11 days after her admission. A review of R200's progress notes did…

  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 · D2026-02-05 · 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 safely transfer one (R200) of three residents reviewed, resulting in an injury.Findings include: Review of the clinical record revealed R200 was admitted into the facility on [DATE] with diagnoses that included: malnutrition, postprocedural complications and disorders of digestive system and had an abdominal surgical wound present. According to the Minimum Data Set (MDS) assessment dated [DATE], R200 scored 13/15 on the Brief Interview for Mental Status exam (which indicated intact cognition).In a telephone interview with Family Member K on 2/5/26 at 8:31 AM, it was reported that R200 sustained 2 skin tears while being transferred back into bed on 12/22/25 and continued to require at home wound care services for them. A review of incident report for R200, dated 12/22/25, revealed the following:Nursing description: Resident noted to have skin tears to her bilateral calves on the lateral aspects of each leg. Resident reports feeling some mild pain in her…

  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 before2026-02-05 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to consistently use required Personal Protective Equipment (PPE).Findings include:On 2/4/26 at approximately 10 am, Regional Clinical Director A reported that surgical masks were being worn throughout the building due to multiple cases of nausea and vomiting.Review of the clinical record revealed R202 was admitted into the facility on 3/5/25 with diagnoses that included: malnutrition and Type 2 Diabetes Mellitus. According to the Minimum Data Set (MDS) assessment dated [DATE], R202 scored 12/15 on the Brief Interview for Mental Status exam (which indicated moderately impaired cognition).On 2/4/26 at 12:35 PM, a contact precaution sign was observed on the exterior of R202's room door, Certified Nursing Assistant (CNA) D was observed entering then exiting R202's room with only a surgical mask on. On 2/4/26 at 12:37 PM CNA D and CNA C were both observed entering R202's room with only a surgical mask on. On 2/4/26 at 12:39 PM CNA C exited R202's…

  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 · D2025-12-30 · 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 intake #2698300 Based on observation, interview, and record review, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act.Findings Include: Review of the medical record reflected R10 was admitted to the facility on [DATE], with diagnoses that included Alzheimer's disease. The Minimum Data Set (MDS) reflected R10 scored 5 out of 15 (severe impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Review of the medical record reflected R30 was admitted to the facility on [DATE], with diagnoses that included Unspecified dementia. The Minimum Data Set (MDS) reflected R30 scored 9 out of 15 (moderately impaired) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). According to the Facility Reported Incident Report, R30 was observed grabbing R10's foot. R30 was redirected and provided bathroom assistance. During care, R30 began…

  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 · Dcited before2025-12-30 · 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 #2682852Based on observation, interview, and record review the facility failed to 1) ensure proper medication management, 2) accurate documentation, 3) recognize a change in condition and 4) adherence to physician orders for two (Resident #20, Resident #40) in three reviewed for quality of care. Findings include: Resident #20Review of the medical record reflected Resident #20 (R20) was admitted to the facility on [DATE] with diagnoses that included end-stage renal disease dependent on dialysis and disorder of phosphorus metabolism. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/28/25, reflected R20 scored 13 out of 15, indicating cognitive intactness, on the Brief Interview for Mental Status (BIMS), a cognitive screening tool. R20 no longer resided in the facility.Review of R20's physician orders revealed an active order for transport to dialysis on Tuesday, Thursday, and Saturday. An additional order instructed staff to notify the physician of missed…

  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 · D2025-12-30 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 #2682852Based on observation, interview, and record review the facility failed to maintain required dialysis coordination and communication documentation for two (Resident #20 and Resident #40) out of three reviewed for dialysis. Findings include:Resident #20Review of the medical record reflected Resident #20 (R20) was admitted to the facility on [DATE] with diagnoses that included end-stage renal disease dependent on dialysis and disorder of phosphorus metabolism. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/28/25, reflected R20 scored 13 out of 15, indicating cognitive intactness, on the Brief Interview for Mental Status (BIMS), a cognitive screening tool. R20 no longer resided in the facility.Review of R20's physician orders revealed an active order for transport to dialysis on Tuesday, Thursday, and Saturday. An additional order instructed staff to notify the physician of missed dialysis appointments and obtain R20's weight.According 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
• Potential for harm · D2025-12-30 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intake #2682852 Based on interview and record review, the facility failed to ensure accurate documentation for one (Resident #20) of three reviewed for accurate medical records. Findings include:Review of the medical record reflected Resident (R20) was admitted to the facility on [DATE] with diagnoses that included end-stage renal disease dependent on dialysis and disorder of phosphorus metabolism. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 11/28/25, reflected R20 scored 13 out of 15, indicating cognitive intactness, on the Brief Interview for Mental Status (BIMS), a cognitive screening tool. R20 no longer resided in the facility.Review of the physician's orders revealed Sevelamer HCl Oral Tablet 800 milligrams, three tablets by mouth three times daily with meals for chronic kidney disease. Sevelamer is used to treat hyperphosphatemia (excess phosphate in the blood) in patients with chronic kidney disease who are on dialysis. The order was active from 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 · Deficient, Provider has date of correction
• Potential for harm · E2025-06-04 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 MI00150737. Based on observation, interview and record review, the facility failed to ensure call lights were responded to in a timely manner for five (R24, R26, R37, R42 and R43), from a census of 54 residents. Findings include: Resident #37 (R37): Review of the medical record reflected R37 admitted to the facility 12/20/23 and readmitted [DATE], with diagnoses that included type 2 diabetes. The Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 3/10/25, reflected R37 scored 12 out of 15 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 06/02/25 at 3:41 PM, R37 was observed seated in a recliner, in their room. Approximately three times per week, on third shift, they waited about 30 minutes for staff to answer their call light to use the urinal. On first and second shift, they waited 15 to 30 minutes to get out of bed. R37 reported the facility was understaffed and did they best they could.…

  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 · D2025-06-04 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 that the Notice of Medicare Non-Coverage (NOMNC) and Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) were provided accurately and timely to two Residents (R#25 and R#107) of three reviewed. Findings include: Resident #25 Review of the clinical record, including the Minimum Data Set (MDS) dated [DATE] revealed Resident 25 (R25) was a [AGE] year old admitted to the facility on [DATE] utilizing Medicare part A benefits. Review of the NOMNC for R25 reflected a last covered day under Medicare A would be 4/16/25. The NOMNC was signed by R25 on 4/15/25, thus not giving the required time frame for the notice . Review of the SNF ABN, also signed by R25 on 4/15/25 revealed R25 would be billed privately starting 4/18/25. Resident #107 Review of the clinical, including the Minimum Data Set (MDS) record reflected Resident 107 (R107) was admitted to the facility on [DATE]. Review of the NOMNC for R107 reflected a last covered day under Medicare…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NEXCARE HEALTH SYSTEMS — 20 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 11 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

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 $420K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in MI