Stonegate Health Campus

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.

58.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 191 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 49.5% 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 99 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 0.52 therapist hours per resident per day in 2026Q1 — more than 83% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 80 beds and averages 74.6 residents a day — about 93% occupied, or roughly 5 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 4.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.78 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 3.76 hrs/resident/day on weekends vs 4.80 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.88 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% 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 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.

26 citations, most serious first. The 12 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2024-01-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to implement and operationalize procedures for pressure ulcer (wounds caused by pressure) assessment, documentation, and management for one resident (Resident #272) of one resident reviewed, resulting in a lack of accurate and timely assessments, lack of implementation of meaningful interventions, and Resident #272 developing two unstageable (full thickness tissue loss with unknown depth) pressure ulcers and a Stage two (partial thickness loss of tissue presenting as a shallow open ulcer with a red pink wound bed, without slough) pressure ulcer, unnecessary pain, the likelihood for additional wound development/progression, and decline in overall health status. Findings include: Resident #272: An observation of Resident #272 was completed on 1/8/24 at 11:59 AM. Resident #272 was sitting in a wheelchair in their room with Family Members Witness A and Witness B. An interview was completed at this time. Resident #272 was noted to be pleasant,…

  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 · G2024-01-09 · 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 Numbers MI00138100 and MI00137191. Based on observation, interview and record review, the facility failed to 1.) Prevent an unauthorized exit for Resident #222, 2.) Follow a care-planned transfer status for Resident #1, and 3.) Follow standards of practice with a removal of a sling underneath Resident #5 for three residents (Resident #1, Resident #5 and Resident #222) of six residents reviewed for accidents, supervision and falls, resulting in Resident #222 exiting the building without supervision with the potential for injury and bodily harm; Resident #1 sustaining a fracture, surgery and pain to the left lower leg, and decreased mobility; and Resident #5 with a fracture to the left thigh, pain and decreased mobility. Findings include: Resident #1: A review of Resident #1's medical record revealed an admission into the facility on 9/24/21 and readmission on [DATE] with diagnoses that included chronic obstructive pulmonary disease, kidney disease, heart failure, diabetes,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-02-11 · 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 best practices in the food service area, resulting in the potential to spread food borne illness to all residents who consume food from the kitchen.Findings include:On 02/09/2026 at 9:45am-10:33am during the initial kitchen tour with Director of Food Services A, observed the meat slicer visibly soiled with crumbs accumulating on surface, stored in the dry storage room in the kitchen. During this observation, Director of Food Services A was interviewed on how often the meat slicer is used and answered it's used about twice a year and it's cleaned before use. On 02/09/2026 at 9:45am-10:33am observed dust accumulation on metal lids stored on a rack near the handwashing sink, located in the kitchen. On 02/09/2026 at 9:45am-10:33am observed the can opener visibly soiled. During this observation, [NAME] B was interviewed on how often the can opener is cleaned and stated it's cleaned every night. On 02/09/2026 at 9:45am-10:33am observed the mixer visibly soiled with black and yellow residue. During this…

  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 · E2026-02-11 · tag F0636 — pattern
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 Minimum Data Set (MDS) assessments were completed timely for six residents (R5, R6, R8, R17, R64, R84) of seven residents reviewed for MDS assessments. Findings include:Resident #5: R5 is [AGE] years old and most recently admitted to the facility on [DATE] with diagnoses that include chronic kidney disease, chronic respiratory failure, dependence on renal dialysis and diabetes mellitus. On 02/10/2026, record review of the Minimum Data Set (MDS) assessments in the electronic medical record (EMR) revealed an MDS Quarterly assessment that was opened on 01/06/26 and closed on 01/26/26. Resident #6: R6 admitted to the facility on [DATE] with diagnoses that include coronary artery disease, hypertension and traumatic brain dysfunction. R6 has a brief interview for mental status (BIMS) score of 14, indicating they are cognitively intact. On 02/10/2026, record review of the Minimum Data Set (MDS) assessments in the electronic medical record (EMR)…

  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 before2026-02-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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 Based on observation, interview, and record review, the facility failed to ensure safe and sanitary practices were followed for respiratory equipment including changing/dating oxygen tubing and humidification canisters for four residents (R5, R7, R19 and R81) and the storage of a nebulizer treatment chamber and mouthpiece for one resident (R5) of five residents reviewed for respiratory care. Findings include:R19:According to a review of R19's medical record, the resident was admitted to the facility on [DATE] for skilled nursing care related to medical diagnoses of chronic kidney disease (CKD), chronic obstructive pulmonary disease (COPD), permanent atrial fibulation (AFIB/ irregular heart rhythm), diabetes mellitis type II (DM), and congestive heart failure (CHF). R19's Minimum Data Set (MDS) record revealed a Brief Interview of Mental Status (BIMS) assessment score of 12/15 that indicated moderate cognitive impairment.On 02/09/2026 at 10:20AM, During an observation of R19 she was resting in bed, wearing oxygen…

  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 · D2026-02-11 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure comprehensive code status information for one resident (Resident #76,) of four residents reviewed for code status, resulting in a lack of a physician's order for code status for (R76). Findings include: Resident #76 (R76): R76 is [AGE] years old and admitted most recently to the facility on [DATE] with diagnoses that include chronic kidney disease, congestive heart failure, heart disease and dependence on renal dialysis. On 02/10/2026 at 9:11AM, record review of the electronic medical record (EMR) revealed there was no physician order present for code status in the order set. On 02/10/2026 at 3:17PM, an interview was conducted with Social Worker (SW) C. SW C was asked if they are responsible for entering in the orders for code status. SW C stated that the nurses do that and I am responsible for the care plans for code status. On 02/10/2026 at 3:20PM, an interview was conducted with the Director of Nursing (DON). The DON was asked who was…

  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 · D2026-02-11 · 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 Based on observation, interview and record review the facility failed to develop and implement comprehensive care plans for 1 resident (Resident #107) of 22 residents reviewed, resulting in Resident #107 lacking Care Plans for an indwelling urinary catheter and bowel and bladder incontinence related to diarrhea and constipation, which could lead to the resident lacking necessary care and services. Findings Include: Resident #107: A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #107 was admitted to the facility on [DATE] with diagnoses: Diabetes, history of a stroke, urinary tract infection, bronchitis, sinusitis, GERD, obstructive and reflex uropathy (bladder dysfunction), hydronephrosis (kidney disease), urinary retention, hypertension and hypothyroidism. The MDS assessment dated [DATE] indicated the resident had full cognitive abilities with a Brief Interview for Mental Status/BIMS score of 15/15 and the resident needed some assistance with care. In addition, Section H…

  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 · D2026-02-11 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing 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 Based on observation, interview and record review, the facility failed to provide timely vision services for one resident (Resident #17) of two residents reviewed for vision services. Findings include: Resident #17 (R17): R17 is [AGE] years old and admitted to the facility on [DATE] with diagnoses that include cataracts, diabetes mellitus and hemiplegia and hemiparesis following cerebral infarction affecting the left side. On [DATE] at 1:07PM, during an interview with R17, observation revealed that R17 was wearing glasses. R17 was asked if her glasses were working properly. R17 stated that these glassed belong to her deceased husband, but she needed to wear something. R17 stated the glasses hurt her eyes and are not comfortable. R17 was asked if she receives vision services at the facility. R17 stated she has asked the facility about seeing vision services and they have not seen her yet. R17 stated she would like to see vision services in the facility to get new glasses. On [DATE] at 8:47AM, an interview with…

  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 before2026-02-11 · 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 ensure Infection Prevention and Control standards of practice were followed for 1.) Personal Protection Equipment/PPE use and hand hygiene during wound care for one resident (Resident #7) in Enhanced Barrier Precautions, and 2.) the 300 Hall Medication room had a lack of access to the sink to perform hand washing, including IV supplies for one resident (Resident #14) stored under the soap dispenser. Findings Include: Medication room [ROOM NUMBER] Hall: On 2/10/2026 4:29 PM, during a tour of the 300-hall medication room with Nurse N, 2 large carboard boxes of apple sauce were observed stacked on the counter next to the sink. Both were underneath the soap dispenser. In addition, bags of IV antibiotic supplies for a resident were stacked on top of the applesauce boxes. There was also a large empty medication return bag on the counter. There was no counter space for medication preparation or for the nurses to wash their hands. On 2/10/2026 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-16 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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 ensure expired supplies were discarded and ensure that medications to be discarded were stored properly, resulting in expired supplies and medications to be discarded being available for use and consumption. Findings include: FACILITY On 01/15/25 at 08:29AM, a review of the 200 Hall medication storage room was conducted and revealed the following expired items: -Four boxes of sterile gloves were observed with expiration dates of 09/27/23 and 12/10/23. One box of sterile gloves was unopened and contained fifty pairs, the remaining three boxes were opened and missing pairs of gloves. -One opsite wound dressing was expired as of 4-2024. -Findings were confirmed with the Director of Nursing (DON). On 01/15/25 at 10:27 AM, a review of the 100 Hall medication storage room was conducted and revealed the following expired items: -Two push button blood collection sets were observed to be expired as of 02/29/2024. -One winged blood collection kit, expired 01-31-2024. -One culture and sensitivity transfer straw kit,…

  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 · D2025-01-16 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 # MI00148568 Based on interview and record review the facility failed to prevent misappropriation of resident property for one resident (#218) of one reviewed for abuse, resulting in Resident #218 missing $448.00 while at the facility. Findings Include: Resident #218 Personal Property A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #218 was admitted to the facility on [DATE] with diagnoses: Crohn's disease, colitis, acute kidney failure, chronic kidney disease, atrial fibrillation, arthritis, neuropathy, hearing loss, history of a mini stroke. The MDS assessment dated [DATE] revealed the resident had full cognitive abilities with a Brief Interview for Mental Status score of 15/15 and the resident needed some assistance with care. On 1/15/2025 at 11:44 AM, a Facility Reported Incident/FRI was reviewed for Resident #218 identifying the following: On 11/18/2024 Resident #218 reported she had $548.00 missing from her purse that was in a locked…

  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 before2025-01-16 · 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 Based on observation, interview and record review the facility failed to ensure safe and sanitary storage of respiratory equipment for 3 residents (#3, #272, and #273)) and ensure oxygen was provided as ordered for 1 resident (#3) of 3 residents reviewed for respiratory care, resulting in the potential for exposure to infectious organisms for Residents #3, #272 and #273 and inappropriate treatment with potential for adverse reactions for Resident #3. Findings Include: Resident #3 Respiratory Care A record review of the Face sheet and Minimum Data Set/MDS assessment indicated Resident #3 was admitted to the facility on [DATE] with diagnoses: Heart failure, chronic respiratory failure, COPD, diabetes, morbid obesity, and obstructive sleep apnea. The resident had a Brief Interview for Mental status/BIMS score of 15/15, indicating full cognitive abilities. On 1/14/2025 at 10:06 AM, Resident #3 was observed lying in bed awake and talkative. He was wearing a nasal cannula with oxygen delivered from an oxygen…

  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

$66,414 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $66,414 — penalty dated 2024-01-09
• Medicare payment denial — starting 2024-02-09 for 34 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 TRILOGY HEALTH SERVICES — 123 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

6 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 $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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.

What families pay in MI