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Regency at Livonia

14900 Middlebelt Road, Livonia, MI 48154 · For profit - Corporation · 128 certified beds · (734) 425-4200 Medicare & Medicaid certified

Call the home — (734) 425-4200 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
14325 Middlebelt Rd · (734) 427-9222 · Call to confirm hours
Pharmacy
29500 5 Mile Rd · (734) 261-1030 · Call to confirm hours
Grocery
14925 Middlebelt Rd · (734) 524-1000 · Call to confirm hours
Park
Nash Park0.3 mi
14700 Henry Ruff St · Typically dawn to dusk
Place of worship

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased15.4%10.8%15.4%typical
Long-stay residents who lose too much weight7.4%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder1.8%0.8%0.9%worse
Long-stay residents with a urinary tract infection0.6%1.5%2.0%better
Long-stay residents with depressive symptoms0.0%4.3%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.8%3.0%3.3%better
Long-stay residents whose ability to walk worsened20.2%12.0%16.1%worse
Long-stay residents on antianxiety or hypnotic medication20.9%19.4%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.0%95.3%typical
Long-stay residents with pressure ulcers7.3%5.1%4.7%worse
Long-stay residents with worsening bladder/bowel control29.3%20.0%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table5.2%14.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.7%1.1%1.4%worse
Short-stay residents given the seasonal flu vaccine48.9%79.5%79.4%worse
Short-stay residents rehospitalized after admission31.8%24.0%22.6%worse
Short-stay residents with an outpatient ER visit3.3%11.7%12.0%better
Long-stay hospitalizations per 1,000 resident days1.381.841.67better
Long-stay outpatient ER visits per 1,000 resident days3.111.641.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

57.8% 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 124 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.8%U.S. median 51.5%
Got home and stayed home
11.3%U.S. median 10.7%
Went back to hospital
39.5%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 39.5% 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 86 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.8%CMS range 48.4–67.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.3%CMS range 8.3–14.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge39.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge24.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge32.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 4.7–10.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.941.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.49
RN hours/ resident / day
1.13
LPN hours/ resident / day
1.89
Aide hours/ resident / day
3.51
Total nurse hours/ resident / day
0.36
RN hoursweekends
55.0%
Total nursing turnover
66.7%
RN turnover

How full it usually is: this home is certified for 128 beds and averages 111.8 residents a day — about 87% 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 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 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 2.97 hrs/resident/day on weekends vs 3.73 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.55 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% 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

6
deficiencies at the latest standard inspection (2026-03-03)
7
at the previous standard inspection (2024-12-19)

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.

ABCDEFGHIJKL

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.

31 citations, most serious first. The 11 most serious are shown; the remaining 20 are one tap away and print in full.

  • Actual harm · G2024-12-19 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 timely assessment and monitoring following an identified weight loss for one resident (R56) of two reviewed for nutrition resulting in, weight loss and unmet nutritional needs. Findings include: On 12/17/24 at 1:00 PM, R56 was observed sitting in their room in their wheelchair. Attempts to interview R56 were occured to no avail due to their cognition. A review of R56's medical record revealed they were admitted into the facility on [DATE] with diagnoses which included Anxiety Disorder, Hypertension, and Muscle Weakness. Further review revealed a moderately impaired cognition, and was dependent for bathing and dressing. Further review of R56's care plan revealed the following: Focus: [R56] has alteration in nutritional and/or hydration status r/t (related to) CVA (Cerebral Vascular Accident), hx (history) of PCM (protein calorie malnutrition), dysphagia, therapeutic diet. Date Initiated: 12/03/2024. Interventions . Observe 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 · Fcited before2026-03-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety, resulting in the potential to spread food borne illness among all residents that consume food from the kitchen. Findings include: On 03/01/2026 during an initial observation of the kitchen between 9:00 AM- 9:30 AM, the following items were observed: There were no paper towels in the paper towel dispenser at the handwashing sink. On 03/01/2026 at 9:45 AM, Dietary Manager (DM) K confirmed the empty paper towel dispenser. In the walk-in cooler, there was a pool of spilled milk on the floor, an opened, undated 1 gallon container of Italian Dressing, an undated container of prepared tuna salad labeled tuna, and an undated container of cut onions. On 03/01/2026 at 9:45 AM, DM K confirmed the items should be dated. According to the 2022 FDA Food Code section 3-501.17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking. (A) Except when PACKAGING FOOD using a REDUCED OXYGEN PACKAGING method as specified under S 3-502.12,…

    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 · D2026-03-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 maintain a safe, homelike environment affecting two residents (R31 and R78) of two reviewed for environment. Findings include:R31 On 03/01/26 at 9:51 AM, R31 was observed lying in bed facing the wall in their room. Areas of large white peeling paint were observed on the wall next to their bed. When asked about the peeling paint on the wall, R31 stated they didn't like it and wished it was fixed. Medical record review revealed R31 was admitted on [DATE] with the following medical diagnoses of Interstitial Pulmonary Disease, Anxiety Disorder and Depressive Disorder. A review of the Minimum Data Set (MDS) assessment dated [DATE] indicated R31's Brief Interview of Mental Status assessment score was 14/15 indicating intact cognition. R78 On 3/01/26 at 10:15 AM, the veneer covered windowsill was noted to be half covered due to paint peeling which exposed a raw wooden edge. The wooden edge was splintered and had sharp areas. R78's bed was noted…

    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 before2026-03-03 · 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 a current vision care plan for one resident (R22) out of five residents reviewed for comprehensive care plans. Findings include:On 03/01/26 at 10:30 AM, R22 was observed lying in the bed under the covers. When asked if they had any concerns, R22 said they had dropped the bed remote and could not see due to blindness.A review of R22's medical record revealed they were admitted into the facility on 8/08/25 with diagnoses of Glaucoma, Legal Blindness and Hypotension. A review of R22's Minimum Data Set (MDS) assessment dated [DATE] revealed, R22's Brief Interview for Mental Status assessment score was a 7/15 indicating impaired cognition.Further review of R22's medical record revealed there was no vision care plan as it had been resolved on 10/5/25. On 3/03/26 at 2:00 PM, an interview with Social Worker J occurred and they were queried regarding the date the care was resolved and confirmed the care plan had been resolved accidently. A…

    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 before2026-03-03 · 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 apply heel protection boots for one resident (R53) out of three reviewed for care interventions. Findings include:On 3/1/2026 at 9:48 AM, R53 was observed lying in bed sleeping with their heels resting on the mattress. A pair of heel protection boots were noted to be on the dresser.A review of the medical records reviewed R53 admitted into the facility on [DATE] with the following medical diagnoses, Protein-Calorie Malnutrition and Type 2 Diabetes Mellitus. A review of the most recent Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental status (BIMS) score of 3/15 indicating an impaired cognition. R53 also required staff assistance with bed mobility and transfers.Further review of the physician's orders revealed the following, Order date: 1/23/2026.Status: Active.Description: Heel lift boots while in bed.On 3/1/2026 at 11:00 AM, an interview was conducted with Licensed Practical Nurse (LPN) C. LPN C was asked if R53 had…

    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 before2026-03-03 · 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 pressure ulcer interventions for one resident (R11) out of three reviewed for pressure ulcers. Findings include:On 3/1/2026 at 10:49 AM, R11 was observed lying in bed, unable to answer interview questions. A purple wedge pillow that is used to assist in repositioning, was observed sitting on R11's bedside table. R11 was noted to be lying on their back, with the head of the bed lying flat.A review of the medical record revealed R11 was admitted into the facility on [DATE] with the following medical diagnoses, Moderate Protein-Calorie Malnutrition and Muscle Wasting and Atrophy. A review of the most recent Minimum Data Set (MDS) assessment revealed a Brief Interview of Mental Status (BIMS) score of 99, indicating the resident was unable to complete the assessment. R11 also required staff assistance with bed mobility and transfers. Further review of the medical record revealed the following wound care note, .Wound #1 sacrum is a…

    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 · D2026-03-03 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 adequately monitor an intravenous (IV) medication for one resident (R1) of one resident reviewed for medication monitoring. Findings include: Review of the physician's orders revealed an order dated 2/3/26 (Tuesday) for Vanco (Vancomycin-antibiotic) trough (lowest level of antibiotic) every Monday.fax results to Infectious Disease .The next Vanco trough was due on 2/9/26 (Monday), however a blood sample was collected on 2/10/25 (Tuesday) with the result of no sample received. The next Vanco trough was due on 2/16/26 (Monday), however a blood sample was collected on 2/18/26 (Wednesday) with the result of no sample received.Review of the clinical record revealed R1 was admitted to the facility on [DATE] with the following diagnoses: Sepsis due to Methicillin Resistant Staphylococcus Aureus, Diabetes Type 2, Congestive Heart Failure and Epilepsy. R1's Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 10/15…

    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 before2026-01-27 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 the Complaint Intake # 272114.Based on observation, interview and record review the facility failed to ensure proper diagnosis or clinical indication to support the insertion of an indwelling catheter for three (3) residents: Resident #501 (R501), Resident #502 (R502), and Resident #504 (R504) of 4 residents reviewed for indwelling catheter resulting in improper catheter management leading to a potential recurrent catheter-associated urinary tract infection (CAUTI), sepsis and hospitalization.Findings include:Resident #501: (R501) On 1/27/26 at 12:40 PM, R501 was observed in her room lying in bed, alert and oriented. R501 expressed concerns about her catheter care. She had an indwelling catheter in place with clear-to-light-yellow urine output. The catheter tubing was patent and connected to a privacy drain bag. No signs of cloudiness, bleeding, or foul odor were observed.During an interview with R501 on 1/27/26 at 12:40 PM, she did not know why she had complained about a recent…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00152501. Based on observation, interview, and record review, the facility failed to ensure resident showers were provided as scheduled for one resident (R701) of three reviewed for acitivites of daily (ADL) care. Findings include: On 5/7/25 at 11:00 AM, R701 was observed in bed with a hospital gown on, and with a large amount of facial hair, R701 was asked about the care at the facility. R701 explained things could be better. R701 continued and explained staff are either too busy or there is not enough staff. R701 reported they did not get out of bed the entire weekend and this was not the first time this had happened. R701 was asked if they receive their showers at minimum two times per week, R701 stated, Maybe once per week. A review of R701's medical record noted R701 was admitted to the facility on [DATE] with diagnosis of Influenza. A review of R701's Minimum Data Set (MDS) assessment dated [DATE] noted, R701 with an intact cognition and required assistance by staff to…

    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 before2024-12-19 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to provide a homelike environment throughout residential common areas and rehabilitation area. Findings include: On 12/18/24 at 11:20 AM, an observation of the first and second floor dining and common areas were observed with the following: sticky matter on the floors, garbage lying on the ground, two ice machine's tray with white debris on it and with the face of the ice machine dirty. Two popcorn machines were observed with the interior of the glass greasy and with moderate amounts of popcorn kernels adhered to the walls and in the basin. While making the observation of the popcorn machine, a staff member commented that it needed to cleaned. The baseboards were observed with dust, and debris. The floors were observed with a moderate amount of dried spilled matter where residents were socializing. The first and second floor windowsills were observed to be dirty and with dead insects on the sills and in the tracking of the windows. The back door was observed with insect webs, dead insects, and leaves around the perimeter of 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-19 · 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 initiate an activities care plan for one resident (R94) of one reviewed for care plans. Findings include: On 12/17/24 at 1:00 PM, R94 was observed sitting in their lounging chair awake, and alone in their room. Attempts to interview R94 were to no avail due to their cognition as they remained pleasantly confused. There were no activities observed in R94's room at this time. A review of R94's medical record revealed they were admitted into the facility on [DATE] with diagnoses that included Cerebral Infarction, Hypertension, and Muscle Weakness. Further review revealed that the resident was severely cognitively impaired, and required one person assistance for bed mobility and transfers. Additional review revealed the resident had sustained multiple falls in the facility since admission. On 12/18/24 at 8:48 AM, 9:22 AM, and 12:45 PM, R94 was observed in their room without activities or stimulation. On 12/19/24 at 8:57 AM, activity logs for…

    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
Show the remaining 20 citations
  • Potential for harm · D2024-12-19 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure medication was administered as orders for one resident (R93) of one reviewed for medication administration. Findings include: A clinical record review of R93 revealed, R93 was first admitted to the facility in March 2024 with diagnoses of Quadriplegia (paralysis) chronic pain syndrome, Kidney failure, Chronic foley and Urinary tract infections. A review of R93's most recent BIMS (Brief Interview for Mental Status) score was 15/15 indicating R93 was cognitively intact. On 12/17/24 at 9:51 AM, R93 voiced concern during initial interview that they were recently hospitalized for a urinary tract infection and required antibiotics. R93 expressed concerned regarding not being administered their antibiotic medication since their readmission to the facility on [DATE]. R93 explained they had asked the staff since readmission about the location the medication and was not provided an explanation. R93 further revealed they were scared the infection would…

    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 · D2024-12-19 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 document and provide activities for one resident (R94) of one reviewed for activities. Findings include: On 12/17/24 at 1:00 PM, R94 was observed sitting in their lounging chair alone in their room. Attempts to interview R94 were to no avail due to their cognition as they remained pleasantly confused. There were no activities observed in R94's room at this time. A review of R94's medical record revealed they were admitted into the facility on [DATE] with diagnoses that included Cerebral Infarction, Hypertension, and Muscle Weakness. Further review revealed that the resident was severely cognitively impaired, and required one person assistance for bed mobility and transfers. Additional review revealed the resident had sustained multiple falls in the facility since admission. On 12/18/24 at 8:48 AM, 9:22 AM, and 12:45 PM, R94 was observed in their room without activities or stimulation. On 12/19/24 at 8:57 AM, activity logs for R94 were…

    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 before2024-12-19 · 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 hand splint and elbow brace were applied for one (R38) of one resident reviewed for range of motion. Findings include: On 12/17/24 at 9:58 AM, R38 was observed lying in bed with the television on and was asked about the stay at the facility. During the interview R38's right arm and hand was observed to be contracted (a condition that causes the fingers to bend and the palm to thicken) and without a brace on. R38 was asked if they had a brace for their right arm. R38 explained that they (staff) use to put it on but, has been without it for about a month. On 12/18/24 at 10:01 AM and 1:01 PM, R38 was observed lying in bed and reported they had not had the brace applied. On 12/19/24 at 11:00 AM, R38 was observed lying in bed, R38's right arm was observed without a brace. R38 was asked if they knew where the brace was kept and reported, they were not sure. An observation was made with a general glance of R38's closet the braces were not…

    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 before2024-12-19 · tag F0761 — failed to label and store drugs safely — isolated
    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 observation, interview, and record review the facility failed to ensure proper storage of medication in two of two medication carts and one resdent's room (R38) reviewed for medication storage. Findings include: On 12/17/24 at 9:58 AM, R38 was observed lying in bed with the television on. R38's overbed table was observed with a small oval shaped pill on the table. R38 was asked what medication it was and when did they received the medication. R38 stated, I'm not sure what it is, it might have fell out one of my cups. On 12/17/24 at 10:02 AM, the assigned Nurse was asked about the pill that was observed on R38's overbed table. The Nurse explained they had not administered R38's medication and that the pill observed may have been from the midnight shift. The Nurse was asked to identify the medication with R38's medications in the med cart. The medication was identified as atorvastatin 20mg (milligrams), which is scheduled to be administer at bed time. On 12/18/24 at 8:54 AM, an observation of medication cart South-2 was conducted with Licensed Practical Nurse (LPN) D. The…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-29 · 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 MI00147311. Based on observation, interview, and record review, the facility failed to initiate a facility wide elopement code (notification for a missing resident) in a timely manner for one sampled resident (R902) of three reviewed for accidents. Findings include: Incident summary on 9/21/2024 at approximately 5:38 am, resident [R902] exited the door and was returned to the facility with no injury. A review of R902's medical record noted, R902 was admitted to the facility on [DATE] with diagnoses of Vascular Dementia unspecified severity without behavioral disturbance, Psychotic Disturbance, Mood Disturbance, and Anxiety. A review of R902's Minimum Data Set revealed, R902 with a moderately impaired cognition and required some assistance with activities of daily living. On 10/29/24 at 2:18 PM, R902 was asked about the incident. R902 explained, they left out the front door of the facility, because they needed to go handle some business. R902 also explained they did not give…

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

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-06-20 · 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 This citation pertains to Intake MI00144815. Based on interview and record review, the facility failed to provide Notice of Medicare Non-Coverage (NOMNC) to one resident (R700) out of one reviewed for discharge from the facility. Findings Include: A review of an Intake called into the State Agency noted the following, The family appealed the discharge and received a telephone call . the appeal went in patient's favor due to not informing the patient in ample time. A review of the medical record revealed R700 admitted into the facility on [DATE] with the following medical diagnoses, Muscle Weakness and End Stage Renal Disease. A review of the Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status score of 15/15 indicating an intact cognition. R700 also required assistance with bed mobility and transfers. Further review of the NOMNC revealed that R700 services were to end on 05/3/2024 and was signed and dated by R700 on 5/2/2024. On 06/20/2024 at 12:13 PM, an interview was conducted 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation is related to Intake M1001445014. Based on observation, interview and record review, the facility failed to properly care for pressure ulcers for one of one resident (R702). A review of an Intake called into the State Agency noted a resident had a bedsore for so long that she got a bad infection which she was hospitalzied for. On 6/20/2024, record review revealed R702 was admitted on [DATE] with following relevant diagnoses: Sepsis, Quadraplegia C5-7 Complete, Neuromuscular Dysfunction of Bladder, Muscle Weakness, Chronic Iron Deficiency, Depression, Anxiety Disorder, Essential Hypertension, Gastro-esophageal Reflux Disease, Acute Kidney Failure. R702 is alert and oriented to person, place, time and situation. R702 is physically dependent for all activities of daily living. On 6/20/2024 at 9:30 AM, R702 was observed laying on their back, bed flat, awake, alert and conversant. R702 was queried regarding his overall care. R702 revealed that approximately a week ago after a shower, the wounds were…

    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 before2024-04-30 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 M100144133. Based on observation, interview and record review, the facility failed to ensure orders for catheter care was provided for one (R906) of four residents reviewed for catheter care. Findings include: Review of the facility record for R906 revealed an original admission date of 12/23/13 and a most recent admission date of 03/01/24 with diagnoses including Multiple Sclerosis, Diabetes Mellitus, and Fibromayalgia. The record further revealed R906's readmission on [DATE] was following hospitalization due to Urinary Tract Infection (UTI) attributed to an indwelling catheter. The record indicated R906 continued to have the indwelling catheter when they were readmitted to the facility on [DATE]. During review of R906's catheter care it was noted the most recent catheter care orders were discharged no later than 02/27/24 and no catheter care-related orders were documented for the most recent admission period of 03/01/24 to 04/14/24. Review of R906's [NAME] Task item which…

    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 before2023-10-11 · 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 and interview the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting 98 residents who receive meal services (3 nothing by mouth residents, or NPO) out of the facility's total census of 101 residents. Findings include: On 10/11/23 at 12:49 PM, the exterior of the second floor dining rooms ice machine was observed with an accumulation of debris and a mildew like substance on the interior of its dispenser. Upon observation the Dietary Manager, staff C, stated to the surveyor, I will post a sign right now to not use this machine until it is cleaned. I'll let staff know they must go downstairs to get ice. On 10/11/23 between 11:44 AM and 1:29 AM, during a tour of the kitchen and its support spaces the following observations were made: An accumulation of dust and food debris was observed on the floor of the walk-in freezer and its shelving, on the lower interior portion of the reach-in style freezer, and on the flooring throughout the kitchen.…

    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 · E2023-10-11 · 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 MI00138590. Based on observation, interview, and record review, the facility failed to ensure sufficient staff were available to provide a timely response to call lights and resident requests/needs, affecting four residents (R10, R27, R35, R86 and R2) of nine reviewed for staffing, resulting in resident frustration and unmet care requests and needs. Findings include: R10 On 10/9/23 at 11:40 AM, R10 was observed lying in bed. When interviewed, R10 stated that things at the facility are, Not good, and, I hate this place. They don't answer the call lights. R10's touch pad call button was observed to be lying on the floor, out of the resident's reach. When asked how they call for help, R10 replied, Scream. If I need help, that's what I have to do to get help around here. R10 added that this morning, staff did not help them out of bed and into their chair because they are having diarrhea. R10 added, .I want to get up. I'm just really upset about it .I stayed in bed all weekend because…

    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 · E2023-10-11 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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: MI00138590. Based on observation, interview, and record review the facility failed to serve food in a palatable manner and at the preferred temperature for three residents (R3, R246, and R249) and seven confidential group residents of fifteen residents reviewed for food palatability, resulting in dissatisfaction during meals. Findings include: R246 On 10/9/23 at 9:46 AM, during an initial tour of the facility R246 was interviewed about food palatability at the facility and indicated that the food was cold and did not taste good. R246 stated, Lunch yesterday I couldn't identify the meat that was served. On 10/11/23 at 1:10 PM, a review of R246's electronic medical record (EMR) revealed that R246 was originally admitted to the facility on [DATE] with diagnoses that included Type 2 diabetes and Muscle weakness. R246's most recent MDS revealed that R246 had an intact cognition. R3 On 10/9/23 at 10:11 AM, during an initial tour of the facility R3 was interviewed about food…

    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 · Ecited before2023-10-11 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to provide a safe, functional, and sanitary, environment for the facilities census of 101 residents and its staff resulting in an increased chance of harm. Findings include: On 10/11/23 between 9:55 AM and 10:27 AM, during an environmental tour of the facility the following observations were made: Multiple areas of the laundry room flooring were observed damaged, stained and with sections missing. Two floor drains were observed missing their screen covers. An accumulation of debris and peeling paint was observed on walls, duct work, and piping above and behind the washing machines, dryers and in the clean linen room. The wall mounted fan next to the dryers was observed with an accumulation of dust on its fan blades and protective grate. On 10/11/23 at 10:04 AM, the surveyor inquired with Environmental Services Director, staff E, on the current state of the laundry area to which they replied, the floor has been like that for as long as I've been here, but…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-11 · 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 implement a restorative nursing plan (RNP) for one resident (R3) of five residents reviewed for range of motion (ROM), resulting in the potential for a decline in ROM . Findings include: On 10/9/23 at 10:09 AM, during an initial tour of the facility during an initial tour of the facility R3 was interviewed regarding their satisfaction with the care and services that they were receiving at the facility. R3 indicated that they had completed therapy approximately one to two weeks ago. R3 was asked if they were receiving restorative nursing services currently. R3 stated, No. R3 was observed to have contracted fingers on their left hand which they were able to slowly straighten. On 10/9/23 at 12:20 PM, a review of R3's order section in their electronic medical record (EMR) revealed that R3 had an order dated 9/29/23 for RNP services to be provided. On 10/9/23 at 12:25 PM, a review of R3's care plan revealed the following RNP goal, Focus: [R3]…

    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 before2023-10-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to Intake MI00138666. Based on observation, interview, and record review, the facility to provide showers/bathing and/or assistance with shaving per the plan of care, affecting three residents (R38, R42, and R250) of eight reviewed for activities of daily living (ADLs), resulting in resident frustration and unmet care needs. Findings include: R38 On 10/9/23 at 9:43 AM, R38 was observed lying in bed. R38 was interviewed regarding care concerns at the facility. R38 stated, I could use a shave. R38 was observed with beard growth/stubble. R38 stated that there is a staff member that goes around and shaves people but commented that he had not seen her in quite some time. A review of R38's kardex (care guide) revealed, Resident requires assistance with bathing; Resident requires extensive assistance with personal hygiene and oral care; Provide shaves as needed . R38's Brief Interview for Mental Status (BIMS) dated 8/2/23 revealed mild-moderate cognitive impairment. On 10/10/23 at 12:23 PM, R38…

    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 before2023-10-11 · 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 follow-up on a neurology referral for one resident (R45) of one reviewed for quality of care resulting in, a delay in testing, and the potential for unmet care needs. Findings include: On 10/9/23 at 9:26 AM, R45 was asked observed in bed awake, and asked about their stay in the facility. R45 explained that they had ongoing pain in their left eye, in addition to pain that radiated to their head. R45 explained that they had previously had an MRI (magnetic resonance imaging) completed, and had been referred to a neurologist however, he had not seen a neurologist or had any idea if an appointment had been scheduled. A review of R45's medical record revealed that they were admitted into the facility on 1/22/23 with diagnoses that included Diabetes, Heart Failure, Chronic Kidney Disease, and Hyperlipidemia. A review of the resident's annual Minimum Data Set assessment dated [DATE] revealed that R45 had a Brief Interview for Mental Status score…

    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 · D2023-10-11 · tag F0687 — failed to care for feet properly — isolated
    Provide appropriate foot care.
    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 timely podiatry services for one resident (R51) of one reviewed for foot care, resulting in delayed treatment, long toenails and the potential for discomfort. Findings include: On 10/9/23 at 2:16 PM, R51 was observed sitting up in their Geri chair. Their fingernails appeared long and thick, and a large amount of dandruff was observed on the front of their shirt. R51 was asked about their care in the facility, and at that time, had no concerns. A review of R51's medical record revealed that they were admitted into the facility on 7/24/23 with diagnoses that included Paraplegia, Schizophrenia, Cerebral Infarction, and Hypotension. A review of the admission Minimum Data Set assessment revealed that the resident had a 15/15 Brief Interview for Mental Status score indicating an intact cognition, and was totally dependent on staff for toileting, dressing and transfers. Further review of R51's medical record revealed a wound care progress note dated 10/3/23 revealing that R51 was admitted with a Stage 3…

    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 before2023-10-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to effectively identify an environmental hazard (broken glass), potentially affecting one of one resident (R57), in which created the potential for injury and/or skin laceration. Findings include: On 10/9/23 at 9:35 AM, during the initial tour, R57 was observed in their room. A clock was observed hanging on the wall. At this time, R57 demonstrated how they could carefully ambulate around their room with a shuffling gait. R57 was unable to fully communicate verbally due to aphasia (difficulty speaking, usually after brain injury or damage). R57's Brief Interview for Mental Status (BIMS) dated 10/3/23 indicated a moderately impaired cognition. R57's care plan included the intervention, Keep the resident's environment as safe as possible .Date Initiated: 12/08/2022. On 10/9/23 at 11:20 AM, the clock in R57's room was observed on the floor. The glass face of the clock was shattered into both large and small shards near the doorway of the room and next to R57's wheelchair. The broken clock was easily seen 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-11 · tag F0761 — failed to label and store drugs safely — isolated
    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 — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to label and date three eye dropper vials with the name and or date in one of four medication carts resulting in the potential for lost/misdirected medications or expired medication use. Findings include: On [DATE] at 11:31 AM, the second floor north medication cart was reviewed with Licensed Practical Nurse (LPN) N. A vial of polymyxin B eye drops were dated opened [DATE] on the box but not on the actual vial; A vial of Latanoprost eye drops did not have a resident identifier on the actual vial; and a vial of Timolol eye drops was not dated when opened on the actual vial. Also two vial of artificial tears did not have an open date nor identifier on the actual vial. On [DATE] at 1:51 PM, during an interview with the Director of Nursing (DON) the eye dropper medication concerns were reviewed and the DON reported nurses are to date vials when opened and ensure an identifier are on the actual vial.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-11 · 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 Based on observation, interview, and record review, the facility failed to accurately document in the resident medical record, affecting two (R38 and R42) of two residents reviewed, resulting in falsified documentation and the potential for unmet care needs and/or inaccurate assessments. Findings include: On 10/9/23 at 11:47 AM, R42 reported they did not receive their bath/showers last week which were scheduled for Tuesday and Friday afternoons. R42 commented that staff indicate they are understaffed for just about everything. R42's hair appeared dull and slightly matted. The shower task for R42 was reviewed and the shower/bath had been documented as done and R42 again reported they had not received and shower nor a bed bath. A review of the record for R42 revealed R42 was re-admitted into the facility on 7/14/23. Diagnoses include Stroke affecting the left side, Contracture, Pain and Anxiety. The Minimum Data Set (MDS) assessment dated [DATE] indicated intact cognition with a 15/15 Brief Interview for Mental…

    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 · D2023-10-11 · 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

    Based on observation, interview and record review the facility failed to ensure hand hygiene was completed prior to entry and upon exit from a resident room during care for one of four staff reviewed during medication pass, resulting in the potential for the spread of infection. Findings include: On 10/10/23 at 9:32 AM, Licensed Practical Nurse (LPN) L, was observed to exit a resident room and return to the medication cart. LPN L prepared the medications for the next resident entered the room handed the resident the medication and return to the medication cart. LPN L then left the medication cart to retrieve a bottle of colace capsules. LPN L then opened the bottle at the cart and dispensed one capsule into a medication cup. LPN L entered the room of the same resident handed the resident the medication, disposed of the medication cup, returned to the medication cart and signed off the administration. No hand hygiene by LPN L was observed to occur at any point of the observation. LPN L was asked about hand hygien and acknowledged the lack of hygiene. On 10/11/23 at 1:51 PM, 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.

    Infection Control 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

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 →

RatingThis homeChain avg
Overall 3 of 52.8+0.2 vs chain
Health inspection 3 of 52.5+0.5 vs chain
Staffing 3 of 53.2-0.2 vs chain
Quality measures 4 of 54.0≈ chain avg
The other 80 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Aria Nursing and RehabilitationLansing, MI 1 of 5Autumnwood of McBainMcBain, MI 1 of 5Christian Park Health Care CenterEscanaba, MI 1 of 5Courtney ManorBad Axe, MI 1 of 5Ely ManorAllegan, MI 1 of 5Kith HavenFlint, MI 1 of 5Laurels Of Norworth TheWorthington, OH 1 of 5Laurels Of West Carrollton TheWest Carrollton, OH 1 of 5Laurels Of West Columbus, TheColumbus, OH 1 of 5Notting Hill of West BloomfieldWest Bloomfield, MI 1 of 5Regency at FremontFremont, MI 1 of 5Regency at JacksonJackson, MI 1 of 5Regency at TroyTroy, MI 1 of 5Regency at WaterfordWaterford, MI 1 of 5Regency at Whitmore LakeWhitmore Lake, MI 1 of 5Royalton Manor, LLCSt Joseph, MI 1 of 5The Laurels Of HeathHeath, OH 1 of 5The Laurels Of Walden ParkColumbus, OH 1 of 5The Laurels of GalesburgGalesburg, MI 1 of 5The Laurels of HudsonvilleHudsonville, MI 1 of 5The Manor of NoviNovi, MI 2 of 5Laurels Of Athens, TheAthens, OH 2 of 5Laurels Of Mt Vernon TheMount Vernon, OH 2 of 5Laurels Of Steubenville TheSteubenville, OH 2 of 5Regency At Bluffs ParkAnn Arbor, MI 2 of 5Regency at CheneDetroit, MI 2 of 5The Laurels Of GahannaColumbus, OH 2 of 5The Laurels Of KetteringKettering, OH 2 of 5The Laurels Of University ParkRichmond, VA 2 of 5The Laurels Of Willow CreekMidlothian, VA 2 of 5The Laurels of BedfordBattle Creek, MI 2 of 5The Laurels of ChathamPittsboro, NC 2 of 5The Laurels of ColdwaterColdwater, MI 2 of 5The Laurels of Forest GlennGarner, NC 2 of 5The Manor of Farmington HillsFarmington Hills, MI 2 of 5Willowbrook ManorFlint, MI 3 of 5Autumnwood of DeckervilleDeckerville, MI 3 of 5Boulevard Temple Care Center, LLCDetroit, MI 3 of 5Brittany ManorMidland, MI 3 of 5Hamilton Respiratory and Nursing CenterHamilton, OH

Showing 40 of 80; lowest-rated first.

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

Owner / managerTypeRoleSince
KHAN, ANISIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2001
QAZI, MOHAMMADIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 02/01/2001
CASTELLANOS, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
KIMELI, DAVIDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2021
CIENA HEALTHCARE MANAGEMENT INCOrganizationADP OF THE SNFsince 03/25/2025
DEUTSCH, NEALIndividualADP OF THE SNFsince 01/23/2025
GARDINA, ANNAIndividualADP OF THE SNFsince 01/23/2025

CMS files one row per role, so the 13 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.

1 organizational owner 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.

$13.5M
Net patient revenuemost recent cost report
-4.7%
Operating marginrevenue minus expenses
$2.1M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 6%Other / private 94%

This home reported $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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

$396per resident / day
operating cost
$12,028per month
≈ monthly operating cost
$378per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Michigan Medicaid page.

Typical monthly cost in Michigan
$11,254/mo
Nursing home (semi-private)
$11,969/mo
Nursing home (private)
$5,818/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 235479. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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