Hillcrest Nursing and Rehabilitation Community

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.

63.6% 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 60 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% 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 34 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 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 39 beds and averages 36.1 residents a day — about 93% occupied, or roughly 3 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.547 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.22 hrs/resident/day on weekends vs 3.75 on weekdays — 14% thinner on weekends. RN hours go from 0.66 to 0.27 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 unchanged from the previous inspection. 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.

18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · Gcited before2025-03-28 · 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 refers to intake MI00151516. Based on observation, interview and record review, the facility failed to implement the hot liquid policy for 1 resident (R1) of 4 residents reviewed, resulting in second degree burn caused by a hot liquid spill. Findings include: A second-degree burn is deeper than the top layer of skin (through epidermis to the dermis) and causes a blister to form with pink, painful skin. The blister may break and leak clear fluid, there is risk of infection. Second-degree burns typically take 1 to 3 weeks to heal and can happen from contact with hot water, coffee, soup, hot surface, or hot grease Resident #1 (R1) Review of Face Sheet reflected R1 was admitted to the facility on [DATE] with pertinent diagnoses of Alzheimer's Disease, muscle weakness, Cognitive communication deficit, reduced mobility and Parkinson's disease. Review of a Quarterly Minimum Data Set (MDS) assessment dated [DATE] reflected R1 had a BIMS (Brief Interview for Mental Status) score of 02 indicating advanced…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-03-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review, the failed to provide adequate supervision to prevent falls for 3 Residents (R1, R2, and R3) of 3 residents reviewed for falls, resulting in R1 falling and sustaining a hip fracture and the potential for R2 and R3 to sustain serious injuries. Findings included: R1 Review of R1 face sheet, no date, revealed she was a [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included: cerebral infarction (stroke), vascular dementia, psychotic disturbance, mood disturbance, anxiety, need for assistance with personal care, muscle weakness, difficulty in walking, cognitive communication deficit, syncope (fainting) and collapse. Review of R1's Brief Interview of Mental Status (BIMS) dated, 1/30/24 revealed she scored 6/15 (severe cognitive deficit). Review of R1's incident and accident report dated 2/26/24 at 6:30 AM revealed, R1 had an unwitnessed fall that was discovered after shift change on 2/26/24 at 6:30 AM that resulted in a hip…

  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 · Ecited before2025-12-04 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow professional standards of nursing practice for 5 of 12 residents (Resident #17, #1, #14, #23, and #29) reviewed for medication administration.Findings:Resident #17 (R17)Review of an admission Record revealed R17 was a [AGE] year-old female, admitted to the facility on [DATE].During an observation and interview on 12/04/2025 at 7:38 AM, Registered Nurse (RN) D administered 10 medications to R17 out of the 22 medications scheduled for the morning and exited the room. RN D did not report that he would be returning with additional medications for R17 or that there were any medications unavailable at that time.Review of R17 Medication Administration Record (MAR) on 12/04/2025 at 8:36 AM revealed that the 10 of 22 medications administered to R17 had not been documented as administered although RN D had completed that portion of the medication pass.During an interview on 12/04/2025 at 10:58 AM, RN D reported that the process was to get…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-04 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 that consume food from the kitchen. Findings Include:On 12/02/2025 at 10:05 AM, observed debris collected in the bottom of the ice scoop holder installed on the wall by the ice machine. According to the 2022 FDA Food Code section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood-Contact Surfaces, and Utensils. (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. (B) The FOOD-CONTACT SURFACES of cooking EQUIPMENT and pans shall be kept free of encrusted grease deposits and other soil accumulations. (C) NonFOOD-CONTACT SURFACES of EQUIPMENT shall be kept free of an accumulation of dust, dirt, FOOD residue, and other debris.On 12/02/2025 at 10:21 AM, observed a water line at ceiling level, directly over dried good products on shelving in the dry storage room. During the walkthrough of facility with Maintenance Supervisor (MS) B, it was confirmed that the line…

  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 before2025-12-04 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation interview and record review, the facility failed to have an active plan for reducing the risk of legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among all residents in the facility.Findings Include:On 12/02/2025 at 12:50PM, during an interview with Maintenance Supervisor (MS) B, regarding the water management plan, it was disclosed that room [ROOM NUMBER] has a non-operational shower (water lines) that is not being flushed. The water lines for the shower have been non-operational for over a year. At time of observation on 12/02/2025, the shower did not have a faucet handle and did not appear to be able to be turned on at the shower wall.Record review of the facility's water management document, Control Measures and Actions, under the Facility Control Measures section, it is 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 document review, the facility failed to ensure medications were administered in accordance with physician orders without errors for 1 of 3 residents (Resident #17) observed during the medication administration task. This resulted in a facility medication error rate of 8.33% (3 errors out of 36 opportunities).Findings include:Resident #17 (R17)Review of an admission Record revealed R17 was a [AGE] year-old female, admitted to the facility on [DATE].During an observation and interview on 12/04/2025 at 7:38 AM, Registered Nurse (RN) D administered 10 medications to R17 out of the 22 medications scheduled for the morning. RN D administered 1 tablet of Vitamin C, 1 capsule of Vitamin D3, and 1 capsule of potassium chloride. At the time RN D was preparing the potassium chloride he was asked if the order was for only 1 capsule of potassium chloride to which he responded yes, only 1.Following the medication administration observation a medication reconciliation was completed utilizing…

  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 · D2024-10-16 · 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 care planned interventions for the prevention of skin breakdown in 2 residents (Resident #20 and #16) out of 10 residents reviewed for comprehensive care plans. Findings: Resident #20 (R20) Review of an admission Record revealed R20 was an [AGE] year-old female, admitted to the facility on [DATE], with pertinent diagnoses which included: stroke and contractures of the left and right hand. Review of a Minimum Data Set (MDS) assessment for R20, with a reference date of 9/8/24 revealed a Brief Interview for Mental Status (BIMS) score of 99, which indicated R20 was severely cognitively impaired. Review of R20's Rehab Order dated 5/12/22 revealed, Palm Protector schedule: Per therapy recommendation, to be worn after breakfast throughout the day, off at night and for hygiene. Review of R20's Order Summary dated 11/24/22 revealed, BUE (bilateral upper extremity) Palm Protector- ON upon rising, OFF at HS and for hygeiene (sic). Special…

  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 before2024-10-16 · 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 follow professional standards of nursing practice for comprehensive assessments and medication administration for 2 residents (Resident #25 and #30), out of 10 residents reviewed for the provision of nursing services. Findings: Resident #25 (R25) Review of an admission Record revealed R25 was an [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: lymphedema, urine retention, heart failure, and kidney disease. Review of R25's Progress Note dated 09/25/2024 at 03:00 AM revealed, Resident with episode of confusion-states I think I am a little confused. B/P (blood pressure) 128/50, T (temperature)-98.9, P (pulse)-92, R (respirations)-19 SPO2 (oxygen level) 96%. Urine in Foley cath (catheter) clear dark yellow urine (dark urine is an abnormal finding). Resident also with increased anxiety. Currently sitting in w/c (wheelchair). Resident asked if he wanted to go the hospital and he responded no. Resident…

  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 · D2024-10-16 · 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 on observation, interview, and record review, the facility failed to secure 1 of 2 medication carts (North Hall Medication Cart), resulting in the potential for misappropriation of resident medications. Findings include: During an observation on 10/14/24 at 01:45 PM, the North Hall Medication Cart was left unlocked (the lock was in a pulled out position and the red/orange dot- which would indicate the cart was unlocked- was clearly visible) and unattended in the hallway outside of a resident room. Registered Nurse (RN) B had been observed minutes before partially closing the top drawer of the medication cart, walking away from it, going down the hallway, and turning the corner towards the medication room/nurse's stations. The surveyor was able to pull open the top drawer (which was partially open) of the medication cart without any staff noticing. The medication cart was observed unattended for approximately five minutes and staff were observed walking by the medication cart during this time, but no one locked it. Residents and visitors were also observed in the hallway at 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 before2024-10-16 · 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 implement transmission-based precautions and utilize appropriate personal protective equipment for 1 resident (Resident #25) of 10 residents reviewed for transmission-based precautions, resulting in the potential for cross-contamination, disease exposure, and the development and spread of infection to a vulnerable population. Findings: Per the Centers for Disease Control and Prevention (CDC), .Isolate patients with possible C. diff immediately, even if you only suspect CDI (clostridium difficile infection) . https://www.cdc.gov/c-diff/hcp/clinical-overview/index.html (Article dated 3/5/24). Resident #25 (R25) Review of an admission Record revealed R25 was an [AGE] year-old male, admitted to the facility on [DATE], with pertinent diagnoses which included: lymphedema, urine retention, heart failure, and kidney disease. Review of R25's Order Summary dated 10/10/24 revealed, Collect stool sample DX (diagnosis) C diff/diarrhea . Confirming R25…

  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 · E2024-03-11 · tag F0679 — failed to provide activities — pattern
  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 observations, interviews, and record review, the facility failed to develop and implement a meaningful activities program for 4 Residents (R1, R2, R3 and R4) of 4 residents sampled, resulting in residents sitting unsupervised and experiencing boredom without the option for diversional activities to decrease the risk of injury. Findings included: R4 Review of R4' face sheet (no date) revealed she was a [AGE] year-old female admitted on [DATE] and had diagnoses that included: dementia, glaucoma, need for assistance with personal care, repeated falls, and muscle weakness. R4 was not her own responsible party. During an observation on 4/17/24 at 1:37 PM, R4 sat in a wheelchair near the nurse's station. R4's feet were on footrests. R4 was not able to move her wheelchair or answer any questions. R4 grimaced as if she was in pain and rubbed her right leg. Staff moved about the unit. At times, staff were not in sight. There were no activities for the residents sitting near the nurse's station. Other residents…

  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 before2023-10-03 · 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: 1. Date mark and discard potentially hazardous foods; 2. Properly cool potentially hazardous foods; 3. Ensure proper concentration of quaternary ammonium sanitizer; 4. Clean food and non-food contact surfaces to sight and tough; and 5. Ensure proper working order of the dish machine. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 55 residents who consume food from the kitchen. Findings Include: 1. During the initial tour of the kitchen, starting at 9:20 AM on 10/1/23, an interview with [NAME] I found that most foods are date marked for a seven-day discard, but foods made in house would usually be kept for three days. Observation of the two door True cooler found a package of hot dogs dated 9/25 to 10/5, and an open package of hard-boiled eggs with no date. During a tour of the dry storage refrigerator, at 10:50 AM on 10/1/23, the following items were found: yogurt with a best by date of 8/16/23, half and half with a best by date…

  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

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

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2024-04-04 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 ATRIUM CENTERS — 26 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 37 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

11 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 $691K 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