The Laurels of Fulton

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.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 50 beds and averages 40.6 residents a day — about 81% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 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 3.41 hrs/resident/day on weekends vs 3.97 on weekdays — 14% thinner on weekends. RN hours go from 0.88 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 15 most serious are shown; the remaining 12 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-10-08 · 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 2636578Based on interview and record review, the facility failed to implement measures to prevent the elopement from the facility for one resident known to be at risk for elopement (R101) of four residents reviewed resulting in an Immediate Jeopardy that began on 9/21/25 when R101 left the facility unbeknownst to staff which created a high likelihood for serious harm, injury, and/or death. Findings include: Review of the admission Record reflected R101 originally admitted to the facility 9/19/23 and had pertinent diagnoses that included Alzheimer's Disease, Dementia with Mood Disturbance and Major Depressive Disorder - recurrent and severe with Psychotic Symptoms. Review of the annual Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) dated 8/22/25 reflected R101 was cognitively moderately impaired and could not complete the Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status). Section GG (Functional Abilities)…

  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
• Actual harm · Gcited before2024-11-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the comprehensive care plan was reviewed and revised for one resident (Resident #8) out of 13 residents reviewed for quality care, resulting in hospitalization for a fracture sustained after a fall from staff use of the incorrect lift device. Findings: Resident #8 (R8) Review of an admission Record reflected R8 admitted to the facility with diagnoses that included generalized osteoarthritis, hemiplegia and hemiparesis (weakness and partial paralysis) of the left non-dominant side following a stroke, history of traumatic brain injury and muscle weakness. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE] reflected R8 was cognitively intact as evidenced by a Brief Interview for Mental Status (BIMS) score of 14/15. R8 was coded as using a wheelchair for mobility, did NOT walk, and was Dependent - Helper does ALL of the effort. Resident does none of the effort to complete the activity for sit to stand (the ability 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-11-21 · 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 1.) implement the facility policy for pressure injury/wound management, 2.) ensure pressure injury/wound assessments were comprehensive and accurate, and 3.) ensure treatments were promptly ordered and completed, for 2 of 13 residents (Resident #17 and #1) reviewed for alterations in skin integrity, resulting the development of preventable pressure injuries and the worsening of wounds. Findings: Resident #17 (R17) Review of an admission Record revealed R17 was a [AGE] year-old female, admitted to the facility on [DATE], with pertinent diagnoses which included: chronic respiratory failure, chronic heart failure, and diabetes. R17 was dependent on staff for all activities of daily living. According to the Nurse Notes, R17 was hospitalized from [DATE]-[DATE] for a UTI (urinary tract infection). Review of R17's Care Plan revealed the following concerns and interventions: (a) R17 is at risk for urinary tract infection and catheter-related…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-11-21 · 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 #MI00148210 Based on interview and record review, the facility failed to provide enhanced supervision and assistance to residents with acute medical changes and significant medication changes, for two of five residents (Resident #32 and Resident #16) reviewed, resulting in a fractured left arm and a brain bleed for Resident #32 and a fractured right arm for Resident #16. Findings: Resident #32 (R32) Review of an admission Record revealed R32 was an [AGE] year old female, originally admitted to the facility on [DATE], with pertinent diagnosis of seizure disorder, stroke with impaired speech, congestive heart failure, morbid obesity, impaired vision, muscle weakness, and pain in both knees. R32 required staff assistance for ambulation, bathing, and bed mobility (resident required substantial/maximal assistance x 1 to roll side to side, lying to sitting on side of bed, and sitting to lying), getting dressed, using the bathroom, and to transfer in and out of bed. Review of a Care…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent facility acquired pressure injuries and provide pressure injury preventative care consistent with professional standards of practice for 3 residents (Resident #94, #37, and #193) reviewed for the risk of and/or the development of pressure injuries, resulting in the development of an avoidable pressure injury, the worsening of a pressure injury, and the potential for skin breakdown and overall deterioration in health status. Findings: Resident #94 (R94) Review of an admission Record reflected R94 was admitted to the facility on [DATE] with diagnoses that included traumatic brain injury, respiratory failure and a urinary tract infection. R94 was identified as having a gastrostomy (tube feeding) and a tracheostomy (breathing tube). Review of a Care Plan initiated on 10/23/2023 reflected that R94 was at risk for impaired skin integrity/pressure injury related to his condition. The goal of the care plan was to minimize risk (of skin…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-18 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide medication according to professional standards of practice for 1 resident (R2) of 12 residents reviewed. Findings include:Review of an admission Record revealed R2 admitted to the facility on [DATE] with pertinent diagnoses which included dementia, hypertension, anxiety, and history of falls. Review of R2's Physician's Orders revealed an active order for amlodipine besylate 10mg (a prescription medication used to treat high blood pressure), give 1 tablet my mouth one time a day, Hold if SBP (systolic blood pressure, the top number in a blood pressure reading, measuring the force in your arteries when your heart beats and pushes blood out) is less than 120, with a start date of 7/21/2025. Review of R2's Electronic Medical Record (EHR) on 12/18/2025 at 1:42 PM revealed nursing staff were not documenting blood pressure checks prior to administration of amlodipine since the medication start date of 7/21/2025. R2's amlodipine was documented on the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-18 · 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 provide meaningful activities for 2 Residents (R2 and R6) of 12 residents sampled.Findings include:R2Review of R2's admission record dated, 12/18/25 revealed he was a [AGE] year-old male admitted to the facility on [DATE] he had diagnoses that included: wandering, vascular dementia and cognitive communication deficit. R2 was not his own responsible party.R2 was observed in bed on 12/17/25 at 8:32 AM awake in bed, breakfast tray on bedside table in front of him with all his food eaten.R2 was observed in bed on 12/17/25 at 9:23 AM with his breakfast tray in front of him. His eyes were closed, and he appeared to be sleeping.R2 was observed in bed on 12/17/25 at 9:34 AM. His walker was within eyesight but out of reach approximately 3 feet away from his bed. R2 was asked what activities he liked to do here, and he responded, I have not tried any yet.R2 was observed in bed again on 12/17/25 at 10:43 AM, he did not have a television, books or…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  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 inform the responsible party of the initiation of a psychotropic medication for one cognitively impaired Resident (R3) of six residents reviewed for psychotropic medications.Findings include:R3 was admitted to the facility 8/1/25 with pertinent diagnoses that included Dementia and Alzheimer's Disease. Review of the Minimum Data Set (MDS) dated [DATE] reflected R3 had a Brief Interview for Mental Status (BIMS) score of 4 out of 15 which indicated the Resident was severely cognitively impaired. The medical record reflected the spouse of R3 was the designated responsible party.Review of the Electronic Medical Record (EMR) Doctor's Orders reflected on 8/12/25 a telephone order for Lorazepam (Ativan), (a benzodiazepine anxiolytic (antianxiety) medication) 0.5 milligram (mg) to be administered every 4 hours as needed for anxiety/agitation.The EMR for R3 revealed the document titled Psychotropic Medication Informed Consent dated 9/10/25 and was reviewed. The…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to timely inform the party responsible of a fall sustained by a cognitively impaired (R3) of five residents reviewed for accidents.Findings include:Resident (R3) was admitted to the facility 8/1/25 with diagnoses that included Dementia and Alzheimer's Disease and was severely cognitively impaired. The medical record reflected the spouse of R3 was the designated responsible party and emergency contact.On 12/16/25 at 2:27 PM a telephone interview was conducted with the spouse of R3. The spouse reported that several months prior his wife had fallen, and he was not contacted for several days following the incident. The spouse reported he was upset that he had not been contacted and complained to the facility.Review of the incident report provided by the facility dated 8/16/25 at 2:15 AM reflected R3 had sustained a fall. The document reflected the responsible party was not contacted until 8/18/25 at 6:21 PM.The policy provided by the facility titled Fall Management last revised 7/8/25 was reviewed. The policy reflected Practice…

  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 · D2025-12-18 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 their abuse policy and have a policy for reporting and investigating abuse for 2 Residents (Resident #2 and #24) out of 12 sampled residents.Findings included: Review of the facility Abuse Prohibition Policy last revised 9/9/22 revealed, Each guest/resident shall be free from abuse, neglect, mistreatment, exploitation, and misappropriation of property. Abuse shall include freedom from verbal, mental, sexual, physical abuse, corporal punishment, involuntary seclusion, and any physical or chemical restraint imposed for purposes of discipline or convenience that are not required to treat the guest's/resident's medical symptoms. To assure guests/residents are free from abuse, neglect, exploitation, or mistreatment, the facility shall monitor guests/residents care and treatments on an ongoing basis. It is the responsibility of all staff to provide a safe environment for the guests/residents. Allegations of guest/resident abuse,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-18 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to investigate and report an allegation of abuse to the State Agency for 2 Residents (R2 and R24) of 12 residents sampled.Findings included:R2Review of R2's admission record dated, 12/18/25 revealed he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included: wandering, vascular dementia, and cognitive communication deficit. R2 was not his own responsible party.Review of R2's care plan dated 8/18/25 revealed, wandering/exit seeking: (R2) is at risk for exit seeking/wandering r/t (related to) dx (diagnosis) of dx TIA (stroke), cognitive communication deficit, UTI (urinary tract infection) hearing loss, adjustment disorder with mixed disturbance of emotions and conduct, delirium d/t (due to) a recent placement -noted with short term and long term memory deficits-confusion noted to increase starting in evening/afternoon - noted to sleep in open beds that are not assigned to him at times. The last updated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to complete and maintain an Acute Transfer Log and provide this log to the Ombudsman in a timely manner. Findings include: In an interview on 12/18/2025 at 12:13 PM the Nursing Home Administrator (NHA) reported that Social Worker (SW) G completes the Acute Transfer Log (a log that is maintained with residents that are transferred to an acute care facility) and emails the log to the State Ombudsman. In an interview on 12/18/2025 at 12:18 PM, SW G reported that the NHA completes the Acute Transfer Log and emails the log to the State Ombudsman. Review of an email received from Ombudsman V on 12/18/2025 at 12:44 PM revealed the State Ombudsman office had not received an Acute Transfer Log from the facility since September of 2023.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-18 · 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, implement, and update individualized care plans for 2 residents (R8 and R6) of 12 residents reviewed. Findings include:R6 Review of R6's admission record dated 12/17/25 revealed she was admitted on [DATE] and had diagnoses that included spastic quadriplegic cerebral palsy, hydronephrosis with renal and ureteral calculous obstruction (enlarged kidney and kidney stones in the ureter), malignant neoplasm of the lateral wall of bladder (bladder cancer) and developmental disorder of speech and language. She was not her own responsible party. Review of R6's Catheter care plan dated 3/21/25 revealed, R6 is at risk for UTI (urinary tract infection) and catheter related trauma r/t (related to) urostomy and history of MDRO's (multidrug resistant organisms). Interventions included: Ensure catheter tubing is secured. R6 was observed on 12/17/25 receiving care. When the CNA's turned R6 on side the foley bag was secured to the side of the bed…

  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 before2025-12-18 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to revise the Care Plan for one cognitively impaired Resident (R3) with behaviors and who was prescribed psychoactive medications without documented Care Plan revisions to attempt to prevent or minimize the use of psychoactive medications of five residents reviewed for Care Plan revisions.Findings include:Resident (R)3 was admitted to the facility 8/1/25 with pertinent diagnoses that included Dementia and Alzheimer's Disease. Review of the Minimum Data Set (MDS) dated [DATE] reflected R3 was severely cognitively impaired. The medical record reflected the spouse of R3 was the designated Responsible Party.Review of the Electronic Medical Record (EMR) Progress Notes revealed a Medical Provider entry dated 8/5/25 at 8:00 AM that R3 is pleasantly confused, has been noted to be exit seeking but is easily redirectable and there were No acute clinical concerns.Review of the EMR Progress Note dated 8/7/25 at12:46 AM reflected R3 is pleasantly confused wandering,…

  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 · D2025-12-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview and record review, the facility failed to ensure one resident (R24) of 12 residents sampled was receiving all her activities of daily living to maintain her ability to walk.Findings included:Review of R24's admission record dated 12/17/25 revealed she was an [AGE] year-old female admitted to the facility on [DATE] and had diagnoses that included: muscle weakness, lack of coordination, and weakness. R24's admission Record also revealed she was not her own responsible party.During an observation of cares for R24 on 12/17/25 at 8:45 AM, R24 required physical assistance to stand and transfer from her bed to her wheelchair. R24 had a wheeled walker in her room. Certified Nurse Aide (CNA) M was asked if R24 could walk. CNA M said she requires assistance, and she would ask if she wanted to walk. R24 said she did not want to walk because her right shoulder was sore. CNA M could not recall the last time she had seen R24 walk.Review of R24's Kardex (caregiver guide for care) dated 1217/24…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$58,635 in federal fines across 2 penalties.

• $19,120 — penalty dated 2025-10-08
• $39,515 — penalty dated 2023-11-09

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 9 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.

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

Follow the money — this home’s finances

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

This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 20% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in MI