Medilodge of GTC

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.

51.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 123 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 52 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 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 125 beds and averages 107.0 residents a day — about 86% occupied, or roughly 18 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 3.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.16 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 4.09 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 1.40 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

33 citations, most serious first. The 16 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · J2026-01-07 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 deficient practice pertains to Intakes 2704447 and 2691458.Based on interview and record review, the facility failed to perform timely emergency medical care and Cardiopulmonary Resuscitation (CPR) for one Resident (#1) of five residents reviewed for quality of care, resulting in the death of Resident #1.Findings include:The Immediate Jeopardy (IJ) began on 12/7/25 at 9:15 AM when Registered Nurse (RN) Q discovered R1 without pulse or respirations and failed to initiate emergency life-sustaining measures resulting in the death of R1 at 9:51 AM on 12/7/25 despite his designated full code status. The Nursing Home Administrator (NHA) was notified of the IJ on 1/6/26 at 12:27 PM. At that time, a written immediacy removal plan was requested from the facility. This surveyor confirmed by interview and record review the immediacy was removed on 1/7/26 at 11:51 AM, however, noncompliance remained at the potential for more than minimal harm due to sustained compliance which has not been verified by the State Agency…

  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
• Immediate jeopardy · Jcited before2024-05-20 · 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 deficiency pertains to Facility Reported Incident (FRI) #MI00144562. Based on observation, interview, and record review, the facility failed to provide adequate supervision per the plan of care for three residents (Residents #508, #509, and #510) during mealtimes. This deficient practice resulted in two choking/aspiration events for Resident #509 which resulted in hospitalization and subsequent death. Findings Include: The Immediate Jeopardy began on 5/5/24 at 2:40 PM when the facility failed to provide supervision during a mealtime for a resident (Resident #508) with a known history of choking/aspiration. This resulted in R508 experiencing a choking event in his room. R508 experienced a subsequent choking event on 5/7/24 at 6:24 PM when R508 was left unsupervised on two different occasions in the dining room during a dinner time meal and was found unresponsive. R508 required life-saving efforts and was ultimately transported to a local hospital where he later expired. The Nursing Home Administrator (NHA),…

  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 before2026-03-04 · 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 provide the necessary treatment and services to prevent the development and promote the healing of pressure injuries for two Residents (#9 & #1) of three residents reviewed for wounds. This deficient practice resulted in the development of an unstageable pressure ulcer on the right foot of Resident (#9) and the deterioration of a left gluteus pressure injury from a stage three to an unstageable wound for Resident (#1).Findings include: Resident #1 (R1) Review of the Minimum Data Set (MDS) assessment, dated 1/6/2026, revealed R1 was admitted to the facility on [DATE] and had diagnoses including Parkinson's Disease, central cord syndrome (spinal cord damage), left side hemiparesis (weakness) and polyneuropathy. Further review of the MDS assessment revealed R1 required substantial/maximal assistance with bed mobility and transfers, was cognitively intact and exhibited no rejection of care behaviors during the assessment period. On 3/3/2026…

  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 · Hcited before2025-10-24 · 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

  This deficient practice pertains to Intake 2647525.Based on interview and record review, the facility failed to implement infection control measures and ensure comprehensive infection surveillance to prevent the transmission of scabies (a highly contagious skin condition caused by parasitic itch mites that burrow into the skin). This deficient practice resulted in transmission of scabies with associated physical discomfort for six Residents (#2, #3, #4, #5, #6, #7) of twenty residents reviewed for infection control.Findings include:Resident #2 (R2)Review of R2's EMR revealed initial admission to the facility on 7/13/20 with diagnoses including anoxic brain damage and cognitive communication deficit.On 10/22/25 at 1:44 PM, a telephone interview was conducted with Family Member (FM) K regarding R2's care at the facility. FM K stated R2 had two recent dermatology appointments in which R2 was diagnosed with a scabies infection. FM K voiced concerns regarding the facility's efforts in preventing the spread of the infection.Review of R2's Dermatology Visit Note, dated 9/3/25, read, in…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-10-24 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This deficient practice pertains to Intake 2646261.Based on interview and record review, the facility failed to ensure a safe community discharge for one Resident (#1) of three residents reviewed for transfer and/or discharge. This deficient practice resulted in the need for repeated emergency room visits for Resident #1 due to the inability to care for a colostomy (a surgical procedure that creates an opening in the abdominal wall to divert fecal matter from the colon to the outside of the body) and infection of the colostomy site.Findings include:Resident #1 (R1)Review of R1's electronic medical record (EMR) revealed initial admission to the facility on 9/20/25 with diagnoses including aftercare following surgery on the digestive system, perforation of the intestine, and colostomy status. Review of R1's discharge Minimum Data Set (MDS) assessment, dated 10/6/25, revealed a Brief Interview for Mental Status (BIMS) score of 13, indicative of intact cognition.Review of an intake submitted by Physician Assistant (PA) A to the State Agency (SA) on 10/20/25 read, in part: I am 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
• Actual harm · Gcited before2024-03-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to implement and maintain interventions to prevent the development and progression of a pressure ulcer for one Resident (#46) of three residents reviewed for pressure injuries. This deficient practice resulted in the development of a stage four pressure ulcer (a wound affecting skin, fat, and muscle tissue) for a high-risk resident. Findings include: Resident #46 (R46): Review of R46's Electronic Medical Record (EMR) revealed admission to the facility on [DATE] with diagnoses including left femur fracture, diabetes, and congestive heart failure. Review of R46's most recent Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12, indicative of moderate cognitive impairment. Further review of the MDS revealed Resident #46 had an unhealed stage four pressure ulcer that was not present upon admission. Review of R46's Braden Scale admission assessment (a standardized assessment 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 · Dcited before2026-06-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure timely assessment and intervention for a significant change in condition (hypotension) for one Resident (#1) of three residents reviewed for quality of care.Findings include:Resident #1 (R1)Review of the Electronic Medical Record (EMR) for R1 showed on 5/13/26 at 12:29 AM, R1's blood pressure was documented as 87/38 mmHg (millimeters of mercury-pressure measurement). Review of R1's baseline vital signs indicated usual systolic readings ranging from 118-188 mmHg. According to the American Heart Association's 2025 guidelines, a normal blood pressure is 120/80 mmHg.Further review of the EMR revealed no documented nursing assessment, repeat blood pressure measurement, or evaluation of symptoms until 5:56 AM, when Licensed Practical Nurse (LPN) A documented: resident lethargic and experiencing SOB (shortness of breath). repositioned in bed and VS (vital signs) obtained. with O2 (oxygen) sat (saturation) clear to auscultation with slight wheezing noted in rt. (right) lower lobe. O2 applied via nasal cannula for comfort.…

  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 plan of correction
• Potential for harm · Fcited before2026-03-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 3/2/2026 at 11:20 AM, the floor, sewage drain lines and floor drain under the three-compartment sink were observed soiled with dirt and food debris. On 3/2/2026 at 11:22 AM the drain line coming from the 2-compartment vegetable wash sink was observed soiled. On 3/2/2026 at 12:04 PM The floor under the hand sink was observed soiled. On 3/2/2026 at 12:05 PM, when asked who was responsible for cleaning of floors and equipment in the kitchen Dietary Director (DD) confirmed, that the dietary staff are responsible for these tasks, not the maintenance staff. According to the 2022 FDA Food Code section 6-501.12 Cleaning, Frequency and Restrictions. (A)PHYSICAL FACILITIES shall be cleaned as often as necessary to keep them clean. On 3/2/2026 at 12:08 PM 12 room trays were observed with uncovered cake on the Hall B North delivery speed rack. On…

  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 before2026-03-04 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store medications securely and discard expired medications in two of two medications rooms and two of three medication carts reviewed for medication storage.Findings include:On 3/3/26 at 12:30 PM, an observation was made of medication cart located on East Hall and was found to be out of compliance with the following 14 loose medications in the second and third drawers where a moderate amount of medication debris and paper backings were also noted:Lamotrigine 200 mg (milligrams) with imprinting of D 96 and scored on the back side and light blue in color shaped like a shield with six-sides,Klor-Con M20 20 mEq (milliequivalents) with imprint KC M20, white oblong,Haloperidol 10 mg (half tab) pill card was found to have full tabs, light green in color and oblong with imprint 08,Levetiracetam Extended Release 500 mg white oblong with imprint HH 172,Losartan Potassium 50 mg green oval with imprint E 46 (2 tabs found),One white round pill without any markings and unable to identify,Metoprolol Succinate…

  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 · Ecited before2026-03-04 · 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 This citation pertains to intake #2732400Based on observation, interview, and record review, the facility failed to:Provide Resident #49 (R49) sanitary catheter care,Provide a sanitary barrier and administration for medication,Implement and utilize enhanced barrier precautions (EBP) while performing Resident #12 (R12) high contact care administering medication via feeding tube,Maintain facility equipment in a sanitary manner, and;Ensure personal protective equipment (PPE) was stored in a sanitary manner.Findings include:On 3/3/2026 at 9:21 AM, the B Side Nurses Station soiled utility room hopper was observed soiled. The water was clean but observed the bowl with grime build up. Personal Protective Equipment (PPE) items including opened and closed boxes of gloves, face shields and face masks were observed stored on wire racks directly across from the bowl of the hopper. One closed box was within 10 inches of the bowl, and opened boxes were within 18 inches of the soiled hopper. This practice exposed all these…

  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 · D2026-03-04 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 appropriate consents for restraints were in place for two Residents (#54 & #107) of three residents reviewed for restraints.Findings include:Resident #54 (R54)Review of R54's Electronic Medical Records (EMR) revealed admission to the facility on 7/11/25 with diagnoses including vascular dementia with anxiety and muscle weakness. R54's 1/23/26 Quarterly Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) score of 2/15, indicating severe cognitive impairment.On 3/3/26 at 9:05 AM, R54 was observed sitting in a geri chair (a specialized recliner for limited mobility) in her room. An interview was attempted with R54, but she was unable to answer questions appropriately.A request to the Nursing Home Administrator for R54's consent was emailed on 3/3/26 at 12:16 PM.On 3/4/26 at 8:12 AM, review of R54's consent revealed it was electronically signed by the Designated Power of Attorney (DPOA) on 3/3/26.Review of R54's EMR revealed a Physical Restraint Elimination Review for 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-04 · 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 — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure the Long-Term Care Ombudsman was notified of a resident's discharge from the facility for two Residents (#7 & #12) of two residents reviewed for discharge practices.Findings include:Resident #7 (R7) Review of R7's Electronic Medical Record (EMR) revealed the resident was discharged from the facility on February 20, 2026, to an apartment. Review of the documentation provided to the Long-Term Care Ombudsman in February, indicated they were not notified of the resident's discharge from the facility. Resident #12 (R12)Review of R12's EMR indicated R12 was sent to the emergency department on February 28, 2026. Review of the documentation provided to the Long-Term Care Ombudsman in February, indicated they were not notified of the resident's discharge from the facility.On 3/3/2026 at 1:49 PM, an interview was conducted with the Nursing Home Administrator (NHA), she stated the Ombudsman notification had only to consist of emergent transfers that were discharged from the facility. Review of the facility's policy titled…

  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 before2026-03-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to monitor for acute illness and provide timely physician notification of change in condition for two Residents (#68 & #78) of five residents reviewed for hospitalization. This deficient practice resulted in delay of treatment and the potential for worsening of condition.Findings include: Resident #78 (R78) Review of R78's EMR revealed initial admission to the facility on 6/25/21 with diagnoses including presence of a tracheostomy (a surgical procedure which creates an opening through the neck to provide an alternative airway), presence of a gastrostomy (a surgical procedure that creates an opening through the abdominal wall directly into the stomach to insert a feeding tube), and chronic obstructive pulmonary disease (COPD). Review of R68's most recent MDS assessment, dated 1/7/26, revealed a BIMS score of 15, indicative of intact cognition. On 3/3/2026 at 7:55 AM, R78 was observed lying in bed. R78 acknowledged they were recently…

  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 before2026-03-04 · 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 ensure smoking paraphernalia was stored in a secure location for one Resident (#52) of two residents reviewed for smoking.Findings include:Resident #52 (R52)Review of R52's electronic medical record (EMR) revealed initial admission to the facility on 8/25/17 with diagnoses including chronic obstructive pulmonary disease (COPD), malignant neoplasm of the lung (cancer), and personality disorder. On 3/2/2026 at 1:45 PM, an interview was conducted with R52 who confirmed he was a smoker. A vape (a battery-operated electronic device used to heat liquid into a vapor that can be inhaled), approximately the size of a pen, filled with a light brown liquid, was observed in R52's lap. An unopened package of four pocket lighters was observed on an unused electric fireplace underneath the windowsill. An oxygen concentrator was positioned next to the bed with a nasal canula laying over an adjacent bedside table. On 3/2/2026 at 4:09 PM, R52 was observed ambulating out to the designated smoking area at the predetermined…

  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 · D2026-03-04 · 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 appropriately assess and implement timely interventions for weight loss for one Resident (R54) of three reviewed for weight loss. Findings include:Review of R54's Electronic Medical Records (EMR) revealed admission to the facility on 7/11/25 with diagnoses including vascular dementia with anxiety and muscle weakness. R54's 1/23/26 Quarterly Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) score of 2/15, indicating severe cognitive impairment.On 3/3/26 at 9:05 AM, R54 was observed sitting in a geri chair in her room. An interview was attempted with R54, but she was unable to answer questions appropriately. R54 appeared well dressed but thin with fragile skin. A review of R54's weights revealed the following entries: 8/5/25 - 142 lbs (pounds) 9/2/25 - 142.4 lbs 10/1/25 - 140.8 lbs 11/1/25 - 138.4 lbs 12/1/25 - 138.9 lbs 1/9/26 - 130.8 lbs 2/8/26 - 124.4 lbs 2/12/26 - 125.4 lbsThese results showed that R54…

  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 · D2026-03-04 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 complete, readily act upon, and implement monthly pharmacy recommendations for two Residents (#2 e) of five residents reviewed for medication review.Findings include: Resident #2 (R2) Review of R2's Electronic Medical Record (EMR) revealed initial admission to the facility on 4/3/25 with diagnoses including dementia, repeated falls, and post-traumatic stress disorder (PTSD). Review of R2's EMR revealed Pharmacy Medication Review Progress Notes on 9/20/25 and 12/1/25 that read, Monthly medication regimen review performed. Comment/Recommendation noted – see report. On 3/3/26 at 1:59 PM, this Surveyor requested a copy of both reports from the Nursing Home Administrator (NHA) and Director of Nursing (DON). The reports were not provided by the time of survey exit. Review of a Nursing Recommendation written by Consultant Pharmacist H on 11/7/25 read, in part: [R2] has an order for [antipsychotic medication] which may cause orthostatic hypotension (a sudden,…

  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

“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

$69,430 in federal fines across 1 penalty.

• $69,430 — penalty dated 2024-05-17

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 MEDILODGE — 53 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 14 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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 $576K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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