The Laurels of Sandy Creek

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 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 99 beds and averages 70.0 residents a day — about 71% occupied, or roughly 29 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 3.06 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.97 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 2.90 hrs/resident/day on weekends vs 3.12 on weekdays — 7% thinner on weekends. RN hours go from 0.59 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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.

34 citations, most serious first. The 12 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-10-22 · 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 # 2642001Based on interview, and record review, the facility failed to provide adequate supervision to prevent elopement and respond appropriately to an alarming exit door to ensure resident safety in 1 of 3 residents (Resident #101) reviewed for elopement/supervision, resulting in an Immediate Jeopardy when on 10/2/25 between 6:15 AM and 6:30 AM, Resident #101, who was an elopement risk, exited the facility, unbeknownst to facility staff, and was found by a Activities Director (AD) E approximately 50 yards away from the facility, in his wheelchair on the sidewalk of the road. This deficient practice placed all residents, identified as at risk for elopement, at risk for serious harm, injury, and/or death.Findings include:The facility failed to provide adequate supervision to prevent elopement for an exit seeking resident, Resident #101, who was an elopement risk, and respond appropriately to an alarming exit door to ensure resident safety. Resident #101 eloped from the facility…

  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 · G2025-02-05 · tag F0741 — failed to have staff trained for behavioral health — isolated
  Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  This citation pertains to intake number MI00148293. Based on interview and record review, the facility failed to ensure staff had appropriate competencies and skills needed to provide care in a manner that supported their psychosocial wellness in 1 (Resident #102) of 6 residents reviewed for behavioral competency, resulting in inappropriate staff to resident interactions, inability of staff to appropriately address the psychological distress, unmet care needs, and resident not maintaining or achieving highest practical psycho-social well being. Findings include: Resident #102: Review of an admission Record revealed Resident #102 was a female with pertinent diagnoses which included spina bifida (birth defect in which the spinal cord fails to develop properly), chiari syndrome (brain tissue extends into the spinal canal), anxiety, depression, homicidal ideations, premenstrual dysphoric disorder (severe form of premenstrual symptoms that includes physical and behavioral symptoms), hydrocephalus (build up of fluids in the cavities deep within the brain putting pressure on the brain and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-03-26 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This citation pertains to intakes 2738764 and 2707043Based on observation, interview, and record review the facility failed to maintain their roof in a safe, functional, and sanitary manner for 2 (Residents #112 and #113) of 4 residents reviewed for environment, resulting in dissatisfaction with living environment which affected all areas of the facility and an increased potential for contamination. Findings include:Resident #112: During an observation on 3/25/26 at 2:16 PM, in room [ROOM NUMBER] on the ceiling near the light fixture closest to the window there was a large, discolored orange stain that measured approximately 17 inches by 22 inches. The surface of the stain in many places appeared to have what looked like raised areas that indicated buildup of unknown material and/or deterioration of the ceiling. It was noted that a resident had belongings in this room but was out at the hospital. Review of Resident #112's brief interview for mental status, dated 2/12/26, was scored 15 which reflected he was…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 intakes 2704281 and 2790806.Based on interview and record review, the facility failed to protect the residents' right to be free from verbal abuse and/or physical abuse by staff for 2 (Residents #107 and 104) of 3 residents reviewed for abuse resulting in feelings of sadness and/or being handled in an undesirable way.Findings include:Resident #107: Review of Resident #107's Incident report (Facility Reported Incident; submitted to the state survey agency by the facility), dated 11/28/25, noted that Resident #107 had a brief interview for mental status (BIMS) score of 13 (which reflected he was cognitively intact), Cognitive Status: Independent, PERPETRATORS.Registered Nurse (RN) BB, Date/Time Incident Occurred: 11/27/2025 01:00 am, and Incident Summary: Resident, (Resident #107) reported.[physical descriptors of staff omitted] nurse (RN BB), told him (Curse word censored for report; F*) you, I hate you and gave him the middle finger. Roommate (Resident #114) heard 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 · Past Non-Compliance
• Potential for harm · Dcited before2026-03-26 · 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 This citation pertains to intake 2790806.Based on interview and record review, the facility failed to implement policies and procedures for ensuring the reporting of staff to resident abuse to other state agency according to state law in 1 (Resident #104) of 3 residents reviewed for abuse resulting in the nurse licensing department not being notified and officials being unaware of abuse allegations, and the potential for abuse to reoccur.Findings include: Resident #104Review of an admission Record revealed Resident #104 was originally admitted to the facility on [DATE] with pertinent diagnoses which included chronic pain, anxiety and dementia (a decline in mental ability in memory, reasoning, and communication). Review of Resident #104's facility reported incident (FRI) investigation summary revealed, . Date of event: Resident #104 was exhibiting agitation and increased pacing. Licensed Practical Nurse (LPN) CC requested Resident #104 go to her room and stay there as heard by witness. Resident #104 refused to go…

  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 · D2026-03-26 · 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 plan interventions for 1 (Resident #111) of 9 residents reviewed for care plan implementation resulting in the potential for further skin breakdown and worsening of pressure ulcers. Findings include: Resident #111Review of an admission Record revealed Resident #111 was originally admitted to the facility on [DATE] with pertinent diagnoses which included chronic pain and cerebral Infarction with expressive aphasia (stroke causing damage to the brain, resulting in non-fluent, effortful speech while comprehension remains relatively intact). Review of Resident #111's Orders revealed, WOUND CARE: Right elbow wound: cleanse with NS (normal saline)/wound cleanser. Apply Dakins (wound cleanser) solution moistened gauze to wound bed. Cover with silicone bordered dressing. every day shift. Start date: 3/17/26. WOUND CARE: Wounds to right plantar foot and heel: Paint areas with Iodine/betadine solution (topical antiseptic). every day…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 adequate care for residents who received enteral nutrition (method of delivering nutrients directly into the gastrointestinal (GI) tract via tubes) in 1 (Resident #121) of 1 resident reviewed for enteral nutrition, resulting in the potential for aspiration pneumonia and spoiled tube feeding. Findings include: Resident #121Review of an admission Record revealed Resident #121 was originally admitted to the facility on [DATE] with pertinent diagnoses which included chronic pain and dysphagia following cerebral infarction (difficulty swallowing following a stroke). Review of Resident #121's Orders revealed, Enteral Feed Order at bedtime Jevity1.5 (type of enteral nutrition formula) @80ml/hr (at milliliters per hour). Start date: 2/14/26 . Enteral Feed Order every shift Elevate head of bed at least 30 degrees during feeding. Start date: 1/21/26.Review of Resident #121's Care Plan revealed, Focus: (Resident #104) is unable to tolerate…

  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 · F2025-05-21 · 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 accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen. Findings include: During a tour of the kitchen, at 8:10 AM on 5/19/25, observation of the clean utensil bins found that one of the bins was shown to have three utensils with stuck on and dried food debris. An interview with Dietary Manager T found that these containers get cleaned about weekly. Observation of the clean pots and pans at this time found one top with a faded date marking sticker labeled on the top. When asked if it should have come off when washed, DM T stated yes. Further review found a half pan with stuck on food debris on the side of the pan. Observation of large sheet pans stacked under the preparation table, at 8:13 AM on 5/19/25, found that most of the sheet pans were observed with encrusted grease caked on the inside corners of the pans. When asked if that is the cleanest…

  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 · E2025-05-21 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 interview and record review the facility failed to ensure residents received care in accordance with professional standards in 1 of 18 residents (Resident #37) reviewed for quality of care when nursing staff administered Lotrel (Medication used to treat hypertension) out of the physician ordered parameters resulting in the potential for adverse side effects. Findings include: Resident #37 Review of an admission Record revealed Resident #37 was originally admitted to the facility on [DATE] with pertinent diagnoses which included hypertension (high blood pressure). Review of Resident #37's Orders revealed, Lotrel Oral Capsule 10-40 MG (Amlodipine Besylate-Benazepril HCl) Give 1 capsule by mouth one time a day for HTN Hold if Systolic (systolic blood pressure) <110/ HR (heart rate)<60 . Review of Resident #37's Pharmacy Consultation Report dated 3/6/25 revealed, (Resident #37) has an order for Lotrel that was administered outside of the parameters for which it was ordered. Specifically, on 3/3, 3/4 when…

  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 · E2025-05-21 · tag F0806 — failed to honor food preferences — pattern
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 resident food and drink preferences were honored consistently for 8 (Residents #5, 8, 17, 31, 35, 51, 54, 74) of 8 residents reviewed for dining, resulting in feelings of anger and sadness and the potential for weight loss and/or dehydration. Findings include: Resident #51: During an observation and interview on 05/19/25 at 08:11 AM, Resident #51 was eating breakfast in her room independently. Resident #51 was served hot tea while her meal ticket stated, 8 fl oz (fluid ounces) coffee. Resident #51 was visibly upset and reported she didn't want tea and wanted coffee. Resident #51 was also served a sausage patty, but Resident #51's meal ticket indicated, Dislikes: .Sausage. Resident #51 confirmed she didn't like sausage and didn't want the sausage served to her. Resident #51 was visibly frustrated and stated, It pisses me off, they (the staff) know it regarding food preferences not being honored. Resident #51 reported it was common she was given items that weren't consistent with her food preferences 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 · E2025-05-21 · tag F0810 — pattern
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  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 adaptive dining equipment was provided for 1 (Resident #5) of 3 residents reviewed for adaptive dining equipment resulting in difficulty eating and the potential for weight loss. Findings include: During an observation and interview on 05/19/25 at 09:21 AM, Resident #5 was eating breakfast in bed independently in her room. The meal ticket stated, Alerts: .built up utensils and it was highlighted yellow. Resident #5 was served breakfast with regular dining utensils/silverware; no built up utensils were provided. Resident #5 reported she can't remember the last time she used or was provided with built up silverware. Resident #5 was observed awkwardly handling a spoon. Resident #5 reported her right arm (dominant arm/hand) is hard to use after she had a stroke. During an observation and interview on 05/20/25 at 09:33 AM, Resident #5 was eating breakfast in bed. Resident #5's meal ticket indicated she should have been provided with built up utensils/silverware, but she was provided regular handled…

  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 before2025-05-21 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to maintain a safe, functional, sanitary, and comfortable environment. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living. Findings include: During a tour of the East Day room, at 9:43 AM on 5/19/25, it was observed that food crumbs, paper trash, and debris were found under and on the sides of seat cushions of two chairs and a love seat. During a tour of the East Hall Spa, at 9:53 AM on 5/19/25, it was observed that dried bowel movement was found stuck on the front bowl and seat of the commode. Further observation found an accumulation of dirt and debris behind the toilet in the back corner of the commode area and four wash cloths found stored on top of the paper towel holder next to the sink. During a tour of the [NAME] Hall spa room, at 10:42 AM on 5/19/25, it was observed that 12 wash cloths, four towels, and a box of gloves were stored on a shower chair next to the shower. Observation of the spa cabinet found a spray bottle of disinfectant stored over and next 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.

  Environmental 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

$14,020 in federal fines across 1 penalty.

• $14,020 — penalty dated 2025-10-22

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 7 rows in the source record cover these 6 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.

2 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 $1.8M 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