Parmly On The Lake LLC

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.

60.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 116 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 61 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 91 beds and averages 83.4 residents a day — about 92% occupied, or roughly 8 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 3.476 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.04 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.11 hrs/resident/day on weekends vs 3.63 on weekdays — 14% thinner on weekends. RN hours go from 1.18 to 0.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-09-08 · 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 interview and document review, the facility failed to comprehensively assess and monitor for signs of injury after a fall, resulting in delayed diagnosis and treatment for injuries for 1 of 3 residents (R1) reviewed for delay in treatment. This resulted in an immediate jeopardy (IJ) for R1 who required emergent care and hospitalization as a result of their injuries. The immediate jeopardy began on [DATE], when R1was not assessed for any injuries after a witnessed fall, that resulted in displaced rib fractures, chest wall hematoma (blood collection outside of large vessels) and hemothorax (blood accumulation between the chest wall and lungs). The administrator and director of nursing (DON) were notified of the IJ on [DATE], at 2:45 p.m. The IJ was removed on [DATE] at 2:35 p.m., but noncompliance remained at the lower scope and severity level of D, which indicated no actual harm with potential for more than minimal harm that is not immediate jeopardy. Findings include: R1's admission Minimum Data Set…

  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 · J2022-02-17 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 document review, the facility failed to ensure an International Normalized Ratio (INR a standard lab test used when taking blood-thinning medications) was obtained per physician order and the facility failed to administer Coumadin (a blood-thinning medication) per the INR level for four days for 1 of 7 (R54) residents reviewed for Coumadin use. This caused a delay in care and treatment and resulted in an immediate jeopardy (IJ) for R54. In addition, the facility failed to administer an antibiotic medication for 12 days, prior to being identified by the physician, for 1 of 15 (R35) residents, on antibiotic therapy. The IJ began on 2/10/22, when nursing staff failed to obtain an INR and did not administer Coumadin for four days to R54. R54 had history of pulmonary embolism(PE -blood clots in the lung) and was at increased risk of serious harm and/or death. The Administrator and director of nursing (DON) were notified on 2/15/22 at 12:51 p.m. and the IJ was removed on 02/15/22, when the…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-15 · 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 observations, interviews, and document review the facility failed to ensure medications were stored securely to ensure residents, staff and guests could not access medications in 2 of 2 medication carts observed, potentially affecting two units of the facility, with 43 residents. Findings include:During a continuous observation on 6/10/26 from 4:07 p.m. to 4:15 p.m., the medication cart at the crosswalk of the Parkside nurses' station, was left unlocked and unattended. Staff walked by the medication cart five times, and one resident wheeled by in a wheelchair. During an interview on 6/10/26 at 4:15 p.m., the registered nurse (RN)-E stated he walked away from the medication cart to administer a treatment to a resident and forgot to lock it. The RN-E acknowledged he could not see the medication cart from the resident's room and the medication cart was supposed to be locked when he walked away from it. The RN-E stated it was a risk to patients because their medications could be taken from the cart and also staff could steal medications. During an observation on 6/12/26 at 3:01…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-15 · 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, interviews, and document review, the facility failed to ensure skin assessments were performed as ordered for 1 of 3 residents (R3) reviewed for wound care.Additionally, the facility failed to ensure medication orders were followed for 2 of 2 residents (R4, R5) when saccharomycin (a probiotic yeast used to support digestive health and treat gastrointestinal - stomach and intestine- issues) was not administered as prescribed. Findings include:R3R3's significant change Minimum Data Set (MDS) dated [DATE], indicated R3 was dependent on staff for activities of daily living (ADLs), and was at risk of developing additional pressure ulcers. R3's diagnoses included cancer, heart failure, malnutrition, diabetes, arthritis, end stage kidney disease, and respiratory failure. R3's care plan indicated the following:3/11/26, monitor for skin breakdown and for signs and symptoms of infection4/22/26, an alteration in skin integrity related to abrasion on buttock R3's provider orders dated 3/31/26,…

  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 before2026-06-15 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and document review, the facility failed to maintain an effective infection prevention and control program by ensuring staff utilized proper hand hygiene during wound care treatments for 1 of 1 resident (R3) observed for wound care. Findings include: R3's significant change Minimum Data Set (MDS) dated [DATE], indicated R3 was dependent on staff for activities of daily living (ADLs) was was at risk of developing additional pressure ulcers. R3's diagnoses included cancer, heart failure, malnutrition, diabetes, arthritis, end stage kidney disease, and respiratory failure. R3's care plan indicated the following:3/11/26 an alteration in skin integrity related to abrasion on buttock with an intervention to monitor for skin breakdown and for signs and symptoms of infection3/19/26 enhanced barrier precautions (EBP-an infection control strategy that requires staff to wear gowns and gloves during high-contact care to prevent the spread of drug-resistant organisms) related to the coccyx…

  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 · D2026-05-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 document review, the facility failed to ensure orders for oxygen use were clarified and documented in the medical record to ensure continuity of care; and failed to ensure physician orders for continuous oxygen use were implemented for 1 of 1 resident (R1) reviewed who used continuous oxygen for comfort. R1's oxygen concentrator machine was not transferred over during a room change and then his portable oxygen tank ran out during the night, causing R1 to go without oxygen for several hours.Findings include: R1's Interagency Referral Form, dated [DATE], identified R1 had multiple medical conditions including obstructive sleep apnea (OSA), high blood pressure, chronic obstructive pulmonary disease (COPD), atrial fibrillation (irregular heartbeat), and acute-on-chronic heart failure. The document included R1's discharge orders from the hospital to the care center which included, Oxygen inhalation gas . 2 L/min [liters per minute] at bedtime. Indications: Heart failure. However, R1's Oxygen &…

  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 · D2025-06-12 · 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 Based on observation, interview, and document review, the facility failed to protect 1 of 3 resident's (R74) right to be free from mental and physical abuse by staff. Findings include: R74's admission minimum data set (MDS) dated [DATE], indicated moderate cognitive impairment, did not have inattention, disorganized thinking, or an altered level of consciousness. R74 had delusions and hallucinations and verbal behavior symptoms for 4 to 6 days but not daily. Further, the behavior symptoms significantly interfered with activities or social interactions and significantly disrupted care or living environment. R74 wandered 1 to 3 days and behaviors symptoms were the same compared to prior assessment. R74 did not have impairment in range of motion, (ROM) used a walker and wheelchair and required partial to moderate assist with toileting hygiene, showering and bathing, lower body dressing, required substantial assistance with transferring, and supervision with walking 50 feet. R74's significant change MDS dated…

  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 before2025-02-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to that ensure treatment orders were implemented at the time prescribed for 2 of 3 residents (R1 and R2) reviewed for quality of care. R1 and R2 were receiving wound care from an outside provider and the facility did not transcribe and implement order changes for three to five days after the order was written. Findings include: R1's electronic Treatment Administration Record dated 1/1/25 - 2/3/25 indicated R1 received wound care treatment to his great and second toe lacerations on 1/29/25 and 1/31/25. No other treatments to the toe lacerations were completed at the facility. R1's admission Minimum Data Set (MDS) dated [DATE] indicated R1 had a brief inventory of mental status (BIMs) score of 5 indicating R1 was severely cognitively impaired. R1 was dependent upon staff for dressing, transferring, and toileting, he required moderate assistance with personal cares. R1's pertinent diagnoses were a fracture of the right lower leg and altered mental status.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-19 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review the facility failed to ensure staff performed the recommended hand hygiene for 1 of 2 residents (R77) reviewed who was on enteric precautions; and failed to ensure personal protective equipment (PPE) was utilized for 2 of 3 residents (R68 and R281) reviewed who had enhanced barrier precautions (EBP) in place. Additionally, the facility failed to ensure staff performed hand hygiene after changing soiled gloves for 1 of 1 residents (R74) reviewed for standard precautions with personal cares; and failed to ensure linens were covered during storage in the resident hallway. The uncovered linen had the potential to affect the 11 residents (including R82 and R83) residing in the southside transitional care unit. Findings include: R77 R77's admission Minimum Data Set (MDS) dated [DATE], indicated severely impaired cognition. R77 had diagnoses of enterocolitis due to clostridium difficile, which is commonly known as c-diff, a bacterium that causes an infection of the…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review the facility failed to ensure methods to restrain residents were not used for 1 of 1 residents (R74) reviewed for restraints. Findings include: R74's admission Minimum Data Set (MDS) dated [DATE], indicated R74 was cognitively intact and had diagnoses of lung cancer, repeated falls, and weakness. R74's care plan revised 9/18/24, indicated R74 had alterations in cognition due to brain cancer. Interventions included to provide supervision as needed. Furthermore, R75 had an alteration in mobility related to a history of falls, imbalance, and weakness. Interventions included to assist with movement in and out of bed, concave mattress in place, fall mat, and low bed. R74's provider and nursing orders lacked indication restraints were ordered. R74's fall incident and review analysis dated 8/9/24, indicated R74 had a fall from bed. It was determined R74 was self-positioning in bed when the fall occurred. R74's fall incident and review analysis dated 9/12/24, indicated…

  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 before2024-09-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure a bowel regimen was initiated for 1 of 1 residents (R18) reviewed for constipation. Findings include: R18's significant change Minimum Data Set (MDS) dated [DATE], indicated R18 was cognitively intact and had diagnoses of a right arm fracture, depression, and diabetes. R18 was continent of bowel and bladder and had frequent pain. R18's bowel evaluation dated 8/27/24, indicated R18 lacked indication R18 had diagnoses or medications that contributed to bowel dysfunction or required any individualized treatment plan. R18's care plan revised 9/10/24, indicated R18 had a potential alteration in elimination due to right wrist and shoulder fracture and weakness and was independent with toileting transferring from the wheelchair. Interventions included to monitor bowel movements (BM) as they occur and administer bowel medications as ordered. R18's follow-up question report for 8/31/24-9/18/24, indicated R18 had four days without a BM between 8/31/24-…

  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
• Potential for harm · D2024-09-19 · 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 document review the facility failed to implement pressure ulcer interventions for 2 of 3 residents (R25, R68) reviewed for pressure ulcers. Findings include: R25 R25's significant change Minimum Data Set (MDS) dated [DATE], indicated severely impaired cognition and diagnoses of blister (non-thermal) on left foot, local infection of the skin and subcutaneous tissue, and cellulitis of left lower limb. It further indicated R25 required substantial to maximal assistance with bed mobility, was dependent on staff for all other mobility, always incontinent of bowel and bladder, and was at risk for pressure injury. R25's Care Area Assessment (CAA) worksheet from MDS dated [DATE] triggered pressure ulcer/injury and indicated the following: Staff to follow therapy/care plan recommendations for all activities of daily living (ADL) and mobility. Staff to leave call light within reach and bed at working height. Braden score 16 indicating risk for skin breakdown. Patient has wound to…

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

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

“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

$8,193 in federal fines across 1 penalty.

• $8,193 — penalty dated 2023-09-08

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 MONARCH HEALTHCARE MANAGEMENT — 45 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 10 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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 $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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 MN