Bayside Manor 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.

Met the expected recovery: 27.3% 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 22 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 3% 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 44 beds and averages 32.7 residents a day — about 74% occupied, or roughly 11 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 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 3.08 hrs/resident/day on weekends vs 3.80 on weekdays — 19% thinner on weekends. RN hours go from 1.18 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 75% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 fewer than at the previous inspection — improving. 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 13 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-12-05 · 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 interview, and record review the facility failed to protect 1 of 2 residents (R1), who did not have the capacity to consent from inappropriate touching from an assisted living resident (AL-R) who was visiting. This resulted in an immediate jeopardy (IJ) when R1 was inappropriately touched repeatedly over the course of approximately 38 minutes without intervention by staff. The IJ began on 11/21/25, when staff members suspected AL-R of inappropriate touching and did not remove and/or intervene to stop the touching which resulted in AL-R repeatedly inappropriately touching of R1's thighs and in-between her legs by AL-R. The Administrator, director of nursing (DON), resident service coordinator, and regional director of operations (via phone) were notified of the past non-compliance (PNC) IJ on 12/5/25 at 1:50 p.m. The facility immediately implemented and began corrective action on 11/22/25, with ongoing education and the deficient practice was corrected, 11/22/25 prior to the start of the survey and 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2024-02-07 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 advance directives was accurately documented on the resident's electronic health record (EHR) banner and physician orders which affected 1 of 30 residents (R14) reviewed for advance directives. This resulted in an immediate jeopardy (IJ) for R14 who would have been denied cardiopulmonary resuscitation (CPR) contrary to their wishes, in the absence of a pulse or respirations. The IJ began on [DATE] when R14's Provider Orders for Life-Sustaining Treatment (POLST) identified R14 wished to have CPR administered, however, the physician orders in the EHR and EHR banner indicated R14 was do-not-resuscitate (DNR). The administrator was notified of the IJ on [DATE], at 8:03 p.m. The IJ was removed on [DATE] at 1:07 p.m., but non-compliance remained at the lower scope and severity level of D, isolated with no actual harm but potential to cause more than minimal harm. Findings include: R14's quarterly Minimum Data Set (MDS) assessment dated [DATE],…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure safe transfer techniques using a gait belt and failed to complete a comprehensive post fall analysis and investigation for 2 of 3 residents (R1, R2) reviewed for falls. The facility's failures resulted in actual harm when R1 sustained a pelvic and R2 sustained a rib fracture. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], identified R2 had diagnoses that included hemiplegia/hemiparesis with fluctuating cognition. R1 required extensive physical assistance from one staff for bed mobility, transfers, locomotion on and off the unit, dressing, and toilet use. R1 had impaired balance and was not steady with transitions without staff assistance to maintain balance. R1 had functional range of motion impairments on one side and used a walker and wheelchair. The MDS also indicated R1 did not have any falls since the last assessment. R1's fall care plan dated 9/30/22 identified R1 was at risk for falls related 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
• Potential for harm · Fcited before2025-12-11 · tag F0761 — failed to label and store drugs safely — widespread
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review the facility failed to destroy expired over the counter medication (OTC) for 1 of 2 sampled medication rooms. In addition, the facility failed to ensure 1 of 1 resident's (R10) lorazepam (anti-anxiety medication) was immediately removed from 1 of 2 medication carts and not co-mingled and stored with in-use medications for other residents. Findings include: Observation and interview on 12/08/25 at 12:25 p.m., of 1 of 2 sampled medication rooms located across from the dining room with registered nurse (RN)-B, identified over the counter (OTC) medications and house stock medications that was both in bottles stored in multiple plastic bags and in blister packs. The medications were placed in a pile on the counter in the medication room. RN-B identified the nurse consultant from the local pharmacy had visited the facility last month for a routine visit. The consultant completed an audit of the medication carts and medication room and found expired medications that…

  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 · Fcited before2025-12-11 · 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 document review the facility failed to ensure staff followed sanitary guidelines on appropriate food handling during 1 of 1 meal service. This had the potential to affect all 29 residents who received meals served from the kitchen. Findings include: Observations on 12/9/25 of the noon meal service identified multiple incidents of potential cross contamination. At:12:00 a.m., Cook-A applied gloves and arranged serving utensils on top of the covered steam table pans. She removed the covers from the food items on the steam table and picked up a plate, picked up the individual menu choice slip and plated food items which were them placed on the tray to be delivered by dining room staff. 12:08 p.m., she picked up a menu slip, read it and placed it on the tray located on top of the steam table shield. Wearing her same gloves she went to the refrigerator, opened the door with her gloved hands, retrieved 1/2 an unwrapped sandwich with her same gloved hand and returned to the steam table where she placed the sandwich on the plate, and continued with…

  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 · Fcited before2025-12-11 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to have a current, ongoing system of surveillance for preventing, identifying, reporting, investigating, and controlling infections and communicable diseases that included facility staff. This had the ability to affect all 29 residents. Findings include: EMPLOYEE SURVEILLANCEReview of the current Staff listing with Title identified a total of 57 current facility staff: 1 administrator, 1 business office manager (BOM), 18 NA's, 9 DA's. 6 cooks (C), 1 DM, 1 director of nursing/infection preventionist (DON), 1 health information management staff (HIM), 1 licensed practical nurse (LPN), 1 LPN coordinator, 1 maintenance assistant, 1 maintenance director, 7 nurse aides in training, 2 registered nurses (RN),1 RN manager, 1 social worker (SW), 1 AA, and 1 AA director (AAD). Review of the employee surveillance data sheet for the past year, that the facility identified was used as the employee infection control (IC) tracker, labeled Staff Illnesses was used to capture employee illnesses or other reasons for absenteeism from work. 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 · Dcited before2025-12-11 · 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

  Based on interview, document review, the facility failed to ensure 1 of 1 resident (R27) was free from verbal abuse. Findings include: Review of the 12/1/25 at 9:14 a.m., report to the State Agency (SA) identified on 11/30/25 at around 5:00 p.m., NA-C was assisting to turn R27 with NA-D and NA-E when he placed his hand on NA-E's breast. NA-C responded by smacking R27's hand away and raised her voice at him. NA-D reported the incident to the charge nurse, who notified the director of nursing (DON) (identified had received the call at 4:36 p.m.). The DON instructed RN-D to have the NAs provide a written statement and place it under the DON's office door for review the next morning. Review of NA-C's 11/30/25, timecard identified she continued to work her assigned shift providing patient care until the end of her shift at 10:30 p.m. There was no indication the facility administrator was notified of the incident until 8:00 a.m. on 12/1/25. NA-C was later suspended on 12/1/25 following notification of the administrator and pending the investigation. Review of the 12/5/25, 5-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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review the facility failed to ensure an as needed psychoactive medication Lorazepam (antianxiety medication) was not used beyond 14 days without a rationale for continued use and an identified review date for 2 of 5 sampled residents (R2 and R11) reviewed for unnecessary medications.Findings include: R2's 11/28/25, date accepted comprehensive Minimum Data Set (MDS) assessment identified R2's cognition was moderately impaired. R2 had no behaviors, and he required partial assistance for cares. R2 took an antidepressant, diuretic, opioid, anticonvulsant, and insulin daily and was on hospice. R2's 12/10/25, medical diagnosis list identified chronic kidney disease with heart failure, diabetes, localized edema (swelling), major depressive disorder, history of a heart attack, and a history of alcohol abuse in remission. R2's 11/11/25, hospice orders and care plan identified he was admitted to hospice services on 11/11/25 for chronic kidney disease with heart failure, cancer of the kidney, end stage heart failure with high doses of diuretic (fluid medication)…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure safety for 1 of 4 sampled residents (R27) by suspending 1 of 1 nursing assistant (NA)-C, following an allegation of abuse. Findings include: Review of the 12/1/25 at 9:14 a.m., report to the State Agency (SA) identified on 11/30/25 at around 5:00 p.m., NA-C was assisting to turn R27 with NA-D and NA-E when he placed his hand on NA-E's breast. NA-C responded by smacking R27's hand away and raised her voice at him. NA-D reported the incident to the charge nurse, who notified the director of nursing (DON) (identified had received the call at 4:36 p.m.). The DON instructed RN-D to have the NAs provide a written statement and place it under the DON's office door for review the next morning. Review of NA-C's 11/30/25, timecard identified she continued to work her assigned shift providing patient care until the end of her shift at 10:30 p.m. There was no indication the facility administrator was notified of the incident until 8:00 a.m. on 12/1/25. NA-C was later suspended on 12/1/25 following notification 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-11 · 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

  Based on interview and document review, the facility failed to ensure the administrator and State Agency (SA) were notified within 2 hours of an allegation of physical and verbal abuse for 1 of 1 resident (R27). Findings include: Review of the 12/1/25 at 9:14 a.m., report to the State Agency (SA) identified on 11/30/25 at around 5:00 p.m., NA-C was assisting to turn R27 with NA-D and NA-E when he placed his hand on NA-E's breast. NA-C responded by smacking R27's hand away and raised her voice at him. NA-D reported the incident to the charge nurse, who notified the director of nursing (DON) (identified had received the call at 4:36 p.m.). The DON instructed RN-D to have the NAs provide a written statement and place it under the DON's office door for review the next morning. Review of NA-C's 11/30/25, timecard identified she continued to work her assigned shift providing patient care until the end of her shift at 10:30 p.m. There was no indication the facility administrator was notified of the incident until 8:00 a.m. on 12/1/25. NA-C was later suspended on 12/1/25 following…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-29 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review the facility failed to convey a resident's most current Provider Order for Life Sustaining Treatment (POLST) form to the receiving provider when 1 of 1 resident (R1) was transferred to the emergency department (ED), reviewed for discharge. Findings include: R1's POLST dated [DATE], identified Section A: if R1 has no pulse and is not breathing do not attempt resuscitation. Section B: Comfort-Focused Treatment (Allow Natural Death). Relieve pain and suffering through the use of any medication by any route, positioning, wound care and other measures. Use oxygen, suction and manual treatment of airway obstruction as needed for comfort. Patient prefers no transfer to the hospital for life-sustaining treatments. Transfer if comfort needs cannot be met in current location. Section C: R1's documentation of discussion and was signed by R1. Section D: signed by certified nurse practitioner and dated [DATE]. Section E: additional preferences- no artificial nutrition by…

  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 · Fcited before2024-10-15 · 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 document review, the facility failed to ensure dietary staff followed appropriate infection control practices when handling cups and performing hand-hygiene during food service in the dining room and passing meal trays to resident rooms. In addition, the facility failed to ensure dishwasher chemical sanitization solution was monitored to ensure dishes were properly sanitized. This had the potential to affect all 34 residents who resided in the facility. Findings include: Meal tray delivery On 10/13/24 at 11:52 a.m. dietary aide (DA)-C was observed and pushed a cart with meal trays through the hallway and entered R20's room. R20 was observed lying in bed and DA-C placed R20's tray on R20's stomach area. DA-C used bare hands and touched R20's bed remote to adjust R20's bed, moved R20's bedside table, and touched R20's blankets on her bed. DA-C was observed to exit R20's room and failed to disinfect hands. DA-C proceeded to push the meal cart through the hallway and entered R50's room with a meal tray and used bare hands and gave R50's family member…

  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 · E2024-10-15 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and document review, the facility failed to implement a process for antibiotic review to determine the efficacy and resident outcomes (appropriate medication, dose, and duration) for 4 of 4 residents R12, R27, R1, and R31 reviewed. Further, this had the potential to affect all 34 residents living in the facility. Findings include: R12's Face Sheet dated 5/4/23, included diagnoses of quadriplegia, neurogenic bowel, and neuromuscular dysfunction of the bladder. R12's care plan dated 8/6/24, indicated R12 will be free from signs/symptoms of urinary tract infection (UTI). Interventions included morning bowel program, assistance with peri-care in the morning, bedtime, and as needed, provided incontinence products, monitored for signs/symptoms of UTI, monitored suprapubic catheter output, change the suprapubic catheter per physician orders, and suprapubic catheter care per facility policy. The facility's Monthly Resident Infection Statistics documentation for the month of August 2024, indicated R12 was treated for a catheter associated urinary tract infection (CAUTI).…

  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

“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

$16,982 in federal fines across 1 penalty.

• $16,982 — penalty dated 2024-02-07

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 13 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $791K paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in MN