St Gertrudes Health & Rehabilitation Center

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.

53.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 194 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.8% 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 164 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 1.17 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 38% 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 105 beds and averages 97.0 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 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.32 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.87 hrs/resident/day on weekends vs 4.27 on weekdays — 9% thinner on weekends. RN hours go from 1.41 to 1.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below 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.

32 citations, most serious first. The 12 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · J2023-12-14 · 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 comprehensively assess and develop interventions within the resident' environment to ensure safety and reduce the risk of avoidable injuries for 1 of 1 resident (R11) reviewed who demonstrated repeated behavior of placing their legs off the bedside and whose bed was placed next to an active heating element. These findings constituted an immediate jeopardy (IJ) situation, and substandard quality of care, for R11 when their feet were found directly on the heating element after an extended period of time resulting in multiple, full thickness burns and subsequent hospitalization. The IJ began on 12/13/23, when it was identified R11 had sustained multiple burns to their feet because their bed had been placed adjacent to an active, wall-mounted heating element. R11 had a known behavior of placing their feet off the bedside (i.e., in attempt to get up or reposition) which had not been reported by direct care staff to the nursing leadership team…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-02-12 · 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 interview and document review, the facility failed to perform timely comprehensive skin assessments, follow physician orders to provide treatment and services to heal and prevent pressure ulcer infection for 1 of 3 residents (R1) reviewed for pressure ulcers. The facility's failure resulted in harm to R1 who developed a stage 4 pressure ulcer with osteomyelitis and associated cellulitis requiring hospitalization. Findings include: Stage 2 Pressure Ulcer: Partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer. The wound bed is viable, pink, or red, moist, and may also present as an intact or open/ruptured blister. Stage 3 Pressure Ulcer: Full-thickness loss of skin, in which subcutaneous fat may be visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present. Slough and/or eschar may be visible but does not obscure the depth of tissue loss. Fascia, muscle, tendon, ligament, cartilage and/or bone are not exposed. Stage 4 pressure ulcer:…

  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 · F2026-01-15 · 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 frozen food items were stored in a manner to reduce the risk of cross contamination and potential foodborne illness in a walk-in freezer. The facility failed to ensure scoops were not stored in 2 of 3 bulk containers to prevent cross contamination. The facility also failed to ensure hair and beard nets were used in the food preparation area and kitchen utensils sanitizing area. In addition, the facility failed to consistently monitor the dishwasher machine temperature. This had the potential to affect all 98 residents, staff, and visitors who consumed food from the facility kitchen.Findings include:On 1/12/26 at 1:19 p.m., an initial kitchen tour was completed with cook/kitchen supervisor (C)- A, the following was observed: Walk-in freezer- One speed rack had 2 trays of uncovered, unlabeled, uncooked hamburger patties. One of the trays had 5 frozen hamburger patties and the other one had 7 - A second speed rack had one tray of 15 uncooked fish filets which were uncovered, and unlabeled.Bulk…

  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 · D2026-01-15 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 a resident was appropriately assessed and had an appropriate order in place to self-administer nebulizer medication for 1 of 1 resident (R80) reviewed for self-administration of medications. Findings include: R80's significant change Minimum Data Set (MDS), dated [DATE], indicated R80 was cognitively intact and required partial to moderate assistance with most activities of daily living. R80's active orders, printed 1/15/26, contained an order for albuterol sulfate for nebulization once a day in the morning and three times a day as needed for difficulty breathing, shortness of breath, wheezing and/or bronchospasm prevention. R80's care plan, dated 10/30/25, indicated, I [R80] will independently administer respiratory treatments as ordered and I will receive assistance setting up, disassembling, and cleaning respiratory equipment from a licensed nurse. with interventions to include, acquire physician's order for self-administration…

  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 · D2026-01-15 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  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 and interview, the facility failed to accommodate resident needs by ensuring the call light was accessible for 1 of 1 resident (R26) reviewed for call lights.Findings include: R26's quarterly Minimum Data Set (MDS) dated [DATE], identified R26 with impaired cognition, no rejection of cares or wandering, impairment in lower extremity range of motion, required a walker or wheelchair for mobility, and needed partial to moderate assistance with dressing, transfers, and hygiene. Diagnoses include heart failure, kidney disease, arthritis, depression and anxiety. During observation and interview with R26 on 1/12/26 at 5:01 p.m., R26 was lying in bed with call light out of reach on nightstand next to head of bed. R26 stated she could not see it and wanted assistance to get up out of bed to go to dinner. Normally I use the call light if I need help. If it is out of reach then I make noise to get attention to get [staff] to answer my pleas. During observation and interview with nursing assistant…

  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 · D2026-01-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 resident rooms were maintained at a comfortable temperature between 71 and 81 degrees Fahrenheit for 1 of 1 residents (R57) reviewed who indicated their rooms were cold.Findings Include:R57's admission Minimum Data Set (MDS) assessment, dated 12/22/25, indicated a diagnosis of cerebral infarction (stroke) with intact cognition.During an interview on 1/12/26 at 5:19 p.m., R57 stated his room was cold. R57 was observed wearing a winter coat while sitting in a recliner chair in his room between the bed and the window which he reported was where he spent the majority of his time. R57 stated he had reported his concerns to staff and had been told this room is always like this. R57 stated, I am froze. The thermostat on the wall indicated 72.9 degrees Fahrenheit (F). At 5:50 p.m., surveyor obtained temperatures in the room: 66.2 degrees F by the tv, 68.3 degrees F around the chair R57 was sitting in, and 67.7 degrees F between the chair and the wall.During an interview on 1/12/26 at 5:58 p.m., nursing…

  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 · D2026-01-15 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to provide and document an appropriate diagnosis for a prescribed psychotropic medication for 1 of 5 (R100) residents and failed to provide appropriate side effect monitoring (i.e., orthostatic blood pressure) with antipsychotic medication consumption for 1 of 3 (R49) residents reviewed for unnecessary medication use. Findings include: R100's quarterly Minimum Data Set (MDS), dated [DATE], indicated R100 was admitted to the care facility on 6/14/22 and was cognitively intact. The MDS further indicated R100 had no documented hallucinations or delusions during the look-back period. R100's Diagnoses List, indicated R100 had diagnoses including vascular dementia, history of stroke and adjustment order with anxiety. R100's Physician Order Report, dated 12/1/25 - 12/31/25, indicated an order, dated 9/11/25, for Abilify 5 milligrams (mg) once a day for bothersome and frightening hallucinations. R100's Consultant Pharmacist Recommendation 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review the facility failed to ensure a resident's preferences were care planned to ensure preferences were honored for 1 of 1 resident (R127) reviewed who preferred to have female only caregivers. Findings include:R127's admission Minimum Data Set (MDS), dated [DATE], indicated R127 was admitted to the care facility on 1/4/26 and was cognitively intact. The MDS further indicated R127 required substantial assistance with toileting and partial to moderate assistance with bathing. R127's progress notes, dated 1/4/26, indicated R127, strongly prefers female caregivers. Patient was instructed that the facility does its best to fulfill these requests but that there was no guarantee that we could provide all female caregivers throughout her stay. Patient understood but stated 'I will just do it myself if there is not female to support me.' R127's care plan and care guide sheets used to direct resident care lacked mention of any care preferences voiced by R127, including the preference…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure 1 of 4 residents (R45) reviewed for activities of daily living (ADLs) and were dependent on staff for their ADLs, routinely had their fingernails cleaned and trimmed.Findings include:R45's quarterly Minimum Data Set (MDS) 10/25/25, indicated R45 had intact cognition and was diagnosed with arthritis. R45 was dependent on staff for toileting hygiene, lower body dressing, and putting on and taking off footwear. The MDS indicated R45's most recent admission/entry to the facility was on 7/23/25. R45's Weekly Skin Checks dated 11/7/25 through 1/9/25, included a section with the question Was nail care completed? with the options of fingernails trimmed, toenails trimmed, refused, or not necessary. All checks from this period were either checked as not necessary or left blank. R45's care plan dated 1/9/25, indicated she had a self-deficit with ADLs such as grooming, bathing, and oral care. R45's medical record was reviewed and did not indicate R45 had refused toenail care. During an interview and observation…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-15 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 communication and collaboration was maintained with a dialysis provider for 1 of 1 resident (R7) reviewed for dialysis. Findings include: R7's quarterly Minimum Data Set (MDS), dated [DATE], indicated R7 was admitted to the care facility on 5/10/24 and was cognitively intact. The MDS further indicated R7 required substantial to maximum assistance with activities of daily living and received dialysis. R7's Orders, dated 11/20/25 directed staff to monitor R7's dialysis fistula and to document R7's vital signs and monitor for shortness of breath, chest pain, nausea and vomiting or seizure activity prior to dialysis. R7's care plan, dated 5/13/24, directed staff to, obtain Dialysis care plan and coordination of care communication sheet. Check for orders or changes from Dialysis Unit. The care plan further indicated R7 went to dialysis three times a week, on Mondays, Wednesdays, and Fridays. R7's electronic medical record contained…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag 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 ensure a resident was free from abuse for 1 of 3 (R1) residents when registered nurse (RN)-A witnessed nursing assistant (NA)-A respond to R1 by punching him in the leg when providing cares.Findings include: R1's care plan dated 12/4/25 indicated R1 was to use the Sara Steady lift for transferring from the bed to the chair and to the toilet. R1 was not to ambulate, pivot transfers only. R1's care plan dated 12/8/25 indicated R1 was to receive care in pairs until further notice with the of nursing assistants and nursing. No other guidance was documented. R1's admission Minimum Data Set (MDS) dated [DATE] indicated R1's Brief Inventory of Mental Status (BIMS) score was 13 indicating R1's was cognitively intact. R1 did not have any physical or verbal behavior symptoms toward others. R1 was dependent upon staff for eating, showing, lower body dressing and personal hygiene. He required maximal assistance with oral and toileting hygiene, upper body dressing,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-18 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 thoroughly investigate allegations of witnessed physical abuse for 1 of 3 residents (R1) reviewed for abuse investigation when the facility did not interview any residents to determine if they were abused. Registered nurse (RN)-A witnessed nursing assistant (NA)-A respond to R1 by punching him in the leg when providing cares.Findings include: R1's admission Minimum Data Set (MDS) dated [DATE] indicated R1's Brief Inventory of Mental Status (BIMS) score was 13 indicating R1's was cognitively intact. R1 did not have any physical or verbal behavior symptoms toward others. R1 was dependent upon staff for eating, showing, lower body dressing and personal hygiene. He required maximal assistance with oral and toileting hygiene, upper body dressing, rolling in bed and transferring from lying to sitting and sitting to standing. R1's diagnoses were sepsis (life-threatening infection in the blood), alcohol-induced chronic pancreatitis (inflammation 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

“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

$29,260 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $14,742 — penalty dated 2024-02-12
• $14,518 — penalty dated 2023-12-14
• Medicare payment denial — starting 2024-01-13 for 4 days

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 BENEDICTINE HEALTH SYSTEM — 23 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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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 $1.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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 2024. 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, FY2024). 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