The Waterview Shores 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: 29.6% 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 27 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 44 beds and averages 35.9 residents a day — about 82% occupied, or roughly 8 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 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.21 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.91 hrs/resident/day on weekends vs 3.48 on weekdays — 16% thinner on weekends. RN hours go from 0.79 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

26 citations, most serious first. The 12 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · J2026-05-04 · 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 record review, the facility failed to ensure that residents were free from a significant medication error for 1 of 3 residents (R1) reviewed for medication errors. The facility's failure to ensure accurate transcriptions and available medication resulted in Immediate Jeopardy for R1 who was administered 39 incorrect and insufficient doses of lactulose (a medication that reduces ammonia levels in the blood) resulting in new onset of seizures, severe hyperammonemia and hospitalization.The IJ began on 4/3/26 when R1 did not receive six doses of scheduled lactulose because the medication was not available. The facility failed to ensure the lactulose order was accurately transcribed into R1's medical record resulting in 39 insufficient doses which subsequently resulted in R1's hospitalization. The administrator and director of nursing (DON) were notified of the IJ on 4/30/2026 at 4:45 p.m. The immediacy was removed on 5/1/26 but noncompliance remained at the lower scope and severity level of D…

  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
• Actual harm · Gcited before2025-09-11 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure person centered fall interventions were care planned and implemented for 1 of 3 residents (R1) who were at risk for falls, which resulted in actual harm when R1 sustained a rib fracture as a result of a fall out of bed. The deficient practice was corrected prior to the start of survey, therefore was issued at past noncompliance.Findings include:R1's quarterly Minimal Data Set (MDS) dated [DATE], indicated R1 had diagnoses which included metabolic encephalopathy (a change in how your brain works due to an underlying condition, can cause confusion or memory loss), neurocognitive disorder with Lewy bodies (a progressive brain disorder), anxiety disorder, and severe cognitive impairment. Further, MDS revealed R1 had one fall without injuries since prior assessment.R1's care plan dated 5/23/25, indicated R1 was a fall risk due to history of falls, impaired gait and mobility, neurocognitive disorder with Lewy bodies, chronic heart…

  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 · Past Non-Compliance
• Potential for harm · D2026-05-04 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 obtain and ensure accurate administration of medications for 3 of 4 residents (R1, R3, R4) reviewed for medications. Findings includeR1's diagnoses list dated 4/29/26 included traumatic subdural hemorrhage (blood collection on the brain), disorder of urea cycle metabolism (liver disfunction which leads to build-up of ammonia in the blood), hepatic encephalopathy (decline in mental function caused by severe liver disease), unspecified convulsions, alcoholic cirrhosis of liver with ascites and hypothyroidism (underactive thyroid).R1's admission Minimum Data Set (MDS) dated [DATE] indicated no cognitive impairment.R1's provider order dated 4/3/26 instructed rifaximin (medication used to reduce risk of hepatic encephalopathy) 550 milligrams (mg), give one tablet by mouth two times daily for hepatic encephalopathy.R1's medication administration record (MAR) for April 2026 identified R1 did not receive nine doses of rifaximin from 4/3/36 through 4/7/26 as…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-22 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 promote a dignified dining experience for 6 of 6 residents reviewed (R1, R2, R3, R4, R5, R6) who required assistance to eat and displayed cognitive impairments. Findings include:R1's admission Record indicated diagnosis of femur fracture, anxiety and dementia. R1's quarterly Minimum Data Set (MDS) dated [DATE], identified severe cognitive impairment and indicated he required substantial to maximal assistance to eat.R1's care plan dated 6/12/25, identified an alteration in cognition, alteration in communication and a self-care deficit. The care plan further identified a potential for alteration in nutrition and directed staff to provide meal set up and assistance as needed.R2's admission Record indicated diagnosis of facial weakness, dysphagia (a language disorder causing difficulty with speech, understanding language, reading, or writing), depression, and neurocognitive disorder with Lewy Bodies.R2's admission MDS dated [DATE], identified…

  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 · F2025-06-05 · 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 food temperatures were monitored prior to and during meal service to prevent risk of food-borne illness. This had the potential to affect all 42 residents residing at the facility. Findings include: During observation on 6/3/25 at 8:40 a.m., residents were being served breakfast. Breakfast consisted of scrambled eggs, sausage, and cinnamon rolls. Eggs and sausage were in aluminum foil inside of crock pots on both units of the facility. Crock pots were set to the warm setting. Staff served residents individually and plated their requested food from the crock pots. Staff did not check the temperature of the food during the breakfast service. During observation on 6/4/25 at 7:12 a.m., residents were being served breakfast. Breakfast consisted of biscuits and gravy. Gravy was in the crock pots on east and west units of the facility. Crock pots set to the warm setting. During observation on 6/4/25 at 7:58 a.m., both crock pots were still on and set to warm setting. During observation on 6/4/25 at 8:31…

  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 · F2025-06-05 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  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 staffing data was correctly submitted, for 1 of 4 quarters(quarter 3) reviewed, to the Centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. Findings include: The Payroll Based Journal Report (PBJ) [NAME] Report 1705D for quarter 3 2024 (April 1 - June 30), identified the metric for failure to have licensed nursing coverage 24 hours per day and low weekend staffing were triggered. The PBJ report indicated the facility did not have licensed nursing coverage for the following dates: -4/27/24 -4/28/24 -5/11/24 -5/12/24 -5/18/24 -6/1/24 -6/22/24 -6/23/24 -6/29/24 Review of timecards from the listed dates showed the facility had licensed nursing staff coverage for 24 hours on each date. During joint interview on 6/5/25 at 12:44 p.m., administrator, associate administrator (AA), and corporate nurse (CN) stated being unaware of any problem with the submission of staffing data. Administrator, AA, and CN could not state why the PBJ report indicated a lack of licensed 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-05 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure alcohol-based hand sanitizer was in use in the hand hygiene dispensers throughout the facility. In addition, the facility failed to ensure shared equipment was disinfected between residents for 1 of 2 residents (R9) observed to use a lift; failed to ensure staff completed appropriate hand hygiene and glove use for 2 of 4 residents (R1, R22) observed during cares; failed to ensure the overnight urine collection bag was cleaned prior to storage for 1 of 1 residents (R10) reviewed for catheter care. Findings include: Facility Hand Sanitizer During an observation on 6/3/25 at 3:40 p.m., the hand sanitizer in a free standing black eco lab stand felt like water and did not have an alcohol odor. A staff member opened the hand sanitizer compartment and the container was labeled as benzalkonium. The associate administrator and the director of nursing (DON) were present and both stated they were not aware the product was not an alcohol…

  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 · D2025-06-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 Section N of the Minimum Data Set (MDS) was accurately coded for 1 of 3 residents (R7) reviewed for unnecessary medications. Findings include: R7's quarterly MDS dated [DATE], identified a diagnosis of diabetes mellitus. Section N, which covers medications received during the assessment period, identified R7 was given insulin injections two times during the look back period. R7's provider order, identified dulaglutide subcutaneous solution (a GLP-1 receptor agonist, which is not insulin) 0.5 milliliters (ml)/5 milligrams (mg) to be injected one time a week every Wednesday related to diabetes mellitus, and was not taking any inslun during the look back period During an interview on 6/4/25 at 12:56 p.m., licensed practical nurse (LPN)-A reviewed R7's medication list and confirmed R7 didn't take insulin. During an interview on 6/5/25 at 3:38 p.m., registered nurse (RN)-A, an MDS coordinator, stated section N was coded inaccurately for R7. RN-A…

  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 before2025-06-05 · 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 record review the facility failed to secure an oxygen tank in a resident room for 1 of 1 resident (R32) reviewed for accidents. Findings include: R32's quarterly Minimum Data Set (MDS) dated [DATE], identified R32 had diagnoses which included chronic obstructive pulmonary disease (COPD [a group of lung diseases that block airflow and make it difficult to breath]), depression and anxiety. In addition, R32 was cognitively intact and required substantial to maximum assistantance with activities of daily living. R32's undated Order Summary Report identified R32 had an order for oxygen two to four liters via nasal cannula. R32's care plan dated 2/13/25, identified R32 had an alteration in oxygen/gas exchange related to COPD. Interventions included to monitor oxygen saturations as ordered and as needed and to administer oxygen as ordered. During an observation on 6/2/25 at 1:58 p.m., R32 was seated in his wheel chair in his room wearing oxygen via nasal cannula at one liter. During…

  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 · D2025-06-05 · 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 observation, interview and document review, the facility failed to ensure the water chamber of a bipap machine was emptied and dried between uses for 1 of 3 residents (R143) reviewed for respiratory care. Findings include: R143's admission MDS dated [DATE], identified intact cognition and diagnoses of acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease (COPD), acute bronchospasms, and sleep apnea. R143's care plan dated 5/23/25 didn't address the care of oxygen and bipap equipment. R143's provider orders dated 5/21/25 identified the following: -Bipap machine on at nighttime, two liters oxygen while sleeping to keep saturations at or above 92 percent. -Change nebulizer tubing and mask weekly on Saturday -Change water on bipap daily. Empty and dry out chamber and fill bipap water chamber with distilled water to the fill line at bedtime. During an interview on 6/2/25 at 4:04 p.m., R143 stated she used her oxygen and bipap daily. The bipap machine is on the table next…

  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 before2024-11-06 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 residents were assisted with activities of daily living (ADLs) in a dignified manner for 2 of 2 residents (R2, R3) reviewed. Findings include: R2 R2's admission Minimal Data Set (MDS) dated [DATE], indicated R2 had diagnoses of cerebral infarction (stroke) and anxiety disorder. R2's care plan dated 10/4/24, indicated R2 had a self-care care deficit related to ischemic stroke and required staff assistance with personal hygiene. R2's care plan was revised 11/6/24 (after survey entrance), indicated R2 would often refuse to have facial hair removed when offered, this had been a long-standing preference from before admission to the facility. Further R2's care plan revised on 11/6/24, directed staff to offer assistance in removing facial hair and respect resident's right to refuse this service. R2's care plan lacked evidence of shaving preference prior to the start of survey. R3 R3's annual MDS dated [DATE], indicated R3 had diagnoses…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-06 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure resident's care plan was implemented appropriately during transfers for 1 of 2 residents (R2) reviewed. Findings include: R2's admission Minimal Data Set (MDS) dated [DATE], indicated R2 had diagnoses of cerebral infarction (stroke) and anxiety disorder. R2's care plan dated 10/4/24, indicated R2 had an alteration in mobility related to ischemic stroke and directed staff to follow physical therapy instructions, and assist R2 with ambulation and transfers. R2 required assist of one staff, with front wheeled walker (FWW), and a gait belt. Further, R2 was identified to be at risk for falls related to ischemic stroke and psychotropic medication use and directed staff to follow physical therapy and occupational therapy instructions for mobility function. Facility document untitled and undated, however floor staff referred to the document as the care guide sheet, indicated R3 required assist of one staff for transfers and staff 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.

  Resident Assessment and Care Planning 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

$334,488 in federal fines across 1 penalty.

• $334,488 — penalty dated 2026-05-04

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 $517K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in MN