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Macon Health Care Center

29612 Kellogg Avenue,, Macon, MO 63552 · For profit - Corporation · 84 certified beds · (660) 385-5797 Medicare & Medicaid certified

Call the home — (660) 385-5797 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (21% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1206 N Missouri St · (660) 395-7575 · Call to confirm hours
Pharmacy
705 E Briggs Dr · (660) 385-5794 · Call to confirm hours
Grocery
902 E Briggs Dr · (660) 395-3000 · Call to confirm hours
Park
402 Jackson St · Typically dawn to dusk
Place of worship

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.1%18.1%15.4%better
Long-stay residents who lose too much weight3.0%5.3%5.4%better
Long-stay residents with a catheter left in their bladder1.6%1.1%0.9%worse
Long-stay residents with a urinary tract infection0.0%2.3%2.0%better
Long-stay residents with depressive symptoms3.3%18.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury9.6%4.1%3.3%worse
Long-stay residents whose ability to walk worsened6.4%17.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication35.5%25.6%18.9%worse
Long-stay residents given the seasonal flu vaccine93.9%90.9%95.3%typical
Long-stay residents with pressure ulcers1.8%4.5%4.7%better
Long-stay residents with worsening bladder/bowel control19.6%17.8%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table23.9%23.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better
Short-stay residents given the seasonal flu vaccine51.0%63.5%79.4%worse
Short-stay residents rehospitalized after admission29.5%26.0%22.6%worse
Short-stay residents with an outpatient ER visit12.2%13.7%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.882.111.67worse
Long-stay outpatient ER visits per 1,000 resident days2.672.331.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

55.5% 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 66 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.5%U.S. median 51.5%
Got home and stayed home
9.8%U.S. median 10.7%
Went back to hospital
73.2%U.S. median 56.6%
Met the expected recovery
0.13U.S. median 0.31
Therapy hours / resident / day
0.05hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 73.2% 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 41 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 0.13 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF55.5%CMS range 47.0–66.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 6.6–13.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge73.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge63.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting96.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 4.0–13.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.87
RN hours/ resident / day
0.54
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.50
Total nurse hours/ resident / day
0.62
RN hoursweekends
20.6%
Total nursing turnover
14.3%
RN turnover

How full it usually is: this home is certified for 84 beds and averages 38.2 residents a day — about 45% occupied, or roughly 46 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 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 2.82 hrs/resident/day on weekends vs 3.77 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.96 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% 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

0
deficiencies at the latest standard inspection (2025-04-02)
14
at the previous standard inspection (2023-07-27)

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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Dcited before2025-04-29 · 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

    Based on observation, interview and record review, the facility failed to ensure one resident (Resident #1), in a review of three sampled residents, did not leave the facility without staff knowledge. Further review showed the facility had not addressed the resident's history of exit seeking and had not ensured effective interventions were put in place that all staff were aware of both before and after the resident's elopement. The census was 51. Review of the facility policy, Elopement Prevention and Response Policy, dated 04/07/25, showed the following: -The facility is committed to ensuring resident safety through vigilant prevention, monitoring and timely intervention related to elopement and exit-seeking behaviors. Elopement is defined by Center for Medicare Services as a resident leaving the premises or a safe area without authorization and/or necessary supervision, placing themselves at risk. Our policy treats all observed exit-seeking behavior as a near-miss and responds with immediate action, documentation, and systemic review; -Elopement is defined as a resident leaving…

    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 · F2023-07-27 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food service safety. Staff failed to discard food that was expired or showed visible signs of deterioration and failed to label and date food items. Staff failed to shield lights located in food storage areas. The facility failed to ensure sanitary practices when staff failed to ensure tableware was protected from moisture, debris, and other contaminants and failed to ensure surfaces, such as ceiling vents and ice machines, were clean to prevent potential contamination. Staff failed to ensure hygienic practices when preparing and serving food and beverages to residents and employ proper hand hygiene, hair restraint usage, and surface sanitization practices. The facility census was 34. Review of the facility policy, Safety and Sanitation Best Practice Guidelines - Safe Food Storage, revised November 2017, showed the following: -All ready to eat food prepped in-house must be labeled with the following information - name of food item and 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-07-27 · 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 record review ,the facility failed to develop a policy to address Legionella Control that included specific control parameters based on Center for Disease Control (CDC) and American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) standards and failed to complete a facility assessment to identify potential sources of Legionella growth (started but not completed). The facility's water management team had not had a meeting, and the facility's water flow map was not completed and did not implement the facility's Legionnaire Disease (severe pneumonia like infection caused by contaminated water) policy that instructed staff how to monitor residents for Legionnaire's disease. The facility also failed to ensure staff used gloves while giving a resident a shower or change a catheter bag when the catheter bag connector landed on the wet shower floor for one resident, (Resident #19), in a sample of 13 residents. Additionally, the facility failed to ensure…

    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 · E2023-07-27 · tag F0641 — pattern
    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 record review, the facility failed to accurately code the Minimum Data Set (MDS), a federally mandated assessment completed by staff, according to the Resident Assessment Instrument (RAI) manual for two sampled residents (Resident #22 and #185) in a review of 13 sampled residents and one additional resident (Resident #32). The facility census was 34. Review of the Resident Assessment Instrument Manual, dated October 2019, showed the following: -Code question N0410B, Antianxiety: Record the number of days an anxiolytic medication was received by the resident at any time during the 7-day look-back period (or since admission/entry or reentry if less than 7 days). -Code question N0410D, Hypnotic: Record the number of days a hypnotic medication was received by the resident at any time during the 7-day look-back period (or since admission/entry or reentry if less than 7 days). -Code medications in Item N0410 according to the medication's therapeutic category and/or pharmacological…

    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 · E2023-07-27 · tag F0655 — pattern
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 develop and implement a baseline care plan consistent with the resident's specific conditions, needs and risks to provide effective person centered care that met professional standards of quality care within 48 hours of admission to the facility for one resident (Resident #185), in a review of 13 sampled residents and two closed record residents (Resident #32 and #35). The facility census was 34. Review of the facility's undated policy for Baseline Care Plans showed the following: -Baseline care plans will be completed on all residents upon admission within 48 hours of admission; -All problems, goals, and interventions will be reviewed and replaced by a comprehensive care plan within 21 days of admission. Review of the Centers for Medicare and Medicaid Services (CMS), Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.17.1, Chapter 4, revised October 2019, showed the following: -The care plan is driven not only 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-07-27 · tag F0657 — failed to keep the care plan current — pattern
    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 record review, the facility failed to update interventions in the resident's care plan to reflect current care needs for two residents (Resident #2 and #14) in a sample of 22 residents. The facility census was 34. Review of the facility's undated policy for Care Plans showed the following: -Our facility's Care Planning/Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident; -Care Plan interventions are designed after careful consideration of the relationship between the resident's problem areas and their causes. When possible, interventions address the underlying sources of the problem areas, rather than addressing only symptoms or triggers; -Assessments of residents are ongoing and care plans are revised as information about the resident and the resident's condition change; -The care…

    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 · Ecited before2023-07-27 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure facility staff provided one resident (Resident #2), the necessary care and services to maintain good personal hygiene and prevent body odor. Additionally, the facility failed to provide and one resident (Resident #14), in a sample of 13 residents, the necessary feeding assistance to ensure adequate consumption of meals. The facility census was 34. Review of the facility's undated policy, Peri care, showed the following: -Perineal care is provided to clean the perineum and provide comfort; -Wash and Rinse areas well, starting with the inner most area and moving to the outer most area. Wash legs if urine came into contact with any portion of them. Review of the facility's policy, Patient Care Policies, revised 02/2023, showed the following: -An active program of restorative nursing care will be directed toward assisting each patient to achieve and maintain his or her highest level of self-care and independence; -Restorative 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-07-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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 ensure staff transported residents in wheelchairs utilizing the foot rests for two residents (Resident #2 and #185), and failed to ensure a proper gait belt transfer for one resident (Resident #14), in a sample of 22 residents. The census was 34. Review of the facility's Wheelchair Transportation and Leg Rests Policy, dated 12/07/22, showed the following: -The primary objective of this policy is to ensure the safe and efficient transportation of residents in wheelchairs within the skilled nursing home premises; -Leg rests are provided to enhance resident comfort and provide proper support for their legs and feet and they should be adjusted to the resident's height and comfort level; -During wheelchair transportation, leg rests should be raised and secured to prevent the resident's feet from dragging on the ground, which can cause discomfort and injury; 3. Residents who can self propel themselves in wheel chairs do not need to have…

    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 · E2023-07-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    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 record review, the facility failed to ensure nursing staff performed acceptable infection control practices to prevent contamination of respiratory equipment according to facility policy, when staff failed to protect the mask of a continuous positive airway pressure (CPAP) (machine that uses a hose connected to a mask or nosepiece to deliver constant and steady air pressure to help you breathe while you sleep) device when not in use, and left the CPAP machine and mask on the floor for one resident (Resident #19) in a review of two residents with respiratory devices. The facility failed to change and document oxygen tubing and ensure proper infection control was utilized according to facility policy for three residents (Resident #2, #11 and #19) and one additional resident (Resident #10) in a sample of 13 residents. The facility census was 34. Review of the facility's undated Oxygen Tubing Policy, showed the following: -Oxygen tubing will be replaced weekly on Friday; -Oxygen…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-27 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 physician's orders for as needed (PRN) psychotropic medications were limited to 14 days for three residents (Resident #2, #12 and #30), in a review of 13 sampled residents, and one additional sampled resident (Resident #10) unless otherwise indicated by the physician. The facility failed to identify use of psychotropic medications without an indication for use for one sampled resident (Resident #185), when one of his/her medications, quetiapine (an antipsychotic medication), was contraindicated for use in resident's with dementia. Additionally the facility failed to attempt Gradual Dose Reductions (GDR) in two quarters, at least one month apart, or document a clinical contraindication as directed by the facility policy, or have an appropriate indication for use of an antipsychotic medication for two residents (Resident #18 and #22) in a sample of five residents for unnecessary medications. The census was 34. Review of the facility's undated…

    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
Show the remaining 11 citations
  • Potential for harm · E2023-07-27 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure insulin pens were labeled when opened for two residents (Resident #28 and #31 ), in a review of 13 sampled residents and one additional resident (Resident #16 ). The facility census was 34. Review of the undated, facility Insulin Policy, showed it did not provide direction to staff regarding the labeling of insulin pens when opened. Review of the manufacturer's information for Humalog insulin suggests after opening a vial or pen of Humalog, throw away an opened vial or pen after 28 days of use, even if there is insulin left in the vial. 1. Review of Resident #16's [DATE] physician's orders (POS), showed an order for Humalog (fast acting insulin) KwikPen 100 units/milliliter (ml), give 12 units subcutaneously (SQ) four times a day. Hold if fasting blood sugar (a finger stick procedure to determine the amount of sugar in the blood) is less than 200. The resident had a diagnosis of diabetes. 2. Review of Resident #31's [DATE] POS…

    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 · E2023-07-27 · 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 record review, the facility failed to follow an antibiotic stewardship program as part of their infection prevention and control program that included antibiotic use protocols and a system to monitor antibiotic use. The facility census was 34. Review of the facility's policy, Antibiotic Stewardship, showed the following: -The facility is committed to encouraging appropriate use of antibiotics; -Record all antibiotics used in the facility on a patient by patient basis. (dose, duration, indication); -Report the culture reports, antibiotic use to treat the infection, and outcome of treatment; -Obtain antibiogram for the region from the reference laboratory and provide it at the nurse's stations and provide a copy to each provider; -Use Interact tools (SBAR) to communicate resident change in condition to the provider; -Alert the attending when antibiotics have reached 14 days and obtain new orders; -Report all infections to the Health Department. For clusters of infections, ask the Health Department to test for the identity of the infecting agent; -Review proper…

    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 · E2023-07-27 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 provide pneumococcal (lung inflammation caused by bacterial or viral infection) vaccine for two residents (Resident #2, and #235), in a review of five sampled residents, or provide education for refusal of vaccine for one resident (Resident #30). The facility census was 34. Review of the facility's policy, Pneumococcal Vaccine, updated January 2023 showed the following: -The best way to prevent pneumococcal disease is by getting vaccinated; -Two pneumococcal vaccines are recommended for adults: -Pneumococcal conjugate vaccine (PCV15, PCV20); -Pneumococcal polysaccharide vaccine (PPSV23); -The Centers for Disease Control (CDC) recommends routine administration of pneumococcal conjugate vaccine (PCV15 or PCV20) for all adults 65 yeas or older who have never received any pneumococcal conjugate vaccine or whose previous vaccination history is unknown; -If PCV15 is used, this should be followed by a dose of PPSV23 one year later. The minimum interval is…

    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 before2023-07-27 · 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 record review, facility staff failed to implement interventions to promote healing for one resident (Resident #32), of two sampled closed records, at risk for pressure ulcer development after the resident returned to the facility from an acute hospital stay with pressure ulcers. Staff also failed to complete timely skin assessments as directed to monitor for improvement or decline of the pressure ulcers for two residents (Resident #32 and #35) and complete accurate documentation regarding Resident #35's skin. The facility census was 34. Based on interview and record review facility staff failed to complete timely skin assessments as directed to monitor for improvement or decline of pressure ulcers for two closed record residents (Resident #32 and #35) and complete accurate documentation regarding one resident's (Resident #35) skin. The facility census was 35. Review of the undated facility policy Pressure Ulcers showed the following: -The purpose of this procedure is to provide guidelines…

    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 · D2023-07-27 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure interventions added by the Registered Dietitian (RD) were acted upon for one resident (Resident #22) in a sample of 13 residents, who had a 10.63 percent (%) weight loss the month prior. The facility census was 34. Review of the facility's Protocols related to Nutrition Interventions, dated February 2023, showed the following: -The Nutrition Intervention Program (NIP) as set forth by the NHC Clinical Resource/Best Practice Guidelines for Dietary Services is available to allow residents the highest practicable level of nutritional care through aggressive intervention. NIP Fortified Foods, oral nutrition supplements, house supplement and house protein supplement are four types of nutritional interventions; -NIP Fortified Foods: After appropriate assessment of a resident, the RD will be able to implement NIP Fortified Foods (or NIP) to begin providing additional calories and protein to the daily diet. Individualization will be used 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-11-21 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 follow professional standards of practice for 14 residents (Residents #2, #7, #14, #17, #21, #26, #27, #29, #34, #39, #44, #45, #248, and #297), in a review of 16 sampled residents and five additional residents. The facility failed to obtain weights upon readmission per facility protocol for Resident #27 who presented with a significant weight loss; failed to obtain physician orders for oxygen and failed to confirm gastrostomy tube (a tube inserted through the belly that brings nutrition directly to the stomach) placement prior to administering his/her feeding for Resident #44; failed to follow the facility's protocol following a fall for Resident #39; failed to follow up on physician recommendations to discuss a reduction in psychotropic medication use with Resident #2; failed to identify settings for Resident #21's CPAP machine (continuous positive airway pressure, a machine that helps people with sleep apnea breath more easily while…

    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 · Ecited before2019-11-21 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure staff washed their hands after each direct resident contact and when indicated by professional standards of practice during personal care for four residents (Residents #14, #21, #26, and #297), in a review of 16 sampled residents. The facility certified census was 48. 1. Review of the facility's undated policy Infection Control Guidelines for all Nursing Procedures showed the following: -Standard precautions will be used in the care of all residents in all situations regardless of suspected or confirmed presence of infectious diseases. Standard precautions apply to blood, body fluids, secretions and excretions, regardless of whether or not they contain visible blood, no-intact skin, and/or mucous membranes. -Employees must wash their hands for 15 seconds using antimicrobial or non-antimicrobial soap and water under the following conditions: before and after direct contact with resident, when hands are visibly dirty or soiled 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-11-21 · 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 observation, interview, and record review, the facility failed to ensure care plans for two residents (Residents #39 and #297), in a review of 16 sampled residents, included interventions and approaches to address the residents' care needs. The certified facility census was 48. 1. Review of facility's undated policy, Care Plans, showed the following: -Assessments of residents are ongoing and care plans are revised as information about the resident and the resident's condition change; -The care planning/interdisciplinary team is responsible for the review and updating of care plans. 2. Record review of Resident #297's admission skin assessment, dated 11/7/19 at 6:11 P.M., showed the following: -The resident was not at risk for developing pressure ulcers; -An open/red area on left buttock 2 centimeters (cm) by 2 cm; -Rash on right and left buttock and groin area; -Surgical wound on abdomen. Record review of the resident's skin assessment (body diagram), dated 11/07/19, showed Registered Nurse (RN) N…

    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 before2019-11-21 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide necessary services to maintain personal and oral hygiene for two residents (Residents #14 and #21), who were unable to carry out their own activities of daily living (ADLs), in a review of 16 sampled residents. The facility certified census was 48. 1. Review of the facility's policy on mouth care, revised October 2010, showed the purpose of the procedure was to keep the resident's lips and oral tissues moist, to cleanse and freshen the resident's mouth, and to prevent infections of the mouth. 2. Review of the Nurse Assistant in a Long-Term Care Facility manual, revised 2001, showed the following: -Oral hygiene: A clean mouth and properly functioning teeth are essential for physical and mental well-being of the resident to prevent infections in mouth, remove food particles and plaque, stimulate circulation of gums, and eliminate bad taste in mouth thus food is more appetizing. Give oral care before breakfast, after meals, and also…

    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 before2019-11-21 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to notify the physician and obtain a treatment to treat a Stage II pressure ulcer (partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough) identified on admission for one resident (Resident #249), in a review of 16 sampled residents. The facility failed to document the details of the pressure ulcer (type, stage, measurements, etc) according to facility policy, and to provide documentation of daily monitoring. An open area was also identified on 11/20/19. Nursing staff did not assess the resident's skin until 11/21/19. Staff identified the area as a pressure ulcer and applied treatment without obtaining a physician order. The facility identified one resident (Resident #249) with pressure ulcers. The facility certified census was 48. 1. Record review of the facility's policy Skin and Wound Management, dated October 2010, showed the following: -The purpose of this procedure is to provide…

    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 · D2019-11-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 staff failed to maintain urinary catheter (small tubular structure that drains urine from the bladder to the outside of the body) bags and tubing off the floor and below the level of the bladder for two residents (Residents #21 and #35), with indwelling urinary catheters, in a review of 16 sampled residents. The facility identified three residents with urinary catheters. The facility certified census was 48. 1. Review of the facility's policy on catheter care, undated, showed the following: -Maintain indwelling catheters as ordered and prevent catheter associated urinary tract infections; -The urinary drainage bag must be held or positioned lower than the bladder at all times to prevent the urine in the tubing and drainage bag from flowing back into the urinary bladder; -Be sure the catheter tubing and drainage bag are kept off the floor. 2. Review of Resident #21's hospital admission note, dated 9/2/19, showed the following: -The resident 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.

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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NATIONAL HEALTHCARE CORPORATION — 69 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 →

RatingThis homeChain avg
Overall 5 of 54.0+1.0 vs chain
Health inspection 4 of 53.5+0.5 vs chain
Staffing 5 of 53.5+1.5 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 68 homes this chain runs (chain average 4.0★, per CMS)
1 of 5NHC Healthcare - MauldinGreenville, SC 2 of 5NHC Healthcare - CharlestonCharleston, SC 2 of 5NHC Healthcare, GlasgowGlasgow, KY 2 of 5Nhc Healthcare RossvilleRossville, GA 2 of 5Nhc Healthcare, AnnistonAnniston, AL 2 of 5Nhc Healthcare, FranklinFranklin, TN 2 of 5Nhc Healthcare, JoplinJoplin, MO 2 of 5Nhc Healthcare, SpringfieldSpringfield, TN 2 of 5Osage Beach Rehabilitation And Health Care CenterOsage Beach, MO 2 of 5White Oak Manor-ShelbyShelby, NC 3 of 5Adamsplace, LLCMurfreesboro, TN 3 of 5NHC Healthcare - GreenwoodGreenwood, SC 3 of 5Nhc Healthcare, Ft SandersKnoxville, TN 3 of 5Nhc Healthcare, HendersonvilleHendersonville, TN 3 of 5Nhc Healthcare, KnoxvilleKnoxville, TN 3 of 5Nhc Healthcare, LewisburgLewisburg, TN 3 of 5Nhc Healthcare, PulaskiPulaski, TN 3 of 5Nhc Healthcare, SmithvilleSmithville, TN 3 of 5Nhc Healthcare, SpartaSparta, TN 3 of 5Nhc Healthcare, TullahomaTullahoma, TN 3 of 5The Health Center At Richland PlaceNashville, TN 3 of 5The MeadowsNashville, TN 3 of 5White Oak Manor - YorkYork, SC 4 of 5NHC HealthCare - North AugustaNorth Augusta, SC 4 of 5NHC Healthcare - BlufftonOkatie, SC 4 of 5NHC Healthcare - Garden CityGarden City, SC 4 of 5NHC Healthcare - LexingtonWest Columbia, SC 4 of 5Nhc Healthcare, ChattanoogaChattanooga, TN 4 of 5Nhc Healthcare, ColumbiaColumbia, TN 4 of 5Nhc Healthcare, DeslogeDesloge, MO 4 of 5Nhc Healthcare, Maryland HeightsMaryland Heights, MO 4 of 5Nhc Healthcare, MilanMilan, TN 4 of 5Nhc Healthcare, Oak RidgeOak Ridge, TN 4 of 5Nhc Healthcare, OakwoodLewisburg, TN 4 of 5Nhc Healthcare, St CharlesSaint Charles, MO 4 of 5Nhc Place At Cool SpringsFranklin, TN 4 of 5White Oak Manor - CharlestonCharleston, SC 4 of 5White Oak Manor - SpartanburgSpartanburg, SC 5 of 5HeartlandNashville, TN 5 of 5Holston Health & Rehabilitation CenterKnoxville, TN

Showing 40 of 68; lowest-rated first.

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

Investor-owned

CMS ownership filings flag an owner of this facility as an investment firm. That’s a fact worth knowing about who ultimately profits from the home. Read the inspection and staffing record above on its own merits.

  • MORGAN STANLEY — investment firm · 5.40% share · 5% Or Greater Indirect Ownership Interest
  • VANGUARD GROUP INC — investment firm · 9.09% share · 5% Or Greater Indirect Ownership Interest

Source: CMS SNF ownership filings (PECOS). These flags are self-reported and undercount — federal auditors (GAO) and researchers find CMS captures only a fraction of true private-equity and REIT ties, so the absence of a flag on other homes is not proof they lack investor owners. How investor ownership affects care →

Owner / managerTypeRoleSince
MORGAN STANLEY INSTITUTIONAL ADVISORS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 11/08/2024
NHC/DELAWARE INCOrganizationINDIRECT OWNERSHIP INTERESTsince 12/10/2010
RECTOR, MELVINIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 12/01/2010
NATIONAL HEALTHCARE CORPORATIONOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2010
CRAWFORD, JODIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/20/1995
DODSON, VICKIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2019
KIDD, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2017
MCDOWELL, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2011
RICHARDSON, RACHELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/15/2025
USSERY, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2010
BLACKROCK INCOrganizationADP OF THE SNFsince 03/20/2019
DIMENSIONAL FUND ADVISORS LPOrganizationADP OF THE SNFsince 03/07/2023
MIDWEST PHYSICAL THERAPY PCOrganizationADP OF THE SNFsince 10/01/2019
MORGAN STANLEYOrganizationADP OF THE SNFsince 11/08/2024
NATIONAL HEALTH CORPORATIONOrganizationADP OF THE SNFsince 12/01/2010
NHC-OP LPOrganizationADP OF THE SNFsince 12/10/2010
VANGUARD GROUP INCOrganizationADP OF THE SNFsince 03/27/2017

CMS files one row per role, so the 24 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

10 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.

$4.2M
Net patient revenuemost recent cost report
-14.5%
Operating marginrevenue minus expenses
$403K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 54%Medicare 9%Other / private 36%

This home reported $403K 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 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

$282per resident / day
operating cost
$8,584per month
≈ monthly operating cost
$247per day
avg. revenue, all payers

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 MO

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Missouri Medicaid page.

Typical monthly cost in Missouri
$6,741/mo
Nursing home (semi-private)
$7,604/mo
Nursing home (private)
$5,400/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 265163. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-02, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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