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Ozark Rehabilitation & Health Care Center

1083 Ozark Care Drive,, Osage Beach, MO 65065 · For profit - Limited Liability company · 60 certified beds · (573) 348-1711 Medicare & Medicaid certified

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Abuse/neglect citation on record (F0600) — cited Jun 2024Resident-funds citation (F0567)1 immediate-jeopardy citation$23,224 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0567)
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (36) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $23,224 in federal fines (most recent 2024-11-06)
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (1/5)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
54 Hospital Dr · (573) 302-2764 · Call to confirm hours
Pharmacy
5816 Osage Beach Pkwy #104 · (573) 348-2721 · Call to confirm hours
Grocery
5816 Highway 54 Ste 114 · (573) 348-2591 · Call to confirm hours
Park
985 KK Dr · (573) 348-1599 · 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 1 of 5
Long-stay residentspeople who live here 1 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 held steady at 1 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 rating1★
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 increased47.2%18.1%15.4%check this — see note marked dagger below the table
Long-stay residents who lose too much weight3.4%5.3%5.4%better
Long-stay residents with a catheter left in their bladder0.4%1.1%0.9%better
Long-stay residents with a urinary tract infection2.6%2.3%2.0%worse
Long-stay residents with depressive symptoms42.8%18.5%6.5%worse 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 injury3.8%4.1%3.3%worse
Long-stay residents whose ability to walk worsened36.2%17.4%16.1%worse
Long-stay residents on antianxiety or hypnotic medication50.3%25.6%18.9%worse
Long-stay residents given the seasonal flu vaccine97.7%90.9%95.3%typical
Long-stay residents with pressure ulcers7.5%4.5%4.7%worse
Long-stay residents with worsening bladder/bowel control24.0%17.8%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table43.7%23.5%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%2.2%1.4%better

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

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.

0.04U.S. median 0.31
Therapy hours / resident / day
0.03hours / resident / day
Physical therapy
0.01hours / resident / day
Occupational therapy

Therapy staffing: this home’s payroll records show 0.04 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.45
RN hours/ resident / day
0.61
LPN hours/ resident / day
1.87
Aide hours/ resident / day
2.93
Total nurse hours/ resident / day
0.34
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 60 beds and averages 42.3 residents a day — about 70% occupied, or roughly 18 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 2.93 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 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 2.71 hrs/resident/day on weekends vs 3.02 on weekdays — 10% thinner on weekends. RN hours go from 0.50 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

5
deficiencies at the latest standard inspection (2025-05-15)
23
at the previous standard inspection (2024-02-29)

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.

36 citations, most serious first. The 13 most serious are shown; the remaining 23 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2023-12-15 · 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, facility staff failed to provide protective oversight for one resident (Resident #1) with cognitive impairment and a history of wandering, when on 12/13/2023 the resident exited the facility without staff knowledge and was found lying in the street, less than one mile away from the facility, in the early morning hours by a passerby, who notified the police and the emergency medical services (EMS). The outside air temperature was 31 degrees Fahrenheit (F). The resident was found in only a shirt and undergarments with his/her body temperature at 90.2 degrees F. The facility census was 48. The Administrator was notified on 12/13/23 at 6:30 P.M., of an Immediate Jeopardy (IJ) which began on 12/13/23. The IJ was removed on 12/15/23 as confirmed by surveyor onsite verification. Review of the facility's Missing Resident Policy, revised 8/13/14, showed it is the policy of the facility that reasonable precautions be taken to minimize the risks of resident elopement attempts. Reasonable precautions include, but are not limited to: door…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-11-06 · 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 interview and record review, facility staff failed to properly stretch one resident (Resident #1) leg for range of motion, in a safe manner which resulted in an injury to his/her leg that required surgical intervention. The facility census was 40. 1. Review of the Restorative Program - range of motion policy, revised 02/03/22, showed the policy is to provide the resident with limited range of motion appropriate treatment and services to increase or prevent further decrease in range of motion. Staff are instructed to provide resident with repetitions as per residents tolerance and care plan and never continue past the point of resistance or pain. 2. Review of Resident #1's Annual minimum data set (MDS) a federally mandated assessment tool, dated 09/17/24, showed staff assessed the resident as follows: -Cognitively intact; -Totally dependent with two plus staff to assist; -Incomplete quadriplegic (weakness or partial paralysis but has some sensation); -Wheelchair for mobility. Review of the physician order sheet, dated 6/21/24, showed the resident may participate in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2024-06-27 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to ensure one resident (Resident #1) remained free from sexual abuse when Resident #2 touched Resident #1's chest inappropriately. The facility census was 40. 1. Review of the facility's Abuse Prevention Program, undated, showed the facility affirms the right of their residents to be free from abuse, neglect, misappropriation of resident property, corporal punishment, and involuntary seclusion. This facility therefore prohibits mistreatment, neglect, or abuse of its residents. Review showed: -Abuse is defined as any physical or mental injury or sexual assault inflicted upon a resident other than by accidental means in a facility; - Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment resulting in physical harm, pain, or mental anguish; -Sexual abuse includes, but is not limited to sexual harassment, sexual coercion, or sexual assault. 2. Review of Resident #1's Minimum Data Set (MDS), a federally mandated…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-05-15 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, facility staff failed to maintain a clean, comfortable, homelike environment when staff failed to maintain the interior of building. Facility staff failed to remove trash from the exterior and maintain the exterior of the premises. The facility census was 40. 1. Observation on 05/12/25 between 12:00 P.M and 12:45 P.M., showed: -The bathroom door in resident room [ROOM NUMBER] contained a dark brown patch on the lighter stained door, and a marred area at the top with a layer of plywood dug out; -The bathroom door in resident room [ROOM NUMBER] patched with a dark brown patch in the middle of the lighter stained door; -The bathroom door in resident room [ROOM NUMBER] had a hole near the middle of the door; -The hallway ceiling tile near resident rooms #23 and #26 had yellow-brown stains; -The bathroom door frame in resident room [ROOM NUMBER] was marred near the floor; -The bathroom door frame in resident room [ROOM NUMBER] was marred, near the floor, and the door had a layer of…

    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 · Ecited before2025-05-15 · 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, facility staff failed to change and store oxygen tubing for one resident (Resident #18 ) of two sampled residents; failed to to use appropriate hand hygiene infection control practices during perineal and catheter care, for four residents (Resident's #12, #14, #24, and #37) of five sampled residents; failed to follow Enhanced Barrier Precautions (EBP), (the wearing of gown and gloves during high contact patient care activities to prevent the spread of multi-resistant organisms), for two residents (Resident #12 and #24) of five sampled residents. The facility census was 40. 1. Review of the facility's Hand Hygiene policy, revised 12/07/18, showed staff are directed to wash hands, as hand washing promptly and thoroughly after resident contact and after contact with blood, body fluids, secretions, excretions, and equipment or articles contaminated by them is an important component of the infection control and isolation precautions. If soap and water are not…

    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 · D2025-05-15 · 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 record review, facility staff failed to ensure two residents (Resident #18 and #37) had orders for oxygen and failed to ensure oxygen tubing was dated per facility policy. The facility census was 40. 1. Review of the facility's policy titled, Oxygen Therapy, March 2019, showed staff are directed to: -Verify the physician's order; -Adjust the delivery rate per the physician's order; -Change oxygen tubing/mask/cannuala and/or tracheostomy mask weekly; -Date tubing changes. 2. Review of Resident #18's admission Minimum Data Set (MDS), a federally mandated assessment tool, dated 04/18/25, showed staff assessed the resident as: -admitted on [DATE]; -Cognitively intact; -Dependent on staff for upper body dressing and personal hygiene; -Required oxygen. Review of the resident's Care Plan, dated 04/14/25, showed the plan did not contain direction for staff in regard to the resident's oxygen use. Review of the resident's Nursing admission Assessment, dated 04/07/25, showed staff…

    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 · D2025-05-15 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility staff failed to document collaboration of care with hospice providers for development and implementation of a coordinated plan of care, communication between the facility and hospice providers and did not have physician orders for hospice for two residents (Resident #27 and #36) of three residents. The facility census was 40. 1. Review of facility Hospice Services policy, undated, showed the facility provides continuity of care to provide residents who are terminally ill with the opportunity to receive comprehensive, interdiscipinary care that recognizes the spirtiual needs, and to assist residents, family members and friends to live as fully and completely as possible with meaing and diginity. An interdisciplinary care plan which integrates the care and services provided by the faciity and the hospice provider including. Communication and/or coordination of participants and agencies providing aspects of palliative care. Hospice providers and this facility…

    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 · Dcited before2024-06-10 · tag F0658 — failed to meet professional standards of care — isolated
    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 interview and record review, facility staff failed to meet professional standards when staff failed to document they administered medications and failed to document the reason they did not administer the medications for two residents (Resident #1 and #2) out of four sampled residents. The facility census was 43. 1. Review of the facility's Medication Administration policy, revised 11/18/17, showed: -Drug administration shall be defined as an act in which a single dose of a prescribed drug or biological is given to a resident by an authorized person in accordance with all laws and regulations governing such acts; -The complete act of administration entails removing an individual dose from a previously dispensed, properly labeled container, verifying it with the physician's orders, giving the individual dose to the proper resident, and promptly recording the time and dose given; -After a drug is given, record the date, time, name of drug, dose and route on the residents individual medication…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-02-29 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN), for at least eight consecutive hours per day, seven days a week. The facility census was 45. 1. Review of the facility's policies showed the facility did not provide a policy for RN coverage. 2. Review of the facility's RN staff schedule, dated July 2023, showed the facility did not have an RN in the building the following dates: -Tuesday 07/01/23; -Thursday 07/13/23; -Thursday 07/20/23; -Monday 07/24/23; -Thursday 07/27/23; -Saturday 07/28/23. 3. Review of the facility's RN staff schedule, dated August 2023, showed the facility did not have an RN in the building the following dates: -Tuesday 08/01/23; -Thursday 08/03/23; -Saturday 08/05/23; -Tuesday 08/08/23; -Saturday 08/12/23; -Tuesday 08/15/23; -Thursday 08/17/23; -Saturday 08/19/23; -Tuesday 08/22/23; -Thursday 08/24/23; -Saturday 08/26/23; -Tuesday 08/29/23. 4. Review of the facility's RN staff schedule, dated September 2023, showed the facility did not have an RN in the building the following dates: -Saturday…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-02-29 · tag F0728 — failed to protect against nurse-aide misconduct — widespread
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility staff failed to ensure three Nurse Aide's ((NA) NA L, NA M and NA N) completed the nurse aide training program within four months of his/her employment in the facility. The census was 45. 1. Review of the facility's policies showed the facility did not provide a policy for NA qualifications. 2. Review of Certified Nurse Aide (CNA) training report showed NA L's hire date as 11/24/23. Review showed the NA's file did not contain documentation the NA completed a nurse aide training program. During an interview on 2/29/24 at 11:56 A.M., the Director on Nursing (DON) said NA L has not started the nurse aide training program yet. 3. Review of the CNA training report showed NA M's hire date as 1/16/23. Review showed the NA's file did not contain documentation the NA completed a nurse aide training program. During an interview on 2/29/24 at 11:56 A.M., the DON said he/she is not sure if NA M has started the nurse aide program yet. 4. Review of the CNA training report showed NA N's hire date as 6/27/23Review showed the NA's file did not…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-02-29 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. The census was 45. 1. Review of facility's In-service Training policy, dated 06/06, showed the Food Service Manager or Registered Dietician plans and/or conducts regularly scheduled in-service training and education to develop the skills and knowledge required for satisfactory job performance. The policy did not contain guidance related to the qualifications of the dietary manager. Review of the dietary manager's (DM) personnel record showed he/she hired to the DM position on 09/01/22. Review showed the record did not contain documentation of prior dietary experience or related education. Documentation showed a Certified Dietary Manager course enrollment on 10/27/22 but did not include documentation of progress or completion. During an interview on 02/26/24 at 1:29 P.M., the administrator…

    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 · F2024-02-29 · tag F0802 — failed to prepare enough nourishing food — widespread
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, facility staff failed to ensure dietary staff had the appropriate competencies and skills to safely and effectively carry out the functions of food and nutrition services. Facility staff failed to provide effective training to dietary staff related to handwashing. Facility staff also failed to provide effective training to dietary staff related to kitchen ware washing/sanitation. The facility census was 45. 1. Review of facility's In-service Training policy, dated 6/06, showed the Food Service Manager or Registered Dietician plans and/or conducts regularly scheduled in-service training and education to develop the skills and knowledge required for satisfactory job performance. Review of the facility's Hand Washing policy, revised 10/09, showed hand washing is to be done using soap and water for at least 20 seconds: -When hands are visibly soiled; -After contact with soiled or contaminated articles; -Before and after eating, drinking or handlind food; -After handling soiled equipment or utensils. Review showed the hand washing…

    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 before2024-02-29 · 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 staff failed to store food in a manner to prevent potential contamination and outdated use. The facility staff failed to maintain the kitchen floors and appliances in a clean manner to prevent the growth and harborage of bacteria. Facility staff failed to properly sanitize kitchen wares, food preparation surfaces and resident dining tables to prevent potential cross contamination. The facility staff failed to maintain the dining room ice machine in a clean and sanitary manner to prevent cross contamination and inhibit the growth water-borne pathogens. The facility census was 45. 1. Review of the facility policy Storage, Revised 6/06, showed kitchen staff are directed to: -Date items upon receipt; -Store left overs in covered, labeled and dated containers under refrigeration or frozen; -Clean up all debris dropped on the floor immediately; -Set aside dented cans and cans without labels in a designated area. These are not to be used. Review of the facility's Refrigerator and Freezer Storage policy, Revised 10/09, showed:…

    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
Show the remaining 23 citations
  • Potential for harm · F2024-02-29 · tag F0882 — widespread
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility staff failed to designate one or more individuals with specialized training in Infection Prevention and Control (IPC) as the Infection Preventionist (IP) for the facility's infection prevention and control program. The census was 45. 1. Review of he facility's policies showed staff did not provide a policy in regard to the qualifications of the Infection Preventionist. During an interview on 02/28/24 at 2:15 P.M., the Director of Nursing (DON) said he/she had mistaken a different Center for Medicare and Medicaid Services (CMS) course with the Infection Preventionist (IP) Course, so he/she was not certified as an IP. During an interview on 02/29/24 at 8:41 A.M., the Administrator said he/she was the Certified Infection Preventionist (IP) and the Director of Nursing (DON) and Minimum Data Set (MDS) Coordinator are his/her backup when he/she was on leave. He/She said the DON and MDS Coordinator were not certified IP's, even though they were directed to obtain their certification. He/She said he/she did not know they were not certified…

    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 · E2024-02-29 · tag F0567 — failed to protect residents' money held by the home — pattern
    Honor the resident's right to manage his or her financial affairs.
    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 ensure three residents (Resident #14, #15 and #19) had appropriate access to their trust fund account which included evenings and weekends. The facility census was 45. 1. Review of the facility's policies showed the facility did not provide a policy for availability of funds. 2. Review of Resident #14's Quarterly Minimum Data Set (MDS), a federally mandated assessment tool, dated 10/18/23, showed staff assessed the resident as cognitively intact. During an interview on 02/26/24 at 3:30 P.M., the resident said we cannot get money on the weekends, you have to get it on Fridays if we want it for the weekend, or your're just out of luck and have to wait. 3. Review of Resident #15's Quarterly MDS, dated [DATE], showed staff assessed the resident as mildly cognitive impaired. During an interview on 02/26/24 at 10:28 A.M., the resident said he/she did not have access to his/her funds on the weekends 4. Review of Resident #19's Annual MDS, dated [DATE],…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-29 · tag F0578 — failed to honor advance directives / code status — pattern
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to document two residents (Resident #7 and #8) code status as Do Not Resuscitate (DNR) or Full Code (Resuscitate refers to cardiopulmonary resuscitation-CPR). The facility census was 45. 1. Review of the facility's policy titled, Advanced Directive, dated [DATE], showed each resident has the right to make their own decisions, and to formulate advance directives to serve as decisions when the individual is incapacitated. It is the policy of this facility to honor resident's wishes as expressed in advanced directives regarding medically indicated treatments whenever possible. Review showed the facility shall take all steps necessary to comply with state and federal legislation relating to advanced directives. Review showed any decision made by the resident shall be indicated in the chart in the manner easily understood by all staff. Review showed it is the intent to implement the terms of the advanced directive placed in the resident's medical record in…

    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 · E2024-02-29 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility staff failed to give appropriate Center for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advance Beneficiary Notices (SNFABN) for two resident (Resident # 12 and #45) of three sampled residents the facility initiated discharge from Medicare Part A Services when benefit days were not exhausted. The facility census was 45. 1. Review of the facility's policies showed staff did not provide a policy on SNFABN Notices. 2. Review of Resident #12's Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review form showed staff documented: -Medicare Part A Skilled Services started on 12/19/23; -Last covered day of Medicare Part A Skilled Services on 01/06/24; -The resident wanted to go home. Review of the resident's medical record showed the resident remained in the facility after the facility initiated his/her discharge from Medicare Part A services. Review showed the medical record did not contain documentation staff provided the resident or his/her legal representative the SNFABN. 3. Review of Resident #45 SNF…

    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 · Ecited before2024-02-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility staff failed to provide a clean, homelike and comfortable environment when staff failed maintain resident rooms, common areas, medical device equipment and the exterior of the building clean and in good repair. Facility census was 45. 1. Review of the facility's policy titled, Physical Plant and Environmental Policy and Guidelines, undated, showed staff were directed to do the following: -It is of the utmost importance to provide a safe, hospitable, clean and organized facility and grounds to ensure an environment that is conducive to providing the best care, comfort and home-like surroundings for residents; -A well maintained building and environment is also important for creating safe work surrounds across all departmental staffing and their ability to effectively, and efficiently provide care and great living environment to all residents and all necessary resources to do so; -The building and grounds must be maintained in the best presentable…

    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 · E2024-02-29 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility staff failed to screen six new employee (Dietary E, Dietary F, Dietary G, Certified nurse aide (CNA) H, Licensed Practical Nurse (LPN) I, and housekeeping J) out of ten new employees prior to employment to determine if any employees had a federal indicator with the Employee Disqualification List (EDL) and/or the Family Care Safety Registry (FCSR). Facility staff failed to develop a written policy to notify the Department of Health and Senior Services (DHSS) of any allegation of abuse within the required two hour timeframe. The facility census was 45. 1. Review of the Facility's Abuse Prevention Program Facility Policy, not dated, showed the purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of mistreatment, neglect or abuse of our residents. This will be done by conducting pre-employment screening of employees. Review showed: -The facility affirms the right of our residents to be free from abuse, neglect, misappropriation of resident property, corporal punishment, and…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-29 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interview and record review, facility staff failed to notify the Ombudsman (a resident advocate who provides support and assistance with problems and/or complaints regarding the facility) of resident transfers to the hospital for five sampled residents (Resident #14, #19, #24, #49, and #50). The facility census was 45. 1. Review of the facility's Transfer and Discharge Policy and Procedure, undated , showed the policy did not include direction for staff to notify the ombudsman of resident discharge or transfer. 2. Review of an email from the Regional Ombudsman Program Director, dated 02/22/24 at 1:42 P.M., showed did not send the Ombudsamn Director the monthly notifications of discharged or transferred residents. 3. Review of Resident #14's medical record, showed the resident transferred to the hospital on [DATE] and readmitted to the facility on [DATE]. The medical record did not contain documentation staff notified the Ombudsman of the resident's transfer to the hospital. 4. Review of Resident #19's…

    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 · E2024-02-29 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 provide written information to the resident and/or the resident's representative of the bed hold policy at the time of transfer to the hospital for three (Resident #14, #19, and #24) out of three sampled residents. The facility's census was 45. 1. Review of the facility's Bed Hold Guarantee Policy, revised 08/01/17, showed, the resident, resident family or legal representative will be given the appropriate Notice of Bed Hold Policy at the time of discharge or therapeutic leave, if possible, but notice will be given no longer than 24 hours after discharge or initiation of leave. 2. Review of Resident's #14's Quarterly Minimum Data Set (MDS), a federally mandated assessment, dated 10/18/23, showed staff assessed the resident as cognitively intact. Review of the resident's medical record showed : -discharged from the facility on 12/24/23 and readmitted to the facility on [DATE]; -Did not contain written documentation staff notified the resident or 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-02-29 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    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 record review and interview, facility staff failed to ensure they assessed residents using the quarterly Minimum Data Set (MDS), a federally mandated assessment completed by staff, no less frequently than once every 92 days as directed by the Resident Assessment Instrument (RAI) manual for six residents (Resident #10, #16, #22, #37, #38, #46). The facility census was 45. 1. Review of the Resident Assessment Manual (RAI), dated 10/1/17, showed the Quarterly assessment is an Omnibus Budget Reconciliation Act of 1987 (OBRA) non-comprehensive assessment for a resident that must be completed at least every 92 days following the previous OBRA assessment of any type. It is used to track a resident's status between comprehensive assessments to ensure critical indicators of gradual change in a resident's status are monitored. As such, not all MDS items appear on the Quarterly assessment. The Assessment Reference Date (ARD) must be not more than 92 days after the ARD of the most recent OBRA assessment of any…

    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 · E2024-02-29 · tag F0656 — failed to write and follow a full care plan — pattern
    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 staff interview and record review, facility staff failed to provide person-centered, measurable time frames to meet the residents' individual needs and goals identified in the comprehensive care plans for four (Resident #3, #7, #20, and #31) sampled residents. The facility census was 45. 1. Review of the Facility's Comprehensive Care Planning Policy, revised 11/01/17, showed it is the policy of the facility to comprehensively assess and periodically reassess each resident admitted to this facility. The results of this resident assessment shall serve as the basis for determining each resident's strengths, needs, goals, life history and preferences to develop a person-centered comprehensive plan of care for each resident that will describe the services that are to be furnished to attain or maintain the residents highest practicable physical, mental, and psychosocial well-being. The Comprehensive Care Plan (CCP) shall be developed within seven days of the completion of the Resident Assessment Instrument…

    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 · E2024-02-29 · 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 staff, failed to review and revise care plan after falls for two residents (#8 and #47). Staff failed to hold care conference for three residents (#14, #15, and #24). The facility census was 45. 1. Review of the facility's Comprehensive Care Planning Policy, revised 11/01/17, showed: Components of the CPC may include: -Care Plan- Plan of care describing a need/problem, and indicating approaches/interventions to be instituted to assist the Resident in maintaining/receiving care in relation to the need/problem; -The following procedures shall be utilized in the development and maintenance of care plans: Participants of the Interdisciplinary Team in the development/revision of the CCP should include: the attending physician (or appointee), Registered Nurse (RN) with responsibility for the resident, Certified Nurse Aid (CNA) with responsibility for the resident, member of the food service team and the resident and/or resident representative as possible/appropriate;…

    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 before2024-02-29 · 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 interviews and record review, staff failed to maintain a professional standard of care for two residents (Resident #3 and 16) when staff did document they completed weekly skin assessments. Staff failed to get one resident (Resident #14) physician order to to self-administer insulin. The facility census was 45. 1. Review of the facility's policies showed staff did not provide a policy for following physician treatment orders. 2. Review of the Resident #3's Quarterly Minimum Data Set (MDS), a federally mandated assessment, dated 11/03/23, showed staff assessed the resident as follows: -Cognitively intact; -Risk of pressure ulcers; -One venous and arterial ulcer present; -Diagnosis of peripheral vascular disease (circulatory condition in which narrowed blood vessels reduce blood flow to the limbs) and venous hypertension (idiopathic) with ulcer of bilateral lower extremity (failure of proper venous valve function resulting in an ulcer). Review of the resident's physician order sheet (POS), dated 08/02/23…

    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 · E2024-02-29 · 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, facility staff failed to provide assistance with grooming and bathing for four sampled residents (Resident #15, #29, #45, and #47). The facility census was 45. 1. Review of the facility's Bath/Shower policy, undated, directs staff to ensure adequate hygiene needs are met. Review showed a bath/shower is scheduled for all residents in the facility at least weekly. 2. Review of Resident #15's quarterly Minimum Data Set (MDS), a federally mandated assessment tool used to plan care, dated 12/05/23, showed facility staff assessed the resident as: -Moderate cognitive impairment; -Rejected care four out of the six days during the look back period; -Required substantial assistance from staff for personal hygiene. Review of the resident's care plan, dated, showed 10/05/23, showed: -Resident is self care deficient and needs supervision and/or assistance to complete quality care and/or poorly motivated to complete activity of daily living (ADL). -Has minimal movement of…

    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 · E2024-02-29 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    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 provide an ongoing program of activities designed to meet the residents' interest on the weekends and when the Activity Director (AD) was not in the facility for four residents' (#7, #15, #20 and #31). The facility census was 45. 1. Review of the facility's policy titled, Activity Program, dated 07/11/06, showed the facility will provide a program of activities which includes a combination of large and small group, one-to-one and self-directed activities; and a system that supports the development, implementation, and evaluation of the activities provided to the residents in the facility. Review showed: -All residents shall be offered the opportunity, and encouraged to participate in activities, but shall not be required to participate; -It is the philosophy of the facility to meet each individuals needs and to evaluate, acknowledge, develop, implement and assess each resident's outcome in order to provide or maintain the resident's highest…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-29 · 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, facility staff failed to ensure the resident environment remained as free of accident hazards as is possible, when staff failed to provide safe mechanical lift transfers for two residents (Residents #31 and #37), failed to properly propel four resident's (unidentifed resident, #31, #6 and #15) in a manner to prevent accidents, failed to store sharps and toxic chemicals in a manner not accessible to residents, and failed to maintain the hot water temperature of plumbing fixtures accessible to residents on Hall two. The facility census was 45. 1. Review of the facility's policy titled, Limited Lift Resident Handling- Policy and Procedures, undated, showed staff were directed to do the following: -This policy describes ways to ensure that employees use safe resident handling and movement techniques at [NAME] Health Care facilities for tasks that are designated as high-risk for safe resident handling and movement injuries; -[NAME] Health Care wants to ensure that…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-02-29 · 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, facility staff failed to remove soiled gloves and/or properly wash hands and provide an environment to prevent the spread of bacteria and other infection causing contaminants during the provision of wound care for one resident (Residents #31). Staff failed to remove soiled gloves and/or properly wash hands during incontinence care for two resident's (Resident #7 and #8). The facility census was 45. 1. Review of the facility's policy titled, Aseptic Wound and Skin Treatment Procedure, revised 01/2018, showed staff were directed to -Establish clean and dirty fields. Remember the dirty field should be the farthest away from your clean field. (Place the plastic bag at the end or foot of the bed to receive soiled dressings). -Wash your hands; -Put on clean gloves; -Clean the wound as ordered. Clean from center outward, never going back over area, which has been cleaned. (If two (2) wounds, treat each wound as separate wounds). -Place soiled sponges used for cleaning…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-29 · 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

    Based on record review and interviews, facility staff failed to ensure residents were allowed to make choices about aspects of their lives while in the facility, when facility staff failed to allow one resident (Resident #24) to sign out of the facility as a consequence for his/her behavior and is his/her own responsible person. The facility census was 45. 1. Review of the facility's policies showed the facility did not provide a policy for Resident Rights. Review of the Resident #24's Quarterly Minimum Data Set (MDS), a federally mandated assessment, dated 11/29/23, showed the staff assessed the resident as follows: -Cognitively intact; -No behaviors exhibited by the resident. Review of the resident's care plan, dated 3/24/23, showed the record did not contain direction on the residents ability to leave the facility. Review of the resident's physician order sheet (POS), dated 12/01/23-02/29/24, showed the resident may leave premise with responsible party. Review of the social service director note, dated 12/11/23, showed staff documented for the resident's safety, the resident 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-29 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility staff failed to ensure one (Resident #39) received care and services for the provision of hemodialysis (the clinical purification of blood by dialysis, as a substitute for the normal function of the kidney) consistent with professional standards of practice when staff failed to provide orders, ongoing assessments of the resident's condition, and monitoring for complications after dialysis treatments. The facility census was 45. 1. Review of the facility's Long Term Care Facility Dialysis Services Agreement between the facility and the dialysis clinic , dated 09/19/05, showed the: Responsibilities of the dialysis clinic: -Dialysis Clinic (DC) shall provide relevant information regarding the patient's(s') dialysis treatment which may require follow-up care or observation by the long-term care facility (LTCF) staff; -DC shall provide instruction to certain designated employees of the facility: -About the proper care and treatment of the patient's vascular access (used in the dialysis treatment); -About the care and treatment and monitoring…

    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 before2023-12-15 · tag F0728 — failed to protect against nurse-aide misconduct — pattern
    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, facility staff failed to ensure three Nurse Aides (NAs) (NA A, NA B, and NA C) completed the nurse aide training program within four months of employment in the facility. The facility census was 48. Review of the facility's Certified Nurse's Aide Policy, undated, showed staff are directed that completion of the Certified Nurses Aide course or be enrolled in a Competency Training Program leading to certification in less than 120 days from the date of employment. 1. Review of NA A's personnel file showed a hire date of 05/01/22. The NA's file did not contain documentation the NA completed a nurse aide training program. During an interview on 12/22/23 at 3:00 P.M., NA A said it had been a struggle with the facility to get into the classes to get certified. He/She said the corporate office sent the check and then somehow it got lost and they have requested a new one apparently, but he/she was still not enrolled. NA A said he/she asked periodically about it, but no one ever knows anything. NA A confirmed he/she was still working as a NA on the floor…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-11-18 · 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 staff failed to store food in a manner to protect from potential contamination and out-dated use. Facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff failed to allow sanitized dishes to air dry prior to stacking in storage, to prevent the growth of food-borne pathogens. Facility staff failed to touch resident-use utensils only by the handles to prevent cross-contamination. Facility staff failed to ensure the bulbs for two kitchen light fixtures were covered to prevent the potential for physical contamination by broken glass. The facility census was 46. 1. Review of the facility's Food From Outside Sources/Personal Food Storage policy, dated 04/17, showed Food and beverages brought in from outside sources, that are to be stored in the facility refrigerators and freezers, will be checked by a dietary staff member. Food and beverages will be labeled with the resident's name, food item and date. These foods and/or beverages will be…

    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 before2022-11-18 · 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 interview and record review, the facility staff failed to develop and implement policies and procedures for the inspection, testing, and maintenance of the facility water systems to inhibit the growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD). The facility census was 46. 1. Review of the Centers for Medicare and Medicaid Services (CMS) Survey and Certification (S&C) letter 17-30, dated 06/02/17 and revised on 06/09/17; showed: -The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least [AGE] years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. Outbreaks have been linked to poorly maintained water systems in buildings with large or complex water systems including hospitals and long-term care facilities. Transmission can occur via aerosols from devices such as shower heads, cooking towers, hot tubs, and decorative…

    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
  • No harm found · C2025-05-15 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, facility staff failed to post the required nurse staffing information, which included the resident census, and the total number of staff and the actual hours worked, by both licensed and unlicensed nursing staff directly responsible for resident care, per shift, on a daily basis. The facility census was 40. 1. Review of the facility's policies did not contain a policy for posting required nurse staffing information. 2. Observation on 05/12/25 at 12:43 P.M., showed the nurse staff posting did not include the total number of staff and the actual hours worked by both licensed and unlicensed nursing staff directly responsible for resident care per shift. Observation on 05/13/25 at 11:45 A.M., showed the nurse staff posting did not include the total number of staff and the actual hours worked by both licensed and unlicensed nursing staff directly responsible for resident care per shift. Observation on 05/14/25 at 02:37 P.M., showed the nurse staff posting did not include the total number of staff and the actual hours worked by both…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2022-11-18 · tag F0575 — widespread
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, facility staff failed to post, in a form and manner accessible to the residents; a list of names, addresses, and phone numbers for the Long-Term Care Ombudsman information. The facility census was 46. 1. Review of the facility policy's showed staff did not provide a policy on required postings. Observation on 11/15/22 at 9:54 A.M., showed the Ombudsman information was not posted in the facility. Observation on 11/16/22 at 8:30 A.M., showed the Ombudsman information was not posted in the facility. Observation on 11/17/22 at 9:00 A.M., showed the Ombudsman information was not posted in the facility. Observation on 11/18/22 at 11:29 A.M., showed the Ombudsman information was not posted in the facility. During an interview on 11/15/22 at 11:26 A.M., Resident #303 said he/she does not know how to contact the ombudsman, and no one has given him/her any information. During an interview on 11/18/22 at 12:14 P.M., the Director of Nursing (DON) said the number to the Ombudsman should be posted for the residents to see. During an interview on 11/18/22 at…

    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

“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

$23,224 in federal fines across 2 penalties.

  • $8,995 — penalty dated 2024-11-06
  • $14,229 — penalty dated 2023-12-15

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.

Who owns this facility

Owner / managerTypeRoleSince
Ownership Data Not Available

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

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.

$3.3M
Net patient revenuemost recent cost report
+5.8%
Operating marginrevenue minus expenses
$487K
Related-party expense16% of expenses
Who pays — share of resident-days
Medicaid 90%Medicare 0%Other / private 10%

About 90% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $487K paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$175per resident / day
operating cost
$5,334per month
≈ monthly operating cost
$186per 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 265178. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-15, 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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