Nick's Health Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 41% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 70 beds and averages 66.7 residents a day — about 95% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 2.55 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.67 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 2.34 hrs/resident/day on weekends vs 2.64 on weekdays — 11% thinner on weekends. RN hours go from 0.34 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%.

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

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2025-11-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect one resident (Resident #2) from physical abuse when Resident #1 punched Resident #2 in the face to the extent hospitalization was required. The facility census was 66.The Administrator was notified on 10/20/2025 at 5:05 PM of the past noncompliance which began on 10/20/2025. The facility administration immediately separated and protected the residents from further abuse by Resident #1. Residents #1 and #2 were sent to separate hospitals for medical assessment and treatment, staff updated regarding each resident's plan of care, and all residents were interviewed and provided updated abuse and neglect information. All staff were In-serviced on the abuse and neglect policy and procedure by 10/23/25. The noncompliance was corrected on 10/23/2025. Review of the facility's Abuse and Neglect Policy dated 6/12/24., showed:- The facility will develop and operationalize policies and procedures for screening and training employees, protection of residents…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-02-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to protect one Resident's (Resident #1) right to be free from abuse when Resident#2, hit Resident #1 in the face causing bodily injury to Resident #1. The deficient practice affected one out of five sampled residents. The facility census was 67. Review of the facility provided policy titled, Abuse and Neglect, dated 6/12/24 showed: -Abuse is the willful infliction of injury; -Purposefully beating, striking, wounding or injuring any resident; -The facility will identify and correct, by providing interventions, in which abuse, neglect, or misappropriation are more likely to occur; -The facility desires to prevent abuse, neglect and theft by establishing a resident sensitive and resident secure environment; -As part of the resident social history assessment, staff will identify residents with increased vulnerability for abuse or who have needs and behaviors that might lead to conflict; -Assess the environment for circumstances which may make abuse, neglect…

  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 · Fcited before2025-10-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to provide sanitary conditions when the facility failed to address a fly problem in the kitchen/dining area and failed to address walls, flooring, and doors that were in need of repair. The facility census was 69. Review of the facility's Dietary Equipment, Infection Control and Sanitation policy, revised 2/2/24, showed the Dietary Manager is responsible for assembling, organizing and maintaining the needs for the operating and cleanliness of the kitchen and all dietary equipment. Review of the facility's Pest Control Program policy, dated 5/14/24, showed it was the policy of the facility to maintain an effective pest control program that eradicates common household pests such as flies. 1.Observation on 10/1/25 at 11:45 A.M., showed:-flies in the kitchen that landed on the peaches that were in bowls and on the salads being prepped; -dead flies on the floor;-the wall behind the cook stove had a section of the corner of the wall pushed in with missing dry wall. 2. Observation on 10/1/25 at 11:15 A.M., showed the…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-10-03 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program when residents were observed with flies on them during meals, cares, and activities. The facility census was 69.Review of the facility's Pest Control Program policy, dated 5/14/24, showed it is the policy of the facility to maintain an effective pest control program that eradicates common household pests such as flies. The facility was unable to provide documentation of the last pest control services in the facility. Observation on 9/30/25 at 10:05 A.M., showed flies in the main entrance of the facility flying around residents. Observation on 9/30/25 at 12:45 P.M., showed flies landing on residents' food during the noon meal, flies on the tables where residents were eating, and flies being swatted away by residents while they ate. Observation on 10/1/25 at 9:30 A.M., showed flies in groups of clusters (more than one) on residents dining tables, landing on the residents face and hands. Observations of the kitchen on 10/1/25 at 10:45 A.M. and 10/2/25 at 11:30 A.M.,…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-03 · 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, the facility failed to use the correct advanced beneficiary notice of non-coverage form to notify three of three sampled residents (Residents #2, #34, and #36) of changes in coverage to items and services covered by Medicare and/or by the Medicaid State plan. The facility census was 69.Review of the facility's Medicare Advance Beneficiary and Medicare Notice, policy last revised 11/05/24, showed residents are informed in advance when changes occur to their bills. CMS (Center for Medicare/Medicaid Services) form 10055 will be provided to the resident prior to discharging from Medicare part A.1.Review of Resident #34's order summary report showed the resident was admitted to Medicare part A on 4/02/25 with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), acute respiratory failure, muscle weakness, and Type II diabetes and discharged from Med A on 05/07/25.2. Review of Resident #36's order summary report showed the resident was admitted to Medicare part A on 7/07/25, for skilled nursing and/or rehabilitation care and was discharged from…

  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 before2025-10-03 · 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

  Based on observation and interview, the facility failed to ensure laundry services were provided in a manner to ensure a safe/clean/ comfortable homelike environment, when laundry services did not return clean clothes to one Resident (Resident # 49) causing the resident to wear a hospital gown in the dining room. Additionally, failure to keep the dirty laundry caught up resulted in a strong urine odor outside the hall of the laundry room. The facility census was 69. The facility was unable to provide a policy regarding duties of the laundry.1.Observation on 9/30/25 at 10:45 A.M., showed the laundry room located outside the hallway of the dining room and a strong odor of urine on the hallway prior to entry of the dining room. Upon entry into the laundry room there were three large barrels overflowing the top, full of dirty linen and clothing. Both washing machines were full of clothes and clean clothes were stacked three feet high waiting to be folded. No laundry staff were in the laundry room. Observation on 9/30/25 at 2:45 P.M., showed a strong odor of urine on the hallway prior to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-03 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to honor one resident's (Resident #27) right to make choices about aspects of his/her life in the facility that were significant to the resident, when the facility failed to honor and follow through on the resident's request to transfer to a different Long Term Care (LTC) facility that would allow the resident to live closer to his/her family member. The facility census was 69.Review of the facility's Resident Rights Policy, revised 9/21/25, showed all residents have a right to a dignified existence, self-determination and communication with and access to persons and services inside and outside the facility. The facility must protect and promote the right of each resident.Review of Resident #27's Quarterly Minimum Data Set (MDS), a federally mandated assessment completed by facility staff, dated 7/19/25., showed the resident's cognition was intact and was independent in activities of daily living (ADLs).Review the resident's admission Record showed:-The resident was independent with ADLs. -Diagnoses included: Insulin…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-24 · 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 interviews and record review, the facility failed to protect the resident's right to be free from abuse by Resident #1, when Resident #1 struck Resident #2 in the face resulting in a bloody lip. The facility census was 64. Review of the facility's Abuse and Neglect policy, dated 6/12/24, showed: - It is the policy of this facility to report all allegations of abuse/neglect/exploitation or mistreatment, including injuries of unknown sources and misappropriation of resident property are reported immediately to the Administrator of the facility; - Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations; - Physical Abuse: Purposefully beating, striking, wounding, or injuring any resident or any manner whatsoever mistreating or maltreating a resident in a brutal or inhumane manner. Physical abuse includes handling a resident…

  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 · F2024-10-11 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure the roast beef served for lunch on 10/09/2024 was not tough for 5 (Residents #4, #34, #37, #49, #58) of 5 residents who attended the resident council meeting. Findings included: The facility planned menu for the lunch meal on 10/09/2024 consisted of roast beef, mashed potatoes and gray, mixed vegetables, and a mud cake. A test tray received on 10/09/2024 at 12:30 PM consisted of roast beef, mashed potatoes, and mixed vegetables. The surveyor noted the roast beef was seasoned, but was tough and hard to cut. During the resident council meeting on 10/09/2024 at 1:58 PM, five residents stated the meat served for lunch on 10/09/2024 was tough. During an interview on 10/09/2024 at 3:39 PM, the Dietary Supervisor (DS) said residents complained that the roast beef served on 10/09/2024 was tough. The DS stated she tasted the roast beef and acknowledged it was tough. During an interview on 10/10/2024 at 12:27 PM, the Director of Nursing (DON) stated she expected the dietary staff to have food that looked good…

  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 before2024-10-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, the facility failed to ensure expired food items were discarded after their expiration and use-by-date, items stored in the walk-in refrigerator were sealed from potential contamination, and food items were not stored on the floor of the walk-in freezer. These deficient practices had the potential to affect all residents who received food from the kitchen. Findings included: A facility policy titled, Dietary - Receiving and Storing Food and Supplies, with a revision date of 06/30/2023, indicated, III. Food Storage Food items will be stored, thawed, and prepared in accordance with good sanitary practice. All foods shall be stored away from the walls and off the floor. During an observation of the dry good storage on 10/07/2024 beginning at 9:53 AM with the Dietary Supervisor (DS), the surveyor noted two packs of bread with an expiration date of 08/21/2024, one gallon bottle of hot sauce with an expiration date of 06/03/2024, and an unsealed five-pound box of pancake mix. During an observation on 10/07/2024 beginning 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-10-11 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, the facility failed to maintain an effective pest control for the prevention and control of flies in the facility. The deficient practice had the potential to affect all 69 resident who currently resided in the facility. Findings included: A facility policy titled, Pest Control Program Policy, revised on 05/14/2024, indicated, It is the policy of this facility to maintain an effective pest control program that eradicates and contains common household pests and rodents. During an observation on 10/07/2024 at 9:24 AM, flies were noted in the residents' rooms and at the nurses' station. Staff were observed swatting at the flies. During an interview on 10/07/2024 1:35 PM, Resident #13 stated the flies were bad in the building and added when they tried to lie down the flies crawled on them and that really was a bother. Resident #13 stated as far as they knew the facility has done nothing to try to control the flies or get rid of the flies. An admission Minimum Data Set (MDS), with an Assessment Reference 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-11 · tag F0553 — failed to let residents help plan their care — pattern
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility policy review, the facility failed ensure care plan meetings were conducted for 2 (Resident #15 and Resident #56) of 19 sampled residents. Findings included: A facility policy titled, Comprehensive Care Plans, last revised 06/26/2024, revealed 5. The comprehensive care plan will be reviewed and revised by the interdisciplinary team after each comprehensive and quarterly MDS [Minimum Data Set] assessment. 1. An admission Record revealed the facility admitted Resident #15 on 08/13/2018. According to the admission Record, the resident had a medical history that included diagnoses of spinal stenosis, low back pain, anxiety disorder, somatization disorder, and age-related physical debility. An annual MDS, with an Assessment Reference Date (ARD) of 09/04/2024, revealed Resident #15 had a Brief Interview for Mental Status (BIMS) score of 12, which indicated the resident had moderate cognitive impairment. During an interview on 10/10/2024 at 12:27 PM, the Director of Nursing (DON) said she expected care plan meetings to be documented. The DON…

  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.

Fines & penalties

$21,948 in federal fines across 2 penalties.

• $10,533 — penalty dated 2025-10-03
• $11,415 — penalty dated 2025-10-03

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to RELIANT CARE MANAGEMENT — 34 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

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

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

Follow the money — this home’s finances

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

About 94% 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in MO