Cornerstone Rehabilitation And Healthcare 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.

56.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 202 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 90 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 95 beds and averages 80.8 residents a day — about 85% occupied, or roughly 14 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.17 hrs/resident/day on weekends vs 3.98 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.62 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Immediate jeopardy · J2023-11-06 · 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 staff interviews, record review, and facility policy review, the facility failed to protect the resident's right to be free from neglect as evidenced by: (1) the facility's failure to identify a resident choked on 6/17/23; failure to ensure the resident had supervision and was on a modified diet to prevent choking on 8/20/23; and failure on 10/25/23 to supervise and modify diet which lead to the resident again choking and requiring Cardiopulmonary resuscitation (CPR) and hospitalization with a poor recovery prognosis. Resident #13. (2) the facility's failure to ensure a resident was free from verbal abuse as evidenced by a Certified Nursing Assistant (CNA) threatening to hit a resident for Resident #46 for two (2) of three (3) allegations of abuse and neglect reviewed. The facility neglected to identify or investigate the choking incident on 06/17/23 with required hospitalization for three (3) days and removal of a food bolus from his oropharynx and failed to have knowledge of the 08/20/23 choking…

  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
• Immediate jeopardy · Jcited before2023-11-06 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and facility policy review the facility failed to implement a care plan for for two (2) of 18 care plans reviewed as evidenced by (1) the facility failed to develop and implement a care plan for a resident with a history of choking on 6/17/23 and 8/20/23 resulting in the resident experiencing a choking episode on 10/25/23 which required Cardiopulmonary Resuscitation and hospitalization with a poor recovery prognosis. Resident #13. (2) the facility also failed to implement a care plan regarding shaving and nail care for a resident that required assistance with ADL's (Activities of Daily Living) for Resident #30. The facility failed to implement care plans for Resident #13 following a choking incident on 06/17/23 with required hospitalization for three (3) days and removal of a food bolus from his oropharynx and on 08/20/23 choking incident that required the Heimlich maneuver to remove the food bolus from his oropharynx in the facility. This failure to implement a care…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-11-06 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and facility policy review the facility failed to ensure a resident with a history of choking on 06/17/23 was ordered a therapeutic diet to prevented a choking incident on 8/20/23 and again on 10/25/23 which required Cardiopulmonary resuscitation, and hospitalization with a poor recovery prognosis for one (1) of six (6) residents reviewed for diets. The facility failed to identify a choking incident on 06/17/23 with required hospitalization for three (3) days and removal of a food bolus from his oropharynx and failed to identify an 08/20/23 choking incident that required the Heimlich maneuver to remove the food bolus from his oropharynx in the facility. This failure resulted in the resident not receiving services to prevent choking episodes. The resident's diet was changed on 8/21/23 to Consistent Carbohydrate Diet (CCD) mechanical soft. The resident's diet changed on 8/31/23 to CCD with chopped meats and the Certified Nursing Assistants (CNA) were to chop the resident'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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-11-06 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  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, record review, and facility policy review, the facility failed to be administered in a manner to prevent negligent care to a resident and to ensure staff were made aware of significant incidents and the dietary needs of Resident #13 for one (1) of three (3) residents reviewed for abuse/neglect. Resident #13 Resident #13 had choking episodes on 6/20/23 which resulted in the hospitalization where a golf ball size meat bolus was removed in the Emergency Room. Resident #13 choked on meat again on 8/20/23 which was removed in the facility with the Heimlich Maneuver. The resident's diet was changed on 8/21/23 to Consistent Carbohydrate Diet (CCD) mechanical soft. The Administrator requested the resident's diet changed on 8/31/23 to CCD with chopped meats and the Certified Nursing Assistants (CNA) were to chop the resident's meat when the tray was served. The meal tickets were never changed to include the directions for CNA to chop meats. On 10/25/23 in the evening, Resident #13 was served an…

  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 · F2026-04-09 · 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, record review, interview and facility policy review, the facility failed to store and serve foods in a sanitary manner and maintain a clean dietary department for two (2) of four (4) days of survey. Findings include:Record review of facility policy titled, Environment, dated 06/2025, stated, All food preparation areas, food services, and dining areas will be maintained in a clean and sanitary condition. The Dining Services Director will ensure that the kitchen is maintained in a clean and sanitary manner, including floors, walls, ceilings, lighting, and ventilation.Record review of policy titled, Food Storage: Cold Foods, dated 02/2026, stated, Freezer temperatures will be maintained as a temperature of 0 degrees or below.Observation on 04/06/2026 at 6:20 PM revealed on initial tour of the dietary department that a large amount of food debris and spilled liquids was observed on the floors throughout the dietary department. Along with discarded silverware, discarded pieces of paper, packs of butter, packs of jelly, dried pieces of pasta, shredded cheese 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-09 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, record review, and facility policy review, the facility failed to submit accurate staffing data into the Payroll-Based Journal (PBJ) system for one (1) of four (4) quarters reviewed. (4th Quarter 2025 July 1-September 30). Findings include:Review of the facility policy titled Reporting Direct-Care Staffing Information (Payroll-Based Journal), with a review date of 4/2026, revealed, Policy Statement: Staffing and census information will be reported electronically to Centers for Medicare and Medicaid Services (CMS) through the PBJ system in compliance with Section 6106 of the Affordable Care Act .Record review of PBJ Staffing Data Report CASPER Report 1705D FY (Fiscal Year) Quarter 4 2025 (July 1-September 30), revealed the facility triggered on this report for excessively low weekend staffing.During an interview on 4/8/2026 at 2:12 PM, the Administrator and PBJ Coordinator (via telephone) confirmed the facility included Director of Nursing (DON) hours, Registered Nurse (RN) with administrative duties hours, and Licensed Practical Nurse (LPN) with…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-09 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility policy review, the facility failed to ensure medications were properly labeled and stored in accordance with accepted standards of practice for two (2) of three (3) medication carts observed. Specifically, the facility failed to ensure multi-dose vials were dated upon opening and discarded within the required timeframe. (Residents #4, # 7, #36, #40, #69, and #90)Findings include:Review of the facility policy titled Medication Labeling and Storage, with a review date of February 2023, revealed, .Multi-dose vials that have been opened or accessed (e.g., needle punctured) are dated and discarded within 28 days.During an observation of A-Hall medication cart #1 on 4/8/2026 at 2:47 PM with Licensed Practical Nurse (LPN) #2, Resident #4's opened multi-dose vial of Olopatadine HCl Ophthalmic Solution 0.1% had an open date of 2/27/2026; Resident #7's opened multi-dose vial of Latanoprost Ophthalmic Solution 0.005% had an open date of 2/26/2026; Resident #36's multi-dose vial of Lantus Subcutaneous Solution 100 unit/milliliter was observed…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0582 — isolated
  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 record review and staff interview, the facility failed to ensure residents or their representatives were provided with required Beneficiary Notices, including Skilled Nursing Facility Advanced Beneficiary Notices (ABNs) for one (1) of three (3) residents reviewed for Beneficiary Protection Notifications. Residents #4 Findings include:Review of a statement on facility letterhead dated 4/7/26 and signed by the Administrator revealed the facility did not have a policy specific to Beneficiary Notices, including Advanced Beneficiary Notices (ABNs).Review of the Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review form revealed that one of the three residents reviewed remained in the facility; however, Resident #4 was not provided with a Skilled Nursing Facility Advanced Beneficiary Notice (ABN).During an interview on 4/7/2026 at 10:36 AM, the Business Office Manager confirmed she did not provide the SNF ABN to the resident or the resident's responsible party. She stated, I didn't realize that I needed to complete the ABN form. I thought the Notice 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 · D2026-04-09 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and facility policy review, the facility failed to accurately complete Section O of the Minimum Data Set (MDS) quarterly assessment during the 7-day observation look-back period for one (1) of four (4) residents reviewed for dialysis services. Resident #16Findings Include:Review of the facility policy titled MDS Coding Policy dated 8/11/20 revealed, Proper Name affiliated facilities utilize the most up to date Resident Assessment Instrument (RAI) manual for determination of coding each section of the Resident Assessment, timely and accurately .Record review of the Order Summary Report revealed that Resident #16 has an order to receive dialysis three (3) days a week, on Tuesday, Thursday, and Saturday, at the proper name of dialysis center, with a start date of 7/14/25.Record review of Resident #16's Quarterly MDS with an Assessment Reference Date (ARD) of 1/6/26 revealed under section O that Resident #16 was not coded for receiving dialysis.Record review of 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interviews, and facility policy review, the facility failed to develop and implement a person-centered comprehensive care plan for three (3) of 38 residents reviewed (Resident #10, #40, and #73). Findings Include: Review of the facility policy titled Care Plans, Comprehensive Person-Centered reviewed 1/2023, revealed under, Policy Statement: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Resident #10 On 4/06/26 at 6:32 PM, and again on 4/07/2026 at 3:38 PM an observation of Resident #10 revealed the resident lying in bed with his hair oily, matted, and tangled. Resident #10 had a foul odor, and his room had a foul odor. On 4/08/26 at 9:25 AM an observation and interview with Certified Nursing Assistant (CNA) #2 confirmed Resident #10's hair was unclean and he had an odor. She stated that she was not on shift…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure residents who were dependent on staff for hair care and shampooing received the necessary hygiene services to maintain personal cleanliness and grooming for two (2) of eight (8) residents reviewed for activities of daily living (ADL) care during the initial pool. Resident #10 and #40Findings Include: Review of the facility policy titled Activities of Daily Living (ADL), Supporting revised 3/18, revealed under, Policy Statement: .Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene . Resident 10 An observation of Resident #10 on 4/06/26 at 6:32 PM, and again on 4/07/2026 at 3:38 PM revealed the resident lying in bed with his hair oily, matted, and tangled. Resident #10 had a foul odor, and his room had a foul odor. An observation and interview with Certified Nursing Assistant (CNA) #2 on 4/08/26 at 9:25 AM confirmed Resident #10's hair was unclean…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, record review, and facility policy review, the facility failed to ensure proper perineal care practices to prevent the spread of bacteria for one (1) of two (2) residents observed for perineal care. Resident #45 Findings Include:Review of the facility policy titled Perineal Care revised 4/16/24, revealed under, Purpose: The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition. During an observation of perineal care for Resident #45 on 4/8/26 at 11:15 AM, Certified Nurse Aide (CNA) #2 performed care and, after cleansing the front perineal area, turned the resident onto her side, resident had a bowel movement. CNA 2 then re-dipped previously used washcloths into the water basin after she had used that water to clean the bowel movement and then used the same water to cleanse the back perineal area. The aide stated prior to exiting the room that she realized the practice was incorrect. On 4/8/26 at 11:40 AM, an interview with CNA…

  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 · D2025-09-11 · 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 staff and resident interview, observations, record review, and facility policy review, the facility failed to ensure each resident was treated with dignity and respect for three (3) of ten (10) residents sampled. Resident #2, #4, and #5. Findings Include:Record review of the facility policy titled, Statement of Resident Rights undated, revealed, If anyone hurts you, threatens to hurt you, neglects your care, takes your property, or violates your dignity, you have the right to file a complaint with the Facility Administrator . You have a right to: 4.be treated with courtesy, consideration, and respect.Resident #2An interview with Resident #2 Spouse/Resident Representative (RR) on 9/11/25 at 10:00 AM, revealed that she has some issues with Certified Nurse Aide (CNA) #1, she revealed she's rude and very snappy. She stated, My husband is here for therapy, and he deserves to be treated with kindness and respect like everyone else in this place. She stated that her daughter told her that she needed to report it, but she confirmed that she hasn't because I don't want anything 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 · Fcited before2025-01-23 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and facility policy review, the facility failed to accurately submit the Payroll-Based Journal (PBJ) for the 4th quarter (July 1 - September 30) in the fiscal year (FY) 2024. Findings include: A review of the facility policy titled, Reporting Direct-Care Information (Payroll-Based Journal), last reviewed 3/2023, revealed Policy Statement: Staffing and census information will be reported electronically to CMS (Centers for Medicare and Medicaid Services) through the Payroll-Based Journal system in compliance with 6106 of the Affordable Care Act .2. Direct-care staffing information includes staff hired directly by the facility, those hired through an agency, and contract employees .10. Staffing data includes the number of hours worked each day by each staff member . Record review of the PBJ Staffing Data Report revealed that the facility triggered for low weekend staffing for the fourth quarter of 2024. In an interview with the Director of Nursing (DON) and the Administrator on 1/22/25 at 3:12 PM, they revealed during the timeframe the 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

“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

$90,844 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $90,844 — penalty dated 2023-11-06
• Medicare payment denial — starting 2023-12-06 for 42 days

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

Part of a chain

This home belongs to NEXION HEALTH — 51 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 74% 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 $618K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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 MS