Oxford Health & Rehab 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.

61.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 317 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 159 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 0.43 therapist hours per resident per day in 2026Q1 — more than 73% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 120 beds and averages 102.4 residents a day — about 85% occupied, or roughly 18 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 4.38 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above 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 3.55 hrs/resident/day on weekends vs 4.72 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.49 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% 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 13 most serious are shown; the remaining 15 are one tap away and print in full.

• Actual harm · Gcited before2026-03-12 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interviews, the facility failed to develop and implement comprehensive, person-centered care plans for three (3) of twenty-four (24) residents reviewed (Residents #5, #17, and #84). Specifically, the facility failed to develop care plan interventions addressing a physician-ordered fluid restriction for a resident receiving hemodialysis, failed to ensure the safe implementation of care plan interventions for a resident receiving Percutaneous Endoscopic Gastrostomy (PEG) tube feedings, and failed to develop and implement a care plan addressing a resident's repeated refusal of physician-ordered weights. These failures resulted in Resident #5 exceeding the ordered fluid restriction and experiencing fluid volume overload requiring hospitalization and placed Residents #17 and #84 at risk for unsafe administration of tube feedings, inaccurate monitoring of intake, and lack of staff guidance for managing ongoing refusals of ordered care. Findings include: Review 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-03-12 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, record review, and staff interviews, the facility failed to ensure fluid restrictions were implemented and monitored for one (1) of six (6) residents reviewed for dialysis services, resulting in fluid volume overload that required a hospitalization. (Resident #5). Findings include:The facility did not provide a policy related to monitoring or implementing fluid restrictions for residents.Review of a statement on facility letterhead dated 3/11/26 and signed by the Administrator revealed (Proper Name of Facility) does not have a policy related to fluid restrictions or management of fluids. The staff follow physician orders.During an interview conducted with Resident #5 on 3/09/2026 at 3:12 PM, the resident communicated by writing on a white board and indicated she had recently been hospitalized . Record review revealed physician's order dated 08/28/25 for hemodialysis on Monday, Wednesday, and Friday and the resident had a physician order for a fluid restriction of 1000 milliliters…

  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 · G2025-10-02 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident representative and staff interview, record review, and facility policy review, the facility failed to ensure pain management was provided for a resident that had diagnoses that included pain and chronic pain for one (1) of six (6) residents sampled. Resident #1Findings include:Record review of facility policy titled, Pain Management with a revised date of 3/10/25, revealed, The facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences .During a phone interview on 10/1/25 at 12:17 PM, Resident #1's representative revealed the resident had multiple wounds and was on antibiotics and was admitted to the facility from the hospital late in the evening on 7/25/25 and was sent back to the hospital on 8/6/25 and passed away on 8/25/25. She stated when the resident returned to the hospital it was determined that she had a decreased blood supply to her lower body and this caused excruciating pain. She…

  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 · D2026-03-12 · 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 observation, record review, facility policy review, and staff interviews, the facility failed to ensure staff treated residents with dignity and respect for two (2) of 24 residents reviewed for dignity (Resident #44 and Resident #84). Findings include: Review of the facility policy titled Resident Rights and Responsibilities with a revision date of 10/10/2022, revealed, The resident has a right to be treated with respect and dignity . Resident #44 During a resident interview conducted on 3/09/2026 at approximately 2:34 PM, Resident #44 stated that Certified Nursing Assistant (CNA) #2 had been rude to her. The resident stated that her son had washed her laundry and brought it back to the facility and when she asked the CNA to help her put her clothes away, the CNA stated, I'm not laundry. During an interview conducted with the Unit Manager Registered Nurse (RN) #1 on 3/10/2026 at approximately 2:05 PM, the Unit Manager stated the resident had previously complained that a CNA had been rude to her. The Unit Manager stated the CNA reportedly told the resident that her son…

  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 before2026-03-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, resident and staff interviews, record review, and facility policy review, the facility failed to ensure residents' call lights were placed within reach for two (2) of 24 sampled residents. (Resident #11 and #104)Findings Include:Review of the facility policy titled, Call Lights: Accessibility and Timely Response, with an effective date of 10/10/2022 revealed Staff will ensure the call light is within reach of the resident and secured, as needed. Resident #11 An observation on 3/09/2026 at 11:15 AM revealed Resident #11 asleep and seated in a reclined position in her recliner without access to a call light. Two (2) call lights were observed wrapped around the bed rail and were not within reach of the resident. On 3/09/2026 at 12:25 PM, a subsequent observation revealed the resident remained asleep in the same reclined position in the recliner, and the call lights remained wrapped around the bed rail and inaccessible to the resident. During an observation and interview on 03/09/2026 at 2:55 PM, Resident #11 remained seated in a reclined position in the recliner…

  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 · D2026-03-12 · tag F0565 — failed to support the resident council — isolated
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on Resident Council interviews, staff interviews, record review and facility policy review, the facility failed to implement an effective grievance process to ensure resident concerns were received, tracked, investigated, and resolved for three (3) of six (6) months of Resident Council meeting minutes reviewed.Findings include:Review of facility policy titled Grievance Policy with revised date 10/6/2025, revealed, .The Grievance Official is responsible for overseeing the grievance process; receiving and tracking grievances through to their conclusion, leading any necessary investigations by the facility .issuing written grievance decisions to the resident .3. A resident .may voice grievances with respect to care and treatment that has been furnished .the behavior of staff .and other concerns regarding their LTC (long term care) facility stay .7. Grievances may be voiced in the following forums .d. Verbal complaint during resident or family council meetings .9. d. The Grievance Official will take steps to resolve the grievance, record information about the grievance, and those…

  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 before2026-03-12 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 were free from misappropriation of resident property when a nurse removed medication dispensed for one resident and administered it to another resident for one (1) of twenty five (25) medication administration opportunities reviewed (Resident #67). Findings Include: Review of the facility policy titled Abuse, Neglect, and Exploitation revised 10/22 revealed under, Policy: This facility's policy is to protect each resident's health, welfare, and rights by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property. Record review of Resident #46's March 2026 Medication Administration Record (MAR) revealed an order dated 1/1/26, Seroquel oral tablet 200 MG (milligrams) give 1 (one) tablet by mouth one time a day due at 0800 (8 AM). On 3/11/26 at 7:30 AM, an observation of a medication pass with Licensed Practical Nurse (LPN) #5 revealed the LPN did not have 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 · D2026-03-12 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 ensure written notification of a resident's hospital transfer was provided to the residents Resident Representative (RR) in accordance with transfer and discharge requirements for one (1) of two (2) residents reviewed for hospitalization. Resident #8 Findings Include:Review of the facility policy titled Transfer and Discharge, revised 2/10/25, revealed, 4. The facility's transfer/discharge notice will be provided to the resident and the resident's representative in a language and manner in which they can understand.An interview with Resident #8 on 3/9/26 at 10:28 AM revealed she transferred from the facility to the hospital in January for a bowel perforation that required surgical repair.Record review of Resident #8's Progress Notes, dated 1/1/26, revealed the resident was transferred to the emergency room for severe abdominal pain.Record review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 1/1/26 revealed an admission 5-Day combined with a discharge return…

  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 · D2026-03-12 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, record review, and facility policy review the facility failed to accurately complete Section N of the Minimum Data Set (MDS) assessment during the 7-day observation look-back period for two (2) of five (5) residents reviewed for unnecessary medication usage. Resident #11 and Resident #28. Findings Include: Review of facility policy titled MDS Assessments with revision date 3/11/2026, revealed, Policy: The purpose of this policy is to ensure that all residents receive an accurate assessment, reflective of the residents' status at the time of the assessment, by staff qualified to assess relevant care areas . Resident #11 A record review of the Order Summary Report revealed that Resident #11 has an order for Clonazepam oral tablet 0.5 milligram (mg.) Give 1 tablet by mouth every 12 hours related to anxiety disorder, with a start date of 1/6/26. Record review of Resident #11's Quarterly MDS with an Assessment Reference Date (ARD) of 2/3/26, revealed under section N, that Resident #11 did not receive seven (7) days of anti-anxiety medication for the observation…

  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 · D2026-03-12 · 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

  Based on observation, staff interview, and facility policy review, the facility failed to ensure medications were prepared and administered by the same nurse in accordance with accepted nursing standards of practice for one (1) of six (6) residents observed during medication pass (Resident #98). Findings Include: Review of the facility policy titled Medication Administration, revised 6/8/23, revealed under, Policy: Medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice. An observation on B-Hall on 3/11/26 at 7:58 AM revealed Licensed Practical Nurse (LPN) #4 removed a medicine cup containing prepared medications from the top of the medication cart and handed them to Registered Nurse (RN) #2, requesting that she administer the medications to Resident #98. RN #2 accepted the cup of medication and proceeded to Resident #98's room to administer them. An interview on 3/11/26 at 8:06 AM with LPN #4 and RN #2 confirmed LPN #4 prepared 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 · D2026-03-12 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, staff interviews and facility policy review, the facility failed to ensure tube feeding or supplements administered through a Percutaneous Endoscopic Gastrostomy (PEG) tube were administered according to physician orders for one (1) of two (2) residents with a PEG tube (Resident #84). Findings include:Review of the facility policy titled Enteral Nutrition, revised 3/17/2023, revealed liquid nutritional supplements and substitutes will be given to the resident as ordered by the physician.On 3/09/2026 at 11:00 AM, Resident #84 was observed in his room administering a brown liquid through his PEG tube using a syringe.A record review conducted on 3/09/2026 revealed there were no physician orders indicating the resident was permitted to independently administer tube feeding or supplements through the PEG tube. Record review also revealed no documentation indicating the resident had been assessed for the ability to safely self-administer tube feeding or supplements.An interview conducted with Registered Nurse (RN) #1 on 3/10/2026 at 2:00 PM revealed…

  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 · D2026-03-12 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 ensure monitoring for adverse consequences of high-risk medications for one (1) of five (5) residents reviewed for medication regimen review. (Resident #4).Findings include:Review of the facility policy titled High Risk Medications, effective 2/10/2025, revealed, Policy: This facility recognizes that some medications are associated with a higher risk of adverse effects than others. These high-risk medications can include antidiabetics.The resident's plan of care shall alert staff to monitor for adverse consequences of any high-risk medications given. Record review of Resident #4's Medication Administration Record (MAR) and Treatment Administration Record (TAR) for March 2026 revealed orders for Insulin Glargine Solution 100 units/milliliter (U/ML), inject 98 units subcutaneously every 12 hours for diabetes mellitus (DM) related to TYPE 2 DIABETES MELLITUS WITH OTHER SPECIFIED COMPLICATION (E11.69). Start Date 12/29/2025, and Novolin R Injection Solution (Insulin Regular (Human)), inject 77…

  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 · D2026-03-12 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, and medication competency checklist review, the facility failed to ensure that insulin was properly labeled and stored in accordance with professional standards and manufacture's instruction for use after opening for one (1) of two (2) medication carts reviewed. C hall medication cartFindings Include:Review of the Medication Administration Competency Checklist revealed under, 23. Insulin dated when open. Also revealed under, 24. Insulin discarded after 28 days per manufacturer's instructions. An observation of the medication cart on C hall with Licensed Practical Nurse (LPN) #5 on [DATE] at 12:32 PM revealed the following insulins were in use and exceeded the manufacturer's 28-day room temperature storage limit or were not dated when opened: Resident #1 - Open vial of Insulin Lispro without an open dateResident #13 - Insulin Lispro vial with an open date of [DATE]Resident #13 - Insulin Glargine insulin pen without an open dateResident #44 - Insulin Aspart with an open 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.

  Pharmacy Service 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

$8,788 in federal fines across 1 penalty.

• $8,788 — penalty dated 2025-10-02

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 ADVANCED HEALTH CARE MANAGEMENT — 6 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 7 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $4.1M paid to related parties — landlords or management companies under common ownership — equal to about 31% 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 MS