The Valley Health And Rehab

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.

55.2% 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 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.4% 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 31 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% 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 58 beds and averages 51.1 residents a day — about 88% occupied, or roughly 7 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 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above 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 3.41 hrs/resident/day on weekends vs 3.82 on weekdays — 11% thinner on weekends. RN hours go from 0.78 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

29 citations, most serious first. The 13 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · G2026-04-23 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to ensure a resident received care for the prevention and treatment of pressure ulcers; failed to complete and document the pressure ulcer/skin assessments, treatments, and services to promote healing, and prevent infection, for 1 (#7) of 3 sampled residents for pressure ulcers/skin care. This deficient practice resulted in skin breakdown and resident #7 developing a large Stage IV pressure ulcer, which became infected, requiring hospitalization and treatment, and the staff reported the resident's behaviors, anxiety, and pain made care difficult. Findings include: Review of [Hospital Name] History and Physical, dated 3/4/26, showed resident #7 admitted to the hospital with increased weakness, numbness of extremities, and inability to walk or complete ADLs. Resident #7 was discharged on 3/10/26 to the skilled nursing facility for a surgical neck wound and rehabilitation. Review of the facility Admit/Readmit Screener, dated 3/10/26, showed resident #7 admitted to the facility with red skin on his right elbow,…

  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 · G2025-08-27 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow the required discharge process to include obtaining physician orders to discharge the resident from the facility; failed to obtain physician orders to setup up home health post discharge as care planned; and failed to document discharge planning communication, and the day of discharge process, including when, where to, what the discharge orders for care were for 1 (#1) of 6 sampled residents. This failure led to the resident not having proper support in place at the discharge location, and subsequently, the resident returned to the hospital for continued care. Findings include: During an interview on 8/26/25 at 11:20 a.m., NF1 stated, she was just made aware of a resident being in the hospital that had discharged from the facility in the beginning of August. NF1 stated the facility never notified her of the discharge and in talking with representatives of [resident #1], he had ended up having to go to the ER and then transferred…

  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
• Actual harm · G2024-12-05 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident at risk for nutritional deficits was monitored to prevent the resident from having severe weight loss, for 1 (#30) of 19 sampled residents. Findings include: During an interview on 12/4/24 at 4:15 p.m., staff member E stated the CNAs would check the EHR to see what residents needed to be weighed that day. Staff member E stated the residents had different frequencies to be weighed. Some were monthly, weekly, or daily. Staff member E stated the nurse would check the weight entered by the CNA and let them know if they needed a reweight for a drastic change. During an observation and interview, on 12/4/24 at 4:18 p.m., resident #30 was in his wheelchair. He was thin and was missing front teeth on the top and bottom of his mouth. Resident #30 stated he had lost a lot of weight while at the facility, and his weight went down to 160 pounds, and he was currently under what he weighed in high school at 172 pounds. Resident #30 stated he also took a medication that caused him to urinate a lot and was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-23 · 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 observations, interviews, and record review, the facility failed to ensure that food items stored in the walk-in cooler were dated and labeled appropriately. This deficient practice placed all residents at risk for foodborne illnesses. Findings include: During an observation on 4/23/26 at 8:06 a.m., the following items were observed in the walk-in cooler:- Two zip-lock bags of slimy, sliced tomatoes, which were not dated. - One gallon zip-lock bag of ground meat, not labeled with the food type or date. - One gallon zip-lock bag of sliced ham, not dated.- One gallon zip-lock bag of sliced roast beef, not dated.- One gallon zip-lock bag of sliced cheese, not dated; and,- A cup of sliced strawberries with no date.During an interview on 4/23/26 at 8:24 a.m., staff member H stated the kitchen staff did see mold on strawberries when the food came in off the truck and would usually try to pick the molded strawberries out. During an interview on 4/23/26 at 8:24 a.m., staff member G stated he was aware of the dating issues and was trying to get staff to date food with and add 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 · E2026-04-23 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide meaningful activities to meet the needs of dementia residents for 6 (#s 1, 4, 5, 9, 12, and 14) of 11 sampled residents with dementia. This deficient practice resulted in residents in the memory unit wandering without activities, remaining in rooms throughout the day, and sitting and staring at blank televisions. Findings include: During an observation on 7/22/26 at 7:55 a.m., residents were sitting in the dining area and the common room. No activities were being provided. Resident #1 sat in a recliner in the common room, scratching her arms repeatedly and staring at the television, which was off. Residents #12 and 14 were sitting in the dining room at tables. Resident #9 was walking around the unit, running into walls and being redirected to walk a different direction. During an observation in the memory unit on 4/22/26 at 10:03 a.m., staff member E stated the activities were canceled due to weather, and the residents would be…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · 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 interviews and record reviews, the facility failed to closely monitor and address a resident's lack of bowel movements and provide as-needed medications to treat and prevent constipation, for a resident who had a history of opioid induced constipation and had used constipation medications before admission, for 1 (#7) of 20 sampled residents. This deficient practice resulted in resident #7 having an extensive stool burden. Findings include:Review of [Hospital Name] History and Physical, dated 3/4/26, showed resident #7 admitted to the hospital with a 9.6 cm stool ball noted on the imaging (fecal impaction). Resident #7 was discharged on 3/10/26 to the skilled nursing facility for care of a surgical neck wound and rehabilitation. A review of resident #7's [Hospital Name] physician notes, dated 3/6/26, showed he reported he would not have a bowel movement for up to 5 days, which was possibly due to opioid use.A review of resident #7's [Hospital Name] physician notes, dated 3/9/26, showed under the Subjective section that the physician was . working on balancing between…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-23 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, facility staff failed to ensure hand hygiene was completed while providing care for a resident's infected wounds/skin for 1 (#16) of 3 sampled residents for wound care. This deficient practice placed all residents receiving care from these staff members at risk of exposure to infectious agents and resident #16 at risk of a spread of skin cellulitis to his right leg. Findings include:During an observation and interview on 4/23/26 at 9:20 a.m. staff members C and J entered the room of resident #16 to assess his reported weeping (edema fluid) and hot (temperature) lower legs. Staff member J removed resident #16's ted hose on the left leg and noted the leg was hot to the touch, and the skin was weeping fluid. Staff member J then moved from the left leg to the right leg, removed the ted hose, and touched and assessed the resident's right leg, noting the skin was dry but intact. Staff member J did not change gloves after touching the resident's bodily fluids on the left leg. Staff member J then had staff member C go to the supply room…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-28 · tag F0636 — pattern
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to complete comprehensive resident assessments in accordance with the required timeframe of 14 days after admission for 4 (#s 2, 3, 25 and 41) of 10 sampled residents. The failure had the potential to prevent the residents from achieving their highest practicable level of function. Findings include:During an interview on 1/26/26 at 1:05 p.m., staff member A stated the MDS Coordinator worked remotely. Staff member A stated the MDS Coordinator was shared with another facility. Staff member A did not know why MDS's had been completed late.During an interview on 1/28/26 at 9:58 a.m., staff member D stated that comprehensive assessments had 14 days from admission to be closed. Staff member D stated he was aware MDSs had been closed late. Staff member D stated the facility had MDSs that were late when he started completing the MDS assessments for the facility on 12/22/25. Staff member D stated he was still working to get caught up and that it was a learning process covering two facilities.A review of resident #41's medical record…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-28 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and record review, the facility failed to ensure staff followed appropriate hand hygiene when passing meal trays, increasing the risk of bacterial transmission to all residents who received meals in their rooms. Findings include:During an observation on 1/26/26 at 7:49 a.m., staff member K was passing room trays to residents in their rooms. Staff member K entered a room, delivered a meal, removed the plate cover, and set it on the cart. Staff member K grabbed another tray from the warmer and took it to another resident's room. Staff member K came out, put the plate cover on the cart in the hallway, then grabbed another tray and took it into a resident's room. Staff member K failed to sanitize in between room trays. During an interview on 1/26/26 at 8:08 a.m., staff member K stated hand sanitizer should be used before passing trays to residents and in between each tray. Staff member K said, I do not carry hand sanitizer on me; I use the one on the wall. I did not use it while doing those last few trays. During an observation on 1/26/26 at 12:52 p.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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to maintain a completed POLST (Provider Orders for Life-Sustaining Treatment), including the resident or resident representative signature showing the residents preferences for Provider Orders for Life-Sustaining Treatment in the medical record, for 1 (#33) of 22 sampled residents. This deficient practice had the potential for the resident to receive life sustaining care against her wishes. Findings include:A review of resident #33's POLST form, in her electronic health record, showed in section A, NO CPR: Do Not Attempt Resuscitation (DNAR)/Allow Natural Death (AND), was checked. The patient/legal decision maker signature/mandatory box was marked with an X, showing where the person was supposed to sign, but there was no signature of the resident or responsible party. During an interview on [DATE] at 11:23 a.m., staff member E stated she would explain the POLST to the resident or the resident's POA, during the admission process, she would then sign the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to provide a resident or resident representative with a notice of transfer/discharge, or a bed hold notice, when the resident was transferred to the hospital for 1 (#53) of 22 sampled residents. This deficient practice increased the risk that the resident would not be fully prepared for transfer. Findings include: Review of resident #53's electronic medical record showed resident #53 was transferred emergently to the hospital on [DATE], for a decline in health and abnormal behaviors. During an interview on 1/28/26 at 8:41 a.m., staff member B stated resident #53 was transferred to the hospital for further evaluation, and they (the facility) utilized the ambulance services due to his bed-bound status. Staff member B stated they would expect transfer and bed-hold notices to be completed for any resident being sent out of the facility. Review of resident #53's electronic medical record failed to show the facility provided resident #53 or their…

  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 · D2026-01-28 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to complete a comprehensive resident assessment within 14 days after the facility determined there had been a significant change in the resident's physical and or mental condition for 1 (#4) of 10 sampled residents and their MDS assessments. The failure had the potential to prevent the residents from achieving their highest practicable level of function. Findings include:During an interview on 1/26/26 at 1:05 p.m., staff member A stated he did not know why MDSs had been completed late.During an interview on 1/28/26 at 9:58 a.m., staff member D stated a comprehensive Significant Change assessment had 14 days to be completed. Staff member D stated he started doing MDSs for the facility on 12/22/25. Staff member D stated the facility had multiple late MDSs when he started, and he was still catching up. A review of resident #4's medical record showed a comprehensive Significant Change MDS was scheduled, with an ARD of 11/16/25. The MDS was due for completion on 11/29/25. The MDS was completed late on 12/6/25.A review of the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0638 — isolated
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to complete a Quarterly resident assessment in accordance with the required timeframe of 14 days after the ARD for 2 (#s 16 and 23) of 10 sampled resident assessments. The failure had the potential to prevent the resident from achieving their highest practicable level of function. Findings include:During an interview on 1/28/26 at 9:58 a.m., staff member D stated a Quarterly assessment had 14 days from the ARD to be closed. Staff member D stated he was aware of MDSs for facility residents that had been completed late, and since he started on 12/22/25, was still working to catch up on them. A review of resident #16's medical record showed a Quarterly assessment was scheduled with an ARD of 11/20/25. The Quarterly assessment was due to be completed 12/4/25. The MDS was completed late on 12/7/25.A review of resident #23's medical record showed a Quarterly assessment was scheduled with an ARD of 12/29/25. The Quarterly assessment was due to be completed 1/12/26. The MDS was completed late on 1/18/26.A review of the Centers for…

  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

“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

$59,962 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $31,185 — penalty dated 2026-04-23
• $9,243 — penalty dated 2025-08-27
• $19,534 — penalty dated 2024-12-05
• Medicare payment denial — starting 2025-09-27 for 2 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 THE GOODMAN GROUP — 9 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 13 rows in the source record cover these 10 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 $312K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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 MT