Brendan House

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.

57.4% 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 254 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 225 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 110 beds and averages 92.3 residents a day — about 84% occupied, or roughly 18 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.28 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.67 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 4.18 hrs/resident/day on weekends vs 4.77 on weekdays — 12% thinner on weekends. RN hours go from 1.40 to 1.00 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% 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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2025-07-17 · 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 prevent a severe weight loss in 1 (#5); and the facility failed to complete weekly weights for four weeks, on a new admission for 1 (#87) of 6 sampled residents for nutrition. Findings include:1. During an interview on 7/16/25 at 3:13 p.m., staff member D stated all physicians were notified when a resident was brought to NAR (Nutrition at Risk). Staff member D stated she could not write nutrition orders, but she could order supplements. Staff member D stated weights were supposed to be obtained the first weekend of the month. Staff member D stated she pulled reports on resident weights the following week. Staff member D stated the staff also sent a message if the resident had weight loss. Staff member D stated resident #5 was being followed by NAR, was receiving chocolate glucose control supplement, and Juven. Staff member D stated resident #5 had a significant decline related to progressing dementia. Staff member D stated care plans were updated quarterly, annually, and on admission. Staff member D stated if…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-14 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to prevent and provide services necessary to promote healing on one facility acquired pressure ulcer for 1 (#62), and the wound was Unstageable, tunneling, and difficult to heal, of 23 sampled residents. Findings include: During an observation on 9/12/23 at 9:28 a.m., resident #62 was in his bed in low fowler's position (head slightly elevated), with no positioning devices or pillows except one pillow under his head. During an observation at 9/12/23 at 2:08 p.m., resident #62 was in his bed in low fowler's position, with no positioning devices or pillows except one pillow under his head. During an observation on 9/12/23 at 2:18 p.m., staff members I, L, and N entered resident #62's room to complete wound care, and check and change the resident's brief. Resident #62 was in low fowler's position. Staff member I removed the sacrum wound dressing, and found feces up to, and in, the sacrum wound. The sacrum wound was cleaned and measured, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-09-14 · 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 maintain an adequate nutritional status for 1 (#62), resulting in a severe weight loss; and failed to provide a physician ordered therapeutic diet for 1 (#66) of 23 sampled residents. 1. During an observation on 9/12/23 at 9:22 a.m., resident #62 was in his bed in low fowler's position (head slightly elevated) and stated he was unable to reach his water on the bedside table. During an observation and interview on 9/12/23 at 2:09 p.m., staff member L was in resident #62's room assisting with a bed bath and wound dressing change. Staff member L stated resident #62, is not wanting food lately but loves the shakes, boost, I think. So, I offered him a bite of strawberries but he said no earlier. He drank the shake. He didn't eat last night either. He eats independently, but he's my buddy so I come and encourage him. During an observation on 9/13/23 at 7:57 a.m., resident #62 was in bed, in low fowler's position, with a pillow under the right shoulder to the hips, facing the wall. There were no pillows between his…

  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 · E2025-07-17 · tag F0554 — pattern
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 obtain evaluations and provider orders for residents to self-administer medications for 4 (#s 28, 40, 90, and 93) of 11 residents sampled for self administration capabilities. Findings include:1. During an observation and interview on 7/16/25 at 12:55 p.m., resident #90 was lying in bed with her nebulizer running, and the nebulizer mouthpiece was under her blanket. Resident #90 stated she tried to hold the nebulizer up to her mouth but was busy on her cell phone looking for something and became tired. Resident #90 appeared to be short of breath and was coughing throughout the interview. During an interview on 7/16/25 at 12:56 p.m., staff member L stated he usually set up the nebulizer, and resident #90 completed the nebulizer treatment on her own. Staff member L stated the nurses were responsible for filling out the self-administration of medication evaluation and requesting an order from the physician. Staff member L reviewed resident #90's paper chart and EHR, stating he could not find a self-administration…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-17 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to implement care planned assessments for seatbelt use for 1 (#1); failed to include pertinent resident care items including cardiac monitoring and CPAP settings into a comprehensive care plan for 2 (#s 12 & 19); failed to include focus, goals, or interventions on the comprehensive care plan for oxygen use and nutritional supplement use for 1 (#87); and failed to include ADL's and mobility on a comprehensive care plan for 2 (#s 30 and 87) of 43 sampled residents. Findings include:1. During an interview on 7/17/25 at 7:43 a.m. staff member G stated resident #12 had been moved to the pod in May, and she was currently working on her most recent MDS assessment to trigger care plan updates. Staff member G stated care plan updates were also ongoing as resident concerns developed, and this would trigger an update for additional devices or medications. Review of resident #12's hospital H&P, dated 2/20/25, showed the resident had been admitted for syncope and collapse, which resulted in the resident having a cardiac…

  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 before2025-07-17 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide food at an appetizing temperature for 1 (#47) of 6 sampled residents for nutrition; and failed to ensure kitchen staff were wearing hair restraints, or wearing them properly, during food preparations. This deficient practice had the increased the risk of food borne illnesses for those who received meals in the facility. Findings include:1. During observations and interviews on 7/14/25 at 4:19 p.m., this surveyor was escorted into the kitchen by staff member CC through open double doors in the propped open position; no signage requiring hair coverings was noted; staff member CC walked approximately ten feet into the kitchen without a hair restraint, and was asked if she needed a hair net, her reply was, “Do I need a hair net?” Staff member DD was preparing dinner plates with her hair in a bun and a hat on; the hair by both of her ears had fallen out and was not restrained. Staff member EE was preparing dinner plates with a hair net on which did not restrain her hair from her forehead back approximately…

  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 · D2025-07-17 · 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, interview, and record review, the facility failed to provide dignity and privacy for a resident being transported to the shower room for 1 (#53); and failed to provide dignity and privacy for a resident in a dining room without bottoms on, with a catheter, and full catheter bag showing, for 1 (#2) of 3 sampled residents for dignity. This deficient practice resulted in resident #53 feeling embarrassed. Findings include:1. During an observation on 7/15/25 at 8:32 a.m., resident #2 was observed napping in the dining room, in a manual wheelchair, sitting on a chuck (disposable under pad). Resident #2 was facing the dining room and the unit entrance. Resident #2 had her clothing bottoms below her knees. Her catheter was visible, and the full catheter bag was facing outward, without a privacy cover on the outer side. Other residents and several staff were present. Staff weren't addressing the resident's dignity concerns for the visible catheter bag without the cover. During an interview on 7/17/25 at 10:58 a.m., staff member F stated she had been diligently trying…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-17 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to ensure the medical provider was notified of a resident's severe weight loss, for one (#6) of 43 sampled residents. This deficient practice did not allow the physician the opportunity to plan or implement weight loss interventions. Findings include: During an interview on 7/15/25 at 8:32 a.m., resident #6 stated she had lost 26 pounds in the last month or two and was not sure why her appetite had declined.Review of resident #6's electronic health record showed resident #6 weighed 308 pounds on 1/6/25 and 248 pounds on 7/16/25, which was a 19.51% loss over the past six months; and on 6/9/25 she [resident #6] weighed 276 pounds, which was a 10.14% loss over the past month.During an interview on 7/16/25 at 9:16 a.m., staff members Z and AA stated resident #6 was independent with feeding herself, and they were not sure why resident #6's appetite was declining. Staff members Z and AA stated resident #6's son and daughter-in-law were aware of the weight loss. During an interview on 7/16/25 at 1:52 p.m., staff members AA and BB…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-17 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 provide residents access to grievance forms and the opportunity to file grievances anonymously for 1 (#8) of 43 sampled residents. Findings include: During an interview on 7/15/25 at 1:17 p.m., resident #8 stated the nurse practitioner told him he was dying, and his kidney function was down 63%. Resident #8 stated he was rushed to the hospital, and the hospitalist stated he was not dying, and his kidney function numbers were not that bad, and gave him a bolus of IV fluids. Resident #8 stated he was angry that the nurse practitioner put him and his wife through that trauma. Resident #8 stated he tried to figure out answers from the staff and was not able to get any answers. Resident #8 stated he was not aware of any grievance forms and had not seen grievance forms. Resident #8 stated he was very vocal about his concerns about the nurse practitioner scaring him and his wife with false information, but his wife would most likely want to file a grievance anonymously if she had the opportunity. Resident #8…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-17 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 keep a resident free from a physical restraint for 1 (#60) of 1 sampled resident. This deficient practice caused the resident to be unable to get out of a Broda chair independently, and caused the resident to be agitated and yell to get out of the chair. Findings include:During an observation on 7/16/25 at 8:42 a.m., resident #60 was sitting in a Broda chair. The back of the chair was reclined at about a 45-degree angle, and the footrest was in the up position. The resident's feet were unable to reach the floor. Resident #60 was sitting parallel to a table in the dining room. Resident #60 was yelling that he wanted out of the chair, and he was trying to climb over the arm of the chair.During an observation on 7/16/25 at 8:52 a.m., resident #60 continued to be in the Broda chair, sitting parallel to a table in the dining room. Resident #60 was attempting to get out of the Broda chair, but he was not able to. The Broda chair was reclined at about a 45-degree angle, and the footrest was in the up position, so…

  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 · D2025-07-17 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 baseline care plan within 48 hours of admission, to include the minimum health information necessary to properly care for 1 (#87) of 6 residents sampled for baseline care plans. This deficient practice puts the resident at risk of not receiving necessary care and services. Findings include: During an interview on 7/16/25 at 10:40 a.m., staff member N stated he does not review the resident care plans, and he did not look at resident #87's baseline care plan.During an interview on 7/18/25 at 8:35 a.m., staff member E stated she helped oversee the care planning process and ensured staff are following the care plans. Staff member E stated baseline care plans are completed within 48 hours of admission. Staff member E stated that nursing staff were supposed to help initiate and update care plans.Review of resident #87's baseline care plan, dated 6/27/25 at 5:47 p.m., showed the baseline care plan was not filled out and did not identify any information pertinent to care for the resident. Baseline care plan information…

  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 · D2025-07-17 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to update care plans as resident conditions and physician orders changed for 2 (#s 13 and 60) of 43 sampled residents. Findings include:1.Review of a facility document provided to resident #60’s physician, dated 6/11/25, showed: … “Resident #60 has poor appetite and intake he does drink his boost… Staff attempt 1 on 1 with meals and encourage intake…” Review of resident #60’s care plan, with an initiation date of 6/11/25, showed severe weight loss as a focus area. The care plan was not updated to include one on one feeding provided by staff as needed or the use of nutritional supplements. During an interview on 7/16/25 at 1:05 p.m., staff member LL stated, During an observation and interview on 7/16/25 at 1:05 p.m., staff member LL picked up resident #60’s meal tray and put it in a cart to be thrown away. Everything on the meal tray was still covered and untouched. Staff member LL stated, We don't make him (resident #60) eat, he is on comfort care. During an interview on 7/16/25 at 3:10 p.m., staff member D stated, “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 · D2025-07-17 · 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, interview, and record review, the facility failed to provide assistance with meals for a resident who required encouragement and one on one for eating for 1 (#60) of 5 sampled residents for nutrition. This deficient practice increased the risk for the resident not receiving necessary care and services with meals. Findings include:During an observation on 7/15/25 at 8:15 a.m., resident #60 was lying in bed sleeping. Resident #60's breakfast tray was sitting on his bedside table, covered and untouched.During an observation on 7/16/25 at 8:42 a.m., resident #60 was sitting in a Broda chair parallel to the table, with his feet elevated and the back of the chair reclined. Resident #60's breakfast tray was sitting on the table. The tray had a cover over the plate of food, the milk and juice each had a cover over them, and the container of boost was unopened. Staff member N was the only staff member near the dining area. Resident #60 could not reach his tray of food.During an observation on 7/16/25 at 8:45 a.m., staff member R entered the dining area and picked up…

  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

“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

$92,755 in federal fines across 2 penalties.

• $56,940 — penalty dated 2025-07-17
• $35,815 — penalty dated 2023-09-14

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

Who owns this facility

CMS files one row per role, so the 40 rows in the source record cover these 27 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.

What families pay in MT