Brunswick 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.

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

Met the expected recovery: 43.8% 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 146 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 100 beds and averages 96.1 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.05 hrs/resident/day on weekends vs 3.64 on weekdays — 16% thinner on weekends. RN hours go from 0.81 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Immediate jeopardy · Jcited before2025-02-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and responsible party (RP), staff, Medical Director, and Nurse Practitioner (NP) interviews, the facility failed to assess, diagnose and medically treat a resident who was presenting with signs of Clostridium Difficile (C. difficile) (According to the Centers for Disease Control and Prevention: C. difficile-is a highly contagious bacteria that causes diarrhea and inflammation of the colon, can be life-threatening and present with symptoms which include loose stools, abdominal cramping, loss of appetite and stools may have a foul odor). The facility failed to identify the seriousness of the symptoms of abdominal discomfort, frequent loose stools with foul odor, tiredness, loss of appetite, and inability to get out of bed and implement effective interventions. On [DATE] Resident #290 experienced decreased urine output and the facility failed to identify a medical emergency and failed to immediately transfer Resident #290 to the hospital on [DATE] when the nursing home received critical white…

  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
• Immediate jeopardy · J2025-02-18 · tag F0714 — isolated
  Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff, the resident's Responsible Party (RP), Medical Director, and Nurse Practitioner (NP), the NP failed to communicate and collaborate with the Medical Director for a resident (Resident #290) who was presenting with signs of Clostridium Difficile (C. difficile or C. diff) According to the Centers for Disease Control and Prevention: C. diff-is a highly contagious bacteria that causes diarrhea and inflammation of the colon, can be life-threatening and present with symptoms which include loose stools, abdominal cramping, loss of appetite and stools may have a foul odor. For the period of [DATE], date of admission, through [DATE], the first date the NP had a progress note for Resident #290, the resident was recorded as having 42 stools in 24 days. Resident #290 was documented as having loose stools during each of the 6 progress notes the NP had for the resident, starting with the progress note dated [DATE], through the last progress note on [DATE]. For the period 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-04-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff, Nurse Practitioner (NP) and Medical Director interviews, the facility failed to complete and document comprehensive assessments and failed to identify or recognize the significance of severe pain and changes in mobility, transfers and ambulation after the resident reported an unwitnessed fall. The NP was notified of the resident's hip pain on 7/15/25 and evaluated the resident but was not informed of the unwitnessed fall on 7/14/25. The NP indicated had he known Resident #61 had fallen and was reporting pain, he would have ordered x rays immediately. The NP was notified again on 7/18/25 the resident was reporting hip pain and an x-ray of the resident's bilateral hips was ordered. The resident experienced pain and decreased ability to ambulate and transfer from 7/14/25 (the day of an unwitnessed fall) through 7/19/25 when the facility acted on a mobile x-ray report that identified an acute left femoral neck fracture with displacement (a serious type of hip fracture where 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-04-09 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff, Nurse Practitioner (NP) and Physician, the facility failed to ensure pain management was provided to Resident #61, who had severe cognitive impairment and was unable to verbalize the need for pain medication, following an unwitnessed fall on 7/14/25 that resulted in changes in the level of transfer assistance she needed for toileting and moving from chair to bed. Communication from the nursing staff to the Nurse Practitioner on 7/15/25 failed to include Resident #61 had an unwitnessed fall. The NP did not assess the lower extremities for pain and concluded that the source of the hip pain was nerve pain. The NP's plan was for staff to administer acetaminophen 650 milligrams for pain as previously ordered and educate the severely cognitively impaired resident to request pain medication. Resident #61 continued to have pain after the NP visit. Resident #61 was transferred to the emergency department on 7/19/25 for evaluation of a left femoral neck fracture. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-02-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and resident and staff interviews, the facility failed to ensure residents' rights to maintain dignity for 2 of 2 residents reviewed for dignity. On the night of admission, Resident #242 informed Nurse Aide (NA) #9 she needed to use the bathroom, and NA #9 told her to just go in the bed. This resulted in the resident having to urinate in the bed, crying, and making her feel useless, bad and embarrassed. Additionally, NA #9 provided incontinence care to Resident #75 while he was in his room, standing up over his wheelchair, holding onto a walker. Resident #75 felt this was rude and insensitive. The findings included: 1) The Hospital Discharge Summary written by the hospital physician on 1/29/2025 for Resident #242 revealed she was admitted to the hospital on [DATE] with acute respiratory failure with hypoxia (low oxygen levels). She was discharged from the hospital to the facility for rehab on 1/29/2025. Resident #242 was admitted to the facility on [DATE] with a diagnosis of hypertensive…

  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 · G2023-11-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, staff, Psychiatric Social Worker, Nurse Practitioner, Medical Director, and Psychiatric Physician's Assistant interviews the facility failed to protect a resident's right to be free from mental abuse by a visitor when the visitor was found to have posted a video recording of a cognitively impaired resident that included a caption with a demeaning comment, and the visitor was heard on the video mocking and ridiculing the resident while the resident was lying in bed and exhibiting behaviors of yelling out. This occurred to 1 of 1 Resident (Resident #1) reviewed for visitor to resident abuse. The video was posted on two social media platforms. This action would have caused a reasonable person psychosocial harm such as feelings of shame, humiliation, agitation, and degradation. Findings included. Resident #1 was admitted to the facility on [DATE] with diagnoses including in part; vascular dementia with mood disturbance and cerebral vascular accident (CVA). A care plan dated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2026-04-09 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 and resident and staff interviews, the facility failed to determine whether self-administration of medications was clinically appropriate for 1 of 1 resident reviewed for self-administration of medications (Resident #7).Findings included: Resident #7 was admitted [DATE] with the diagnosis of renal dialysis, end stage renal disease, gastrointestinal hemorrhage and anemia. A review of Resident #7's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was cognitively intact and had no behaviors. Review of Resident #7 ' s current care plan revealed that the resident was not care planned for self-administration of his medications. A review of Resident #7 ' s electronic medical record revealed no assessments were completed for the self-administration of his medications. A review of Resident #7's current physician's orders revealed no order for naproxen sodium (nonsteroidal anti-inflammatory drug) as needed for a headache and no order 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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, record review, and interviews with staff, residents, and Nurse Practitioner, the facility failed to transfer Resident #72 with a slide board according to the care plan, placing the resident at risk for avoidable injury. On 5/25/25, Nurse Aide #9 transferred Resident #72 from the wheelchair to the bed without using the slide board. This deficient practice was identified for 1 of 2 residents reviewed for accidents (Resident #72). Findings included. Resident #72 was admitted to the facility on [DATE] with diagnoses including cerebral vascular accident (CVA), hemiplegia (total loss of motor function on one side of the body), hemiparesis (weakness on one side), and expressive aphasia (loss of the ability to produce spoken or written language). A care plan dated 4/29/25 revealed Resident #72 was at risk of falls and had an activities of daily living (ADL) functional deficit due to limited ability to transfer herself related to a recent CVA with right side hemiplegia. Interventions included to…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-04-09 · 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 record review, observations and resident, staff and Registered Dietitian (RD) interviews, the facility failed to maintain the ordered fluid restrictions, renal diet restrictions and provide double portions of protein per the physician order for 1 of 1 sampled resident receiving hemodialysis (Resident #7). Findings included:The National Kidney Foundation recommends specific dietary adjustments for individuals receiving hemodialysis, including strict restrictions on fluids, potassium, and phosphorus. High potassium levels can be dangerous for the heart, requiring limits on foods such as bananas, potatoes, tomatoes, and oranges. Fluid restrictions help prevent excessive weight gain and fluid buildup in the body. Processed foods should be avoided to reduce sodium and phosphorus intake. A high protein diet that includes lean meats, poultry, fish, and egg whites is recommended. Resident #7 was admitted on [DATE] with diagnosis which included renal dialysis, end stage renal disease, hyperkalemia (an elevated…

  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 before2026-04-09 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 and staff, resident and Physician interviews, the facility failed to ensure the medications were administered to the resident which had the potential for an adverse outcome for 1 of 1 resident observed with medication left at the bedside (Resident #7). Findings included:Resident #7 was admitted [DATE] with the diagnosis of renal dialysis, end stage renal disease, gastrointestinal hemorrhage and anemia.A review of Resident #7's electronic health record revealed a physician order dated 1/29/26 for velphoro (a phosphate binder which is used to lower phosphate in the blood of a resident with kidney disease), 500 milligrams take one tablet three times per day for hypokalemia (low blood potassium levels) at 7:00 AM, 11:00 AM and 4:00 PM. A review of Resident #7's electronic health record revealed a physician order dated 1/30/26 for sucralfate (a medication used to treat and prevent stomach ulcers) 1 gram tablet take 1/2 hour prior to meals and at bedtime at 8:00 AM, 11:00 AM, 5:00…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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 and resident, staff and Registered Dietitian (RD) interviews, the facility failed to provide food that accommodated a documented allergy to tomatoes for 1 of 5 residents reviewed for nutrition (Resident #7).Findings included: Resident #7 was admitted on [DATE]. A review of Resident #7's care plan initiated on 8/19/25 indicated the top of the document listed the resident's food allergies as tea and tomatoes. Resident #7 was discharged to the hospital on 1/26/26 and was readmitted on [DATE]. A review of a hospital Discharge summary dated [DATE] indicated that Resident #7 had documented food allergies, including anaphylaxis to tea and mouth and throat swelling in response to tomatoes. Review of Resident #7's electronic health record revealed an area on the clinical dashboard that listed food allergies as tea and tomatoes. Review of Resident #7's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was cognitively intact with no behaviors, had…

  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 · F2025-02-18 · 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, record review and staff interviews the facility failed to remove expired food items stored for use in the dry storage room and remove expired food items from 1 of 2 nourishment rooms. This practice had the potential to affect the food served to 92 out of 92 residents. Findings included: a. An initial tour of the facility's dry storage room on 02/03/25 at 11:00 AM with the Dietary Manager revealed the following expired items: - Twelve bottles of 14.5 fluid ounces of sugar free breakfast syrup expired on 10/17/24 - Four - 16 ounce bags plus ½ bag (8 ounces) of corn chips expired on 10/17/24 - One case with approximately 200 single packaged chocolate chip cookies in the case had expired on 01/01/25 - Ten - 24 ounces fruit punch powder mix 1lb. each with no expiration date. The packages were noted to be hard to touch and not soft and powdery. An interview with the Dietary Manager on 02/03/25 at 11:20 AM revealed she removed the syrup, corn chips and cookies from the dry storage and discarded them. She stated she did not know how long the fruit punch powder 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-18 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, the facility failed to: 1) remove expired medications in accordance to the manufacturer's expiration date for 1 of 3 medication carts (Medication Cart #4); 2) remove loose pills of various sizes, colors, and shapes from 2 of 3 medication carts (Medication Cart #2 and Medication Cart #4); and 3) failed to secure medications observed at the bedside for 1 of 1 severely cognitively impaired resident (Resident #59) reviewed for medication storage. Findings included: 1.) An observation was conducted on 2/5/2025 at 1:45 PM of Medication Cart #4 in the presence of Nurse #7. The observation revealed 3 white pill halves were found loose in the drawers. The observation further revealed 7 doses of the stock medication loperamide Hydrochloride (HCL) 4 milligrams (mg) (an antidiarrheal medication) in individual blister packs with the manufacturer's expiration date of 12/2023 and 5 doses of loperamide HCL 4mg tablets with the manufacturer's expiration date of 9/2024.…

  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 · D2025-02-18 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, Responsible Party (RP) and Medical Director interviews, the facility failed to communicate complete resident medical information to the receiving hospital for 1 of 1 resident reviewed for hospitalization (Resident #290). The findings included: Resident #290 was admitted to the facility on [DATE]. An Interact Nursing Home to hospital transfer form dated 1/18/25 was completed by Nursing Supervisor #2 on 1/28/25 at 12:17 PM. The transfer form indicated Resident #290 was a full code, vital signs were as follows: Blood pressure 110/50, respirations 22, temperature 98.0 degrees Fahrenheit, pulse 79 beats per minute and oxygen saturation 92%. The reason for transfer was resident request due to decreased urination. Resident #290's progress notes indicated a nursing progress note dated 1/18/25 at 12:40 PM written by Nursing Supervisor #2 indicated the resident requested to be sent to the hospital because he was unable to eat or urinate. The Nurse Practitioner (NP) was notified. The NP…

  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 · D2025-02-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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, record review, and staff, resident, and Medical Director interviews, the facility failed to have an effective system in place for communicating a therapy order for a left hand splint to nursing staff for 1 of 1 resident (Resident #71) reviewed for a contracture and limited range of motion. Findings included: Resident #71 was admitted to the facility on [DATE]. Diagnosis included stroke with left side weakness, difficulty in walking, and muscle weakness. There was no diagnosis for contractures. A physician's order was written on 05/22/2024 to evaluate and treat as needed for Physical Therapy and Occupational Therapy. Review of an Occupational Therapy note entered by Occupational Therapist (OT) #1 and dated 07/23/24 revealed splint / orthotic recommendations were none at this time. The note indicated OT #1 would continue to assess. The assessment revealed the following questions: Does resident present with contracture (s)? = Yes; Do impairments affect functional skills? = Yes. The note…

  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 before2025-02-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  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, record review, and resident and staff interviews, the facility failed to provide care in a safe manner during the provision of incontinence care resulting in the resident being lowered to the floor. This occurred for 1 of 3 residents reviewed for falls (Resident #73). Findings included. Resident #73 was admitted to the facility on [DATE] with diagnoses including muscle weakness and a history of falls with femur fracture. A care plan updated 12/02/24 revealed Resident #73 was at risk for falls, had a decline in his functional abilities, and self-care due to a history of falls with right femur fracture. Interventions included in part to use two-person assistance for all transfers. The Minimum Data Set quarterly assessment dated [DATE] revealed Resident #73 was cognitively intact. He had no falls at the time of assessment. His weight was 210 pounds. An incident report dated 01/30/25 at 2:30 PM completed by Nurse #5 revealed Resident #73 fell while being assisted by the nurse aide. He had no…

  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

$229,685 in federal fines across 4 penalties.

• $42,978 — penalty dated 2026-04-09
• $173,554 — penalty dated 2025-02-18
• $4,963 — penalty dated 2023-08-21
• $8,190 — penalty dated 2023-08-21

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 SABER HEALTHCARE GROUP — 126 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 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $1.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in NC