Bermuda Village Retirement 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.

68.9% 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 149 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 89 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 0.75 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 36 beds and averages 33.3 residents a day — about 92% occupied, or roughly 3 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 5.06 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.15 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 4.78 hrs/resident/day on weekends vs 5.18 on weekdays — 8% thinner on weekends. RN hours go from 0.57 to 0.30 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 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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · Dcited before2026-06-11 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews, the facility failed to develop individualized person-centered comprehensive care plans for the use of psychotropic medications (medications that alter brain functions, affecting mood, perception, thoughts or behavior) for 1 of 5 residents reviewed for comprehensive care plans (Resident #2). The findings include:Resident #2 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease and dementia with severe behavioral disturbances. Review of Resident #2's medical record revealed physician orders for quetiapine fumarate (antipsychotic) 100 milligrams (mg) at bedtime for behavioral disturbance related to dementia dated 03/09/26 and sertraline (antidepressant) 200 mg at bedtime for dementia related behaviors dated 03/09/26. The admission Minimum Data Set assessment dated [DATE] revealed Resident #2 received antipsychotic and antidepressant medications.The Care Area Assessment for Psychotropic Drug Use dated 03/16/26 revealed Resident #2 triggered…

  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 plan of correction
• Potential for harm · Dcited before2026-06-11 · 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, record reviews and staff interviews, the facility failed to implement their Infection Control policies and procedures for Enhanced Barrier Precautions (EBP) when Nurse #1 failed to wear a gown while providing urinary catheter care (flushing the catheter) for Resident #8. In addition, Nurse #1 failed to change gloves and sanitize her hands during wound care for Resident #8. This deficient practice occurred for 1 of 6 staff members observed for infection control practices (Nurse #1). The findings included:Review of the facility's posted Enhanced Barrier Precautions (EBP) policy updated 07/26/22 revealed the following in part: All healthcare personnel must wear gloves and gowns for the following high contact resident care activities including device care (urinary catheter) and wound care (any skin opening that requires dressing).Review of the facility's policy on Handwashing/Hand Hygiene revised 08/2019 revealed in part: The facility considers hand hygiene the primary means to prevent the spread of infections. All personnel shall be trained and regularly…

  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 plan of correction
• Potential for harm · Fcited before2025-03-20 · tag F0880 — failed to prevent and control infections — widespread
  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, staff interviews, and record reviews, the facility failed to develop and implement Enhanced Barrier Precautions policy and procedures that included the use of Personal Protective Equipment (PPE) during high-contact care activities for residents with indwelling medical devices and wounds. In addition, nursing staff did not don a gown while providing wound care to a chronic wound for 1 of 1 nursing staff observed for infection control practices (Nurse #2). This deficient practice had the potential to affect all residents. The finding included: Review of the facility's infection control policy and procedures revealed no policy and procedure for Enhanced Barrier Precautions (EBP). An observation on 03/20/2025 at 10:00 AM revealed Nurse #1 sanitized her hands and put on clean gloves but did not put on a gown. Nurse #2 proceeded to provide wound care for Resident #26's chronic right hip wound. An interview was conducted with Nurse #2 on 03/20/2025 at 10:19 AM. Nurse #2 stated that she only wore gloves when she provided wound care. She further stated that she knew…

  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 · E2025-03-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews the facility failed to develop individualized person-centered comprehensive care plans in the areas of high-risk medication use (anticoagulants, diuretics, opioids, and anti-depressant medications) and oxygen therapy for 5 of 5 residents reviewed for comprehensive care plans (Resident #4, Resident #7, Resident #8, Resident #14 and Resident #24). The finding included: 1. Resident #7 was admitted to the facility on [DATE] with diagnoses including congestive heart failure (CHF), atrial fibrillation (A-fib), and myocardial infarction (heart attack). A review of Resident #7's medical record revealed a physician's order dated 01/02/2024 for Torsemide (a diuretic medication used to treat fluid retention) 40 mg daily for fluid retention, a physician's order dated 02/04/2024 for apixaban (an anticoagulant medication) 2.5 milligrams (mg) twice daily for atrial fibrillation (an irregular, rapid heartbeat which causes poor blood flow), and a physician's order 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · 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 record reviews and staff interviews, the facility failed to ensure the code status information was accurate throughout the medical record for 1 of 15 residents (Resident #11) reviewed for advanced directives. The findings included: Resident #11 was admitted to the facility on [DATE]. A review of Resident #11's medical record revealed a physician order dated 02/15/25 for a Full Code. A review of the Code Status notebook kept at the nursing desk revealed Resident #11 had a Do Not Resuscitate (DNR) form dated 02/17/25. A review of Resident #11's admission History and Physicial dated 02/17/25 revealed the Resident was a DNR. On 03/20/25 at 8:28 AM an interview was conducted with Nurse #1 who explained that if Resident #11 was experiencing a crisis where she had to immediately determine the Resident's code status, she would go to the Code Status notebook first. The Nurse stated the Code Status notebook and the Resident's medical record should match. During an interview with the Director of Nursing (DON) on…

  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 · D2025-03-20 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to provide a CMS-10055 (Centers for Medicare and Medicaid Services) Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) prior to discharge from Medicare Part A skilled services for 1 of 3 residents reviewed for beneficiary notification (Resident #6). The findings included: Resident #6 was admitted to the facility on [DATE]. Medicare Part A services began on 10/21/24. Review of a Notice of Medicare Non-Coverage (NOMNC) revealed the notice was discussed with Resident #6 on 11/26/24 which indicated Resident #6's Medicare Part A coverage for skilled services would end on 11/28/24. Resident #6 remained in the facility. Review of Resident #6's medical record revealed no evidence a SNF ABN was reviewed with or provided to Resident #6. An interview was conducted with the Social Worker (SW) with the Administrator present on 03/19/25 at 12:07 PM. The SW explained that she was responsible for issuing the NOMNC when a resident's Medicare Part A…

  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 before2025-03-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and staff interviews, the facility failed to develop a comprehensive care plan in the area of high-risk medications (insulin) for 1 of 1 resident reviewed for comprehensive care plans (Resident #11). The findings included: Resident #11 was admitted to the facility on [DATE] with diagnoses that included diabetes mellitus. A review of Resident #11's physician orders revealed orders dated: -02/16/25 for glargine insulin 14 units subcutaneously one time a day for diabetes mellitus. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11 received insulin. Review of Resident #11's care plan reviewed on 02/22/25 revealed high risk medication such as insulin was not care planned. A review of Resident #11's Medication Administration Records for 02/2025 and 03/2025 revealed the Resident received insulin as ordered. An interview was conducted with the MDS Nurse on 03/20/25 at 9:32 AM. The MDS Nurse confirmed Resident #11's care plan did not address high risk…

  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 · D2025-03-20 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and staff interviews, the facility failed to date an open vial of Tuberculin Purified Protein Derivative (PPD) solution stored in 1 of 1 medication refrigerator and failed to secure medications that were stored at bedside for 1 of 1 resident (Resident #14) reviewed for medication storage. The findings included: 1. During an observation of the refrigerator in the medication room on 03/19/25 at 2:03 PM the observation yielded an open and undated vial of PPD solution. An interview was conducted with Nurse #3 on 03/19/25 at 2:03 PM who explained that the vial should be dated when it was opened to determine how long it can be used which was 30 days. The Nurse stated there was no way to determine how long it had been opened since it was not dated. A review of the manufacturer's instructions for PPD solution indicated to discard open vials after 30 days. On 03/20/25 at 9:01 PM during an interview with the Director of Nursing she explained that it was every nurse's responsibility 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-12-15 · 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 nutritional supplements from 1 of 1 satellite kitchen that were available for use and did not date or monitor the use of frozen bread prior to meal service. The practices had the potential to affect food served to residents. The findings included: 1. During an observation of a satellite kitchen on 12/12/23 at 10:31 AM, 2 bottles of nutritional supplement with a use by date of 05/08/23 were observed in the storage cabinet and were available for use. An interview with the Dietary Manager on 12/12/23 at 10:39 AM revealed he had a designated culinary team that prepared and served out of the satellite kitchen. The Dietary manager reported the nutritional shake was not something his department was responsible for and did not know why or how it had ended up in the storage cabinet. The Dietary Manager reported although the nutritional shakes were not something that should be stored in the satellite kitchen, his team should have caught them and removed them when they were going through the pantry…

  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 · F2023-12-15 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews, and staff interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint survey conducted on 06/09/22. This failure was for 3 deficiency's that were originally cited in the area of Resident Rights (F550), Nursing Services (732), and Dietary Services (F812) that were subsequently recited on the current recertification and complaint investigation survey of 12/15/23. The repeat deficiencies during two federal surveys of record showed a pattern of the facility's inability to sustain an effective QA program. The findings included: This tag is cross referred to: F550: Based on observation, record review, family, and staff interviews the facility failed to treat a resident in a dignified manner by not removing her clothing protector after her lunch meal and before rolling Resident #17 down the hallway to her room for 1 of 2 residents reviewed for dignity (Resident #17). The reasonable person concept…

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

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$7,976 in federal fines across 1 penalty.

• $7,976 — penalty dated 2024-01-22

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

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.

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 NC