Lake Park Nursing and Rehabilitation 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 90 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.1% 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 56 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 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 120 beds and averages 104.3 residents a day — about 87% occupied, or roughly 16 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.02 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.88 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 3.66 hrs/resident/day on weekends vs 4.16 on weekdays — 12% thinner on weekends. RN hours go from 1.00 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below 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.

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · G2025-04-24 · 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 record review and staff, Nurse Practitioner, Orthopedic Nurse Practitioner, and Physician's interviews the facility failed to provide monitoring for skin breakdown under a leg immobilizer for 1 of 3 residents (Resident #1) reviewed for wound care. Resident #1 developed a stage 3 pressure ulcer to her right thigh which was found on 2/19/2025, and a pressure ulcer to the right ankle. On 3/18/25 the pressure ulcer to the right ankle was assessed as an unstageable pressure ulcer. Findings included: Resident #1 was initially admitted to the facility on [DATE] and readmitted to the facility on [DATE] with diagnoses of a right femur fracture. A Progress Note written 12/13/2024 at 3:19 pm by Nurse #3 stated Resident #1 arrived at the facility with a right femur fracture with a cast in place. A significant change Minimum Data Set assessment dated [DATE] indicated Resident #1 was severely cognitively impaired and required extensive assistance with bed mobility and transfers. The assessment further indicated…

  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 · G2023-11-03 · 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 record review, staff interviews, and family interview the facility failed to provide supervision to prevent accidents for a resident with a known history of falls, when Resident #1 was left unattended in the common area and had an unwitnessed fall. This occurred for 1 of 1 resident reviewed for accidents and resulted in the resident going to the hospital to receive 7 stitches to his face (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses that included Parkinson's disease, lack of coordination, recurrent falls, dementia, and anxiety. A significant change Minimum Data Set for Resident #1 dated 8/15/23 revealed he was cognitively impaired. He had a short- and long-term memory problem in addition to inattention and disorganized thinking. Resident #1 required moderate assistance for transfers and mobility. In addition, Resident #1 had 2 falls with no injury since the last MDS assessment. Resident #1's care plan revised on 10/23/23 revealed he was at 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-05-05 · 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 observations, record review, staff interviews, resident interview, and Physician interview the facility failed to administer scheduled pain medication after it was requested for a resident that was experiencing ten out of ten pain. This occurred for one of four residents reviewed for pain. (Resident #310) This failure resulted in Resident #310 experiencing her pain being off the charts and crying related to her pain. The findings included: Resident #310 was admitted to the facility on [DATE] with diagnoses that included osteoarthritis of the right knee, right knee replacement, right knee pain, and rheumatoid arthritis. A 5-day Minimum Data Set for Resident #310 dated 4/27/23 revealed she was cognitively intact with no behaviors. Resident #310 had a recent major joint surgery and required skilled nursing care. She was experiencing pain almost constantly and was on a pain regimen. A baseline care plan for Resident #310 initiated on 4/25/23 revealed she had the potential for actual acute and/or chronic…

  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 · G2023-05-05 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, staff interviews, and resident interviews the facility failed to have sufficient nurse staffing to ensure residents received pain medication when needed. (Resident #310). The findings included: This citation is cross referenced to F697 B.) F697: Based on observations, record review, staff interviews, resident interview, and Physician interview the facility failed to administer scheduled pain medication after it was requested for a resident that was experiencing ten out of ten pain. This occurred for one of four residents reviewed for pain (Resident #310). This failure resulted in Resident #310 experiencing her pain being off the charts and crying related to her pain. During an interview on 5/3/23 at 11:34 AM Nurse #4 revealed staffing was bad at the facility and on the days they had two or three NAs on the medical unit it was terrible. She stated on days when they had two to three NAs on the medical unit, she did a lot of juggling, she would try to help the NAs pass and pick up meal trays, assist with feeding, and answer call lights. She further…

  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
• Potential for harm · D2026-01-22 · 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 review, and staff, resident, and Physician interviews, the facility failed to ensure advance directive information was consistent throughout the medical record for 1 of 4 residents reviewed for advance directives (Resident #84). The findings included: Resident # 84 was readmitted to the facility on [DATE]. Review of the Advance Directives binder located at the nursing station revealed a yellow Do Not Resuscitate (DNR) sticker on the outside Resident #84's binder (Binders with yellow stickers were used by nursing staff to identify Residents who have elected DNR status). Further review of the binder revealed Resident #84 had a Medical Orders for Scope of Treatment (MOST) form dated 03/09/2022 that was signed by the resident and the physician. The MOST form instructed to Attempt to Resuscitate (Full Code). Review of Resident #84's electronic health record (EHR) revealed an active Physician order dated 3/20/24 signed by the Physician that stated Do Not Resuscitate (DNR). Review of Resident #84's EHR…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 staff and Nurse Practitioner interviews, the facility failed to administer oxygen at the prescribed rate for 1 of 2 residents reviewed for respiratory care (Resident #60). The findings included: Resident #60 was readmitted on [DATE]. Her diagnoses included atrial fibrillation, congestive heart failure, and shortness of breath. A significant change Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #60 was moderately cognitively impaired and received oxygen therapy. Resident #60 had a physician order dated 11/19/24 indicated the administration of oxygen via nasal cannula at 2 liters per minute continuously to keep oxygen saturation levels above 90%. The order had no expiration date and was ordered as indefinite. Resident #60's current care plan dated 11/25/25 indicated Resident #60 was at risk for ineffective breathing pattern related to congestive heart failure and shortness of breath. Interventions included administering oxygen via nasal cannula as…

  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 · E2024-10-24 · tag F0583 — failed to protect personal privacy — pattern
  Keep residents' personal and medical records private and confidential.
  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 protect resident privacy by leaving an unattended resident roster with personal health information (PHI) on top of a medication cart in the hallway and visible to the public. This was for 1 of 3 medication carts (700 Hall Medication Cart) reviewed for privacy and confidentiality. This deficient practice had the potential of effecting 22 residents on the 700 hall (Resident #98, #12, #96, #54, #82, #90, #97, #57, #33, #204, #88, #203, #55, #99, #91, #13, #83, #7, #20, #51, #35, and #60). The findings included: A continuous observation was completed on 10/21/2024 from 8:40 AM to 9:02 AM of the 700 Hall Medication Cart. Nurse #8 was working the medication cart, walked away from the cart, and left the resident roster unattended on top of the cart which had PHI and entered a resident's room. Two residents and one visitor were observed to pass by the medication cart. One resident was walking, and the other resident was propelling herself in a wheelchair. The visitor walked by the unattended medication cart.…

  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 · E2024-10-24 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and interviews with residents and staff, the facility failed to provide an ongoing individual activity program per resident's preference (Residents #49 and #76) and an ongoing group activity program per Resident Council (Residents #1, #5, #77 and #88) when residents expressed a request to play more Resident-led bingo. This failure occurred for 6 of 6 sampled residents reviewed for individual and group activities. The findings included: 1a. Resident #49 re-admitted to the facility 6/13/24. A 2/19/24 annual Minimum Data Set (MDS) assessment indicated Resident #49 had adequate hearing/vision, clear speech, able to understand and be understood, intact cognition and that it was very important to participate in her favorite activities and participate in group activities. A care plan revised 9/3/24, recorded Resident #49 was able to structure her day and enjoyed both individual and group activities. Interventions included to encourage individual activities of interest and to notify of group activities of interest which included bingo. Resident #49 was observed 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-24 · tag F0687 — failed to care for feet properly — pattern
  Provide appropriate foot care.
  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 and resident interviews, the facility failed to ensure residents' toenails were trimmed and podiatry services were arranged for 3 of 4 residents (Resident #28, Resident #1 and Resident #63) reviewed for foot care. Findings included: 1. Resident 28 was admitted to the facility 08/07/24 with diagnoses that included diabetes type 2, and vascular dementia. An annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #28 had no cognitive impairment. He was independent for eating and oral hygiene. He required moderate assistance to toilet and maximum assistance with bed mobility. Care plans reviewed for Resident #28 initiated 08/15/23 and revised on 08/27/24 included Resident #28 required assistance to put on and remove his socks and shoes related to a decline in functional status. Another care plan included that Resident #28 had diabetes type 2, was at risk for complications, had an intervention to monitor skin integrity and report abnormalities to 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
• Potential for harm · E2024-10-24 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a breakfast meal test tray observation, minutes from Resident Council meetings, a Resident Council meeting, resident and staff interviews, the facility failed to provide food that was palatable and had an appetizing temperature for 8 of 8 residents reviewed for palatable foods (Resident #5, Resident #1, Resident #88, Resident # 77, Resident # 76, Resident #95, Resident #63, and Resident # 34). The findings included: Resident #95 was interviewed on 10/21/24 at 10:43 AM and he reported he was on a regular diet with ground meat. The resident was not happy with the breakfast meat and it had no taste. Resident #63 was interviewed on 10/21/24 at 11:28 AM and when asked about the food in general, he reported the food looks like [expletive] and tastes like it, too. Resident Council Meeting minutes for 12/6/23, 1/10/24, 2/8/24, 6/12/24, and 7/10/24 identified issues with food and coffee temperatures, food texture, and flavor. During the Resident Council meeting on 10/22/24 at 1:30 PM, 6 of 6 residents in attendance (Resident#1, #49, #88, #77, #5, and #76) identified ongoing issues…

  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 · E2024-10-24 · 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 observations and staff interviews, the facility failed to dry metal pans before being stacked, clean 1 of 3 ice machines in 1 of 3 nourishment rooms (medical unit), and store dry goods off the floor. These failures had the potential to affect food served to residents. The findings included: a. The kitchen was toured on 10/21/24 at 9:28 AM with the Dietary Manager (DM). During the observation, the storage rack for metal pans was observed and 3 metal pans were noted to be stacked wet. Water was noted to drip down the sides of the pain when the pans were separated, and the interior of the pans felt wet. When asked, the DM reported the metal pans should have been air dried completely before stacking. The DM asked [NAME] #1 who stacked the pans and [NAME] #1 reported she did not know who stacked the pans while they were still wet. b. The medical unit nourishment room was observed on 10/24/24 at 9:50 AM with the DM. The ice machine was observed to have wet, slimy, black material along the seal of the ice machine door. The DM explained the Maintenance Director was responsible 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-24 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and record review, the facility failed to offer a bed bath for two days, provide nail care, and shave a resident dependent on staff for activities of daily living (ADL). This failure occurred for 1 of 4 sampled residents reviewed for ADL (Resident #63). The findings included: Resident #63 was admitted to the facility on [DATE]. Diagnoses included heart failure, dilated cardiomyopathy, presence of automatic cardiac defibrillator, and shortness of breath. A care plan revised 9/5/24 identified Resident #63 was dependent on staff for ADL and refused care at times. Interventions included staff would provide personal hygiene, inspect skin and notify nurse of any abnormal changes. Additionally, staff were to inform Resident #63 of ADL care to be provided ahead of time, give options of times care would be done to allow for flexibility and accommodate his mood, and if refused, reattempt at another time. A 9/13/24 significant change MDS recorded Resident #63 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-24 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interviews with a resident and staff, the facility failed to provide larger portions per physician order to a resident at risk for weight loss due to a history of weight loss (Resident #73). The findings included: Resident #73 admitted to the facility on [DATE]. Diagnoses included Alzheimer's dementia, mild cognitive impairment, hyperlipidemia, and hypertension. Review of his medical record revealed Resident #73's monthly weight was assessed on 4/4/24 as 187.4 pounds. Review of his medical record revealed Resident #73's monthly weight was assessed on 5/10/24 as 180.6 pounds, approximately a seven-pound weight loss or approximately 3.7% weight loss in a month. A 5/16/24 Interdisciplinary Team progress note recorded Resident #73 was discussed for weight loss, decreased food intake, and disengagement with meals. A physician order was written to decrease the morning dose of Depakote (a mood stabilizer) to promote alertness and encourage food intake. Review of the medical record…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-05-05 · 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

  Based on observation, staff interviews and record reviews, the facility failed to remove expired medications in accordance with manufacturer's guidelines and failed to date an opened eye medication for 4 of 6 medications carts observed during medication storage checks (200 hall, 400 hall, 600 hall, and 700 hall). The findings included: 1. Review of manufacturer's package insert for Latanoprost eye drops revealed unopened bottle should be stored under refrigeration between 36° to 46° F and protected from light. Once opened, Latanoprost could be stored at room temperature up to 77° F up to six weeks. a. A medication storage audit was conducted on 05/02/23 at 3:18 PM for the 600-hall medication cart in the presence of Nurse #1. One bottle of Latanoprost 0.005% eye drop opened on 01/20/23 was found in the medication cart and ready to be used. The eye drop was dispensed from the pharmacy on 01/11/23. During an interview conducted on 05/02/23 at 3:28 PM, Nurse #1 thought the eye drop would be expired a year from the dispensing date on 01/11/24. She did not know that opened Latanoprost eye…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$34,624 in federal fines across 2 penalties.

• $25,879 — penalty dated 2025-04-24
• $8,745 — penalty dated 2023-11-03

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 PRINCIPLE LONG TERM CARE — 40 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 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in NC