Harmony Hall Nursing and Rehabilitation Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

44.2% 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: 50.0% 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 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 40% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 175 beds and averages 102.0 residents a day — about 58% occupied, or roughly 73 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 3.19 hrs/resident/day on weekends vs 3.66 on weekdays — 13% thinner on weekends. RN hours go from 0.78 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% 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.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2023-08-25 · 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 and staff and physician interviews, the facility failed to provide incontinence care safely to a dependent resident for 1 of 1 residents reviewed for falls. Resident #307 fell out of bed during incontinence care provided by Nursing Assistant (NA) #1 resulting in an upper lip laceration which required to 7 sutures, a laceration to the left side of the head that required 12 staples and a small laceration to the 2nd digit on the left foot. Findings included: Resident #307 was admitted to the facility on [DATE] with medical diagnosis which included in part: stroke with hemiparesis, vascular dementia, contractures of left wrist and hand and right hand, aphasia, and epilepsy. Review of Resident #307's 11/23/22 annual Minimum Data Set (MDS) assessment revealed resident had severe cognitive impairment with no behaviors. Resident #307 required total assistance of 2 people with bed mobility and toileting. Resident #307 had impaired range of motion on both sides of the upper extremities and…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2023-08-25 · 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 3). Resident #256 was admitted to the facility on [DATE] with medical diagnosis that included anorexia and moderate protein-calorie malnutrition. Review of an admission MDS assessment for Resident #256 documented he had moderately impaired cognition. He received a mechanically altered, therapeutic diet and weighed 133 pounds. He was independent with eating and required set up help only. The initial care plan for Resident #256 was in progress beginning on 08/11/23 and included guidance for activities of daily living and personal care. Review of Resident #256 ' s weights revealed an admission weight on 08/11/23 of 132.6 pounds. On 08/23/23 he weighed 130.6 pounds for a total weight loss of 2 pounds between 08/11/23 and 08/23/23. Resident #256 ' s medical record revealed a physician order dated 08/12/23 for Dronabinol Oral 5 MG capsule twice a day for appetite stimulant. Review of the Controlled Substance Count Record on 08/23/23 revealed Resident #256 was administered Dronabinol one 2.5 MG capsule on 08/18/23 at…

  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 · D2026-02-27 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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, Nurse Practitioner, and Pharmacy Consultant interviews, the facility failed to administer insulin prior to the manufacturer's recommended expiration date for 1 of 1 resident reviewed for professional standards (Resident #4). Resident #4 was admitted to the facility on [DATE] with diagnoses which included type 2 diabetes mellitus. Review of Resident #4's quarterly Minimum Data Set (MDS) dated [DATE] revealed he was cognitively intact and coded for the use of insulin. Review of Resident #4's care plan dated 1/12/26 revealed a focus for diabetes mellitus with interventions which included finger stick blood sugars as ordered by physician, medication as ordered by physician, and monitoring for signs and symptoms of hypoglycemia. The manufacturer's instructions 3/2026 for glargine insulin injector pen stated it should be discarded 28 days after opening. Review of Resident #4's February 2026 Medication Administration Record (MAR) revealed he received a glargine insulin…

  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 · Dcited before2026-02-27 · 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 observation, record review, resident and staff interviews, the facility failed to secure smoking materials (cigarettes/lighters) for 1 of 9 residents sampled for smoking (Resident #57).Findings included:Review of the facility's revised smoking policy dated 3/27/2019 revealed all resident smoking materials are maintained in a secure area (medication cart) and are accessible only through the assistance of the facility's staff. Resident #57 was admitted to the facility on [DATE]. His diagnoses included hemiplegia (a form of paralysis that affects one side of the body), hemiparesis (weakness or the inability to move on one side of the body), cerebral infarction (occurs as a result of disrupted blood flow to the brain due to problems with the blood vessels that supply it) affecting the right dominant side, and tobacco use.The annual Minimum Data Set (MDS) dated [DATE] revealed Resident #57 was cognitively intact. The MDS further indicated he was coded for tobacco use.Review of the smoking assessment 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-27 · 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

  Based on observations, manufacturer's instructions, staff and Pharmacy Consultant interviews, the facility failed to remove one (1) multi-dose insulin injector pen that was expired in 1 of 5 medication carts reviewed for medication storage and labeling (Station 2 medication cart #1).The manufacturer's instructions dated 3/2026 for insulin glargine injector pen stated it should be discarded 28 days after opening. Observation of Station 2 medication cart #1 on 2/26/26 at 10:14 am revealed one (1) open insulin glargine injector pen with a handwritten opened date of 1/20/26 and a handwritten expiration date of 2/17/26. During an interview and observation conducted on 2/26/26 at 10:14 a.m. the Medication Aide #1 who was assigned to Station 2 medication cart #1 stated she did not administer insulin injections; however, she acknowledged the insulin glargine pen should have been discarded after 28 days after opening. In an interview conducted on 2/26/26 at 10:20 a.m., Nurse #1, who was assigned to cover the Medication Aide #1 on Station 2 medication cart #1, stated the expired insulin…

  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 · D2025-07-09 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 interview the facility failed store a plastic tube feeding syringe with the plunger separate from the barrel which created a potential for bacterial growth. This deficiency was for 1 of 1 resident reviewed for enteral tube feeding management (Resident #2). Resident #2 was admitted to the facility on [DATE] with diagnoses that included dysphagia (trouble swallowing) following cerebral infarction (stroke). A quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #2 was severely cognitively impaired and was admitted with a gastrostomy tube (g-tube: a surgically placed tube that provided direct access to the stomach for nutrition, hydration and medication). The care plan for Resident #2 with the latest revision date of 1/24/25 indicated the use of a g-tube to assist Resident #2 with maintaining or improving nutritional status related to swallowing impairment. The goal was Resident #2 would be free from complication of g-tube feeding, i.e. aspiration formula…

  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 · D2025-07-09 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 interview the facility failed to attempt alternative interventions, assess for entrapment risk, review the risks and benefits of the use of side rails, and/or obtain consent from the resident or resident representative before use of bilateral quarter length side rails. This deficient practice affected 1 of 1 resident (Resident #4) reviewed for side rails. Findings included:Resident #4 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease and non-Alzheimer's dementia. Resident #4's quarterly Minimum Data Set (MDS) dated [DATE] revealed she required partial to moderate assistance with bed mobility, and she had no impairment of upper or lower extremities. The MDS indicated Resident #4 was moderately cognitively impaired. Resident #4's comprehensive care plan dated 3/21/25 revealed she did not have a care plan that included the use of side rails. Resident #4 was observed lying in her bed on 7/8/25 at 4:20 PM with bilateral quarter…

  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 · D2024-10-30 · 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 record review, observations, and resident interview and staff interviews, the facility failed to assess the ability of a resident to self-administer medications prior to leaving the resident's medications on the bedside table in the resident's room for 2 of 2 residents observed with medications at bedside (Resident #25 and Resident #62). Findings included: 1. Resident #25 was admitted to the facility on [DATE]. Resident #25's quarterly Minimum Data Set Assessment (MDS) dated [DATE] indicated Resident #25 was cognitively intact. Physician orders included the following medication orders for Resident #25 that were active on 10/28/24: - Atorvastatin Calcium Tablet 40 milligram (mg) tablet give one tablet one time a day for supplement - Gabapentin Oral Capsule 100 mg tablet give one tablet one time a day for pain - Metoprolol Succinate ER 50 mg tablet give one tablet one time a day for hypertension - Sertraline HCL oral 150 mg tablet give one tablet one time a day for depression - Amoxicillin-Pot Clavulanate…

  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 · D2024-10-30 · 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 review and staff interviews, the facility failed to provide a complete Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) (form 10055) prior to discharge from Medicare Part A skilled services by omitting the options checked section indicating a resident's decision to continue part A Medicare services and by omitting the resident's signature on the form for 2 of 3 residents (Resident#170 and Resident #7) reviewed for beneficiary protection review. The findings included: 1. Resident 170 was admitted to the facility 8/21/24 and admitted to Medicare Part A services. Resident #170's Medicare Part A skilled services ended on 9/6/24 and he remained in the facility. The SNF ABN review revealed Resident 170's name, the date services were to end, the estimated cost of the services and Resident #170's signature. There were no options checked for the decision made about continuing Medicare Part A services. An interview was conducted with the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-30 · 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 secure smoking materials (cigarettes/lighters) for 2 of 4 residents sampled for smoking (Resident #23, Resident #106). Findings included: Review of the facility's revised smoking policy dated 3/27/2019 revealed all resident smoking materials are kept in a secure area and are accessible by facility staff only. 1. Resident #23 was admitted to the facility on [DATE]. The annual Minimum Data Set (MDS) dated [DATE], revealed Resident #23 was cognitively intact. Review of the smoking assessment dated [DATE] revealed Resident #23 was a safe/ independent smoker. Resident #23's revised care plan dated 10/16/2024 indicated he was an independent and safe smoker. On 10/28/2024 at 8:45 am Resident #23 was observed to have a pack of cigarettes and 2 lighters on his bedside table in his room. An oxygen concentrator was also observed in Resident #23's room on the left side of the bed and was currently turned off. An interview was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-30 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and facility record reviews, the facility failed to keep a urinary catheter bag from touching the floor to reduce the risk of infection for 2 of 4 residents (Resident #87 and Resident #91) reviewed with urinary catheters. The findings included: 1. Resident #87 was admitted to the facility on [DATE] with diagnoses which included chronic kidney disease, benign prostatic hyperplasia, and urinary retention. Resident #87's care plan dated 9/6/24 revealed focus areas for urinary retention and at risk for infection. Interventions were to monitor for signs/symptoms of urinary retention and urinary tract infections (UTI's). An annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #87 had severely impaired cognition. The assessment indicated Resident #87 was dependent upon staff for all of his activities of daily living (ADL). Resident #87 was coded for an indwelling catheter. An initial observation was conducted on 10/27/24 at 10:45 am of Resident #87 as he was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-08-25 · 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 a) ensure expired beverages were discarded and not available for use, b) ensure that frozen foods were sealed when stored to prevent freezer burn, c) ensure that foods were labeled, dated, stored, and left to thaw in a safe manner to prevent the potential for food borne illness. These practices had the potential to affect residents in the facility. Findings included. During the initial tour of the kitchen on 08/21/23 at 10:45 AM the following was observed: a. The walk-in refrigerator was observed with a crate of approximately 50 milk cartons, each with an expiration date of 08/19/23. b. The walk-in freezer was observed with an opened box of fried chicken patties. The plastic bag that contained the patties was left open to air, and ice had formed on the patties. c. The following food items: a container of ground turkey sausage unlabeled and with no date, a container of turkey sausage patties unlabeled, with no date, and a container of vegetable sausage patties unlabeled, with no date were left sitting…

  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

“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

$15,593 in federal fines across 2 penalties.

• $7,796 — penalty dated 2023-08-25
• $7,797 — penalty dated 2023-08-25

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 13 rows in the source record cover these 9 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.

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 27% 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