PruittHealth-Union Pointe

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.

62.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 231 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 74 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 90 beds and averages 82.6 residents a day — about 92% occupied, or roughly 7 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 3.97 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.22 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 3.37 hrs/resident/day on weekends vs 4.21 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.86 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

33 citations, most serious first. The 15 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · J2024-07-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and staff and Nurse Practitioner interviews the facility failed to protect Resident #1's and Resident #2's right to be free from sexual abuse. On 6/16/24 staff (Nurse Aide #1, Nurse Aide #2, and Nurse #1) observed Resident #1 (female) in Resident #2's (male) room. Resident #2 was lying on his back on the bed naked from the waist down and Resident #1 was on top of him with her brief and pants down at her ankles. Resident #2 had one hand on his erect penis and was trying to insert his penis in Resident #1, and he was touching her private parts with his other hand. Approximately 30 minutes after the residents were separated, Nurse Aide #2 observed Resident #1 back in Resident #2's room with her hands on the front of his pants and was attempting to remove them. Resident #1 and Resident #2 had severe cognitive impairment and did not have the capacity to consent. A reasonable person expects to be protected from abuse in their home environment and sexual abuse would cause trauma…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-07-01 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 interviews the facility failed to implement their abuse policy by failing to immediately implement protective measures when Nurse Aide #1 and Nurse Aide #2 observed two residents with severe cognitive impairment (Resident #1 and Resident #2) engaged in sexual activity that they did not have the capacity to consent to and the staff did not immediately separate the residents to provide protection from further abuse. The residents remained engaged in the sexual act until Nurse #1 arrived at the room and instructed Nurse Aide #1 and Nurse Aide #2 to separate the residents. Approximately 30 minutes after the residents were separated, Nurse Aide #2 observed Resident #1 back in Resident #2's room with her hands on the front of his pants and she was attempting to remove them. Additionally, the facility failed to implement their abuse policy for reporting and investigating the sexual abuse for 2 of 4 residents (Resident #1 and Resident #2) reviewed for allegations of abuse.…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · H2024-02-16 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, resident, family member, and staff interviews, the facility failed to protect residents' dignity when residents were left soiled in feces and saturated in urine for 4 of 17 residents reviewed for dignity issues (Resident #192, Resident #34, Resident #48, and Resident #69), and failed to provide a dignity cover over a urinary catheter drainage bag for 1 of 4 residents reviewed for urinary catheters (Resident #390). Resident #192, Resident #34, Resident #48, and Resident #69 reported they felt upset, angry, mad, and like they did not matter at all when they were not provided incontinence care. Resident #390 felt upset that everyone could see my urine. The reasonable person concept was applied for Resident #48 due to her inability to express her feelings and a reasonable person would feel humiliated and degraded having to holler for assistance. The findings included: 1. Resident #192 was admitted to the facility on [DATE] with diagnoses including respiratory failure and hypertension. 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
• Actual harm · Hcited before2024-02-16 · tag F0725 — failed to have enough nursing staff — pattern
  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 reviews, and staff, resident, Nurse Practitioner, and Medical Director interviews, the facility failed to provide sufficient nursing staff which resulted in residents being treated in an undignified manner when left incontinent of urine or stool (Resident #192, #34, #48, and #69) and when a urinary catheter bag was left uncovered (Resident #390). These residents reported feeling upset, angry, mad and unimportant. The facility failed to provide sufficient nursing staff to assist with activities of daily living (ADL) care for dependent residents (Resident #192, #34, #69, #48, and #339). The facility failed to supervise a resident who was at high-risk for falls which resulted in acute cervical 6, cervical 7 and 1 thoracic fractures due to a fall (Resident #16). This affected 9 of 86 residents reviewed for sufficient nursing staff. The findings include: This tag is crossed referenced to F 550: Based on record reviews and staff interviews, the facility failed to protect residents' dignity when residents were left soiled in stool and saturated in urine for 4…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-02-16 · 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 staff, Nurse Practitioner, (NP) #1 and Medical Director (MD) interviews, observations and record review, the facility failed to supervise Resident #16 who was cognitively impaired and impulsive. The resident was eating in a dining room without any staff present in the room and with the back of her wheelchair positioned in front of a stone hearth. While passing trays on the 300 hall, NA #8 observed Resident #16 aggressively bounce her wheelchair and suddenly flip her wheelchair backwards hitting her head on the stone fireplace. This accident resulted in acute cervical 6, cervical 7 and thoracic 1 fractures. The fall on 12/23/23 resulted in pain at a level of 6 out of 10 and the use of a hard cervical collar. This was for 1 of 6 residents reviewed for accidents (Resident #16). The findings included: Resident #16 was admitted on [DATE] with cumulative diagnoses of metabolic encephalopathy, peripheral vascular disease with a left above the knee amputation (AKA) and a history of falls. Resident #16 was care…

  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 · D2026-06-25 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 have a medication error rate of less than 5% as evidenced by 3 medication errors out of 25 opportunities, resulting in a medication error rate of 12% for 1 of 3 residents observed for medication administration (Resident #307). The findings included: Resident #307 was admitted to the facility on [DATE] with diagnoses that included type II diabetes with diabetic autonomic neuropathy (a complication of diabetes where high blood sugar damages the nerves that control involuntary bodily functions), vascular dementia, epilepsy, and other depressive episodes. A review of Resident #307's active physician orders revealed the following: An order dated 4/30/26 for carbidopa-levodopa tablet extended release; 50-200 milligrams (mg). Give 1 tablet by mouth 3 times daily. This medication is used to manage severe movement disorders such as tremors, stiffness, and slowness. An order dated 4/30/26 for duloxetine capsule, delayed release;30 mg. Take…

  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 · Dcited before2026-06-25 · 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 Based on observation, record review, and interviews with the Nurse Practitioner, pharmacist, and staff, the facility failed to administer scheduled medications in the correct form when the nurse crushed 2 tablets and opened 1 capsule of extended-release and delayed-release medications for 1 of 3 residents reviewed for significant medication errors (Resident #307). The findings included: Resident #307 was admitted to the facility on [DATE] with diagnoses that included type II diabetes with diabetic autonomic neuropathy (a complication of diabetes where high blood sugar damages the nerves that control involuntary bodily functions), vascular dementia, epilepsy, and other depressive episodes. Resident #307 had a physician's order dated 5/1/26 for metoprolol succinate tablet extended release 24 hour; 25 milligrams (mg); amount 0.5 tablet by mouth once a day. Metoprolol succinate is a once-daily, extended-release medication used to treat high blood pressure. It slows the heart rate and relaxes blood vessels to reduce…

  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 · E2025-05-12 · tag F0658 — failed to meet professional standards of care — pattern
  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 record review, staff and Medical Director interviews the facility failed to administer scheduled medication as ordered by the physician for 7 of 24 residents on the 500 hall reviewed for medication administration (Resident #339, Resident #335, Resident #20, Resident #13, Resident #43, Resident #8, Resident #11). The findings included: A. Resident #339 was admitted to the facility on [DATE] with a diagnosis that included major depressive disorder and generalized anxiety Physician order dated 10/17/2024 revealed an order to administer Resident #339 Lorazepam (antidepressant and anxiety) 2 mg at bedtime. Review of the Medication Administration Record (MAR) for the month of December 2024 indicated Resident #339 did not receive Lorazepam 2 mg at 9:00 PM on 12/7/2024. B. Resident #335 was admitted to the facility on [DATE] with a diagnosis that included major depressive disorder and anxiety disorder. Physician order dated 3/17/2023 revealed an order to administer Resident #335 Mirtazapine (antidepressant 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-12 · tag F0725 — failed to have enough nursing staff — pattern
  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 record review, Medical Director and staff interviews, the facility failed to have sufficient staff in the facility to administer medications as ordered to the 500 hall/unit for 17 of 24 residents reviewed for medication administration (Resident #339, Resident #335, Resident #20, Resident #56, Resident #338, Resident #38, Resident #63, Resident #19, Resident #336, Resident #333, Resident #11, Resident #13, Resident #45, Resident #26, Resident #29, Resident #337, Resident #8). Finding included: This tag is crossed referenced to: F658: Based on record review, staff and Medical Director interviews the facility failed to administer scheduled medication as ordered by the physician for 7 of 24 residents (Resident #339, Resident #335, Resident #20, Resident #13, Resident #43, Resident #8, Resident #11) on the 500 hall reviewed for medication administration. This tag is cross referenced to: F760: Based on record review, staff and Medical Director interviews the facility failed to administer scheduled medication as ordered by the physician for 17 of 24 residents (Resident #339,…

  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 · Ecited before2025-05-12 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and Medical Director interviews the facility failed to administer scheduled medication as ordered by the physician for 17 of 24 residents (Resident #339, Resident #335, Resident #20, Resident #56, Resident #338, Resident #38, Resident #63, Resident #19, Resident #336, Resident #333, Resident #11, Resident #13, Resident #45, Resident #26, Resident #29, Resident #337, Resident #8) on the 500 hall when there was no nurse assigned to administer medication. This practice resulted in significant medication errors. The findings included: A. Resident #339 was admitted to the facility on [DATE] with a diagnosis that included atrial fibrillation (irregular, rapid heart rate), congestive heart failure and hypertension. Physician order dated 10/17/2024 revealed an order to administer Resident #339 Eliquis (anticoagulant) 2.5 milligrams (mg) two times a day. Physician order dated 10/29/2024 revealed an order to administer Resident #339 Metoprolol Tartrate (used to treat chest pain 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-12 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of 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 record review, resident, Resident Representative, and staff interviews, the facility failed to conduct quarterly care conferences with residents and their families for 3 of 3 residents reviewed for care conferences (Resident #25, Resident #12, and Resident #41). The findings included: A. Resident #25 was admitted to the facility 6/11/24. The Significant Change Minimum Data Set (MDS) assessment dated [DATE] assessed Resident #25 to be cognitively intact. Review of Resident #25's medical record revealed a care conference conducted on 1/6/25. The medical record indicated the next care conference date was 4/6/25. Review of the medical record revealed no care conference had been conducted on 4/6/25. Resident #25 was interviewed on 5/6/25 at 8:59 AM. When asked if she had participated in quarterly care conferences, Resident #25 reported she had, but it had been months since the last one. B. Resident #12 was admitted to the facility 11/12/24. The quarterly MDS assessment dated [DATE] assessed Resident #12 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.

  Resident Rights Deficiencies · Past Non-Compliance
• Potential for harm · D2025-05-12 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and Nurse Practitioner (NP) and staff interviews, the facility failed to notify the physician of an unsuccessful attempt to insert a midline intravenous (IV) line (long, thin, flexible tube that is inserted into a large vein in the upper arm) for 1 of 3 residents reviewed for notification (Resident #80). The findings included: Resident #80 was admitted to the facility 11/17/20 with diagnoses including stroke and dementia. The quarterly Minimum Data Set assessment dated [DATE] did not conduct an interview for cognition because Resident #80 was rarely or never understood. A NP note dated 2/27/25 documented a positive urine culture and potential pneumonia for Resident #80 and ordered cefepime (an antibiotic) to be administered by IV due to Resident #80's refusal to take oral medications. Physician orders for Resident #80 were reviewed and revealed an order dated 2/27/25 to insert a midline IV to be inserted. An order dated 2/27/25 specified cefepime 1 Gram to be administered in 50…

  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 · E2024-02-16 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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, record reviews and interviews of residents, family member, and staff, the facility failed to provide incontinence care for dependent residents (Resident #192, Resident #34, Resident #69, Resident #48, and Resident #339), and failed to provide bathing for a dependent resident (Resident #339) for 5 of 16 residents reviewed for activities of daily living. The findings included: 1. Resident #192 was admitted to the facility on [DATE] with diagnoses including respiratory failure and hypertension. The admission Minimum Data Set (MDS) dated [DATE] assessed Resident #192 to be cognitively intact. The remainder of the MDS was in progress and incomplete. The MDS vision assessment was not completed, however, Resident #192 read from her phone, and was able to read the name badge of the surveyor. The admission nursing assessment dated [DATE] documented Resident #192 was incontinent of urine and feces. A care plan dated [DATE] addressed Resident #192's potential for skin breakdown related to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-16 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview of facility staff, the facility failed to label/date an opened vial of tuberculin (injectable solution to test for tuberculosis) and failed to discard an opened expired vial of tuberculin for 2 of 2 medication storage refrigerators observed on the short-term hall and long-term hall respectively. Findings included: The manufacturer's instructions for tuberculin read initial and date the tuberculin vial when opened and to discard the tuberculin vial 30 days after opening. On [DATE] at 11:04 am the short-term hall medication storage refrigerator observation revealed that a tuberculin vial was opened and not dated. The Infection Preventionist (IP) was present for observation and stated the tuberculin should have been dated when opened and discarded the vial. On [DATE] at 11:04 am an interview was conducted with the IP during medication storage observation. The IP stated that nursing staff was required to date all medication when opened and to check for expired…

  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 · E2024-02-16 · tag F0802 — failed to prepare enough nourishing food — pattern
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and resident, family and staff interviews, the facility failed to have an effective system to ensure there was sufficient and competent dietary staff available on 12/31/23 to serve breakfast. This failure had the potential to impact all residents who received meals from the kitchen. The findings included: The facility's meal delivery times were recorded as follows: · Breakfast - 7:00 AM - 8:30 AM · Lunch - 12:00 AM - 1:30 PM · Dinner - 5:00 PM - 6:30 PM An interview was conducted on 02/07/24 at 12:25 PM with the Infection Preventionist Nurse. She stated a group email was sent out by Administrator #2 on 12/30/23 at approximately 10:00 PM requesting anyone that was available to come in and help cook in the kitchen on 12/31/23 due to no dietary staff. She responded saying she would be able to help. She arrived at 6:00 AM and upon arriving, Dietary Staff #1 was already cooking breakfast. She stated Dietary Staff #1 instructed her to set the breakfast trays up which she done. She also indicated she read the meal tickets and made sure the correct diet was provided.…

  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

$197,532 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $33,995 — penalty dated 2024-07-01
• $163,537 — penalty dated 2024-02-16
• Medicare payment denial — starting 2024-03-12 for 49 days

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 PRUITTHEALTH — 95 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 5 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $3.7M paid to related parties — landlords or management companies under common ownership — equal to about 29% 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. 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 2024. 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, FY2024). 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