Stratford Manor Health & Rehab

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.

43.6% 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 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

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 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 60 beds and averages 50.7 residents a day — about 84% occupied, or roughly 9 beds typically open. It usually has some room. 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 2.89 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.66 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 2.62 hrs/resident/day on weekends vs 2.99 on weekdays — 12% thinner on weekends. RN hours go from 0.61 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above the national median of 45%. 1 administrator has left in the past year.

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 more than at the previous inspection — worsening. 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.

20 citations, most serious first. The 13 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2022-06-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, staff interviews and record review the facility failed to 1) respond to the call bell when toileting assistance was required resulting in a resident who was occasionally incontinent becoming soiled causing the resident to feel frustrated and upset; 2) respond to a resident's need to go to bed and alleviate pain by not answering the call light for 40 minutes; and 3) stood up over a resident at the bedside while providing eating assistance for 3 of 3 residents (Residents #14, #6, & #16) reviewed for dignity. The findings included: 1. Resident #14 was admitted to the facility on [DATE]. Her diagnoses included Diabetes, muscle weakness and amyotrophic lateral sclerosis (ALS). The quarterly Minimum Data Set assessment dated [DATE] reported Resident #14 was cognitively intact. She required extensive assistance for toileting and transfers. Resident #14 required staff assistance for moving on and off the toilet. She was occasionally incontinent of bowel and bladder. The 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2022-06-17 · 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 and consultant Registered Dietitian and facility staff interviews the facility failed to provide the tube feeding as ordered and failed to put in interventions for significant weight loss for 1 of 1 resident (Resident #5). Resident #5 experienced a significant weight loss of 13.9 percent in 2 months. The findings included: Resident #5 was admitted to the facility on [DATE]. His diagnoses included cerebral infarct, gastrostomy feeding tube, and aphasia. The current Care Plan revised on 12/22/21 indicated Resident #5 had potential for nutritional risk related to receiving 100% of nutrition via PEG (percutaneous endoscopic gastrostomy) tube. The interventions included observe/report to MD (physician) PRN (as needed) signs/symptoms of malnutrition .significant weight loss. The current physician order dated 2/1/21 read, (Commercial nutritional tube feeding formula) 1.5 calories liquid, Give 75 ml/hr. (milliliters per hour) via G-tube (gastrostomy tube) every day and night shift.…

  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 · G2022-06-17 · 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 observations, staff interviews and record review the facility failed to provide the residents tube feeding according to the physician's orders for 1 of 1 resident (Resident #5) reviewed for tube feeding. Resident #5 expericenced significant weight loss of 13.9 percent. The findings included: Resident #5 was admitted to the facility on [DATE]. His diagnoses included cerebral infarct, gastrostomy feeding tube, and aphasia. Resident #5's Care Plan last reviewed on 12/22/21 indicated he required tube feeding related to dysphagia. The interventions included, See MAR (medication administration record) for current feeding orders. The Care Plan also indicated Resident #5 had the potential for nutritional risk related to receiving 100% of nutrition via PEG (percutaneous endoscopic gastrostomy) tube. The interventions included observe/report to MD (physician) PRN (as needed) signs/symptoms of malnutrition .significant weight loss. A record review revealed a progress note dated 1/20/20 by Registered Dietitian (RD)…

  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 · D2025-04-10 · 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, and resident and staff interviews, the facility failed to perform quarterly safe smoking assessments and secure smoking materials, specifically a vaping pen (an electronic nicotine delivery system/electronic smoking device), for 1 of 4 residents (Resident #20) reviewed for safe smoking. Findings included: A review of the facility's smoking policy titled Smoking Permitted with a revision date of 10/20/22 stated in part: Residents, visitors, and staff may smoke in designated areas only. Smoking will be strictly prohibited in all non-smoking areas. All areas indoors including but not limited to . resident rooms, common living and dining areas. Residents who desire to smoke may not keep smoking related materials (i.e. cigarettes, electronic smoking devices [e-cigarettes], refill cartridges/fluid) . on their person when not smoking or in their room. Residents who are determined by the interdisciplinary team as safe for independent smoking will request smoking materials when…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and Physician Assistant and staff interviews, the facility failed to follow their hand hygiene and enhanced barrier protection portion of the infection control policy when 2 of 3 staff (Physician Assistant and Nurse #1) did not don personal protective equipment and perform hand hygiene before donning clean gloves during wound care. This deficient practice occurred for 2 of 3 staff members reviewed for infection control practices. The findings included: A review of the facility's Infection Prevention and Control Policy revised 6/1/23 revealed in part: Hand hygiene should be completed after contact with non-intact resident's skin, wound dressings, or contaminated items. A review of the facility's Enhanced Barrier Precautions policy dated 3/28/24 revealed in part: Enhanced Barrier Precautions (EBP) refer to the infection control intervention aimed at reducing transmission of MDRO's (Multidrug-Resistant Organism) through the targeted use of gown and gloves during high contact resident care activities. High-contact resident care activities requiring…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-31 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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, and staff interviews, the facility failed to protect a resident from misappropriation when his debit card was used while he was hospitalized . This was for 1 of 3 residents reviewed for misappropriation (Resident #3). The findings included: Resident #3 was admitted to the facility [DATE] with diagnoses including lung disease and heart failure. The quarterly Minimum Data Set (MDS) assessment dated [DATE] assessed Resident #3 to be severely cognitively impaired. Resident #3 did not have any behaviors noted on the MDS assessment. A nursing note dated [DATE] documented Resident #3 was sent to the hospital for evaluation after a change in status. A note dated [DATE] documented Resident #3 died at the hospital on [DATE]. Resident #3's bank statement dated [DATE] documented debit card used from [DATE] to [DATE] totaling $157.92. The bank statement indicated 70 transactions had been completed from 11/27 to [DATE] and all but one transaction had been conducted at a vending machine. A…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · 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, observation, and Wound Physician Assistant, Physician, and staff interviews, the facility failed to change a pressure ulcer dressing according to physician orders for 1 of 3 residents reviewed for pressure ulcer care (Resident #6). The findings included: Resident #6 was admitted to the facility on [DATE] with diagnoses including pressure ulcer and hypertension. The quarterly Minimum Data Set assessment dated [DATE] documented Resident #6 was severely cognitively impaired, and she had one Stage 4 pressure ulcer on admission. Wound care orders for Resident #6 were reviewed and an order dated 1/24/25 specified wound care was to be provided daily: cleanse with normal saline or wound cleanser, pack with packing strip wet with sodium hypochlorite (an antiseptic wound treatment), cover with absorbent dressing. Review of Resident #6's Treatment Administration Record revealed no nurse initials for 1/28/25 that indicated the wound care had been completed that date for the Stage 4 pressure ulcer. An…

  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 · F2023-11-30 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and record review the facility failed to submit accurate payroll data, regarding 24-hour licenses nurse coverage, for 4 of 4 days reviewed (7/10/2022, 7/17/2022, 8/7/2022, and 8/20/2022) of the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) for the 4th quarter in fiscal year 2022. Findings included: The CMS submission report, PBJ Final File Validation Report for Fiscal Year 2022 (July 1 to September 30) showed the facility failed to have Licensed Nursing Coverage, 24 hours out of 24 hours, for the days of 7/10/2022, 7/17/2022, 8/7/2022 and 8/20/2022. Posted Nurse Staffing, nurse schedules, and the nursing staff's timecards for 7/10/2022, 7/17/2022, 8/7/2022, and 8/20/2022 were reviewed and revealed multiple licensed nurses were not accurately coded and omitted on the PBJ report for the 4th quarter of Fiscal Year 2022. During an interview with the Administrator on 11/30/2023 at 11:32 am she stated the Nurse Scheduler and Payroll Manager that were employed during the 4th quarter of Fiscal Year 2022 no longer worked…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-30 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  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 a written response to ongoing grievances reported by the Resident Council in the resident council meetings for 7 of 12 months (2/23/2023, 4/20/2023, 5/25/2023, 7/27/2023, 8/28/2023, 10/27/2023 and 11/27/2023). Findings included: The Resident Council Meeting Minutes were reviewed 11/2022 to present and the following issues were identified that were also brought up during the Resident Council Meeting observed on 11/27/2023 at 2:25 pm: On 2/23/2023 residents complained of issues with food trays not being passed timely at all meals which causes food to be cold. On 4/20/2023 the resident council complained that food was not good and asked if someone could test the food. On 5/25/2023 the residents asked for dietary reform for menus and alternate meals. Again on 6/22/2023 Meal consistency and food not being stocked was a concern brought to the facility by resident council. On 7/27/2023 the resident council had concerns regarding the variety of foods being served. On 8/28/2023 dietary quality…

  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 before2023-11-30 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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, observations, resident and staff interviews, the facility failed to protect a resident's right to be free from misappropriation of pain medication for 1 of 3 residents reviewed for abuse (Resident #11). The findings included: Resident #11 was admitted to the facility 11/29/2021 with diagnoses to included diabetes and lung disease. The annual Minimum Data Set (MDS) dated [DATE] assessed Resident #11 to be cognitively intact. The MDS documented Resident #11 received as needed (PRN) pain medications for moderate pain. A physician order (no date) for Resident #11 ordered oxycodone/acetaminophen 7.5/325 milligrams (mg) to be administered every 6 hours as needed for pain. A review of the medication administration record for 9/5/2023 revealed Resident #11 had received oxycodone/acetaminophen 7.5/325 mg at 1:00 PM. The facility investigative report dated 9/13/2023 documented on 9/5/2023, Nurse #3 was sent home after poor performance. The report documented the oncoming nurse (Nurse #1) counted…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · F2022-06-17 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interviews and record review the facility failed to have 8 consecutive hours of Registered Nurse coverage for 2 of 30 days of staffing reviewed. (4/09/22 & 4/10/22) The findings included: A review of the Daily Staffing form for 4/9/22 revealed 1 Licensed Practical Nurse (LPN) and 2 Medication Aides (MA) were present on the 7:00 AM to 3:00 PM shift. There were 3 LPNs and 3 MAs on the 3:00 PM - 11:00 PM shift. There were 2 LPNs and 1 MA on the 11:00 PM - 7:00 AM shift. The Registered Nurse (RN) coverage was documented as 0 for the entire day. A review of the Daily Staffing Form for 4/10/22 revealed 1 LPN and 1 MA were present on the 7:00 AM to 3:00 PM shift. There were 2 LPNs and 2 MAs on the 3:00 PM - 11:00 PM shift and 1 LPN and 1 MA on the 11:00 PM - 7:00 AM shift. The RN coverage for the entire day was documented as 0. On 6/17/22 at 11:00 AM the Director of Nursing confirmed there was no RN working on 4/9/22 or 4/10/22 so they did not have the required 8 consecutive hours of RN coverage.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-06-17 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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 maintain accurate medical records for (1) wound care (Resident #53) and (2) splint application (Resident #12) for 2 of 2 medical records review for accuracy. The findings included: 1. Resident #53 was admitted to the facility on [DATE] and died at the facility on [DATE]. She had diagnoses which included congestive heart failure, Diabetes Mellitus and renal insufficiency. The admission Minimum Data Set (MDS) dated [DATE] indicated Resident #53 was cognitively intact and required limited or extensive assistance for most activities of daily living. Her MDS was also coded to have 1 stage 3 pressure ulcer present on admission, 1 venous ulcer, and 1 surgical wound present on admission. a. Review of Physician's orders revealed an order dated [DATE] for the left foot surgical wound to be cleansed with wound cleanser and apply a dry dressing every day shift for wound care. Review of Resident #53's Treatment Administration Record (TAR) for [DATE]…

  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 · E2022-06-17 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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, interviews with residents and facility staff and record review the facility failed to implement an effective pest control program to control the presence of live flies observed throughout 2 of 3 resident halls. The findings included: A review of the contracted pest control company logs from January 2022 through June 2022 revealed the facility was treated each month for cockroaches and mice. There were no treatments for flies. 1a. Resident #35 was admitted to the facility on [DATE]. Her quarterly Minimum Data Set MDS) revealed she was cognitively intact. On 6/14/22 at 8:18 AM Resident #35 stated she was still trying to sleep but the flies were bothering her. She was observed to swat at a fly that landed on her face 3 times until it landed on the bed linens. b. Resident #47 was admitted to the facility on [DATE]. His quarterly MDS dated [DATE] revealed he was cognitively intact. On 6/14/22 at 8:27 AM Resident # 47 stated the flies were bothering him all the time. He said there were none in…

  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.

  Environmental 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

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 71% 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 $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 30% 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 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