Ramseur Rehabilitation and Healthcare Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

59.8% 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 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 90 beds and averages 73.4 residents a day — about 82% occupied, or roughly 17 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 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 2.99 hrs/resident/day on weekends vs 3.55 on weekdays — 16% thinner on weekends. RN hours go from 0.65 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as 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 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.

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

• Immediate jeopardy · J2024-05-17 · 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 Medical Director interviews the facility failed to protect a resident's right to be free of sexual abuse for 1 of 3 residents investigated for abuse (Resident #7). A moderately cognitively impaired male resident (Resident #39) was found beside Resident #7's bed, a severely cognitively impaired female resident, with his hand moving under the covers around her groin area when a staff member entered Resident #7's room. Resident #7's brief was open and there was stool on the outside of her brief and on her sheets, and Resident #39 had stool on his hands. Resident #39 was interviewed and stated he was playing around with Resident #7 down there and waved his hand in a circular motion around his groin area. Resident #39 stated he had done something stupid, and he should not have done it. Resident #7 did not have the cognition to express or understand consent for physical sexual advances, and a reasonable person would have been traumatized by unwanted physical sexual…

  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 · J2024-05-17 · 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 and Medical Director interviews the facility failed to implement the following components of the abuse policy: (a) immediately report an allegation of sexual abuse of a severely cognitively impaired female resident (Resident #7) by a moderately cognitively impaired male resident (Resident #39) to the Administrator; (b) the facility failed to provide a physical examination of a severely cognitively impaired female resident (Resident #7) by a trained/licensed professional for signs of sexual abuse; (c) the facility failed to protect a severely cognitively impaired female resident (Resident #7) and all other residents from the possibility of sexual abuse when they failed to put Resident #39 on one-to-one observations when there was an allegation of sexual abuse against Resident #7; (d) the facility failed to assess all other residents in the facility when an allegation of sexual abuse was reported; and (e) the facility failed to report the allegation of abuse to the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-08-01 · 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 staff and Physician interviews, the facility failed to notify the Physician when a STAT (immediately or urgently) x-ray was not completed as ordered for a resident that had right hip pain after a fall on 2/22/25. The order for the x-ray was called to the mobile x-ray provider the evening of 2/22/25. The nurse assigned to the resident on 2/23/25 contacted the mobile x-ray provider to follow up about the STAT x-ray order around 5:00 PM but did not notify the Physician the STAT x-ray had not been completed. Another nurse contacted the mobile x-ray provider on 2/24/25 and the x-ray was completed that afternoon and noted Resident #90 had a displaced right femoral neck fracture (a break in the upper part of the femur [thigh bone],near the hip joint, where broken bone fragments have moved out of their normal alignment). The lack of notification resulted in a delay of an evaluation at the hospital for stabilization or surgery for the fracture until 2/24/25. The deficient practice occurred for…

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

  Resident Rights Deficiencies · Past Non-Compliance
• Actual harm · G2025-08-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 and Physician interviews, the facility failed to provide immediate medical evaluation and treatment when Resident #90 fell and complained of right hip pain on 2/22/25. Nurse #1 notified the Nurse Practitioner and received an order for a STAT (immediately or urgently) of the right hip on 2/22/25. The x-ray was not completed until 2/24/25 and the results revealed a displaced right femoral neck fracture (a break in the upper part of the femur [thigh bone], near the hip joint, where the broken bone fragments have moved out of their normal alignment). In addition, nurses failed to document thorough ongoing assessments of the resident's condition and staff continued to turn and reposition the resident in the bed which was painful for the resident. Resident #90 was sent to the hospital for an evaluation on 2/24/25 and x-rays confirmed the displaced right femoral neck fracture. Initially the Orthopedic surgeon considered operating on Resident #90 but then further evaluating…

  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 · E2024-05-17 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  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, observations, and staff interviews, the facility failed to protect the residents right to be free from misappropriation of a narcotic medication (Oxycodone) prescribed to treat pain for Resident #16, Resident #75, and Resident #239. This was for 3 of 3 residents reviewed for misappropriation. The findings included: 1) Resident #16 was admitted to the facility on [DATE]. A review of Resident #16's quarterly Minimum Data Set assessment, dated 2/29/24, indicated her cognition was intact and she received opioid medication. Resident #16 had an order dated 2/13/24 for Oxycodone 10 milligrams (mg) every 6 hours as needed for 5 days and to record the resident's pain level. A review of Resident #16's February Medication Administration Record (MAR) revealed the resident received Oxycodone 10 mg administered by Nurse #2, #7, and #12 for pain on 2/14/24. The second Oxycodone order, dated 2/18/24, was for 10 mg every 6 hours as needed for pain. The Narcotic Count Sheet documented for Resident #16's…

  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 · D2024-05-17 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and staff interviews, the facility failed to develop an individualized and comprehensive care plan for a resident with urinary incontinence, a resident at risk for aspiration and failed to care plan antibiotic use. This was for 4 of 25 residents whose care plans were reviewed (Resident #2, #85, #66, and #78). The findings included: 1. Resident #2 was admitted to the facility on [DATE] with diagnosis that included displaced subtrochanteric fracture of right femur, and diabetes mellitus with diabetic polyneuropathy. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #2's cognition was intact. She had no behavior and no rejection of care. She was dependent on staff for toileting hygiene, shower/bath, and she required maximum assistance with personal hygiene. She was occasionally incontinent of bladder and always incontinent of bowel. Review of Resident #2's active care plan, dated [DATE], revealed no care plan related to incontinence care. 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-17 · 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, observations, and staff interviews, the facility failed to ensure a fall mat was in place according to the care planned fall safety interventions (Resident #31). This was for 1 of 4 residents reviewed for accidents. The findings included: Resident #31 was admitted to the facility on [DATE] with diagnoses that included dementia and lack of coordination. A review of Resident #31's medical record revealed on 1/27/23 she was found lying beside her bed and stated she fell off the bed while sleeping. It was noted that her room was rearranged and fall mat placed to the left side of the bed for safety. No further falls were indicated in Resident #31's medical record. An annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #31 had severe cognitive impairment and received supervision for bed mobility and moderate assistance with transfers. She was coded with no falls since the last assessment. Resident #31's active care plan, last reviewed 4/22/24, included a focus area for risk…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-17 · tag F0842 — failed to keep accurate, complete medical records — isolated
  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, observations and staff interviews, the facility failed to clarify a consultation note and discontinue an order for PICC (peripherally inserted central catheter) line care (Resident #78). This was for 1 of 3 residents reviewed for antibiotic use. The findings included: Resident #78 was originally admitted to the facility on [DATE]. She was recently readmitted from the hospital on 2/16/24 with a diagnosis of polymicrobial bacterial infection (acute and chronic diseases caused by various combinations of viruses, bacteria, and fungi) with a PICC line present. A review of Resident #78's active physician orders included an order dated 2/17/24 for PICC line dressing change every seven days. Review of an Infectious Disease progress note dated 4/5/24, indicated the PICC line would be removed on 4/5/24. Resident #78's April 2024 Medication Administration Record (MAR) was reviewed and indicated the order to change the PICC line dressing every seven days was still active from 4/5/24 to 4/30/24. On…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-17 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, observations, resident, and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following an annual recertification and complaint survey on 06/11/21. This was for two deficiencies that were cited in the areas of Accuracy of Assessments and Free of Accident Hazards/Supervision/Devices. During a complaint survey on 05/16/23, one deficiency was cited in the area of Free of Accident Hazards/Supervision/Devices. In addition, four deficiencies were cited during the annual recertification and complaint survey on 02/23/23 in the areas of Encoding/Transmitting Resident Assessments, Accuracy of Assessments, Care Plan Timing and Revision, and Free of Accident Hazards/Supervision/Devices. The deficient practice in the areas of Encoding/Transmitting Resident Assessments, Accuracy of Assessments, Care Plan Timing and Revision, and Free of Accident Hazards/Supervision/Devices were recited on the current recertification and complaint…

  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 · F2023-02-23 · 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 — an excerpt from the official record, may be distressing

  Based on record reviews and staff interviews, the facility failed to provide Registered Nurse (RN) coverage at least 8 consecutive hours a day for 7 out of 38 days reviewed for staffing. The failure to have RN coverage for the facility had the high likelihood to impact every resident in the facility. The findings included: Review of the Payroll Based Journal (PBJ) facility reporting, Posted Nurse Staffing as compared to the Staff Schedule/Assignment Sheets, and RN timecard reports revealed there was no RN coverage for eight consecutive hours on for 07/31/22, 08/07/22, 08/20/22, 08/21/22, or 08/28/22. This was for 5 of the 8 days reviewed from PBJ triggered days. Review of the Posted Nurse Staffing as compared to the Staff Schedule/Assignment Sheets and RN timecard reports for the period of 01/20/23 through 02/20/23 corroborated there was no RN coverage on 01/21/23 or 01/22/23. This was for 2 of the 30 days reviewed. An interview was conducted on 02/21/23 at 03:47 PM with the Administrator. She stated she did not have an RN on 07/31/22, 08/07/22, 08/20/22, 08/21/22, 08/28/22,…

  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 · E2023-02-23 · 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 staff and resident interviews, the facility failed to resolve grievances which were reported in the Resident Council meetings for 4 out of 6 months reviewed (August 2022, September 2022, October 2022, November 2022, December 2022, January 2023). The findings included: Review of the grievance policy provided by the facility and dated October 2017 read as follows: The objective of the grievance policy is to ensure the facility makes prompt efforts to resolve grievances a resident may have. The intent of the grievance process is to support each resident's right to voice grievances (e.g., those about treatment, care, management of funds, lost clothing, or violation of rights) and to assure that after receiving a complaint/grievance, the facility actively seeks a resolution and keeps the resident appropriately apprised of its progress toward resolution. Observation of a Resident Council meeting was conducted on 02/21/23 at 3:16 PM and revealed an issue with resolution of grievance regarding activities on the weekend. Residents in the meeting had various ranges…

  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 · Ecited before2023-02-23 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to review and revise the care plan in the areas of falls (Residents #2, #38 and #58), pressure ulcers (Resident #14), and medications (Residents #43 and #77). This was for 6 of 18 resident records reviewed. The findings included: 1. Resident #2 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, muscle weakness and anxiety disorder. A review of Resident #2's medical record revealed she sustained an actual fall on 10/26/22 and another one on 1/22/23. Review of Resident #2's active care plan included a care plan for the risk for falls initiated on 1/26/23. A quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #2 had moderately impaired cognition and was coded with one fall with minor injury. On 2/23/23 at 10:53 AM, an interview was conducted with the Regional MDS Nurse Consultant. She reviewed Resident #2's active care plan and stated the care plan should have been revised to reflect 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-02-23 · 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 review, resident, and staff interview ' s the facility failed to provide nail care and incontinence care for 3 of 5 residents reviewed for activities of daily living (ADL ' s) (Resident #29, #1, and #2). The findings include: 1. Resident #29 was admitted to the facility on [DATE] with diagnoses that included Dementia, stage 3 pressure ulcer, and contracture of right hand. Review of the quarterly Minimum Data Set (MDS) assessment, dated 12/14/22, revealed Resident #29 ' s cognition was severely impaired. Resident #29 required extensive assistance of one person for bed mobility, dressing, toilet use, personal hygiene, and toilet use. She required extensive assistance of two people for transfers. Resident #29 was coded for functional limitations in range of motion (ROM) on one side of her upper extremities. Review of Resident #29 ' s care plan with a revision date of 12/20/22 revealed a focus area for Activities of Daily Living (ADLs): required assistance for all ADLs related to polio…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-02-23 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident interview, and staff interview, the facility failed to ensure group activities were planned on weekends to meet the needs of residents who expressed that it was important to them to attend group activities (Residents #35, #13, #3) for 3 of 3 residents reviewed for activities. The findings included: A review of the Activities Calendar from August 2022 through January 2023 revealed there was 1 activity planned every Saturday and 1 religious activity on every Sunday. a. Resident #35 was originally admitted to the facility on [DATE] with diagnoses that included major depressive disorder and anxiety disorder. The annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #35's cognition was fully intact. This assessment indicated that it was very important to Resident #35 to do activities with groups of people. The Activity assessment dated [DATE] indicated Resident #35 preferred to participate in activities in the morning and afternoon, in the day/activity room, and 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

“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

$102,656 in federal fines across 2 penalties.

• $11,700 — penalty dated 2025-08-01
• $90,956 — penalty dated 2024-05-17

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 YAD HEALTHCARE — 13 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 8 rows in the source record cover these 5 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 $2.1M paid to related parties — landlords or management companies under common ownership — equal to about 22% 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