Warsaw 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.

41.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 87 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 100 beds and averages 85.5 residents a day — about 86% occupied, or roughly 14 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 2.98 hrs/resident/day on weekends vs 3.32 on weekdays — 10% thinner on weekends. RN hours go from 0.43 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · J2024-12-09 · 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 record review, and resident, Physician, Surgical Technician, and staff interviews, the facility failed to leave Resident #4 in place to be assessed by a medical professional following a fall in the facility ' s transportation van. Resident #4 was transported to a medical appointment in the facility transport van and when Transporter #1 arrived at the appointment site and parked, Resident #4 stated he was sliding from his wheelchair. Transporter #1 was not trained for transferring residents and went to back of van and transferred Resident #4 from the floor of the van back into his wheelchair. Transporter #1 did not inform the facility about the fall until he returned Resident #4 to the facility from his follow up appointment with the surgeon for a left leg above the knee amputation completed on 10/12/24. Resident #4 ' s right hand became swollen and painful later in the day and x-ray results were negative. There was a high likelihood of a serious adverse outcome including further injury when moving 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-12-09 · 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, staff and physician interviews, the facility failed to ensure Resident #4 was safely secured in the transportation van. During transport on 11/15/24 Resident #4 reported to the driver, Transporter #1, he felt like he was sliding out of his wheelchair. Transporter #1 had arrived at the resident's doctor's office and came to a complete stop at the front entrance to the appointment location at the time the resident reported this to him. Transporter #1 got into the back of the van and removed the seatbelt securement system. Resident #4 continued to slide down from wheelchair and onto the floor of the van with Transporter #1's assistance. Transporter #1 stated Resident #4 was almost at the very edge of the wheelchair when he went to assist, and he felt that Resident #4 would have continued to slide if the seatbelt had not been removed. Transporter #1 stated he secured the resident the same way on the return trip to the facility. Later that day, Resident #4's right…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2025-03-21 · 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 observation, record reviews, and interviews with Police Officer, staff, Resident, Psychiatric Nurse Practitioner, and Physician, the facility failed to protect a Resident's right to be free from staff to resident abuse perpetrated by Nurse Aide (NA) #3 while giving care to a resident with a history of being combative. On 03/08/2025 during morning rounds, Medication Aide #2 observed Resident #9 in his bed with scratches on the left side of his forehead, side of face, nose and left eye redness (bruising). This affected 1 of 4 Residents reviewed for abuse (Resident #9). The findings included: Resident #9 was admitted to the facility on [DATE] with diagnoses including cerebral infarct (stroke). The quarterly Minimum Data Set (MDS) dated [DATE] had Resident #9 coded as cognitively intact and needed total care with activities of daily living (ADL). There were no behaviors or moods reported. His vision was severely impaired, and he was also always incontinent with bowel and bladder. The care plan dated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-22 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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 code the Minimum Data Set (MDS) assessment accurately in the areas of indwelling urinary catheter,hospice care, smoking and prescribed medication, for 4 of 18 residents reviewed for MDS accuracy (Resident #10, #71, #43 and #8). 1. Resident #10 was admitted to the facility on [DATE]. Resident #10 did not have a diagnosis for the use of an indwelling urinary catheter. Review of Resident #10's physician orders did not reveal an order for an indwelling urinary catheter. Resident #10's significant change Minimum Data Set (MDS), dated [DATE], revealed the resident was coded as having an indwelling urinary catheter. A telephone interview was conducted with MDS Coordinator #1 on 6/3/26 at 2:05 PM. MDS Coordinator #1 explained that she worked at a sister facility and around the time of this MDS assessment was when she had first started helping the facility with their MDS assessments and did not know the residents. She stated she coded Resident #10 as…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-22 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interviews, the facility failed to protect private health information of Resident #37 leaving confidential medical information visible and accessible to the public on an unattended medication cart for 1 of 4 medication carts (unit 4 hall medication cart). The findings included:A continuous observation of an unattended medication cart on unit 4 hall was made on 06/04/2026 at 9:01 AM to 9:25 AM. Nurse #1 left the medication cart with the computer screen visible while she retrieved vital signs and administered medications to Resident #37 in the resident's room. Resident #37's Face Sheet (a summary sheet containing medical information) was visible on the screen. Visitors, residents and staff were present in the hallway during the observation. During an interview on 06/04/2026 at 9:25 AM with Nurse #1, she indicated she had left the computer screen unattended in the hallway while she went to retrieve vital signs and administer medications to Resident #37. Nurse #1 explained she forgot to close the electronic medical record prior to walking away from the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-22 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 complete the annual Minimum Data Set (MDS) to address the preferences of 1 of 18 residents reviewed for MDS accuracy (Resident #45).The findings included:Resident #45 was admitted to the facility on [DATE]. The annual Minimum Data Set (MDS) dated [DATE] noted Resident #45 was cognitively intact. The Preferences for Customary Routine and Activities sections were not complete and did not include any information. The MDS nurse who completed the annual MDS dated [DATE] was not available for an interview. An interview with the Regional Clinical Reimbursement Consultant was conducted on 6/2/2026 at 1:20 PM. She stated the annual MDS dated [DATE] for Resident #45 was coded incorrectly. She explained because the assessment had incorrectly noted that the facility was not Medicare or Medicaid certified, this caused the Preferences for Customary Routine and Activities section to not be opened for completion. She stated all MDS assessments must be coded…

  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 · D2026-06-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident and staff interviews, the facility failed to assist a resident with a bath (Resident #45) and failed to provide showers as scheduled and failed to wash the hair of a resident who was totally dependent on staff assistance for showers and bathing (Resident #4). Resident #4 was observed on 6/1/26 with matted hair on the back of her head and knotted ends of sections that were standing up on the top and sides of her head. This was found for 2 of 26 residents reviewed for activities of daily living (ADL). 1. Resident #4 was admitted to the facility on [DATE] with diagnoses which included anoxic brain damage, persistent vegetative state, other disorders of the autonomic nervous system, and contracture of muscles, multiple sites. Resident #4's annual Minimum Data Set (MDS), dated [DATE], indicated Resident #4 was in a persistent vegetative state and had no behaviors. The assessment indicated the resident had impairment on both of her upper and lower extremities and was totally dependent…

  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 · D2026-06-22 · tag F0687 — failed to care for feet properly — isolated
  Provide appropriate foot care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews, the facility failed to ensure a dependent resident's toenails were trimmed and podiatry services were arranged for 1 of 3 residents reviewed for foot care (Resident #9).The findings included:Resident #9 was admitted to the facility on [DATE] with diagnoses that included demyelinating disease (a condition that affects the nerve signals) of the central nervous system, flaccid hemiplegia (paralysis of one side of the body) affecting the right dominant right side, generalized muscle weakness and lack of coordination.A physician order dated 4/21/26 indicated dentist/podiatrist/psychiatrist/ophthalmologist/ counseling/wound services as indicated.An admission head to toe/skin assessment completed by the Wound Treatment Nurse on 4/22/26 indicated that Resident #9's toenails were long. The assessment did not indicate Resident #9 was referred for podiatry services.Resident #9's care plan had a care focus area initiated 4/22/26 that indicated that Resident #9 had 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 · E2025-03-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff and resident interviews, the facility failed to act upon grievances that were reported by the Resident Council, resolve repeat grievances, and to communicate the facility's efforts to address grievances voiced during Resident Council meetings for 6 of 6 consecutive months: October 2024, November 2024, December 2024, January 2025, February 2025 and March 2025. The findings included: A review of the Resident Council minutes completed by the Activities Director dated 10/10/24 revealed it was attended by Residents #20, #14, #21, #30, #3, #61, #48, #32, #38, #23 and #39. The following grievances were expressed: the need to provide locks for the nightstands, a better verbal response to patients in need from the nursing assistants, a timelier response to call lights, and bed baths were not being completed. A review of the Resident Council minutes completed by the Activities Director dated 11/14/24 indicated it was attended by Residents #34, #21, #61, #3, #38, #56, #48, #32, #58, 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-21 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to provide a CMS-10055 (Center for Medicare and Medicaid Services) Skilled Nursing Facility Advance Beneficiary notice of Non-Coverage (SNF ABN) prior to discharge from Medicare part A services for 2 of 3 residents (Residents #27 and #280) reviewed for SNF Beneficiary Protection Notification Review. The findings included: 1. Resident #27 was admitted to the facility under part A Medicare Services on 12/3/24. A review of Resident #27's medical record revealed a CMS 10123 Notice of Medicare Non-Coverage letter (NOMNC) was signed by Resident #27's court appointed designee on 12/20/24. The notice indicated that Medicare coverage for skilled services were to end on 12/22/24 and the resident would remain in the facility. A review of Resident #27's medical record revealed that a CMS-10055 SNF ABN was not provided to Resident #27, or his court appointed designee. An interview conducted with the Business Office Manager on 3/21/25 at 10:00 AM indicated that she was confused over the SNF ABN process and did not realize she had 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 · Deficient, Provider has date of correction
• Potential for harm · D2025-03-21 · 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

  Based on record review and staff interviews, the facility failed to follow and implement abuse policies for identifying and intervening in situations of abuse for 1 of 4 residents reviewed for abuse (Resident #9). When Nurse Aide (Nurse Aide) #2 thought he heard a physical altercation between NA #3 and Resident # 9, NA #2 did not enter the room, did not intervene, or report NA #3. Resident #9 was observed with scratches to his forehead, nose and eye. His eye was swollen and it would not fully open. The findings included: A review of the abuse policy revised/reviewed 04/29/2024 revealed III. Prevention of abuse neglect and exploitation. The facility will implement policies and procedures to prevent and prohibit all types of abuse neglect misappropriation or resident property and exploitation that achieves: B. Identifying correcting and intervening in situations in which abuse neglect exploitation and or misappropriation of resident property is more likely to occur with the deployment of trained and qualified registered licensed and certified staff on each shift. Review of 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
• Potential for harm · Dcited before2025-03-21 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 code the Minimum Data Set (MDS) assessment accurately in the area of level II Preadmission Screening and Resident Review (PASRR) for 1 of 3 residents (Resident #57) reviewed for PASRR. The findings included: Resident #57 was admitted to the facility on [DATE] with diagnoses that included major depressive disorder, generalized anxiety disorder and bipolar disorder. Record review indicated Resident #57 had a level II PASRR number issued 12/13/24. The annual MDS assessment dated [DATE] indicated a No to question A1500 which asked if Resident #57 had been evaluated by a level II PASRR and determined to have a serious mental illness and/or intellectual disability or a related condition. During an interview with the MDS Coordinator on 3/19/25 at 3:38 PM, he confirmed that Resident #57 had a level II PASRR. The MDS Coordinator verbalized that the MDS was coded inaccurately and that it was an oversight. An interview was conducted with the facility…

  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 · D2025-03-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident, and staff interviews, the facility failed to apply a left-hand splint for 1 of 3 sampled residents reviewed for limited range of motion (Resident #3). Findings included: Resident #3 was admitted to the facility on [DATE] with diagnoses that included contracture of left-hand muscle, hemiplegia (a condition that causes paralysis or weakness on one side of the body) and hemiparesis (muscle weakness or partial paralysis). Resident #3's annual Minimum Data Set Assessment (MDS) dated [DATE] coded the resident as moderately cognitively impaired. She was coded as dependent with toileting and transfers. She required setup/clean-up assistance with eating and required substantial assistance with bathing and rolling in bed. Her functional limitation in range of motion indicated she had impairment on one side to her upper extremity and lower extremity. A review of Resident #3's medical record revealed an Occupational Therapy (OT) discharge summary note dated 10/18/24 that…

  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

$43,924 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $26,078 — penalty dated 2025-03-21
• $3,413 — penalty dated 2024-12-09
• $7,216 — penalty dated 2024-12-09
• $7,217 — penalty dated 2024-12-09
• Medicare payment denial — starting 2025-01-07 for 10 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 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 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 82% 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 $499K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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