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Good Samaritan Society - Bottineau

725 E 10th St, Bottineau, ND 58318 · Non profit - Corporation · 52 certified beds · (701) 228-3796 Medicare & Medicaid certified

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Flagged for abuse1 immediate-jeopardy citation$110,247 in federal fines1 Medicare payment denial
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $110,247 in federal fines (most recent 2025-03-20)
  • its payroll-based staffing score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (64%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
310 2nd Ave E · (701) 245-6300 · Call to confirm hours
Pharmacy
505 Main St · (701) 228-2291 · Call to confirm hours
Grocery
406 Main St · (701) 228-2226 · Call to confirm hours
Park
1001 10th St E · (701) 228-3030 · Typically dawn to dusk
Place of worship

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

Overall quality measures 2 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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.

See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased19.9%19.8%15.4%worse
Long-stay residents who lose too much weight9.7%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.6%1.6%0.9%better
Long-stay residents with a urinary tract infection3.3%2.6%2.0%worse
Long-stay residents with depressive symptoms0.7%4.4%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury11.2%5.1%3.3%worse
Long-stay residents whose ability to walk worsened22.1%17.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication3.3%17.4%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%98.8%95.3%typical
Long-stay residents with pressure ulcers5.5%4.9%4.7%worse
Long-stay residents with worsening bladder/bowel control25.0%24.9%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table14.4%22.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.5%1.4%better
Short-stay residents rehospitalized after admission16.9%19.9%22.6%better
Short-stay residents with an outpatient ER visit14.8%11.4%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.871.491.67worse
Long-stay outpatient ER visits per 1,000 resident days6.151.861.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

34.5% 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 27 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

34.5%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
0.06U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy

Therapy staffing: this home’s payroll records show 0.06 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF34.5%CMS range 22.5–52.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 6.8–15.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 3.2–13.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.711.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.95
RN hours/ resident / day
0.31
LPN hours/ resident / day
2.32
Aide hours/ resident / day
3.59
Total nurse hours/ resident / day
0.55
RN hoursweekends
63.5%
Total nursing turnover
30.0%
RN turnover

How full it usually is: this home is certified for 52 beds and averages 42.2 residents a day — about 81% occupied, or roughly 10 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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 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 2.87 hrs/resident/day on weekends vs 3.88 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 1.12 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% 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

3
deficiencies at the latest standard inspection (2026-03-11)
12
at the previous standard inspection (2025-09-11)

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.

ABCDEFGHIJKL

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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2025-07-16 · 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 review of the facility reported incident (FRI) investigation, record review, review of facility policy, and staff interview, the facility failed to provide an environment free of mental/physical abuse for 1 of 1 sampled resident (Resident #1) Failure to prevent Resident #1 form the abusive actions of other residents (Resident #2 and #3) resulted in Resident #1 experiencing fear, anxiety, and injury.During the on-site FRI investigation survey, the team consulted with the State Survey Agency (SSA) on 07/10/25 at 12:19 p.m. and determined an immediate jeopardy (IJ) situation existed on 04/30/25. The facility failed to protect residents from abuse which resulted in resident-to-resident altercations. * 07/10/25 at 12:55 p.m., the survey team notified the Administrator and Director of Nursing (DON) of the IJ situation, provided the IJ template, and requested a removal plan for the IJ. * 07/10/25 at 3:30 p.m., the survey team reviewed and accepted the facility's removal plan. *07/16/25, the survey team…

    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 · G2025-05-13 · 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, the facility failed to provide necessary care and services for 1 of 1 closed record (Resident #1) who experienced multiple medical incidents and a decline in health status. Failure to notify the provider and resident representative of the initial choking event and further medical incidents, delayed physician and representative input for testing/monitoring/treatment, contributed to the resident's decline followed by hospitalization, and may have contributed to the resident's subsequent death. Findings include: Review of Resident #1's medical record occurred on 05/13/25. A Minimum Data Set (MDS)Assessment, dated 03/10/25, identified severely impaired cognition, and dependent on staff for all activities of daily living (ADLs). Review of Resident #1's progress notes identified the following: * 03/22/25 at 8:45 a.m. Resident had choking episode. This nurse performed Heimlich [a first aid procedure used to dislodge an obstruction from a person's windpipe] on resident. Resident expelled a small…

    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 · Gcited before2024-07-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility policy, and staff interview, the facility failed to provide adequate supervision and interventions to prevent accidents for 1 of 1 closed record (Resident #4) reviewed for falls. Failure to implement and monitor the effectiveness of fall prevention interventions, modify the care plan as necessary, and implement new interventions resulted in Resident #4's continued falls, pain, and subsequent fracture. Findings include: Review of the facility policy, Fall Prevention and Management - Rehab[rehabilitation]/Skilled, Therapy and Rehab, occurred on 07/16/24. This policy, dated 04/02/24, stated, PURPOSE: *To promote resident well-being by developing and implementing a fall prevention and management program. Proactive Approach before a Fall Occurs . Procedure. 2. Complete the Falls Tool . for fall screening and identifying fall risk factors. 3. Care Plan the appropriate interventions . 4. Communicate fall risks and interventions to prevent a fall before it occurs per . care…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-29 · 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

    Based on record review, review of facility reported incident (FRI), review of the facility policy, and resident and staff interview, the facility failed to ensure residents remained free from abuse for 1 of 1 sampled resident (Resident #20) who displayed sexual behaviors towards another resident. Failure to protect Resident #21 and all residents from sexual abuse may result in physical harm, pain, mental anguish, and emotional distress. This citation is considered past non-compliance based on review of the corrective actions the facility implemented immediately following the incident.Findings include:Review of the facility policy titled Abuse and Neglect . Skilled occurred on 06/29/26. This policy, dated 04/07/25, stated, . The resident/client has the right to be from abuse . Resident/clients must not be subjected to abuse by anyone, including . other residents/clients . Procedure . If it is an allegation of resident/client to resident/client abuse, the residents/clients will be separated immediately, and both ensured a safe environment.The surveyor determined a deficient practice…

    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 · Ecited before2026-03-11 · tag F0880 — failed to prevent and control infections — pattern
    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 observation, record review, review of facility policy, and staff interviews, the facility failed to follow infection control standards for 4 of 8 sampled residents (Resident #8, #15, #34, and #36) and 1 supplemental resident (Resident #37) observed during cares. Failure to follow infection control standards related to hand hygiene, glove use, and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled, Standard, Enhanced Barrier, and Transmission-Based Precautions, All Service Lines occurred on 03/11/26. This policy, revised 07/07/25, stated, Standard precautions include hand hygiene, the use of personal protective equipment . textile and laundry handling practices . Enhanced barrier precautions expand the use of personal protective equipment beyond situations in which exposure to blood and body fluids is anticipated and refer to the use of gown and gloves during high-contact resident care activities that provide opportunities for transfer of multidrug-resistant organisms 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-11 · 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 review of Medicare Part A letters/notices and staff interview, the facility failed to ensure the resident and/or their representative received the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNFABN) and the Notice of Medicare Non-Coverage (NOMNC) at least two days prior to the end of services for 1 of 3 residents (Resident #45) reviewed for termination of Medicare Part A services. Failure to ensure the resident and/or their representative received the SNFABN and NOMNC at least two days prior to the end of skilled services limited the resident/representative's ability to exercise their rights regarding Medicare Part A services.Findings Include:Review of Medicare Part A beneficiary notices identified Resident #45 discharged from Medicare Part A on 11/28/25. The SNFABN and the NOMNC showed the resident signed the forms on 11/28/25. The facility failed to provide the forms at least two days before the Medicare A services ended.During an interview on 03/10/26 at 11:48 a.m., an administrative staff member (#3) confirmed staff failed to provide the SNFABN…

    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 before2026-03-11 · 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

    Based on observation, record review, and facility policy review, facility staff failed to properly utilize assistive devices necessary to prevent accidents for 1 of 2 sampled residents (Resident #34) observed during a pivot transfer. Failure to use a gait belt during a transfer placed the resident at risk for injury and/or pain.Finding Include: Review of the policy titled Safe Resident Handling Program (SRHP) Resource Packet - . LTC [Long Term Care] . occurred on 03/11/26. This policy, dated 07/07/25, stated, . Follows resident plan of care (Kardex)/service plan for mobility device, . The Care Plan is part of the communication process to the caregiver. Ambulation: (SPECIFY: X staff assist, mobility device and harness size, and any restrictions) and (SPECIFY assist device: Gait belt, walker etc.). Review of the policy titled Ambulation of Resident . LTC . Ambulation of Resident Clinical Skill Checklist occurred 03/11/26. This undated policy, stated, 1. Review resident information on the PCC [point click care] Kardex/Care Plan. 5. Use gait belt, if not contraindicated, around…

    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 · Ecited before2025-09-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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

    Based on observation, record review, review of the facility policy, and staff interview, the facility failed to ensure safe transfers for 2 of 7 sampled residents (Residents #1 and #34) and 1 of 1 supplemental resident (Resident #22) observed during transfers. Failure to assess the need for mechanical lifts and to use a gait belt placed residents at risk of serious injury.Findings include: Review of the facility policy titled Mobility Support and Positioning occurred on 09/11/25. This policy, dated 04/06/25, stated, . Always check the Kardex, or care plan/service plan prior to the transfer or repositioning task for type and amount of assistance needed. Follow any specific lift/transfer instructions for the resident. -Review of Resident #1's medical record occurred on all days of survey. The current care plan stated, TRANSFER . Total lift (Hoyer lift) with assist of 2 staff and large sling for transferring in/out of bed. Observation on 09/11/25 at 7:00 a.m. showed a certified nurse aide (CNA) (#3) placed a mechanical sit to stand lift outside the door of Resident #1's room. During 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 · Ecited before2025-09-11 · tag F0880 — failed to prevent and control infections — pattern
    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 observation, record review, review of facility policy, and staff interview the facility failed to follow standards of infection control for 5 of 11 sampled residents (Resident #4, #5, #26, #34, and #48) and 3 supplemental residents (Resident #19, #22 and #40) observed during cares. Failure to follow infection control practices during resident cares related to handling soiled linen, hand hygiene, glove use, and enhanced barrier precautions (EBP) has the potential to spread infection throughout the facility.Findings include: Review of the facility policy titled Hand Hygiene occurred on 09/11/25. This policy, dated March 2022, stated, . To establish hand hygiene as the single most important factor in preventing the spread of disease-causing organisms to patients and personnel in healthcare settings . Procedure . use waterless alcohol-based hand sanitizer or soap and water to clean their hands . When entering patient room . If gloves are used to perform a . procedure, hand hygiene must be completed before donning [applying] gloves . After removing gloves regardless of task…

    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 · D2025-09-11 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of facility policy, and staff interview, the facility failed to provide reasonable accommodation of needs regarding call lights for 1 of 18 sampled residents (Resident #19) observed during cares. Failure to ensure residents can reach/access the call light may result in unmet needs and the inability to call for help. Findings include:Review of the facility policy titled Call Light occurred on 09/11/25. This policy, dated July 2025, stated, . PURPOSE to ensure residents always have a method of calling for assistance . when leaving the room, place call light within easy reach of resident.During an observation on 09/08/25 at 4:18 p.m., Resident #19 asked this surveyor, Can you give me that call light back there? I want to lay down. Observation showed the resident's call light not within reach. Observation on 09/08/25 at 5:05 p.m. showed Resident #19's call light remained out of reach and at 5:15 p.m., staff assisted the resident to the dining room. Observation on 09/09/25 at 1:41 p.m. showed two certified nurse aides (CNAs) (#2 and #3) assisted Resident #19…

    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 · D2025-09-11 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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, review of facility policy, and staff interview, the facility failed to report an alleged violation of abuse and neglect to the State Survey Agency (SSA) for 1 of 2 residents (Resident #36) with an unwitnessed fall resulting in an injury and hospital admission. Failure to report alleged incidents to the SSA placed Resident #36 and other residents at risk for possible abuse and/or injury.Findings include:Review of the facility policy titled Abuse and Neglect-Rehab/Skilled, Adult Day Services, Therapy & Rehab occurred on 09/10/25. This policy, dated, 04/04/25, stated, . PURPOSE To ensure that all identified events of alleged or suspected abuse/neglect, including injuries of unknown origin, are promptly reported .Review of Resident #36's medical record occurred on all days of survey. Diagnoses included non-Alzheimer's dementia. An admission Minimum Data Set (MDS), dated [DATE], identified moderate cognitive impairment.Review of progress notes identified the following:* 09/03/25 at 05:46 p.m.,…

    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 · D2025-09-11 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    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, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to complete a Significant Change in Status Assessment (SCSA) for 2 of 2 of sampled residents (Resident #2 and #5) who experienced a significant change in status. Failure to determine the need for and complete a SCSA in response to a resident's decline limited the facility's ability to accurately assess the resident's status and identity and implement appropriate care approaches.Findings include:The Long-Term Care Facility RAI 3.0 User's Manual (Version 1.19.1), dated October 2024, page 2-24 stated, . A significant change is a major decline or improvement in a resident's status that: 1. Will not normally resolve itself without staff intervention . 2. Impacts more than one area of the resident's health status; and 3. Requires interdisciplinary review and/or revision of the care plan. Page 2-27 stated, A SCSA is appropriate if there are either two or more…

    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 · D2025-09-11 · 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, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 3 of 12 sampled residents (Resident #2, #5, and #21) reviewed. Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents. Findings include: SECTION C: COGNITIVE PATTERNSThe Long-Term Care Facility RAI User's Manual, revised October 2024, page C-24, of the RAI Manual stated, . If the test cannot be conducted (resident will not cooperate, is non-responsive, etc.,) and staff were unable to make a determination based on observation of the resident, use the standard 'no information' code (a dash, '-'), to indicate that the information is not available because it could not be assessed. SECTION D: MOODThe Long-Term Care Facility RAI…

    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
Show the remaining 18 citations
  • Potential for harm · D2025-09-11 · tag F0657 — failed to keep the care plan current — isolated
    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

    Based on record review, review of professional reference, and staff interview, the facility failed to review and revise care plans to reflect the residents' current status for 2 of 18 sampled residents (Resident #3 and Resident #6). Failure to update care plans limited the staff's ability to communicate needs and ensure continuity of care.Findings include:Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice, 11th ed., Pearson Education Inc., New Jersey, pages 203 and 212, stated, . The nurse uses . care plans. creates an individual plan for unusual . problems needing special attention. Observations include assessments made to determine whether a complication is developing. The nurse should write observations for both real problems and those for which the client is at risk.-Review of Resident #3's medical record occurred on all days of survey. Diagnoses included diabetes, and a physician's order for insulin. The resident's care plan lacked monitoring for signs/symptoms and interventions for hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar).-Review…

    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 before2025-09-11 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, review of facility policy, review of manufacturer's instructions, review of professional reference and staff interview, the facility failed to ensure staff followed professional standards of practice for 1 of 2 supplemental residents (Resident #3) observed during medication administration. Failure to properly prepare insulin pens (Resident #3) may result in residents receiving the wrong medication dose and/or result in adverse health consequences.Findings include:Review of the facility policy titled Medication: Insulin Administration, Insulin Pens, Insulin Pumps 09/05/24, stated, Intermediate or mixed insulins ( . 70/30 . ) . This type of insulin should be gently mixed before use. To mix, roll the pen between your hands. You must also turn the pen up and down ten times .Review of manufacturer's instructions for the NovoLog 70/30 Mix FlexPen, dated February 2023, stated, . roll NOVOLOG MIX 70/30 FlexPen gently between hands in a horizontal position 10 times. Then, turn NOVOLOG MIX 70/30 FlexPen upside down so that the glass ball moves from one end…

    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 · D2025-09-11 · 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 observation, record review, review of facility policy, and staff interview, the facility failed to provide treatment and services to aid in the healing of a pressure ulcer for 1 of 2 sampled residents (Resident #26) with a current pressure ulcer. Failure to implement interventions as ordered may result in a new pressure area and delayed healing/deterioration of an unstageable pressure ulcer.Findings include:Review of the facility policy titled Pressure Ulcers occurred on 09/11/25. This policy, dated 02/17/25, stated, . A resident who has a pressure ulcer will receive the necessary treatment and services to promote healing, prevent infection, and prevent new ulcers from developing. Review of Resident #26's medical record occurred on all days of survey. Diagnoses included diabetes mellitus and protein calorie malnutrition. A quarterly Minimum Data Set (MDS), dated [DATE], identified dependent on staff with rolling from side to side (bed mobility) and transfers, and an unhealed unstageable pressure ulcer.…

    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 · D2025-09-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, facility policy review, and staff interview, the facility failed to provide appropriate toileting for 1 of 5 sampled residents (Resident #2) observed during toileting. Failure to provide timely toileting may result in a loss of dignity and placed the resident at risk for skin breakdown, poor grooming/hygiene, decreased self-esteem, urinary tract infections, and fall and/or injuries.Findings include:Review of the facility policy titled Activities of Daily Living occurred on 09/11/25. This policy, dated 12/23/24, stated, . Any resident who is unable to carry out activities of daily living will receive necessary services to maintain . grooming and personal and oral hygiene.Review of Resident #2's medical record occurred on all days of survey. The care plan identified the following, . TOILET USE: Resident requires assist of 1 staff. TOILETING PROGRAM: Offer resident the toilet every 2 hours when awake . BRIEF USE: . Check Q2 [every] 2 hours and prn [as needed]. During an observation on 09/09/25 at 3:05 p.m., a certified nurse aide (CNA) (#9) assisted…

    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 · D2025-09-11 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure resident records contained the hospice election form for 1 of 1 sampled resident (Resident #21) receiving hospice services. Failure to obtain the form limits staff's ability to ensure coordination of care between the facility and the hospice. Findings include:Review of Resident #21's medical record occurred on all days of survey and identified Resident #21 elected hospice services on 06/27/25. The care plan stated, . The resident . Is on hospice care .The medical record lacked the hospice election form.During an interview on 09/11/25 at 12:30 p.m., an administrative staff member (#20) confirmed the medical record lacked the hospice election form.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-11 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of facility policy, and resident and staff interviews, the facility failed to provide a safe, sanitary, and comfortable environment for 2 of 18 sampled residents (Resident #5 and #26), and 2 of 5 supplemental residents (Resident #14 and #19). Failure to ensure residents' fans, walls, and wheelchairs are clean, and failure to remove non-working refrigerators in resident rooms may affect the well-being, comfort, health, and safety of the residents.Findings include: Review of the facility policy titled Housekeeping, Standard or Light Cleaning occurred on 09/11/25. This policy, dated 08/21/25, stated, . PURPOSE To provide procedures for the proper, daily cleaning of resident rooms . thorough, routine, and high-quality cleaning procedures are necessary to minimize the prevalence of infection. Review of the facility policy titled Standard, Enhanced Barrier, and Transmission-Based Precautions occurred on 09/11/25. This policy, dated 07/07/25, stated, . Standard precautions are based on the principle that all . body fluids, secretions, . may contain…

    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
  • Potential for harm · D2025-07-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility reported incident (FRI) and review of facility policy, the facility failed to conduct a thorough investigation of physical abuse for 3 of 3 sampled residents (Resident #1, #2, and #3). Failure to investigate all allegations of abuse and ensure all residents were protected during the investigation placed Residents #1, #2, and #3 and all facility residents at risk for possible abuse, mental an emotional distress, and/or physical injury. thoroughly investigate allegations of abuse for 1 of 1 sampled resident (Resident #1). Failure to thoroughly investigate all abuse allegations, ensure Resident #1 was protected during each investigation, and implement corrective actions/evaluate their effectiveness following each investigation, placed Resident #1 and other residents at risk for possible abuse. Findings include: Review of the facility policy titled Abuse and Neglect occurred on 07/10/25. This policy, dated April 2025, stated, . 6. The investigation team . will review all events no later than the next working day following the event. 7. Ensure that someone…

    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 · D2025-05-13 · 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, review of facility policy, and staff interview, the facility failed to notify the resident's physician and/or resident representative of a change in condition for 1 of 1 closed record (Resident #1) who experienced a choking episode and 1 of 3 sampled residents (Resident #2) with a skin tear. Failure to notify the physician and/or resident representative of changes in condition may have prevented the physician from altering treatment/care and prevented the resident representative from making informed decisions regarding medical care. Findings include: Review of the facility policy titled Notification of Change occurred on 05/13/25. This policy, dated December 2024, stated, . The facility must immediately . consult with the resident's physician and notify . the resident representative(s) when there is . A significant change in the resident's physical . status . A need to alter treatment significantly - a need to discontinue or change an existing form of treatment or to commerce a new form…

    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 before2025-03-20 · tag F0880 — failed to prevent and control infections — pattern
    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 observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 1 of 4 sampled residents (Resident #32) and 3 supplemental residents (Resident #15, #19, and #30) observed during personal cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP), hand hygiene, and disinfecting equipment has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Hand Hygiene occurred on 03/19/25. This policy, dated March 2022, stated, . use waterless alcohol-based hand sanitizer or soap and water to clean their hands: When entering patient room . After removing gloves regardless of task completed . After contact with a patient's non-intact skin, wound . excretions, mucus membranes, . When moving from contaminated body site to a clean body site during patient care . When exiting patient room . Review of the facility policy titled Standard and Transmission Based Precautions occurred on 03/19/25. This…

    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 before2025-03-20 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of 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, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.19.1), and staff interview, the facility failed to ensure timely electronic data submission of a required Minimum Data Set (MDS) death discharge assessment for 1 of 1 closed record (Resident #18). Failure to follow the MDS data submission specifications did not meet the intended regulatory requirements. Findings include: The Long-Term Care Facility RAI 3.0 User's [NAME], revised October 2024, Page 2-38, stated, . Death in Facility Tracking Record. Must be completed within 7 days after the resident's death . Must be submitted within 14 days after the resident's death. Review of Resident #18's medical record occurred on 03/19/25. The MDS showed a Death in Facility Tracking Record, with an Assessment Reference Date (ARD) date of 01/17/25, as Export Ready. During an interview on 03/19/25 at 1:50 p.m., two administrative staff members (#2 and #3) confirmed the facility failed 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-22 · 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 review of the facility reported incident and investigation documents, record review, policy review, and resident and staff interview, the facility failed to protect the resident's right to be free from abuse and psychosocial harm for 1 of 3 sampled residents (Resident #1) who experienced abuse by another resident. Failure to ensure an environment free from abusive behavior placed residents at risk for abuse, fear, anxiety, physical injury, and/or psychosocial harm. This citation is considered past non-compliance based on review of the corrective action the facility implemented following the incident. Findings include: The surveyor determined a deficient practice existed on 01/11/25. The facility implemented and completed corrective action on 01/14/25. Review of the facility policy titled Abuse and Neglect - Rehab/Skilled, Therapy & Rehab occurred on 01/22/25. This policy, dated 07/22/24, stated, . Purpose . To ensure that residents are not subjected to abuse by anyone, including . other residents .…

    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 · E2023-10-05 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, policy review, and resident and staff interview, the facility failed to provide an environment that maintained, enhanced, and respected each resident's dignity and individuality on 1 of 4 days of survey (October 2, 2023). Failure to provide non-plastic silverware did not promote the residents' dignity or enhance their quality of life. Findings include: Review of the facility policy titled Dignity in Dining occurred on 10/04/23. This policy, dated 01/18/23, stated, . Procedure: Employees promote resident independence and dignity in dining by: . Avoiding the use of plastic cutlery and paper or Styrofoam cups, plates, or bowls, as able. Observation on 10/02/23 at 12:20 p.m. showed Resident #4 and Resident #35 seated together at a dining room table. Resident #4 stated, I want real silverware. I'm not at a picnic. I pay all this money to get plastic silverware. Resident #35 held up three plastic spoons and stated, Look at this, what am I supposed to do with three spoons? Observation on 10/02/23 at 12:25 p.m. showed all the residents in the dining room, except one…

    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 · E2023-10-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of the Food and Drug Administration (FDA) 2022 Food Code, and staff interview, the facility failed to store food under sanitary conditions in 1 of 1 kitchen. Failure to store food in a sanitary environment in the walk-in freezer has the potential to result in contamination of food and could result in a foodborne illness. Findings include: The 2022 Food Code, pages 81-82, stated, 3-305.11 Food Storage. FOOD shall be protected from contamination by storing the FOOD: (1) In a clean, dry location; (2) Where it is not exposed to splash, dust, or other contamination; . 3-305.12 Food Storage, Prohibited Areas. FOOD may not be stored: . (G) Under leaking water lines, including leaking automatic fire sprinkler heads, or under lines on which water has condensed; . or (I) Under other sources of contamination. Observation on 10/02/23 at 12:24 p.m. in the main kitchen showed the floor of the walk-in freezer icy and slippery when stepped on. A maintenance staff member (#6) stated he just scraped the ice off the floor, as the condenser dripped and water spilled on 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-05 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.17.1), and staff interview, the facility failed to ensure timely electronic data submission of required Minimum Data Set (MDS) discharge assessments for 1 supplemental resident (Resident #42). Failure to follow the MDS data submission specifications does not meet the intended regulatory requirements. Findings include: The Long-Term Care Facility RAI 3.0 User's Manual, revised October 2019, page 2-37, stated, Discharge Assessment-Return Not Anticipated . Must be submitted within 14 days after the MDS completion date. Review of Resident #42's medical record occurred on 10/05/23. The MDS showed a discharge date of 06/26/23 for Resident #42. At 10:27 a.m. on 10/05/23, an administrative nurse (#1) reviewed validation reports and confirmed the Center for Medicare and Medicaid Services (CMS) did not receive the above discharge assessment. The facility failed to submit the discharge assessment to CMS.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-05 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility policy, review of professional reference, and staff interview, the facility failed to follow professional standards of nursing practice for 1 of 2 sampled residents (Resident #29) receiving insulin. Failure to carry out a physician's order and document administration of medication as ordered may result in adverse health effects. Findings include: Review of the facility policy titled Physician/Practitioner Orders - Rehab/Skilled occurred on 10/05/23. This policy, dated 03/29/23, stated, . An order is required to discontinue a current order. Review of the facility policy titled Medication: Insulin Administration, Insulin Pens - Rehab/Skilled & Long Term Care occurred on 10/05/23. This policy, dated 04/26/23, stated, . 11. Document dosage, time and site of injection on the MAR [medication administration record] or TAR [treatment administration record] . [NAME], [NAME], and Frandsen's Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice, 11th ed., Pearson…

    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 · D2023-10-05 · 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

    Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide required assistance with activities of daily living (ADLs) for 2 of 9 sampled residents (Residents #2 and #17) and one supplemental resident (Resident #16). Failure to shave residents may result in poor personal hygiene and decreased self-esteem. Review of the facility policy titled Activities of Daily Living occurred on 10/04/23. This policy, dated 11/29/22, stated, . Policy. Any resident who is unable to carry out activities of daily living will receive necessary services to maintain good nutrition, grooming, and personal and oral hygiene. ADLs are those necessary tasks conducted in the normal course of a resident's daily life. Included in these are the following: General Personal, Daily Hygiene/Grooming: . shaving . - Review of Resident #2's medical record occurred on all days of survey. The current care plan stated, . The resident has an ADL self care performance deficit R/T [related to] mobility/endurance E/B [evidenced by] generalized weakness . PERSONAL HYGIENE:…

    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 · D2023-10-05 · tag F0727 — failed to provide required RN coverage — isolated
    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

    THIS IS A REPEAT DEFICIENCY FROM THE SURVEY COMPLETED ON 05/24/23. Based on review of nurse staffing schedules and staff interview, the facility failed to provide the services of a registered nurse (RN) for eight consecutive hours a day, seven days a week, for 2 of 96 days reviewed (07/22/23 and 09/10/23). Failure to ensure sufficient, qualified nursing staff are available eight consecutive hours a day has the potential to affect the health and safety of all the residents residing in the facility. Findings include: On 10/04/23, the facility provided a copy of the nurse staffing schedules for the period of July 1 - October 4, 2023. A review of the schedules showed the facility failed to have the required RN coverage on 07/22/23 and 09/10/23. During an interview on 10/04/23 at 2:44 p.m., an administrative staff member (#2) confirmed the facility lacked RN coverage on the above dates.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-05 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, review of facility policy, and staff interview, the facility failed to ensure a medication error rate of less than five percent for 1 of 5 residents (Resident #39) observed during medication administration. Three medication errors occurred during staff administration of 40 medications, resulting in a 7% error rate. Failure to properly administer medications may result in residents receiving an ineffective dose and experiencing adverse reactions. Findings include: Review of facility policies occurred on 10/04/23. Policies reviewed as follows: * Medication: Topical Application, dated 08/01/23, stated, . Purpose: To relieve pain . to administer medication as ordered. * Metered Dose Inhalers, dated 03/01/23, stated, Policy: Metered Dose Inhalers must be administered in a safe and accurate manner. Corticosteroids: NOTE: The patient should be encouraged to rinse the mouth following use to help prevent oropharyngeal fungal infections. * Medication: Administration Including Scheduling and Medication Aides, dated 03/29/23, stated, Purpose . to administer…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$110,247 in federal fines across 2 penalties. 1 Medicare payment denial on record.

  • $96,272 — penalty dated 2025-03-20
  • $13,975 — penalty dated 2024-07-16
  • Medicare payment denial — starting 2025-08-09 for 4 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 GOOD SAMARITAN SOCIETY — 92 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 →

RatingThis homeChain avg
Overall 2 of 53.0-1.0 vs chain
Health inspection 2 of 52.8-0.8 vs chain
Staffing 4 of 54.0≈ chain avg
Quality measures 2 of 52.8-0.8 vs chain
The other 91 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Edgebrook Care CenterEdgerton, MN 1 of 5Good Samaritan - IndianolaIndianola, IA 1 of 5Good Samaritan - Red OakRed Oak, IA 1 of 5Good Samaritan Society - AtkinsonAtkinson, NE 1 of 5Good Samaritan Society - BlackduckBlackduck, MN 1 of 5Good Samaritan Society - Grand Island VillageGrand Island, NE 1 of 5Good Samaritan Society - LakotaLakota, ND 1 of 5Good Samaritan Society - Mary Jane BrownLuverne, MN 1 of 5Good Samaritan Society - St Luke's VillageKearney, NE 1 of 5Good Samaritan Society - WindomWindom, MN 1 of 5Good Samaritan Society De SmetDe Smet, SD 1 of 5Good Samaritan Society MillerMiller, SD 1 of 5Salem Lutheran HomeElk Horn, IA 1 of 5Souris Valley Care CenterVelva, ND 1 of 5St Vincent's - A Prospera CommunityBismarck, ND 1 of 5Sunset Drive - a Prospera CommunityMandan, ND 2 of 5Good Samaritan - AtwoodAtwood, KS 2 of 5Good Samaritan - Decatur CountyOberlin, KS 2 of 5Good Samaritan - EsthervilleEstherville, IA 2 of 5Good Samaritan - MansonManson, IA 2 of 5Good Samaritan - OttumwaOttumwa, IA 2 of 5Good Samaritan - WaukonWaukon, IA 2 of 5Good Samaritan Society - Hastings VillageHastings, NE 2 of 5Good Samaritan Society - OakesOakes, ND 2 of 5Good Samaritan Society - Park RiverPark River, ND 2 of 5Good Samaritan Society - Specialty Care CommunityRobbinsdale, MN 2 of 5Good Samaritan Society - St John'sKearney, NE 2 of 5Good Samaritan Society - St Martin VillageRapid City, SD 2 of 5Good Samaritan Society - SuperiorSuperior, NE 2 of 5Good Samaritan Society - Waconia And Westview AcreWaconia, MN 2 of 5Good Samaritan Society CantonCanton, SD 2 of 5Good Samaritan Society Luther ManorSioux Falls, SD 2 of 5Good Samaritan Society New UnderwoodNew Underwood, SD 2 of 5Good Samaritan Society Sioux Falls CenterSioux Falls, SD 2 of 5Good Samaritan Society Sioux Falls VillageSioux Falls, SD 2 of 5Good Samaritan-LiberalLiberal, KS 2 of 5The Good Samaritan Society-Kissimmee VillageKissimmee, FL 3 of 5Good Samaritan - AlgonaAlgona, IA 3 of 5Good Samaritan - DavenportDavenport, IA 3 of 5Good Samaritan - HolsteinHolstein, IA

Showing 40 of 91; lowest-rated first.

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

Owner / managerTypeRoleShareSince
SANFORDOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%since 01/01/2019
SKJOLDEN, JESSICAIndividualCONTRACTED MANAGING EMPLOYEEsince 01/01/2022
BRANDENBURG, THERESAIndividualW-2 MANAGING EMPLOYEEsince 02/11/2024
MORRISON, TONYIndividualW-2 MANAGING EMPLOYEEsince 01/01/2019
CAIN, JAMESIndividualCORPORATE DIRECTORsince 05/30/2024
DYKHOUSE, DANAIndividualCORPORATE DIRECTORsince 05/30/2024
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTORsince 05/30/2024
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 05/30/2024
GULSVIG, NEILIndividualCORPORATE DIRECTORsince 05/30/2024
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTORsince 05/30/2024
LUNDEEN, MARKIndividualCORPORATE DIRECTORsince 05/30/2024
MOLBERT, LAURISIndividualCORPORATE DIRECTORsince 05/30/2024
NORTH, ANDREWIndividualCORPORATE DIRECTORsince 05/30/2024
SHULKIN, DAVIDIndividualCORPORATE DIRECTORsince 05/30/2024
TEIKEN, BRENTIndividualCORPORATE DIRECTORsince 05/30/2024
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTORsince 05/30/2024
FLUIT, JOELIndividualCORPORATE OFFICERsince 10/01/2022
MIDDLETON, AIMEEIndividualCORPORATE OFFICERsince 01/27/2022
OLSON, NICHOLASIndividualCORPORATE OFFICERsince 04/08/2024
ROGERS, MICHAELIndividualCORPORATE OFFICERsince 06/13/2022
SCHEMA, NATHANIndividualCORPORATE OFFICERsince 01/01/2022
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2019

CMS files one row per role, so the 23 rows in the source record cover these 22 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.

$6.6M
Net patient revenuemost recent cost report
+10.2%
Operating marginrevenue minus expenses
$796K
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 67%Medicare 3%Other / private 30%

This home reported $796K paid to related parties — landlords or management companies under common ownership — equal to about 14% 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 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$332per resident / day
operating cost
$10,108per month
≈ monthly operating cost
$370per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in ND

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the North Dakota Medicaid page.

Typical monthly cost in North Dakota
$11,528/mo
Nursing home (semi-private)
$12,304/mo
Nursing home (private)
$4,729/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 355093. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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