Strasburg Nursing Home

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.

Therapy staffing: this home’s payroll records show 0.01 therapist hours per resident per day in 2026Q1 — more than 0% 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.

Staffing

How full it usually is: this home is certified for 30 beds and averages 26.7 residents a day — about 89% occupied, or roughly 3 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 4.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.25 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.63 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.76 hrs/resident/day on weekends vs 4.78 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.37 to 0.95 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · D2026-04-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide the necessary care and services to maintain the highest practicable physical well-being for 1 of 14 residents (Resident #21) reviewed for self-administration of medication (SAM). Failure to assist/observe residents who are not SAM take their medications may result in adverse health consequences.Findings include:Review of the facility policy titled Self-Administration of Medications occurred on 04/01/26. This policy, dated 01/16/26, stated, . A licensed nurse will complete the Self-Administration of Medications [SAM] screen . The Interdisciplinary team (IDT) will make a determination based on the screen . Re-assessment will be completed quarterly and PRN [as needed].Review of Resident #21's medical record occurred on all days of survey. A SAM assessment, dated 01/19/26, lacked the resident's choice to not self-administer his medications. A progress note, dated 01/28/26 at 1:54 p.m., stated, . Quarterly hospital return MDS completed . Resident does not wish to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-01 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of professional reference, and staff interview, the facility failed to ensure medication labels and provider's orders matched for 1 of 8 residents (Resident #21) observed during medication pass. Failure to ensure medication labels matched the provider's order placed residents at risk for medication errors.Findings include: Kozier & Erb's Fundamentals of Nursing, Concepts, Process and Practice, 11th Edition eText, 2021, Pearson, Boston, Massachusetts, pages 838-840, stated, . Obtain the appropriate medication. Compare the label of the medication container or unit-dose package against the order on the MAR [medication administration record] or computer printout. Rationale: This is a safety check to ensure that the right medication is given. If these are not identical, recheck the prescriber's written order in the client's chart. If there is still a discrepancy, check with the pharmacist. Prepare the medication. While preparing the medication, recheck each prepared drug and container with the MAR again. Rationale: This second safety check…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 2 sampled residents (Resident #2 and #24) observed during dressing changes. Failure to practice infection control standards related to use of personal protective equipment (PPE) for a resident in enhanced barrier precautions (EBP), hand hygiene, and providing a clean surface area for dressing supplies has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Enhanced Barrier Precautions (not regular isolation precautions) occurred on 04/01/26. This policy, dated 04/01/24, stated, . 'Enhanced barrier precautions' refers to use of gown and gloves during high-contact resident care activities . High contact resident care activities do include . Chronic wound care and dressing change . Review of the facility policy titled, Dressing Changes occurred on 04/01/26. This policy, dated 11/25/25, stated, . 1. Wash hands thoroughly 2. [NAME] [apply] clean gloves 3.…

  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 · D2025-01-23 · 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 resident and family interviews, the facility failed to ensure an alleged violation of misappropriation of resident property was reported within 24 hours to the State Survey Agency (SSA) for 1 of 1 sampled resident (Resident #20) with a report of missing money. Failure to report the alleged violation to the SSA placed Resident #20 and other residents at risk for misappropriation of property. Findings include: Review of the facility policy titled Abuse, Neglect, Mistreatment, Exploitation &/or Misappropriation of Resident Property occurred on 01/23/25. This policy, dated October 2024, stated, . It is the policy of the facility to provide protections for the health, welfare and rights of each resident by taking appropriate steps to prevent . misappropriation of resident property, regardless of the resident's mental or physical condition. Alleged violations will be reported to . the State Survey & Certification Agency, in accordance with state law through…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-23 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff, resident and family interviews, the facility failed to initiate an investigation of an alleged violation of misappropriation of resident property for 1 of 1 sampled resident (Resident #20) with reports of missing money. Failure to investigate the alleged misappropriation of the resident's property and ensure all residents are protected placed them at risk for emotional and mental distress. Findings include: Review of the facility policy titled Lost & Missing Items occurred on 01/23/25. This policy, dated January 2025, stated, . This facility maintains a safe and secure environment to minimize lost and/or missing items. When a resident reports a missing item a. Staff will complete the Missing Item form b. Staff will complete a search of the resident's room as well as nearby rooms c. Social Service staff will inform department heads at morning stand up d. A record of areas searched will be kept . Review of the facility policy titled Abuse, Neglect, Mistreatment,…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-23 · 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 — the official record, unedited, may be distressing

  Based on observation, review of facility policy, and staff interview, the facility failed to follow professional standards of practice for 2 of 3 residents (Resident #9 and #12) observed for insulin preparation and administration. Failure to prime insulin pens correctly may result in residents receiving an inaccurate dose. Findings include: Review of the facility policy titled Insulin Pens occurred on 01/22/25. This policy, dated 01/06/25, stated, . 5. Prime the pen, a. Dial 2 units by turning the dose selector. b. Remove the cover from the needle and hold the pen with needle pointed upward. - Observation on 01/21/25 at 5:23 p.m. showed a nurse (#3) prepared Resident #12's insulin pen for administration. The nurse failed to prime the insulin pen upward. - Observation on 01/22/25 at 7:59 a.m. showed a nurse (#4) prepared Resident #9's insulin pen for administration. The nurse failed to prime the insulin pen upward. During an interview the morning of 01/23/25, an administrative staff member (#1) stated she expected staff to follow the policy for priming insulin pens.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-23 · 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 ensure residents received the necessary service to maintain personal hygiene for 1 of 8 sampled residents (Resident #18) who required staff assistance for personal hygiene. Failure to assist residents who cannot perform personal hygiene independently may result in poor hygiene, skin issues, and decreased self-esteem. Findings include: Review of the facility policy titled ADLs (Activities of Daily Living) occurred on 01/23/25. This policy, dated October 2024, stated, . It is the policy of the facility to provide ADL care to residents as needed to ensure all ADL needs are met are on a daily basis. Review of Resident #18'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] dementia PERSONAL HYGIENE: she needs set up help and verbal reminders for personal hygiene. Observation on 01/22/25 at 8:17 a.m. showed a nurse (#3) assisted Resident #18 to pick out her clothing, placed 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-23 · 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, and resident and staff interview, the facility failed to ensure appropriate care and services for 1 of 2 sampled residents (Resident #16) with an indwelling urinary catheter. Failure to empty Resident #16's catheter bag may result in urinary tract infections (UTIs), unnecessary discomfort, and urinary retention and/or obstruction. Findings include: Review of the facility policy titled Catheter Care occurred on 01/23/25. This policy, dated October 2024, stated, . Empty drainage bag at the end of each shift [i.e., three times per day] . Review of Resident #16's medical record occurred on all days of survey. Diagnoses included obstructive and reflux uropathy (blockage that hinders urinary flow), benign prostatic hyperplasia (enlarged prostate that can cause blockage of urine flow from the bladder as well as urinary tract and kidney problems), and history of UTIs. The care plan stated, . The resident has an indwelling suprapubic catheter related to urinary obstruction. Observations on 01/21/25 of Resident #16 showed the following: * 4:43 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-23 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 1 of 2 sampled residents (Resident #9) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP) and hand hygiene has the potential to spread infection throughout the facility. Findings include: Review of the facility's policy titled Enhanced Barrier Precautions occurred on 01/22/25. This policy, dated 04/01/24, stated, . It is the policy of this facility to implement enhanced barrier precautions to prevent the transmission of multidrug-resistant organisms (MDRO) during high-contact activities for residents with chronic wound or indwelling medical devices, even if the resident is not known to be infected or colonized with a MDRO. 'Enhanced Barrier Precautions'. refers to the use of gown and gloves during high-contact resident care activities for residents. at increased risk of MDRO acquisition (e.g., .indwelling medical devices). urinary catheters .) .…

  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 · D2024-01-04 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and staff interview, the facility failed to provide care for 1 of 2 sampled residents (Resident #12) with an indwelling catheter in a manner and environment that maintained, enhanced, and respected the resident's dignity. Failure to cover the resident's catheter drainage bag does not preserve the resident's personal dignity or enhance their quality of life. Findings include: The facility failed to provide a policy for dignity and covering of a catheter drainage bag when requested. Observations of Resident #12 showed the following: * 01/02/24 at 6:00 p.m., Resident returned from the dining room with the catheter drainage bag (containing urine) uncovered and hanging under the wheelchair. * 01/03/24 at 8:54 a.m., Resident returned from the dining room with the catheter drainage bag (containing urine) uncovered and hanging under the wheelchair. * 01/03/24 at 11:48 a.m., Resident sat in the dining room with the catheter draining bag (containing urine) uncovered. During an interview the afternoon of 01/04/23 at 2:00 p.m., an administrative nurse (#1)…

  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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 12 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.

What families pay in ND