Adept Nursing & Rehab of Ashland

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

Met the expected recovery: 37.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 32 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% 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 97 beds and averages 75.2 residents a day — about 78% occupied, or roughly 22 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 4.25 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.19 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 3.82 hrs/resident/day on weekends vs 4.42 on weekdays — 13% thinner on weekends. RN hours go from 0.60 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above 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.

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

• Actual harm · Gcited before2025-05-14 · 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 — the official record, unedited, may be distressing

  Deficiency Text Not Available

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-05 · 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 Licensure Reference Number 175 NAC 12.006.09(I) Based on observation, interview, and record review, the facility failed to implement interventions to prevent falls for 3 (Residents 1, 2, and 3) of 4 sampled residents. The facility census was 82. Findings are: A record review of the facility's Fall Risk Assessment dated 8/2023 revealed it was the policy of the facility to provide an environment that was free from accident hazards over which the facility had control and provide supervision and assistive devices to prevent avoidable accidents. The falls care plan would include interventions, to include supervision, in order to reduce the risk of an accident. A. A record review of Resident 1's Clinical Census dated 03/03/2025 revealed the resident was admitted to the facility on [DATE]. A record review of Resident 1's Medical Diagnosis dated 03/03/2025 revealed the resident had diagnoses of Unspecified Fracture Of Left Femur (left hip), Muscle Weakness, Other Abnormalities Of Gait and Mobility (walking and moving…

  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 before2023-09-12 · 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 Licensure Reference: 175 NAC 12-006.09D7 Based on observation, interview, and record review, the facility failed to implement interventions to protect 2 [Residents 1 and 2] of 3 sampled residents from potential burns. The facility had a total census of 88 residents. Findings are: A. A review of Resident 1's admission information in electronic medical record revealed Resident 1 was admitted to the facility on [DATE] with diagnoses of Quadriplegia, C5-C7 incomplete [a form of paralysis that affects all four limbs, plus the torso]. A review of Resident 1's quarterly MDS [Minimum Data Set, a comprehensive assessment used for care planning] with assessment reference date of 6/14/2023 revealed a Brief Interview for Mental Status (BIMS) score of 15. According to the MDS [NAME] a score of 13 to 15 indicates a person is cognitively intact. Resident 1 was identified as requiring extensive assist of 2 plus persons for bed mobility and dressing, having total dependence with assist of 1 for toilet use and 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 · E2025-07-22 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.10(D) Based on record review, observations and interviews, the facility failed to administer medications according to practitioner's orders or manufacturer's recommendations by administering medications after a meal consumption for medication to be given 60 minutes prior to meals. This included observation of 25 medication administration opportunities with 3 errors resulting in an error rate of 12%. This failure affected 2 (Residents 21 and 65 ) of 3 sampled residents. The facility census was 77. Findings are: A. An observation on 7/21/25 at 7:50 AM with Medication aide (MA-A) administering medication to Resident 21 revealed the following: Omeprazole 40 mg with instructions written on medication card to be given 60 minutes prior to meals. An interview on 7/21/25 at 7:50 AM with Resident 21 confirmed that Resident 21 had eaten (genders) breakfast that consisted of oatmeal, eggs, and bacon when the Omeprazole was given. An interview on 7/21/25 at 8:00 AM with MA-A confirmed that Resident 21 had already eaten breakfast and the Omeprazole should…

  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 · D2025-07-22 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05(E) Based on record review and interview the facility failed to provide the resident/resident representative education and receive informed consent for use of psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) as required for 1 (Resident 10) of 1 sampled resident. The facility census was 77.Findings are:Record review of undated facility policy titled Use of Psychotropic Medication(s) revealed that Prior to initiating or increasing a psychotropic medication (drugs that affect brain activities associated with mental processes and behavior), the resident, family, and/or resident representative must be informed of the benefits, risks, and alternatives for the medication, including any black box warnings for antipsychotic medications, in advance of such initiation or increase.Record review of the Order Summary (a listing of all current physician orders for the resident) dated 7/16/2025 for Resident 10 revealed an order for Alprazolam (an antianxiety medication) 0.5 milligrams (mg) one tablet by mouth…

  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 before2025-07-22 · 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 Licensure Reference Number 175 NAC 12-006.10(C)Based on interview and record review, the facility failed to prime a insulin pen prior to administer insulin for 1 (Resident 15) of 3 sampled residents and failed to ensure 1 (Residents 15) of 5 sampled resident's who received Jardiance (an oral diabetes medication) was provided per the provider's order. The facility census was 77.Findings are:A. A record review of the undated Medication Administration policy revealed medications administered by the facility's staff would be as ordered by the provider and in accordance with professional standards. A record review of Resident 15's Clinical Census dated 07/21/2025 revealed the resident was admitted to the facility on [DATE]. A record review of Resident 15's Medical Diagnosis dated 07/21/2025 revealed the resident had diagnosis of type 2 diabetes mellitus (uncontrolled blood sugar) with other circulatory (blood flow) complications. A record review of Resident 15's Minimum Data Set (MDS)(a comprehensive assessment used…

  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 · D2025-07-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)(vi)(3)(g) Based on record reviews, observations, and interviews the facility failed to provide staff training/competency testing for use of a Trilogy machine (a noninvasive machine that provides ventilation/breathing support) for 2 (Resident 10 and Resident 21) of 2 sampled residents. The facility census was 77. Findings are: Record review of facility assessment (is a comprehensive evaluation of the facility’s resident population and the resources needed to provide appropriate care and services), reviewed with the facility’s QAA Committee (Quality Assurance Committee) on 3/13/2025 revealed the facility did not identify it had the capability and/or capacity to provide specialized respiratory care or services. A Record review of an undated facility policy titled “Noninvasive Ventilation (CPAP, BiPAP, AVAP, Trilogy)” revealed the facility’s policy is to provide noninvasive ventilation as per physician’s order and current standards of practice. Further record 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-22 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09 and 12-006.09(E)Based on record review and interviews; the facility failed to evaluate and implement interventions to manage triggers (any stimuli that cause a person to re-experience the trauma or its associated emotions) for 1 (Resident 21) of 1 sampled resident with a self-reported diagnosis of Post Traumatic Stress Disorder (PTSD) through evaluation and care planning of potential triggers or situations that could lead to re-traumatization. The facility census was 77. Findings are:Record Review of Resident 21's Minimum Data Set (MDS- Federally mandated comprehensive assessment used to develop resident care plan) dated 3/28/28 revealed Resident 21 with a Brief Interview of Mental Status (BIMS) of a 13, which indicated a person is cognitively intact. Further review of Resident 21's MDS dated [DATE] revealed Resident 21 had active diagnoses of Stroke, Hypertension (high blood pressure), Diabetes Mellitus, Anxiety Disorder, and Bipolar Disorder (a mental illness that…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-16 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interview, the facility failed to update the Comprehensive Care Plan - (CCP- written instructions needed to provide effective and person centered care of the resident that meet professional standards of quality care) to accurately reflect interventions to minimize behaviors for 2 (Residents 1 and 2) of 3 sampled residents. The facility census was 81. Findings are: Record review of the facility provided incident report dated 1/10/2025 revealed Resident 1 and Resident 2 got into an altercation. Resident 1 stuck (gender) tongue out and then Resident 2 grabbed Resident 1. The residents were immediately separated by the staff. A. Record review of Resident 1's Quarterly Minimum Data Set (MDS - a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) dated 2/14/2025 revealed the resident admitted to the facility on [DATE], had a Brief Interview for Mental Status (BIMS - a test used 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 before2025-03-05 · 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

  Licensure Reference Number 175 NAC 12-006.18(B) Based on observation, interviews and record reviews, the facility failed to prevent cross contamination related to: 1. staff not wearing masks, 2. staff not wearing masks correctly, 3. staff carrying dirty linens next to their uniforms, and 4. reusable items potentially contaminated were not handled in a way to prevent the spread of COVID. The sample size was 5 and the facility census was 80. Findings are: A record review of facility policy titled Infection Prevention and Control dated 4/1/25 revealed: - reusable items potentially contaminated with infectious materials shall be placed in a plastic bag -soiled linen shall be collected at the bedside and placed in a linen bag. A record review of facility policy titled Personal Protective Equipment (PPE) dated 4/1/24 revealed that PPE refers to a variety of barriers used alone or in combination to protect skin and/or clothing from contact with infectious agents. It includes gloves, gowns, and face protection. A record review of Centers for Disease Control (CDC) sequence for putting on PPE…

  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 · F2024-06-17 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04B(ii)(1) Based on interview and record review that facility failed to ensure 2 staff members (Nurse Aide (NA)-O and NA-P) that had been employed longer than one year had completed the 12 hours of continuing education required to maintain a Nurse Aide (NA) license. The sample size was 5. The facility identified a census of 83. Findings Are: A record review of education hours for 5 staff members that had been employed at the facility for more than one year revealed that 2 staff members (NA-O and NA-P) had not received 12 hours of continuing education in the last one year as required to maintain their Nurse Aide (NA) certification. A record review of the untitled document provided by the facility educator, listing the in-services provided and the education hours covering July 2023 through June 2024 revealed NA-O, who had a hire date of 2/2/2020, had received 5.5 hours of continuing education for the year. The record review of the untitled document provided by the facility educator, listing the education hours covering July 2023 through June…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-06-17 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 1-009.04(i) Based on observation, interviews, and record reviews; the facility failed to ensure a safe water temperatures on the Memory Care Unit (MCU). This had the potential to affect 9 of 9 sampled resident rooms on the MCU. The facility census was 83 at the time of survey. Findings are: A. In an observation performed on 6/10/24 at 10:21 AM of the facility's MCU in resident room [ROOM NUMBER] it was revealed the water temperature from the bathroom sink was 122 degrees fahrenheit (F). Further observation revealed the following water temperatures from resident's bathroom sinks: -room [ROOM NUMBER] at 10:29 AM water temperature of 127 degrees F. -room [ROOM NUMBER] at 10:34 AM water temperature of 136 degrees F. -room [ROOM NUMBER] at 10:39 AM water temperature of 131 degrees F. -room [ROOM NUMBER] at 10:42 AM water temperature of 122 degrees F. -room [ROOM NUMBER] at 10:45 AM water temperature of 122 degrees F. -room [ROOM NUMBER] at 10:48 AM water temperature of 130 degrees…

  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 · E2024-06-17 · tag F0923 — pattern
  Have enough outside ventilation via a window or mechanical ventilation, or both.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.19B Based on observation, interview, and record review; the facility failed to ensure the facility's mechanical ventilation was functioning in resident's bathroom for rooms on the Memory Care Unit (MCU). This had to affected all 9 of 9 resident rooms on MCU. The facility census was 83 at the time of survey. Findings are: In an observation on 6/10/24 at 9:44 AM of the facility's Memory Care Unit a strong and stale urine odor was noted upon entering the unit. In an observation on 6/10/24 from 10:21 AM through11:02 AM revealed the following bathroom vents were unable to pull up one square of single ply toilet paper: -10:21 AM resident room [ROOM NUMBER], -10:24 AM resident room [ROOM NUMBER], -10:29 AM resident room [ROOM NUMBER], -10:33 AM resident room [ROOM NUMBER], -10:35 AM resident room [ROOM NUMBER], -10:39 AM resident room [ROOM NUMBER], -10:42 AM resident room [ROOM NUMBER], -10:45 AM resident room [ROOM NUMBER], -10:48 AM resident room [ROOM NUMBER], -11:02 AM…

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

  Environmental Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record. 2 Medicare payment denials on record.

• Medicare payment denial — starting 2025-03-28 for 64 days
• Medicare payment denial — starting 2023-10-03 for 3 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 AVID HEALTHCARE GROUP — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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.

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 28% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NE