Hillcrest Health & Rehab

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.

65.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 896 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.5% 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 484 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 0.49 therapist hours per resident per day in 2025Q4 — more than 81% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 14% — 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 151 beds and averages 110.0 residents a day — about 73% occupied, or roughly 41 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 4.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.20 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 4.08 hrs/resident/day on weekends vs 4.65 on weekdays — 12% thinner on weekends. RN hours go from 0.80 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 more than at the previous inspection — worsening. 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.

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

• Actual harm · G2025-12-30 · 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 Licensure Reference Number NAC 175 12-006.09(H)(iii)(1) and 12-006.09(H)(iii)(2). Based on observation, interview and record review the facility failed to implement interventions for the prevention of pressure ulcers for 2 (Resident 2 and 4) of 4 residents sampled and failed to provide practitioner ordered wound care to promote healing of pressure ulcers for 1 (Resident 4) of 4 residents sampled. The facility census was 121. The findings are:Record review of the facility policy dated 07-25-2025 revealed all team members are responsible for preventing, caring for and providing treatment for any patient with altered skin integrity. Record review of the facility's undated policy titled Braden Scale revealed the facility uses the Braden Scale as a tool to assess the resident's level of risk for development of pressure ulcers. The evaluation is based on six indicators: sensory perception, moisture, activity, mobility, nutrition, and friction or shear. A lower Braden Scale Score indicates a lower level of functioning,…

  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 before2025-09-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to evaluate change of condition for 1 [Resident 3] of 3 sampled residents. The facility had a total census of 119. Findings are:A. A review of Resident 3's admission Record revealed Resident 3 was admitted to the facility on [DATE] with a diagnosis of infection and inflammatory reaction due to internal right hip prosthesis, chronic systolic heart failure [a condition in which the heart muscle is weakened and cannot pump blood effectively], and presence of prosthetic heart valve. A review of Resident 3's Progress Note dated 8/22/25 revealed Brief Interview for Mental Status [an evaluation of cognitive status] score of 11. A review of MDS [Minimin Data Set; a comprehensive assessment used for care planning] Manual revealed a score of 8-12 indicates moderately impaired cognitive impairment. A review of Resident 3's oxygen saturation levels [a percentage of oxygen carried by red blood cells in the blood stream] documented in the vitals section of the…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-03-11 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure reference: 175 NAC 12-006.09(I)(i)(1) Based on observation, interview, and record review, the facility failed to ensure fall prevention interventions were implemented for 2 [Residents 4 and 7] of 4 sampled residents with falls. The facility had a total census of 142 residents. Findings are: A. A review of Resident 4's admission Record revealed Resident 4 was admitted to the facility on [DATE] with a diagnosis of displaced fracture of lateral end of right clavicle and acute respiratory failure with hypoxia. admission Record indicated Resident 4 was discharged to an acute care hospital on 2/27/25. A review of Resident 4's MDS [Minimum Data Set; a comprehensive assessment used for care planning] dated 2/10/25 revealed Resident 4 required partial/moderate assistance with transfer and supervision or touching assistance with walking 10 feet. Resident 4 was identified has having falls in the last month prior to admission and fall with fracture in the last 6 months prior to admission. Resident 4's Brief…

  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 · Fcited before2026-06-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure all food stored in the facility's kitchen was labeled, dated, and/or sealed, ensure kitchen was maintained in a clean and sanitary manner, ensure food holding temperatures (temps) were completed prior to food service all to prevent foodborne illness. The facility failed to ensure food temperature probes were sanitized between product usage, ensure staff washed hands between glove changes, and failed to ensure tongs were stored in a manner to prevent cross contamination. This had the potential to affect 118 residents that consumed food prepared in the facility kitchen. The total facility census was 120. Findings are:A.A record review of the facility's Proper Food Storage policy dated 05/23/2017 revealed all food handlers must follow proper guidelines for food storage to ensure all products were safe and sanitary for their residents. Staff were to only use proper food storage…

  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 · F2026-06-04 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.07(C) Based on record review and staff interviews; the facility Quality Assessment Performance Improvement Plan (QAPI) failed to identify issues relevant to F 553, F 578, F 580, F 628, F 641, F 656, F 684, F689, F692, F 695, F 698, F 757, F 812, F 842, F 880 and implement plans of action to identify and correct the deficient practice. This deficient practice had the potential to affect all residents who reside in the facility. The facility sample size was 51. The facility staff identified a census of 120. Findings are:Record review of the facility QAPI program policies dated 01/01/2026 revealed the following information: Policy: The purpose of the Quality Assurance and Performance Improvement (QAPI)program is to ensure person-centered care. The QAPI program will evaluate,maintain, and improve the quality of services provided to guests at HillcrestHealth and Rehab. The QAPI program is intended to: 1) monitor critical aspectsof service line operations, 2) provide data on feedback on performancecompared to threshold, 3) continually improve…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-04 · tag F0580 — failed to tell family and doctor about changes — pattern
  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

  Licensure Reference Number 175 NAC 12-006.04(F)(i)(5) Based on interview and record review the facility failed to notify the provider of blood sugars outside of parameters for 1 resident (Resident 151), medications provided outside of parameters for 3 residents (Resident 2, 146 and 151), failed to notify provider of a change in an Abnormal Involuntary Movement Scale (AIMS, a clinical tool used to detect and measure involuntary muscle movements, primarily Tardive Dyskinesia in patients taking neuroleptic or antipsychotic medications) score for 1 (Resident 30) and no Continuous Positive Airway Pressure (CPAP, a device primarily used to treat obstructive sleep apnea) available for 1 resident (Resident 32) of 6 sampled residents. The facility identified a census of 120. Findings are: A. Record Review of the facility's Medication Administration Policy dated 1/1/2023 revealed the following: Policy: A medication error is defined as the preparation or administration of drugs or biological which is not in accordance with physician's orders, manufacturer specifications, or accepted…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.05(E)Licensure Reference Number 175 NAC 12-006.09(F) Based on interview and record review, the facility failed to ensure comprehensive care plan (documents that outlined a resident's medical, emotional, and daily living needs) meetings and invitations to the residents and families were completed quarterly for 3 (Residents 14, 9, and 130) of 6 sampled residents. The facility census was 120. Findings are:A record review of the facility's Care Planning policy dated 01/2026 revealed the Interdisciplinary Team (a group of professionals from different fields to achieve a common goal) was responsible for the review and updating the care plan at least quarterly. The resident had the right to participate in the planning process and identify individuals to be included. A record review of the Medicare.gov's undated What's a nursing home care plan? revealed that a health assessment must be completed at least every 90 days, or more often if a resident's needs change, and changes made…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 interview and record review the facility staff failed to obtain a signed code status prior to changing the code status in the electronic health record for 1 (Resident 16) of 32 sampled residents. The facility identified a census of 120. Findings are:A.Record Review of the facility's undated policy titled Cardiopulmonary Resuscitation Directive revealed the following: Policy:Patients admitted to Hillcrest Care & Rehabilitation Center shall indicate in writing their preference regarding resuscitation. The facility will follow the pre-admission advance directive of the resident. The explanation of cardiopulmonary resuscitation is:Responsibility of: Nurse manager, medical recordsSupplies Needed: CPR/No CPR formProcedure: As part of the admission process, the admitting personnel will explain the facility's CPR/no CPR procedure. Once the patient/responsible party understands this process, they will be offered an opportunity to sign CPR/No CPR form. Any discussion with patient/responsible party, in regard to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to complete a recapitulation of stay (the clinical story of a person's time in a care facility) for 1 (Resident 148) of 2 sampled residents. The facility staff identified a census of 120.Findings are:Record review of Resident 148's admission Record (AR) revealed the facility admitted the resident on 03/20/2026. Further review of the admission record identified Resident 148 had diagnoses of displace trimalleolar fracture of the right lower leg (a fracture of the ankle joint in three different places where the broken bones had shifted out of normal position), and foot drop of the left foot (inability to lift the front part of the foot due to weakness or paralysis).Record review of Resident 148's Clinical Census identified the facility discharged Resident 148 on 04/16/2026.Record review of Resident 148's Electronic Health Record (EHR) which included progress notes, assessments, and scanned documents revealed a lack of evidence to show a recapitulation of the resident's stay was completed.During an interview on 06/04/2026 at…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · 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 Licensure Reference Number 175 NAC 12-006.09(D)Based on record review and interview, the facility failed to accurately code the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 2 (Resident 32 and Resident 70) of 46 sampled residents. The facility staff identified a census of 120.Findings are:A. Record review of Resident 32's admission Record (AR) revealed the facility admitted the resident on 05/07/2026. Further review of the AR identified Resident 32 had a diagnosis of obstructive sleep apnea (a disorder where breathing repeatedly stops and starts during sleep because the throat muscles relax, causing the airway to collapse and block airflow). Record review of Resident 32's Treatment Administration Record (TAR) for 05/07/2026 through 05/21/2026 revealed the resident had an order for a Continuous Positive Airway Pressure (CPAP, a device primarily used to treat obstructive…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(E) Based on record review and interview, the facility failed to develop a Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) for 2 ( Resident 12, related to seizures, and did not develop a CCP for identified care areas for Resident 11) of 51 sampled residents reviewed for CCP's. The facility census was 120. Findings are: A. Record review of a facility policy entitled Care Planning effective 01/2026 revealed the following information: Policy: An individualized comprehensive care plan that includes measurable objectives and timetables to meet the residents' medical, nursing, mental and psychological needs is developed for each resident. 4. The comprehensive person-centered care plan will: a. Include measurable objectives and time frames. b. Describe services that are to be provided to attain or maintain…

  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 before2026-06-04 · 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 record reviews, observations, and interviews, the facility failed to complete a recliner chair safety evaluation for 2 (Resident 79 and Resident 70) of 8 sampled residents; and the facility failed to turn off an oxygen concentrator when not in use for 1 (Resident 20) of 2 sampled residents. The facility staff identified a census of 120.Findings are: A. Record review of facility policy entitled Fall Risk Management Policy dated 01/01/2023 revealed: -After completion of additional assessments, the admitting nurse or therapist determines what factors could contribute to fall risk. Record review of Resident 79's admission Record (AR) revealed the facility admitted the resident on 05/01/2026 with diagnoses of lack of coordination, generalized muscle weakness, unsteadiness on feet, and unspecified dementia. Record review of Resident 79's Fall Risk Evaluation dated 05/01/2026 identified Resident 79 was at-risk of falls. Record review of an Un-witnessed Fall…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(J) Based on record reviews, observations, and interviews, the facility staff failed to follow ordered fluid restrictions for 1 (Resident 32) of 1 sampled resident. The facility identified a census of 120. Findings are:Record review of facility policy entitled Fluid Restriction dated revised 11/20/2017 revealed guests on fluid restrictions should not have a water pitcher at bedside and nursing staff would be responsible for documenting fluid intakes in the clinical record. Record review of Resident 32's admission Record (AR) revealed the facility admitted the resident on 05/07/2026. Further review of the AR identified Resident 32 had diagnoses of chronic diastolic (congestive) heart failure (lower heart chambers don't relax as they should). Record review of Resident 32's Order Summary Report revealed an order dated 05/08/2026 for 2,000 milliliter (mL) fluid restriction with 400 mL served at each breakfast, lunch, and dinner, and 800 mL left over for nursing med pass. Record review of Resident 32's May 2026 Medication Administration Record…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$33,248 in federal fines across 1 penalty.

• $33,248 — penalty dated 2025-12-30

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.

Who owns this facility

CMS files one row per role, so the 36 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $6.3M paid to related parties — landlords or management companies under common ownership — equal to about 33% 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