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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 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 4.14 hrs/resident/day on weekends vs 4.77 on weekdays — 13% thinner on weekends. RN hours go from 0.75 to 0.27 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 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.

18 citations, most serious first. The 13 most serious are shown; the remaining 5 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 · 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 no plan of correction
• Potential for harm · Ecited before2025-12-30 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12.006.18(B) Based on observation, interview, and record review, the facility failed to ensure staff donned (put on) masks during a COVID-19 outbreak, ensure Enhanced Barrier Precautions (EBP) were followed for Resident 2, and maintain vinyl coverings on six recliners to reduce the potential for cross contamination in the Magnolia Trail commons area. The facility census was 121. Findings are:Licensure Reference Number 175 NAC 12.006.18(B) Based on observation, interview, and record review, the facility failed to ensure staff donned (put on) masks during a COVID-19 outbreak, ensure Enhanced Barrier Precautions (EBP) were followed for Resident 2, and maintain vinyl coverings on six recliners to reduce the potential for cross contamination in the Magnolia Trail commons area. The facility census was 121. Findings are: A. A record review of the facility's Coronavirus Disease 2019 (COVID-19) SNF Policy with an effective date 05/15/2023 revealed source control (wearing of a surgical…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-30 · 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

  Licensure Reference Number 175 NAC 12-006.09 and 12-006.09(H)(iv)(5).Based on observation, interview, and record review, the facility failed to implement neurological checks for an unwitnessed fall for 2 (Residents 1 and 2) of 3 sampled residents, and failed to monitor bowel movements and provider ordered interventions to prevent the potential for constipation for 1 (Resident 2) of 1 sampled resident. The facility staff identified a census of 121.The findings are:A. Record review of a facility policy entitled Neuro Checks dated revised 3/31/2021 revealed: -A neuro check is a simple and standardized assessment to detect changes in level of consciousness. These may be performed on an individual with a post-fall head injury, or unwitnessed fall. Consciousness is the most sensitive indicator of neurological status. -1. Neuro checks will be completed per physician order or initiated by the nurse, at their discretion, based on physical assessment of the resident, guest, or elder. -2. Neuro checks will be completed on the resident, guest, or elder with an unwitnessed fall or fall with…

  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 before2025-12-30 · 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

  B. Record review of Resident 1's admission Record revealed the facility admitted the resident on 9/11/2025. Further review of the admission record identified the resident had diagnoses that included infection and inflammatory reaction due to internal left knee prosthesis, bacteremia (a blood stream infection of bacteria in the blood), myasthenia gravis (a chronic autoimmune disease causing fluctuating weakness in voluntary muscles such as the eyes, face, throat, and limbs due to nerve-muscle communication breakdown, where antibodies block signals, worsening with activity and improving with rest), essential tremors, abnormalities of gait, and unsteadiness on feet. Record review of Resident 1's admission Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and help nursing home staff identify health problems) dated 9/17/2025 revealed a Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) score of 15. According to the MDS Manual, a score of 15 indicated 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 · D2024-12-17 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(A) Based on record review and interview the facility failed to ensure a psychotropic (a medication that affects how the brain works) PRN ( PRN - as needed) order had a rationale (a reason) for continued use and failed to identify target behaviors (specific actions) for an antipsychotic (a class of drug that treats psychotic symptoms and disorders) medication and an antianxiety (a drug that reduces anxiety) medication for 1 (Resident 50) of 5 residents. The facility had a census of 117. Findings are: A. A record review of Resident 50's Order Summary sheet with active orders of 12/12/2024 revealed the following medication order: Lorazepam (an antianxiety medication) 0.5 milligrams (mg-a unit of measurement), give 0.5 mg by mouth every 4 hours as needed for panic disorder. A record review of a Note To Attending Physician/Prescribers from the consultant pharmacist and dated 4/24/24 revealed the following: -In order to comply with CMS (Centers for Medicare and Medicaid Services) regulations (official rule) PRN orders for psychotropic…

  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 · F2023-10-17 · 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

  Licensure reference: 12-007.01A Based on observation, interview, and record review, the facility failed to ensure food temperatures were maintained and failed to ensure handwashing and glove changes were completed to protect from food borne illness. The facility had a total census of 113 of 113 residents that could be affected by the practice. Findings are: A. Observations on 10/11/23 at 12:09 PM at end of meal service in Magnolia Terrace dining room revealed the temperature of the goulash to be 116 F [Fahrenheit] taken by Dietary Aide A. In an interview on 10/11/23 at 12:09 PM, Dietary Aide A reported shutting off the steam table prior to service of the meal. Observations on 10/12/23 at 12:01 PM revealed the temperature of the egg salad to be 61.2 F taken by Dietary Aide A. The egg salad was observed to be sitting on top of the covered steam table well. In an interview on 10/12/23 at 12:12 PM, Dietary Director reported egg salad would be pulled and replaced with egg salad from the kitchen. In an interview on 10/17/23 at 10:50 AM, the Dietary Director reported hot foods on the steam…

  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 · E2023-10-17 · 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 12-007.04D Based on observation and interview, the facility failed to ensure a working ventilation system in 17 resident bathrooms (room [ROOM NUMBER], 12, 13, 14, 15, 16, 85, 86, 88, 91, 93, 95, 103, 105, 107, 111 and 113) of 99 occupied resident rooms. The facility census was 113. Findings are: Observations of the facility environment on 10/16/23 between 1:00 PM and 2:00 PM with the Administrator [ADM] , Director of Environmental Services [DES] and the Regional Director of Environmental Services revealed that the ventilation system in resident bathrooms rooms 11, 12, 13, 14, 15, 16, 85, 86, 88, 91, 93, 95, 103, 105, 107, 111 and 113 did not draw a 1 ply square of tissue to the surface of the ventilation covers in resident bathrooms. The fact that the tissue square was not drawn to the cover indicated that the system was non-operational at the time of the observation. Interview on 10/16/23 at 2:00 PM with the DES confirmed the ventilation system was not working in the resident…

  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 · Dcited before2023-10-17 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  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 12-006.09D Based on record review and interview, the facility failed to ensure blood pressures were taken in accordance with pharmacy recommendations for 1 [Resident 91] 5 residents sampled for unnecessary medications. The facility had a total census of 113 residents. Findings are: A review of Resident 91's electronic medical record revealed Resident 91 was admitted to the facility on [DATE] with a diagnosis of cerebral amyloid angiopathy [a condition in which proteins called amyloid build up on the walls of the arteries in the brain]. A review of Resident 91's Order Summary Report revealed an order dated 7/13/23 for Midodrine HCL 5 mg [a medication to treat a kind of low blood pressure that causes severe dizziness and fainting], 1 tablet two times per day. A review of Resident 91's Pharmacist Consult/Medication Review dated 9/25/23 revealed a recommendation of having sit/stand blood pressures completed for 1 week to rule out orthostatic hypotension [a form of low blood…

  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 · Fcited before2022-09-20 · tag F0880 — failed to prevent and control infections — widespread
  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 12-006.17 LICENSURE REFERENCE NUMBER 12-006.17D Based on observation, record review and interview, the facility failed to prevent the potential spread of Covid-19 (a mild to severe respiratory illness that is caused by a coronavirus) related to incomplete screening of visitors and staff with no follow up. The facility failed to ensure Resident 28's Nebulizer Kit was cleaned every night and the Nebulizer Kit was replaced once a week. The facility failed to prevent the potential for cross contamination related to hand hygiene between residents during medication administration. This had the potential to affect all residents. The facility identified a census of 115. FINDINGS ARE: A. A record review of the Covid-19 screening logs for visitors titled Visitor Sign In Sheet and dated 8/6/22 through 9/12/22 revealed the following: * an entry on 9/11/22 (document does not specify AM or PM of times) at 10:15 revealed a temperature documented of 86.7 * an entry on 9/11/22 at 2:20 (document does not specify AM or PM of times) revealed no temperature documented * an…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-09-20 · tag F0886 — failed to test for COVID-19 as required — widespread
  Perform COVID19 testing on residents and staff.
  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 ensure unvaccinated staff were tested twice weekly for Covid-19 per CMS (The Centers for Medicare & Medicaid Services is a federal agency that administers the nation's major healthcare programs including Medicare, Medicaid, and CHIP) guidelines. This had the potential to affect all residents. The sample size was 4. The facility census was 115. FINDINGS ARE: A record review of the facility Covid-19 staff testing logs dated 7/18/22 through 9/5/22 for unvaccinated staff, revealed that NA-B had tested on [DATE] and not again until 9/8/22. A record review of the timecard for NA-B covering dates 8/28/22 through 9/8/22 revealed NA-B had worked on 8/29/22, 8/31/22, 9/1/22, 9/2/22, 9/7/22 and 9/8/22 A record review of the facility Covid-19 staff testing logs dated 7/18/22 through 9/5/22 for unvaccinated staff, revealed that NA-C had tested on [DATE] and not again until 9/6/22. A record review of the timecard for NA-C covering dates 8/27/22 through 9/6/22…

  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

“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