Imperial Manor Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

31.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 58 beds and averages 27.7 residents a day — about 48% occupied, or roughly 30 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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.

Weekend coverage: total nurse staffing is 3.51 hrs/resident/day on weekends vs 4.62 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.68 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · Fcited before2025-11-20 · 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 Number 175 NAC 12-006.18(D) Based on observation, interview and record review the facility failed to perform hand hygiene to prevent the potential for cross contamination during meal preparation. This had the potential to affect all residents. The facility census was 30.Findings are:An observation on 10/01/2025 at 9:17 AM revealed three bags of half frozen potatoes in the sink defrosting. Cook-B while wearing gloves opened the bags with a knife and poured the potatoes into a colander. Cook-B then grabbed a bowl and a spoon and began spooning the frozen chunks into the bowl and chopping at the potatoes to separate them. Cook-B grabbed a large chunk of potatoes and used hands to break the pieces apart. Cook-B rinsed their gloved hands in the sink the potatoes were sitting in. While still wearing the same gloves Cook-B poured the potatoes into the pan on the stove. An observation of kitchen on 10/01/2025 at 10:49 AM revealed while wearing gloves, Cook-B moved two bowls of raw chicken from the refrigerator to the counter. Cook-B gathered three large baking pans and…

  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 · Fcited before2025-11-20 · 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 175 NAC 12-006.18(B) & (D)Based on Observation, interviews and record review the facility failed to prevent the potential for cross contamination while scooping ice into resident drinking cups. The facility also failed to perform hand hygiene to prevent the potential for cross contamination during hydration preparation in the dining room This had the potential to affect all residents. The facility census was 30.Findings are:An observation on 9/29/2025 at 12:19 PM revealed Dietary Aide (DA)-A serving juice out of the cart with bins sitting on ice in the dining room. DA-A observed a soiled spot on the counter, grabbed a rag and began to wipe down the counter while wearing gloves. DA-A then resumed serving drinks to residents while still wearing the same gloves and without performing hand hygiene. An observation on 9/29/2025 at 12:20 PM revealed DA-A wearing the same gloves while they resumed serving drinks. DA-A picked up an empty glass off the cart and without using an ice scoop, used the glass to scoop ice out of the blue ice chest sitting on a chair in…

  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 · F2025-11-20 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to employ a qualified infection preventionist. This had the potential to affect all residents residing within the facility. The facility census was 30.Findings Are: An interview on 9/29/2025 at 10:25 AM with the administrator revealed Licensed Practical Nurse (LPN)-C was the facility's Infection Preventionist. A record review of facility provided documents revealed no evidence that LPN-C had completed specialized training for infection control and prevention. An interview on 9/29/2025 at 11:36 AM with the administrator confirmed LPN-C had not completed specialized training for infection control and prevention and that the facility's Director of Nursing (DON) had been covering the duties of the Infection Preventionist in addition to their DON job duties.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to notify the ombudsman of 1 (Resident 35) of 1 sample resident's discharge from the facility. The facility census was 30. Findings Are: A record review of Resident 35's admission Record revealed the resident was admitted to the facility on [DATE]. The record also revealed the resident discharged to another nursing facility on 8/19/2025. A record review of Resident 35's electronic medical records revealed no evidence of the Ombudsman being notified of the resident's discharge from the facility. An interview on 9/30/2025 at 2:32 PM with the Director of Nursing (DON) confirmed the resident was discharged from the facility. The DON stated that the Social Services Director (SSD) was responsible for notifications to the ombudsman. An interview on 9/30/2025 at 2:35 PM with SSD revealed the SSD was only aware of the requirement to notify the Ombudsman of emergency transfers therefore, no notification had been sent regarding Resident 35's discharge from 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-20 · 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 ensure the care plans were comprehensive for 2 (Residents 17 and 26) of 12 sampled residents. The facility census was 30. Findings Are: A record review of the facility's Comprehensive Care Plans policy with revision date of 9/12/2024 revealed it is the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychological needs that are identified in the resident's comprehensive assessment. A.A record review of Resident 17's admission Record revealed the resident was admitted to the facility on [DATE] with diagnoses of migraine and polyneuropathy. An interview on 9/29/2025 at 4:38 PM with Resident 17 revealed the resident had chronic pain and suffered from near constant migraines. A record review of Resident 17's…

  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 · Fcited before2025-02-04 · 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

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observations, interviews, and record reviews, the facility failed to ensure foods were not stored on the floor and meats were not thawed above fresh vegetables. This had the potential to affect all residents. The facility census was 36. Findings are: Record review of the policy and procedure Food Receiving and Storage with a revised date of 10/1/2024 revealed the policy is so food shall be received and stored in a manner that complies with safe food handling practices. The purpose is to ensure the quality of food and ensure it is stored and handled properly. Refrigerated foods will be stored in such a way that promotes adequate air circulation around food storage containers. The freezer must keep foods frozen solid. Uncooked and raw animal products and fish will be stored separately in drip proof containers and below fruits, vegetables, and other ready to eat foods. An observation on 2/4/2025 at 10:45 AM revealed in the walk-in refrigerator two boxes of lettuce stored on the floor, one non-drip container of chicken thawing on…

  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 · Fcited before2024-10-10 · 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 Number 175 NAC 12-006.11(E) Based on observations, interviews and record review, the facility failed to ensure that outdated food items were not available for use, failed to ensure clean and sanitary surfaces were maintained throughout the kitchen, and failed to do proper hand hygiene to prevent cross contamination and prevent the spread of foodborne illness. The facility also failed to use pasteurized eggs when serving over-easy eggs to prevent foodborne illness and failed to follow package directions while preparing stuffing. This had the potential to affect all 32 residents served food out of the kitchen. Findings are: During the initial kitchen tour on 10/7/2024 from 10:30 AM to 11:24 AM revealed the following concerns: A cart with pots and pans on the bottom shelf had dust and food particles on it. Two shelves above the serving area had seven plastic canisters with cereal, no dates on the canisters. Dust, grime and food particles were also on this shelf that could fall into food being prepped in this area. The shelves below this prep area had bowls and plate…

  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 · F2024-10-10 · 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 175 NAC 12-00604(B)(ii) Licensure Reference 175 NAC 12-006.04(B)(ii)(1) Based on record reviews and interview, the facility failed to ensure nurse aides had completed at least 12 hours of continuing education, including Dementia and Abuse training, as required for 4 (Nurse Aide G, F, D, and H) of 5 sampled employees. This had the potential to affect all 32 residents who reside within the facility. Findings are: A record review of the Imperial Manor Facility Assessment with a date of 8/5/2024, under Training and Education Section, indicated nurse aides must complete no less than 12 hours per year of continuing education, including Dementia and abuse. A record review of Nurse Aide (NA)-G's Relias Transcript with a date of 10/8/2024 revealed a hire date of 7/23/2021. It also revealed 0 hours of training for the year and no evidence of Dementia or abuse training. A record review of an undated list of in-services for NA-G revealed no in-services had been completed for the year and no evidence of Dementia or abuse training. A record review of NA-F's Relias Transcript,…

  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 · E2024-10-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12-006.09(I)(i)(3) Based on observations, interviews, and record reviews; the facility failed to implement interventions to prevent elopement for 1 resident (Resident 26), ensure fall interventions were in place for 2 residents (Resident 3 and 22), and ensure a call light was within reach for 1 resident (Resident 15). The sample size was 4 out of 4 residents. The facility identified a census of 32. Findings are: A. A record review of a facility policy Elopements and Wandering Residents with a date of 5/9/2023 indicated the facility's approach to monitoring and management of residents at risk for elopement included implementing interventions to reduce the hazard and risk of elopement. A record review of an admission Record indicated the facility admitted Resident 26 on 12/28/2023 with diagnoses of dementia with agitation and anxiety. A record review of Resident 26's significant change Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used for care planning,)…

  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 · D2024-10-10 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference 175 NAC 1-005.01(G) Based on record reviews and interview, the facility failed to report to the State Agency and submit an investigation within 5 working days of an elopement for 1 (Resident 26) of 1 sampled resident. The facility identified a census of 32. Findings are: A record review of a facility policy Reporting Alleged Violations with a date of 2/22/2023 revealed alleged violations must be reported to the administrator of the facility and to the State Survey Agency in accordance with state law. The policy did not include a timeframe. A record review of Resident 26's Progress Notes with a date of 1/27/2024, written by Registered Nurse (RN) - E revealed Resident 26 had eloped out the front door of the facility after breakfast. Staff were able to catch up to Resident 26 and redirect. Resident 26 attempted to leave the facility again about an hour later. An interview on 10/10/2024 at 11:00 AM with the Administrator confirmed a report to the State Agency within 5 working days regarding Resident 26's elopement had not completed.

  Freedom from Abuse, Neglect, and Exploitation 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

$7,903 in federal fines across 1 penalty.

• $7,903 — penalty dated 2024-01-30

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 12 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in NE