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Good Samaritan Society - St John's

3410 Central Avenue, Kearney, NE 68847 · Non profit - Corporation · 56 certified beds · (308) 234-1888 Medicare & Medicaid certified

Call the home — (308) 234-1888 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0609) — most recent Apr 2026Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation1 Medicare payment denial
Insights

The public record raises real questions here. Weigh the concerns below carefully.

Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)
  • about 17% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3320 A Ave · (308) 865-2363 · Call to confirm hours
Pharmacy
211 W 33rd St · (308) 234-3300 · Call to confirm hours
Grocery
3915 2nd Ave · (308) 224-3079 · Call to confirm hours
Park
507 W 33rd St · (308) 237-4644 · Typically dawn to dusk
Place of worship

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

Overall quality measures 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.7%19.0%15.4%better
Long-stay residents who lose too much weight7.4%5.1%5.4%worse
Long-stay residents with a catheter left in their bladder4.0%1.4%0.9%worse
Long-stay residents with a urinary tract infection4.6%2.8%2.0%worse
Long-stay residents with depressive symptoms3.1%4.3%6.5%better
Long-stay residents who were physically restrained0.0%0.3%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury4.5%4.5%3.3%worse
Long-stay residents whose ability to walk worsened23.5%18.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication25.0%19.3%18.9%worse
Long-stay residents given the seasonal flu vaccine97.8%96.1%95.3%typical
Long-stay residents with pressure ulcers5.9%4.0%4.7%worse
Long-stay residents with worsening bladder/bowel control30.0%25.9%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table27.3%20.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.1%2.0%1.4%better
Short-stay residents given the seasonal flu vaccine83.3%75.9%79.4%typical
Short-stay residents rehospitalized after admission26.8%20.7%22.6%worse
Short-stay residents with an outpatient ER visit16.2%11.4%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.331.811.67better
Long-stay outpatient ER visits per 1,000 resident days0.371.921.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

35.1% 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 79 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

35.1%U.S. median 51.5%
Got home and stayed home
9.1%U.S. median 10.7%
Went back to hospital
76.7%U.S. median 56.6%
Met the expected recovery
0.16U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 76.7% 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 43 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 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF35.1%CMS range 28.3–44.851.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.1%CMS range 6.0–12.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge76.7%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge67.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge62.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified50.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge93.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.7%CMS range 3.9–10.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.871.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.71
RN hours/ resident / day
0.39
LPN hours/ resident / day
2.31
Aide hours/ resident / day
3.40
Total nurse hours/ resident / day
0.42
RN hoursweekends
51.1%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 56 beds and averages 46.0 residents a day — about 82% occupied, or roughly 10 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 3.40 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.31 is below 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 2.80 hrs/resident/day on weekends vs 3.64 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.83 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

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

Inspection trend

10
deficiencies at the latest standard inspection (2026-04-02)
8
at the previous standard inspection (2025-01-06)

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.

ABCDEFGHIJKL

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.

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · G2026-04-02 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.10(D) Based on record review and interview the facility failed to ensure medication errors with the potential to negatively impact a resident's health or safety did not occur and the potential for negative effects were monitored for 2 (Residents 17 and 54) of 3 sampled residents. The facility census was 46. Findings are:Record review of a facility policy titled Medication Errors and dated 03/02/2026 revealed the definition of a significant medication error is one which causes the resident discomfort or jeopardized their health or safety. A.Record review of an admission Record dated 04/01/2026 revealed that the facility admitted Resident 17 on 04/18/2025 with diagnoses of mixed incontinence (the inability to control both bowel and bladder) and other disorder of the bladder. Record review of a facility document titled SAFE Resident Event and dated 01/19/2026 revealed on that date at 12:00 PM the facility identified a medication error for Resident 17. The resident'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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-08 · 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

    Licensure Reference Number 175 NAC 12-006.09(I)(i)(1) Based on record review and interview, the facility failed to identify the causative factors in falls as they related to one of 3 sampled residents (Resident 3). The facility census was 40.Record review of the facility policy dated 6/2/26 Falls Resource Packet - Rehab /Skilled revealed that the facility requires that all locations have a fall reduction program the provides organized and sustained processes that are monitored by designated employees and understood and followed by all employees. A successful fall reduction program is the responsibility of all employees. Employees are required to complete fall prevention and fall management training with a purpose to provide an evidence-based collection of information and tools for an effective fall reduction program that results in well-being for residents and employees. Medical documentation included completion of the SAFE Event Incident report and the Fall Risk Evaluation Report. Definition of a fall was the unintentional change in position coming to rest on the ground or onto 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 plan of correction
  • Potential for harm · E2026-04-02 · tag F0552 — pattern
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.05(D)&(E) Based on record review and interview the facility failed to inform the resident or their representative in advance of treatment risks and benefits, options, and alternatives prior to administering psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) for 3 of 5 residents reviewed (Residents 17, 2, and 6). The facility census was 46. Findings are:Record review of the facility policy titled Psychotropic Medications dated 12/9/25 revealed that the purpose is to evaluate behavior interventions and alternatives before using psychotropic medications and to eliminate unnecessary psychotropic medications. The family/legal representative will be notified before the administration of non-emergency psychotropic medications. The consent form must be signed for the use of psychotropic medications. The Permission for Use of Psychotropic Medications form will be used to obtain consent and must be signed for the use of 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-02 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Licensure Reference Number 175 NAC 12-006.09(H) Based on record reviews and interviews, the facility failed to monitor for adverse drug reactions related to antipsychotic medication use for 1 (Resident 2) of 5 residents sampled. The facility census was 46. Findings are:A record review of facility policy titled, Psychotropic Medications dated 12/09/2025 revealed: The resident will be free from any chemical restraint imposed for the purpose of discipline or convenience and not required to treat the resident's medical symptoms. Each resident's drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used:-without adequate monitoringProcedure:1. Before administration of non-emergency psychotropic medication, the following must be completed:4. The reduction committee will ensure that the family/legal representative and resident are notified of this change in treatment.5. If the physician prescribed an antipsychotic for the resident, a registered nurse must complete the Antipsychotic Medication Assessment and the Abnormal Involuntary Movement Scale in 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-02 · 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 Licensure Reference Number 175 NAC 12-006.09(G)(i) Based on record review and interview, the facility failed to complete a discharge summary for 2 (Residents 60 and 62) of 2 sampled residents who had been discharged from the facility. The facility census was 46. Findings are:Record review of a facility policy titled Discharge and Transfer dated 01/15/2026 revealed when a transfer or discharge occurs, the location must ensure that the transfer or discharge is documented in the medical record. A.Record review of an admission Record dated 03/31/2026 revealed the facility admitted Resident 60 on 09/22/2020 and discharged or transferred the resident to the hospital on [DATE]. Record review of Resident 60's Progress Notes revealed on 01/06/2026 at 2:45 AM the resident complained of intolerable abdominal pain and wished to go the emergency department. At 7:06 AM the facility received a telephone call from the emergency department that the resident was being admitted to the hospital. Review of Resident 60's Electronic…

    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 · D2026-04-02 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Licensure Reference Number 175 NAC 12-006.09(D) Based on observation, record review, and interview the facility failed to ensure that the Minimum Data Set (MDS, a mandatory comprehensive assessment tool used for care planning) identified dialysis services (a life-sustaining medical treatment that filters waste, toxins, and excess fluids from the blood when kidneys have failed) as required for 1 (Resident 7) of 1 sampled resident. The facility census was 46. Findings are:Record review of the facility policy titled Dialysis Services dated 9/30/25 revealed that facilities caring for residents receiving dialysis services must have an agreement with the provider of the service. The facility will be responsible for arranging transportation to and from dialysis services. Care plan dialysis care specific to the resident: for example, unique nutritional needs or fluid restriction, avoid taking blood pressure in the arm with the fistula (a surgical connection between an artery and a vein, usually in the arm, created to make dialysis possible for kidney failure patients), and any other…

    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 · D2026-04-02 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    Licensure Reference Number 175 NAC 12-006.09(F)(i) Based on record review and interview the facility failed to complete a baseline care plan (a written plan required to be developed within 24 hours of admission detailing the instructions needed for staff to provide initial effective and person-centered quality care for a resident) for 2 of 3 residents reviewed (Residents 4 and 23) to identify immediate care needs of the resident. The facility census was 46. Findings are:Record review of the facility policy titled Care Plan dated 12/1/25 revealed that the purpose is to provide guidance to the interdisciplinary team in developing the initial care plan and develop a comprehensive care plan using an interdisciplinary team approach. The definition of Baseline care plan revealed that it includes the instructions needed to provide effective and person centered care of the resident that meet professional standards of care. A baseline care plan will be developed upon admission according to federal and state regulations. The location must provide the resident and resident representative 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-02 · 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 maintain a comprehensive care plan for 1 of 5 residents reviewed (Resident 11) to provide direction to staff for care required for resident diabetes (a disease characterized by high blood sugar levels when the body does not produce enough insulin to regulate blood sugar levels). The facility census was 46. Findings are:Record review of the facility policy titled Care Plan dated 12/1/25 revealed the Comprehensive Care Plan is a plan of care that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. Residents will receive and be provided the necessary care and services to attain or maintain the highest practicable well-being in accordance with the comprehensive assessment. Each resident will have an individualized, person-centered, comprehensive plan of care that will include measurable goals…

    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 before2026-04-02 · 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(H)(iv)(5) Based on record review and interview, the facility failed to follow practitioner orders to prevent constipation for 1 (Resident 2) of 1 sampled resident. The facility census was 46. Findings are: A.A record review of Resident 2's Facesheet dated 04/02/2026 revealed an admission date of 08/10/2016. A record review of Resident 2's 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) dated 02/11/2026 revealed under Section C for cognitive patterns a Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) score of 14, indicating the resident was cognitively intact. The resident was dependent on staff for toilet transfers and for toileting hygiene and was always incontinent of bowels. A record review of Resident 2's undated Care Plan revealed the resident had a diagnosis of constipation. A record review of Resident 2's Medication Administration Report (MAR)…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-02 · 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

    Licensure Reference Number 175 NAC 12-006.09(I)Based on observation, record review, and interview the facility failed to ensure that fall prevention interventions were implemented for 1 of 1 resident reviewed (Resident 17). The facility census was 46.Findings are:Record review of the facility policy titled Fall Prevention and Management dated 3/31/26 revealed the purpose was to develop and implement a fall prevention and management program, identify risk factors and implement interventions before a fall occurs, to give prompt treatment after a fall occurs, and to provide guidance for documentation. The facility was to communicate fall risks and interventions to prevent a fall before it occurs, review and update the care plan with any changes/new interventions, and continue to monitor the condition and the effectiveness of the interventions. Record review of the admission Record for Resident 17 dated 3/30/26 revealed that Resident 17 admitted into the facility on 4/18/25 and had a diagnosis of repeated falls. Record review of the Minimum Data Set (MDS, a mandatory comprehensive…

    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 · D2026-04-02 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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 observations, interviews ,and record review; the facility failed to ensure a physician's order for resident dialysis, ensure that pre-dialysis assessment and communication was completed, and failed to assess and monitor resident post dialysis as required for 1 (Resident 7) of 1 sampled resident. The facility census was 46. Findings Are: Record review of the facility policy titled Dialysis Services dated 9/30/25 revealed that facilities caring for residents receiving dialysis services must have an agreement with the provider of the service. Record review of the facility's Outpatient Dialysis Services Agreement dated 9/10/19 revealed that the company will provide outpatient renal dialysis services to the facility. The agreement revealed that renal dialysis services shall include items and services when ordered by the physician. The need for referral of a resident to the dialysis unit shall be determined by the resident's attending physician. Record review of the admission Record dated 3/31/26 for 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · Dcited before2025-07-02 · 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 NAC 175 12-006.09(H) Based on record reviews and interviews, the facility failed to follow physician orders, and ensure follow up assessments were completed for 1 (Resident 4) of 3 sampled residents. The facility identified a census of 51. Findings are: Record review of the facility policy titled, Change in Condition Evaluation last reviewed 04/06/2025 revealed the following: Purpose -To improve communication between nurses and a provider when nursing is monitoring a change of condition -To enhance the nursing evaluation of and documentation of a resident who has a change in condition To provide a standard format to collect pertinent clinical data prior to contacting the provider when there is a change in condition To standardize shift to shift communication about a resident change in condition Procedure Nursing judgment should be used when determining the urgency of contacting the provider. In the event the situation requires calling 911, the Change of Condition Evaluation (CICE) would not be used. Before completing CICE: -Review the resident's medical…

    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 before2025-07-02 · 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 and interviews, the facility failed to implement a plan of care to prevent potential injuries for 1 (Resident 9) of 3 sampled residents. The facility identified a census of 51. Findings are: Record review of the facility policy titled, Fall Prevention and Management last reviewed 04/08/2025 revealed the following: Purpose -To promote resident well-being by developing and implementing a fall prevention and management program. -To identify risk factors and implement intervention before a fall occurs Proactive approach before a fall occurs (e.g., New Admit) Procedure -On admission or readmission, review the applicable documents (i.e., discharge summary from transferring agency, transfer record, history and physical, lab values, nursing admit/readmit data collection) and any additional admit information documentation for fall risk factors. -Complete the Falls Tool UDA (User Defined Assessment) for fall screening and identifying fall risk…

    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 · F2025-01-06 · 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

    License Reference Number 175 NAC 12-006.04(A)(iii) Based on record review and interview the facility failed to ensure that employee healthcare questionnaires were completed, reviewed, and maintained prior to the hire dates for 5 of 5 sampled employees. This had the potential to affect all residents in the facility. The facility census was 44. Findings are: An interview on 01/06/2025 at 1:30 PM with the Facility Administrator (FA) revealed that all new hires were given paperwork which was to be filled out prior to being hired. The FA provided a copy of the facility's General Orientation Packet, which contained the paperwork the new hires were to complete. A record review of an undated copy of the facility's General Orientation Packet (GOP) revealed all paperwork in the packet must be completed by the new hire and returned to the Director of Nursing Services prior to starting work. The following documents were included in this section; -Medical History Questionnaire (a 5-page document), -Employee/Candidate Tuberculosis Screening Questionnaire (a 3-page document), -Hepatitis B Consent…

    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 · F2025-01-06 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    License Reference Number 175 NAC 12-007.01(B)(ii) Based on observations and interviews, the facility failed to provide a sanitary environment in the laundry area (three specific areas which are ante room, storage room, and dirty laundry) for staff. This had the potential to affect all laundry staff and all residents. The current facility census was 44. Findings are: During the initial observation tour of the facility laundry department on 01/02/2025 at 8:43 AM, revealed the following: -The ante room to the clean laundry area. There were 3 shelves to the left which contained blankets and other various items folded. Under the shelf on the left side there was one metal mouse trap, a step stool, and cardboard boxes filled with items. The floor in that area was dusty, had dirt debris, brownish gray fuzzy matter, and paper trash on the floor. On the right side of the ante room, were hooks which held staff winter wear. At the floor level was a long wooden shelving approximately 5 feet long that lifted things off the floor approximately one inch. On that shelving piece were cardboard boxes…

    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 · Ecited before2025-01-06 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 1-009.01(B) Licensure Reference Number 175 NAC 12-006.19(A) Based on observation, interview, and record review; the facility failed to ensure that resident equipment was cleaned and maintained for 5 residents (Residents 15, 17, 29, 7, and 18) of 8 residents sampled. This affected the residents' right to a dignified existence. The facility census was 44. Findings are: A. A record review of the facility's Resident Handbook dated 06/2021 revealed in the section titled Maintenance Services that the facility is responsible for the maintenance and service of the building and all equipment owned by the center. The section titled Resident Mobilization Information revealed the facility strives to sustain and improve each resident's health with frequent mobilization. The resident's weight-bearing support needs will be determined and the appropriate equipment will be provided for bed mobility, transfers, and ambulation. Residents who are determined to need weight bearing assistance or…

    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 · Ecited before2025-01-06 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(H)(i)(3) Based on record review, interviews, and observations, the facility failed to ensure bathing was offered and completed for residents who needed assistance. This affected 4 (Residents 1, 20, 203, and 252) of 5 sampled residents. The facility census was 44. Findings are: A record review of the facility Policy and Procedure for Bathing reviewed and revised on 09/03/2024, stated that the purpose of the policy is; - To promote cleanliness and general hygiene, - Stimulate circulation of the skin, - Promote comfort, relaxation, and well-being, - Observe resident's condition, - Assist resident with personal cares, and - To promote safety for the resident in the bath. Procedures outlined in the policy included tub or shower bathing and bed baths. A. A record review of the Minimum Data Set (MDS, a mandated assessment tool used to evaluate the health and functional status of residents in nursing homes used for care planning) dated 12/10/2024 for Resident 1 indicated this…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-06 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Licensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interview, the facility failed to ensure that the resident/resident representative were provided the opportunity to participate in quarterly care plan (an individualized written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) review as required for 1 resident (Resident 29) of 5 residents reviewed. The facility census was 44. Findings are: A. A record review of the facility policy titled Care Plan and dated 12/2/2024, revealed that each resident will have an individualized, person-centered, comprehensive plan of care that will include measurable goals and timetables, directed toward achieving and maintaining the resident's optimal medical, nursing, physical, functional, spiritual, emotional, psychosocial, and educational needs. The resident/family or legal representative will have the opportunity to participate in the planning of his or her care to the extent possible. The interdisciplinary team will review care plans at least quarterly. A record review 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-06 · 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(H)(iv)(5) Based on record reviews and interviews, the facility failed to follow physician orders on bowel protocols for 1 resident (Resident 38) of 1 sampled resident. Facility census was 44. Findings are: A record review of a facility policy titled, Bowel Regimen and Standing Facility Orders dated 01/19/2024 revealed the following guidance for treating residents' bowel needs: -On Days 1 & 2 without bowel movement-do nothing. -On Day 3 without a bowel movement begin the following protocol: -On Day 3 in the AM: Administer 30 milliliters (ml) of Milk of Magnesia by mouth (PO) one time for constipation. Give 8 ounces of prune juice daily for 3 days. -If the resident does not have a bowel movement proceed to the next steps. -On Day 3 in the PM: Administer two Senna 8.6 tablets PO one time for constipation. Administer polyethylene glycol 17 grams/240 ml PO one time. -If the resident does not have a bowel movement proceed to the next steps. -On Day 4 in the AM: Administer 1 Dulcolax suppository 10 milligrams (mg) rectally for constipation.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.09(J)(i)(1) Based on record reviews, interviews, and observations; the facility failed to identify and monitor ongoing weight loss and implement new and/or revise interventions to prevent further weight loss for 1 (Resident 38) of 1 sampled resident. The facility census was 44. Findings are: A record review of a facility policy titled Height and Weight revised on 10/15/2024 revealed policy purposes: -To ensure that that resident maintains acceptable parameters of nutritional status regarding weight. -To report changes in a resident's clinical condition (significant weight change) to physician and family and/or resident. -Residents at nutritional risk will be weighed weekly. -The location will immediately inform the resident, consult with the resident's physician and, if known, notify the resident's legal representative when there is a significant change in the resident's weight, as defined by the RAI [NAME] (MDS). -Based on a resident's comprehensive assessment, the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-06 · 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 12-006.12(A)(i-vi) Based on record reviews and interviews, the facility failed to provide a clinical rationale and monitoring of psychotropic medication use for 1 Resident (Resident 27). The facility census was 44. Findings are: A record review of a facility policy titled Psychotropic Medications and dated 12/30/2024, reveals its purpose: To evaluate behavior interventions and alternatives before using psychotropic medications and to eliminate unnecessary psychotropic medications. The policy also revealed that each resident's drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used: -without adequate indications for its use, and -without adequate monitoring. The policy also revealed that based on a comprehensive assessment of a resident, the location must ensure that: -Residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-10 · 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 12-006.09D7b Based on observation, interview and record review, the facility failed to ensure that interventions to prevent falls were implemented for 2 residents (Residents 4 and 2). The facility census was 44. Findings are: A. Record review of the facility policy titled Fall Prevention and Management dated 3/29/23 revealed that the purpose included identifying risk factors and implementing interventions before a fall occurs, to give prompt treatment if a fall occurs, and to prevent further injury. Complete the Falls Tool assessment (an assessment of a resident's risk for falls). Care Plan (add interventions to the written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) the appropriate interventions. Communicate fall risks and interventions to prevent a fall before it occurs. Communicate any identified environmental changes and/or referral needs. The policy revealed instructions for a fallen resident. Communicate with the physician.…

    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 · F2023-12-13 · 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 12-0006.11E Based on observation, record review, and interview the facility failed to maintain food temperatures at a level to prevent the potential for foodborne illness; and failed to ensure proper sanitization of dishes and cookware. This had the potential to affect 48 of 49 residents that ate food prepared by the facility kitchen. The facility had a census of 49. Findings are: A. Record review of the facility policy titled Food Temperature Monitoring dated 12/02/2023, revealed the proper holding temperature required for food safety was cold food to be less than 41 degrees Fahrenheit and hot food greater then 135 degrees Fahrenheit. The policy revealed before meal service the cook or designee takes the cook- to and serve temperatures of all menu items and records. In addition, the policy revealed to monitor foods throughout meal service by retaking the temperature periodically throughout the meal service to ensure foods are held below 41 degrees Fahrenheit for cold foods or above 135 degrees Fahrenheit for hot foods. A continuous observation was…

    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 · Ecited before2023-12-13 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 Based on observation, record review and interview; the facility failed to maintain walls, fixtures and floors in good condition as evidenced by: scrapes and gouges on the walls, areas of repair on walls that had been patched but not painted, cracked, broken and stained areas surrounding the base of the toilets and carpet in the North hall that was loose from the floor. These conditions were found in 7 (North hallway rooms [ROOM NUMBER], South Hallway rooms 7, 13, and15, and East Hallway rooms 16, 23) of 49 occupied resident rooms and the north hallway of the facility. The facility census was 49. Findings are: Observations on the following dates and times, in resident rooms with residents identified as initial pool residents, identified the following environmental concerns: - 12/10/23 at 11:48 AM on the North hall in resident room [ROOM NUMBER]: Portions of the wall had repaired dry wall patch spots in wall but not repainted. - 12/10/23 at 12:18 PM on the East hall 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-13 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.02(8) Based on interview and record review the facility failed to implement policies and procedures for ensuring the reporting of serious bodily injury and an allegation of abuse and neglect within the required timeframe for 2 (Residents 152 and 158) of 3 sampled residents; and failed to submit an investigation of potential abuse and neglect for 1 resident (Resident 153) within the required timeframe. The facility census was 49. Findings are: A. Record review of the facility policy titled Abuse and Neglect Rehab-Skilled Therapy and Rehab dated 7/6/23 revealed the purpose was to ensure that employees are knowledgeable regarding the reporting and investigative process of abuse and neglect allegations. To ensure that residents are not subjected to abuse by anyone, including but not limited to, employees, other residents, family, or friends. Alleged or suspected violations involving any mistreatment, neglect, exploitation or abuse including injuries of unknown origin will be…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-12-13 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.09D1c Based on observation, interview, and record review the facility failed to ensure that resident bathing was provided as required for 3 residents (Residents 22, 26, and 7). The facility census was 49. Findings are: A. Record review of the facility policy titled Bathing dated 8/29/23 revealed the purpose was to promote cleanliness and general hygiene; stimulate circulation of the skin; promote comfort, relaxation, and well-being; to observe the resident's condition; and assist the resident with personal care. The policy revealed that documentation of bathing is to be in the Electronic Medical Record. Record review of the Minimum Data Set (MDS) (a mandatory comprehensive assessment tool used for care planning) for Resident 22 dated 7/7/23 revealed that Resident 22 had an admission date of 7/2/18. The MDS revealed that Resident 22 did not reject care during the 7-day assessment period. The MDS revealed that Resident 22 required the extensive assistance of one staff for…

    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 · E2023-12-13 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09D Based on observation, record review and interviews, the facility failed to identify and monitor specific target behaviors for the continued use of Antipsychotic medications (medications used to manage behavioral symptoms) for 2 residents (Residents 31 and 8) of 5 residents reviewed for unnecessary medication reviews; and the facility failed to ensure a psychotropic medication was used to treat a medically accepted/indicated condition for 1 resident (Resident 10). The facility census was 49. Findings are: A. Record review of a facility Policy entitled: Psychotropic Medications dated 12/6/23 included the following information: Purpose: - To evaluate behavior interventions and alternatives before using psychotropic medications. - To eliminate unnecessary psychotropic medications. Definition: -Medical Symptom: An indication or characteristic of a physical or psychological condition. - Each resident's drug regimen must be free from unnecessary drugs. An unnecessary drug…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-13 · 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 12-006.09C Based on observation, interview, and record review the facility failed to develop the resident care plan (a written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) to ensure that it contained the necessary focus for quality care required for 1 resident (Resident 152) and failed to develop a comprehensive care plan related to respiratory care and use of a CPAP (Continuous Positive Airway Pressure. A method of respiratory therapy in which air is pumped into the lungs through the nose or nose and mouth during spontaneous breathing, used in the treatment of sleep apnea and other respiratory disorders.) for 1 resident (Resident 8). The facility census was 49. Findings are: A. Record review of the facility policy titled Care Plan dated 11/1/23 revealed that residents will receive and be provided the necessary care and services to attain or maintain their practicable well being in accordance with the comprehensive assessment. Each…

    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 before2023-12-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-0006.09D3(5) Based on observation, record review, and interview the facility failed to ensure interventions were utilized to promote routine bowel movements for 1 resident (Resident #11). The facility stated census was 49. Findings are: Record review of Resident #11's admission Record revealed the resident admitted to the facility on [DATE] with diagnoses of: congestive heart failure (a condition in which the heart does not pump as efficiently as it should), gastro esophageal reflux (a condition that occurs when stomach acid repeatedly flows back into the tube connecting your mouth and stomach), anemia (a condition in which the blood does not have enough healthy red blood cells), spinal stenosis (which is a narrowing of the spinal canal in the lower part of your back causing pressure on your spinal cord and nerves), and constipation (which is when a person passes less than three bowel movements a week or has difficult bowel movements). Record review of Resident #11'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-13 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    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 12-0006.09D Based on observation, record review, and interview, the facility failed to provide interventions to prevent or manage pain for 1 resident (Resident #3) of 6 sampled residents. The facility stated census of 49. Findings are: A record review of Resident #3's admission Record revealed, the resident admitted on [DATE] with diagnoses of: soft tissue impingement (which is when soft tissue gets pinched between the bones of a joint), cervicalgia (which is a condition caused by a spinal nerve root being pinched or compressed in the neck), and pain of the right knee and hip, head and neck. A record review of Resident #3's quarterly Minimum Data Set (MDS) (which is a resident assessment and care screening tool that is used by nursing homes), dated 11/18/2023 revealed Resident #3 reported moderate pain that interfered with daily activities and sleep. A record review of Resident #3's Care Plan revealed, resident had acute pain, chronic pain, and discomfort. The Care Plan…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

  • Medicare payment denial — starting 2026-04-28 for 8 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 53.0-1.0 vs chain
Health inspection 2 of 52.8-0.8 vs chain
Staffing 3 of 54.0-1.0 vs chain
Quality measures 2 of 52.8-0.8 vs chain
The other 91 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Edgebrook Care CenterEdgerton, MN 1 of 5Good Samaritan - IndianolaIndianola, IA 1 of 5Good Samaritan - Red OakRed Oak, IA 1 of 5Good Samaritan Society - AtkinsonAtkinson, NE 1 of 5Good Samaritan Society - BlackduckBlackduck, MN 1 of 5Good Samaritan Society - Grand Island VillageGrand Island, NE 1 of 5Good Samaritan Society - LakotaLakota, ND 1 of 5Good Samaritan Society - Mary Jane BrownLuverne, MN 1 of 5Good Samaritan Society - St Luke's VillageKearney, NE 1 of 5Good Samaritan Society - WindomWindom, MN 1 of 5Good Samaritan Society De SmetDe Smet, SD 1 of 5Good Samaritan Society MillerMiller, SD 1 of 5Salem Lutheran HomeElk Horn, IA 1 of 5Souris Valley Care CenterVelva, ND 1 of 5St Vincent's - A Prospera CommunityBismarck, ND 1 of 5Sunset Drive - a Prospera CommunityMandan, ND 2 of 5Good Samaritan - AtwoodAtwood, KS 2 of 5Good Samaritan - Decatur CountyOberlin, KS 2 of 5Good Samaritan - EsthervilleEstherville, IA 2 of 5Good Samaritan - MansonManson, IA 2 of 5Good Samaritan - OttumwaOttumwa, IA 2 of 5Good Samaritan - WaukonWaukon, IA 2 of 5Good Samaritan Society - BottineauBottineau, ND 2 of 5Good Samaritan Society - Hastings VillageHastings, NE 2 of 5Good Samaritan Society - OakesOakes, ND 2 of 5Good Samaritan Society - Park RiverPark River, ND 2 of 5Good Samaritan Society - Specialty Care CommunityRobbinsdale, MN 2 of 5Good Samaritan Society - St Martin VillageRapid City, SD 2 of 5Good Samaritan Society - SuperiorSuperior, NE 2 of 5Good Samaritan Society - Waconia And Westview AcreWaconia, MN 2 of 5Good Samaritan Society CantonCanton, SD 2 of 5Good Samaritan Society Luther ManorSioux Falls, SD 2 of 5Good Samaritan Society New UnderwoodNew Underwood, SD 2 of 5Good Samaritan Society Sioux Falls CenterSioux Falls, SD 2 of 5Good Samaritan Society Sioux Falls VillageSioux Falls, SD 2 of 5Good Samaritan-LiberalLiberal, KS 2 of 5The Good Samaritan Society-Kissimmee VillageKissimmee, FL 3 of 5Good Samaritan - AlgonaAlgona, IA 3 of 5Good Samaritan - DavenportDavenport, IA 3 of 5Good Samaritan - HolsteinHolstein, IA

Showing 40 of 91; lowest-rated first.

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

Who owns this facility

Owner / managerTypeRoleShareSince
SANFORDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/01/2019
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%since 01/01/2019
RICHARDSON, ABBYIndividualCONTRACTED MANAGING EMPLOYEEsince 04/01/2024
MORRISON, TONYIndividualW-2 MANAGING EMPLOYEEsince 01/01/2019
STAUSS, JENNIFERIndividualW-2 MANAGING EMPLOYEEsince 08/27/2023
CAIN, JAMESIndividualCORPORATE DIRECTORsince 05/30/2024
DYKHOUSE, DANAIndividualCORPORATE DIRECTORsince 05/30/2024
ENGBRECHT, WESLEYIndividualCORPORATE DIRECTORsince 05/30/2024
GASSEN, WILLIAMIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 05/30/2024
GULSVIG, NEILIndividualCORPORATE DIRECTORsince 05/30/2024
HERSETH SANDLIN, STEPHANIEIndividualCORPORATE DIRECTORsince 05/30/2024
LUNDEEN, MARKIndividualCORPORATE DIRECTORsince 05/30/2024
MOLBERT, LAURISIndividualCORPORATE DIRECTORsince 05/30/2024
NORTH, ANDREWIndividualCORPORATE DIRECTORsince 05/30/2024
SHULKIN, DAVIDIndividualCORPORATE DIRECTORsince 05/30/2024
TEIKEN, BRENTIndividualCORPORATE DIRECTORsince 05/30/2024
VENTLING-HERRMANN, MARNIEIndividualCORPORATE DIRECTORsince 05/30/2024
FLUIT, JOELIndividualCORPORATE OFFICERsince 10/01/2022
MIDDLETON, AIMEEIndividualCORPORATE OFFICERsince 01/27/2022
OLSON, NICHOLASIndividualCORPORATE OFFICERsince 04/08/2024
ROGERS, MICHAELIndividualCORPORATE OFFICERsince 06/13/2022
SCHEMA, NATHANIndividualCORPORATE OFFICERsince 01/01/2022

CMS files one row per role, so the 23 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted.

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

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.

$5.8M
Net patient revenuemost recent cost report
-0.1%
Operating marginrevenue minus expenses
$974K
Related-party expense17% of expenses
Who pays — share of resident-days
Medicaid 38%Medicare 11%Other / private 50%

This home reported $974K paid to related parties — landlords or management companies under common ownership — equal to about 17% 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

$339per resident / day
operating cost
$10,297per month
≈ monthly operating cost
$338per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Nebraska Medicaid page.

Typical monthly cost in Nebraska
$8,377/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,350/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 285189. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-02, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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