Accura HealthCare of Kenesaw

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.

37.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 76 beds and averages 64.8 residents a day — about 85% occupied, or roughly 11 beds typically open. It runs fairly full. 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 2.86 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 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 2.57 hrs/resident/day on weekends vs 2.98 on weekdays — 14% thinner on weekends. RN hours go from 0.46 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

30 citations, most serious first. The 13 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-07-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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 12-007.04CiBased on observation, record review, and interview the facility failed to develop and implement a plan to maintain required safe temperatures in resident rooms to prevent heat-related injury for facility residents. This affected 1 of 3 sampled residents (Resident 1). The facility census was 58.The facility Administrator was notified on 07/01/2026 at 12:45 PM of an Immediate Jeopardy (IJ) which began on 07/01/2026. The IJ was removed on 07/01/2026, as confirmed by surveyor onsite verification. Findings are:Record review of the undated facility admission Agreement revealed that the facility shall provide room, board, linens, bedding, and nursing care to the resident. The facility is dedicated to promoting the dignity, independence, and quality of life for each resident. The facility will provide care in a safe, comfortable environment. Record review of the Centers for Disease Control (CDC) document titled Heat and Older Adults (Aged 65+) dated 6/25/24 revealed that…

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

  Resident Rights Deficiencies · Deficient, Provider has no plan of correction
• Immediate jeopardy · Jcited before2025-03-18 · 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)(i)(1) Based on record review, observations, and interviews, the facility failed to identify causal factors for falls and failed to implement interventions for the prevention of new falls following each new incident. This affected 3 (Residents 3,7, and 11) of 3 sampled residents. The facility census was reported to be 60. The facility Administrator was notified on 3/17/2025 at 5:44 PM of an Immediate Jeopardy (IJ) which began on 12/01/2024. The IJ was removed on 3/17/2025, as confirmed by surveyor onsite verification. Findings are: Record review of the facility policy Fall Risk and Prevention Guidelines revised October 2024 revealed that a resident's fall risk begins pre-admission. Upon admission, the plan of care should be ready to incorporate the fall prevention measures based on information gathered. The Morse Fall Scale is completed with each admission, readmission and with quarterly, annual and significant changes when completing the minimum data set (MDS, a…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-02-17 · 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)Licensure Reference Number 175 NAC 12-006.09(I)(i)(1)Licensure Reference Number 175 NAC 12-006.09(I)(i)(3)Based on observation, record review, and interview the facility failed to ensure that residents were protected from injury for 1 of 5 residents (Resident 1); failed to ensure that interventions to prevent falls were implemented for 1 of 5 residents (Resident 2); and failed to develop fall prevention interventions related to causal factors for 1 of 5 residents (Resident 6). The facility census was 66.Findings are:A. Interview on 2/17/26 at 3:37 PM with the facility Minimum Data Set Coordinator (MDSC) (a facility nurse that utilizes a mandatory comprehensive assessment tool for care planning) revealed that the facility does not currently have a policy and procedure for fall prevention and falls. The MDSC confirmed that the facility follows professional standards, Centers for Medicare and Medicaid Services regulations, and state regulations for fall prevention 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05(S)Based on record review, observation, and interview the facility failed to promote resident dignity by ensuring that resident body parts were not exposed to public view for 1 resident (Resident 7) and not knocking and announcing entry to residents' room for 1 resident (Resident 5). The facility census was 66.Findings are:Record review of a document titled Residents' Rights of a Long-Term Care Facility and not dated the resident has the right to confidentiality and privacy during treatment and care and to be treated with consideration, respect, and dignity.A.Record review of a document titled admission Record revealed the facility admitted Resident 7 on 08/13/2021 with diagnosis of Type 2 Diabetes (a common form of diabetes mellitus that develops especially in adults and most often in obese individuals and that is characterized by hyperglycemia {high blood sugar} resulting from impaired insulin utilization coupled with the body's inability to compensate with increased insulin production), and Spinal Stenosis (a narrowing of spaces 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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(H)Based on record reviews and interviews, the facility failed to ensure that a resident was free from physical abuse for 1 resident (Resident 3). The facility census was 66. Findings are: A record review of a facility policy titled, Vulnerable Adult updated on 12/30/2025 revealed its purpose as a facility is to support a zero tolerance for resident abuse, neglect, mistreatment, and/or misappropriation of resident property.The policy identifies a vulnerable adult as every adult residing in the facility.The policy identifies neglect as the failure of the facility, its employees, or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress.Resident to resident altercations; including physical, mental, or verbal abuse are reportable to the state agency. The facility should have systems in place to identify residents whose personal history render them at risk for abusing 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-17 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.10(D)Based on observation, record review, and interviews, the facility failed to ensure a medication error rate of 5% or less with an actual observed medication error rate of 90%. This had the potential to affect all the residents residing and receiving medications administered by the facility. The facility census was 66.Findings are:Record review of a facility policy titled Medication Administration and dated 12/03/2025 revealed medication is administered by licensed nurses or other staff who are legally authorized to do so in the state and as ordered by the physician and in accordance with professional standards of practice. With compliance guidelines listed as to ensure that the six rights of medication administration are followed including the right dose, right time, and right documentation and to sign out the medication as administered after observing the resident consume the medication.Record review of a document titled Nursing Rights of Medication Administration and dated 01/2025 by the National Library of Medicine stated the five…

  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 · F2025-08-26 · tag F0607 — failed to have anti-abuse policies — widespread
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(A)(iii)(2)Licensure Reference Number 175 NAC 12-006.02(H)Based on record review and interview, the facility failed to complete nurse aide registry checks prior to staff having possible/probable contact with residents for 3 of 6 sampled staff and failed to report an adverse event to the designated agencies as stated in facility policy for 1 resident (Resident 59) of 1 sampled residents. The facility census was 67.Findings Are:A.Review of a facility policy titled Pre-Employment Background Screening and dated 02/01/2024 revealed applicants for employment will receive job offers contingent upon the satisfactory completion of a background screening. A record review of a facility document titled General Orientation Check List dated 08/15/2025 revealed a date of hire for Nurse Aide (NA)-F of 07/30/2025. A record review of a facility document titled Timecard for 07/27/2025 through 08/02/2025 revealed that NA-F worked on 07/30/2025, 07/31/2025 and 08/02/2025. A record review of a facility document titled Public Health Licensure Unit Certification…

  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 · Fcited before2025-08-26 · 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 12-006.04(A)(ii)Licensure Reference Number 175 NAC 12-006.18 Based on observation, interview, and record review the facility failed to ensure employee health screens were reviewed prior to the start of employment for 4 of 5 sampled employees and failed to complete hand hygiene per professional standards. These had the potential to affect all residents residing within the facility. The facility census was 67. Findings are:A.A record review of a facility supplied document titled Employee Health History Screen and dated 06/12/2025 was signed as completed by the Business Office Manager (BOM) on 06/12/2025. There was no signature indicating a facility staff member or nurse had reviewed the document prior to the Business Office Manager working in the facility. A record review of a facility supplied document titled Employee Health History Screen and dated 07/30/2025 was signed as completed by Nurses Aide (NA)-F on 07/30/2025. There was no signature indicating a facility staff member or nurse had reviewed the document prior to the Business Office Manager…

  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 · F2025-08-26 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  License Reference Number 175 NAC 1-005.06(C) Based on record review and interview, the facility failed to follow Antibiotic Stewardship standards for antibiotic surveillance and monitoring for 1 (Resident 10) of 2 sampled residents. The facility census was 67. Findings are:A record review of a facility policy titled antibiotic Stewardship Program and dated 11/13/2024 revealed the antibiotic stewardship program will optimize the treatment of infections by ensuring the residents who require an antibiotic are prescribed the appropriate antibiotic, reducing the risk for adverse side effects, including the development of antibiotic-resistant organisms from unnecessary or inappropriate antibiotic use to improve resident out comes. The nurse will utilize the appropriate infection criteria protocol based upon signs and symptoms to determine if it is necessary to treat antibiotics or if adjustments in therapy needed to be made. In the event the prescribing practitioner orders an antibiotic without identification of infection criteria, the provider will be requested to identify the rationale…

  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 · D2025-08-26 · tag F0559 — isolated
  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to notify 1 resident in writing before the resident's room in the facility changed. This affected 1 of 1 sampled resident (Resident 32). The facility census was 67. Findings are:A record review of an electronic form titled, Census dated 8/21/2025 for Resident 42 revealed an admission date of 08/03/2023. The form further revealed Resident 42 had a room change entered on the census as of 08/20/2025. A record review of Resident 42's electronic medical record (EMR, digital collection of medical information about a person that is stored on a computer) titled Progress Notes revealed on 08/19/2025 an IDT note stating Resident 42 was being monitored for room change and new roommate, resident moved to a new room to prevent falls. The record also revealed on 08/20/2025 a Brief Interview for Mental Status (BIMS; a brief screener that aids in detecting cognitive impairment) score of 10/15. A score of 8-12: reveals a moderate impairment. On 08/20/2025 at 1:05 PM, Resident 42 was interviewed which revealed the facility had recently…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-26 · 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 record review and interview, the facility failed to accurately code the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and help nursing home staff identify health problems) for 2 (Residents 7 and 59) of 17 sampled residents. The facility census was 67. Findings are:A record review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual (RAI Manual, a document published by the Centers for Medicare & Medicaid Services (CMS) to facilitate accurate and effective resident assessment practices in long-term care facilities) dated 10/2023 revealed coding instructions for N0350A to enter the number of days during the 7-day look back period that insulin injections were received. A.A record review of Resident 7's Annual MDS with an Assessment Reference Date of 07/10/2025 revealed Section N0350A to be coded as 1, indicating that the resident had received insulin (an injectable medication) during the assessment look back period. A…

  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 before2025-08-26 · 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, interview, and record review the facility failed to prevent accidents and or incidents from occurring for 1 resident (Resident 62) of 1 sampled residents. The facility census was 67. Findings are:A record review of a facility policy titled Vulnerable Adult and dated 10/19/2022 revealed the facility shall take ongoing steps to identify each resident at risk for accidents and adequately plan care and implement procedures to prevent accidents. A record review of Resident 62's Resident Dashboard revealed the facility admitted Resident 62 on 12/03/2024 with diagnoses of schizophrenia (a chronic mental illness characterized by a combination of positive, negative, and cognitive symptoms that significantly impair daily functioning), and bipolar with psychotic features (a severe form of bipolar disorder characterized by the presence of psychotic symptoms, such as delusions and hallucinations, in addition to mood swings). A record review of Resident 62's Quarterly Minimum Data Set (MDS, a federally mandated 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 · Dcited before2025-08-26 · tag F0712 — isolated
  Ensure that the resident and his/her doctor meet face-to-face at all required visits.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to ensure that residents were provided their required 30-day physician visit for 2 (Residents 47 and 63) of 4 sampled residents. This prevented the residents from receiving a thorough physician assessment of the resident for developing the resident's comprehensive care plan (a written interdisciplinary comprehensive plan to meet the resident's needs), including verifying initial orders and prescribing medication and treatments for the residents. The facility census was 67. Findings are:Record review of the facility policy titled Physician Visits and Physician Delegation dated 3/2025 revealed that it is the policy of the facility to ensure that the physician takes an active role in supervising the care of residents. The physician should see the resident within 30 days of initial admission to the facility. The resident must be seen at least once every 30 calendar days for the first 90 calendar days after admission and at least every 60 days thereafter by the physician or physician delegate. A. Record review of the admission…

  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

“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

$71,975 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $26,810 — penalty dated 2026-07-01
• $37,076 — penalty dated 2026-02-17
• $8,089 — penalty dated 2025-03-18
• Medicare payment denial — starting 2026-03-11 for 40 days
• Medicare payment denial — starting 2025-09-25 for 5 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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

This home reported $253K paid to related parties (affiliated landlords or management companies) in its most recent 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 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in NE