Old Mill Rehabilitation

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.

50.6% 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 670 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.6% 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 264 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 1.73 therapist hours per resident per day in 2026Q1 — more than 99% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 44 beds and averages 37.2 residents a day — about 85% occupied, or roughly 7 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.89 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.28 hrs/resident/day on weekends vs 5.08 on weekdays — 16% thinner on weekends. RN hours go from 0.65 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above 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

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · F2026-04-02 · tag F0801 — widespread
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure the Dietary Manager was qualified per regulations. This had the potential to affect all 36 residents that resided in the facility. The facility census was 36. Findings are:Record review of the facility Dietary Managers employee file revealed a hire date of 3/27/26. A review of the Dietary Managers employee file revealed no formal education in food or nutrition and no certification as a Dietary Manager. Interview on 03/30/2026 at 10:55 AM with the facility Administrator confirmed that the DM is not currently certified and is enrolled in the class that will start 05/01/2026. The Administrator confirmed that the Registered Dietician did not work full time in the facility and there was not another Dietary Manager that was currently working with the current Dietary Manager to oversee the facility until the dietary management course could be completed. Interview on 04/01/2026 at 2:37 PM with the Director of Nursing revealed that all 36 residents that reside in the facility ate foods prepared in the facility kitchen.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-04-02 · 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

  Based on observation and interview, the facility failed to ensure the cleanliness of ceiling ventilation system covers in the facility kitchen and ventilation fans in the walk in cooler in the facility kitchen to prevent the potential for food borne illness. This had the potential to affect all residents that resided in the facility and ate foods prepared in the facility kitchen. The facility census was 36. Findings are:Observation on 03/31/2026 between 9:40 AM and 10:35 AM with the facility Dietary Manager [DM] revealed the following sanitation concerns in the facility kitchen: There were specks of a grey fuzzy substance that resembled dust present on the exterior of the ventilation cover for 4 ventilation covers in the ceiling in the kitchen. The ventilation covers were directly over food preparation areas in the kitchen.There were 2 circulation fans present in the facility walk in cooler that had a heavy coating of a black fuzzy substance present. The circulation fans were turned on and blew toward the foods on shelves in the facility walk in cooler. Interview on 03/31/2026 at…

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

  Nutrition and Dietary 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

  Based on record review and interview, the facility failed to identify and monitor specific target behaviors for Resident 5 and 48, failed to monitoring for tardive dyskinesia{ movement disorders that occur as a side effect to antipsychotic medications} for Res 5 and 48 and failed to ensure an appropriate diagnosis for the use of an antipsychotic medication for Resident 48. These practices affected 2 of 5 residents reviewed for unnecessary medications, The facility staff identified a census of 36. Findings are:A. A record review of Resident 48's admission Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a residents functional capabilities and helps nursing home staff identify health problems) dated 3/31/26 identified the facility admitted the resident on 3/25/26 with a Brief Interview for Mental Status (BIM's used to screen cognitive function in long term care residents) of 15/15 indicating intact cognition with the diagnosis of depression, anxiety disorder, hemiplegia or hemiparesis, seizure disorder. Further review of the MDS identified…

  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 before2026-04-02 · 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 Based on record review and interview, the facility failed to develop a comprehensive care plan related to fluid restrictions for 2 (Res 9 and 44) of 2 reviewed with physician ordered fluid restrictions. The facility staff identified a census of 36.The findings are:A. A record review of Resident 44's Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing and mental and psychosocial needs that are identified in the comprehensive assessment) revealed the care plan did not address the 1500(cubic centimeter) cc daily fluid restriction. A record review of an Order Summary Report dated 3/31/26 for Resident 44 revealed and order for 1.5L (Liter) fluid restriction. A record review of a Dietary Progress Note dated 4/1/26 identified a 1500(milliliter per day) ml/d fluid restriction. Interview with the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a residents functional capabilities and helps nursing home…

  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 · E2025-04-10 · 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

  Licensure Reference Number 175 NAC 12-006.19 Based on observation and interview, the facility failed to maintain the cleanliness of the interior and exterior of ventilation covers in 8 (Rooms 130, 131, 134, 144, 146, 147, 148, 150 ) of 21 occupied resident rooms on the south hallway of the facility. The facility census was 39. Findings are: Observation on 04/10/25 between 8:45 AM and 9:26 AM with the facility Administrator (ADM) and Maintenance Director (MD) revealed interior and exterior ventilation covers in resident bathrooms in rooms 130, 131, 134, 144, 146, 147, 148, and 150, on the south hallway of the facility, were coated with a white and gray fuzzy substance that resembled dust. Interview on 04/10/25 at 9:28 AM with the facility ADM confirmed the presence of the build up of a gray and white substance on the interior and the exterior of the ventilation covers. The ADM confirmed that the ventilation covers were cleaned monthly or if a resident had been discharged from the facility. The ADM confirmed the facility staff should have been cleaning them more frequently to make…

  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 · E2025-04-10 · tag F0923 — pattern
  Have enough outside ventilation via a window or mechanical ventilation, or both.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 12-007.04D Based on observation and interview, the facility failed to ensure that ventilation systems were operational in resident bathrooms in 11 (Rooms 127, 130, 139, 143, 144, 146, 147, 148, 149, 150, 152) of 21 occupied resident bathrooms on the south hallway of the facility. The facility census was 39. Findings are: Observation on 04/10/25 between 8:45 AM and 9:26 AM with the facility Administrator (ADM) and the facility Maintenance Director (MD) revealed that the ventilation system was not functional and would not draw a 1 ply square of toilet paper to the surface of the ventilation cover in resident bathrooms in resident rooms 127, 130, 139, 143, 144, 146, 147, 148, 149, 150, 152 on the south hallway of the facility. Interview on 04/10/25 at 09:25 AM with the MD confirmed that the ventilation system did not draw a 1 square ply of toilet paper in resident bathrooms in resident rooms 127, 130, 139, 143, 144, 146, 147, 148, 149, 150, 152 on the south hallway of the facility. The MD confirmed that the ventilation system had not been routinely…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-10 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175NAC 12-006.04(F)(i)(5) Based on interviews and record reviews, the facility failed to notify the physician and resident representative of medication given outside of physician ordered parameters. This had the potential to affect 1 (Resident 52) out of 24 sampled residents. The facility census was 39. Findings are: Record review of Resident 52'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 4/07/2025 revealed a Brief Interview for Mental Status (BIMS, a brief screener that aids in detecting cognitive impairment) score of 14. The MDS manual identifies a score of 13-15 as cognitively intact. Record review of the admission Orders for Resident 52 dated 4/03/2025 revealed an order for Hydralazine ( Medication to control blood pressure),100 milligram (mg) to be administered three times a day. The order for the Hydralazine directed staff to hold the medication if Resident 52's systolic blood pressure (SBP, systolic…

  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 before2025-04-10 · 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 interview and record review, the facility failed to develop a Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) that accurately reflected the care needs of the resident related to respiratory care and oxygen use for 2 (Resident 28 and Resident 10) of 2 sampled residents for respiratory services. The facility census was 39. Findings are: A. Record review of an undated facility policy entitled Oxygen Administration revealed the following information: Policy: Oxygen is administered to residents that need it, consistent with professional standards of practice, the comprehensive person-centered care plans and the residents goals and preferences. Policy Explanation and Compliance Guidelines: 4. The residents care plan shall identify the interventions for oxygen therapy, based upon the residents…

  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 · D2025-04-10 · 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

  Licensure Reference Number 175 NAC 12-006.09(I)(i) Based on record review, observation, and interview the facility staff failed to implement assessed interventions to prevent falls for 1 (Resident 46) of 3 sampled residents. The facility identified a census 39. Findings are: Record review of Resident 46's Transfer/Discharge Report dated 4/08/2025 revealed the admission date was 4/04/2025 and admitted with Primary Osteoarthritis, Urinary Tract Infection (UTI), and Repeated Falls. Record review of Resident 46's Care Plan revealed on 4/6/25 and entry was made that Resident 46 required the assistance of 2 (Ax2) staff for transfers and wheelchair for all in room and hallway mobility. Record review of a provider note written by Advanced Practice Registered Nurse (APRN) J dated 4/07/2025 revealed the provider was notified of an incident, where Resident 46 was transferred with 1 staff assisting versus the recommended 2 staff that were required. An interview with Resident 46 on 4/07/2025 at 8:32 AM revealed Resident 46 reported having a fall in the bathroom a couple of days ago. Resident 46…

  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 · E2024-11-26 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 12.006.04(G) Based on interview and record review, the facility failed to ensure resident's call lights were answered within 20 minutes as expected for 4 (Residents 1, 2, 3, and 4) of 4 sampled residents. The facility census was 26. Findings are: A record review of the facility's Call Lights: Accessibility and Timely Response policy dated 2018 revealed call lights would directly relay to a staff member to ensure appropriate response. All staff members who see or hear an activated call light are responsible for responding but did not reveal a timeframe the call light was to be answered in. A record review of the facility's Patient Concern Forms dated 05/15/2024 through 10/28/2024 revealed 4 residents had complained about long call light times. A. A record review of Resident 1's Clinical Census dated 11/25/2024 revealed the resident was admitted to the facility on [DATE]. A record review of Resident 1's Medical Diagnosis dated 11/25/2024 revealed the resident had diagnoses of…

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to PROMONTORY HEALTHCARE MANAGEMENT — 2 facilities. Here is how its ratings compare with the chain’s average across all its homes:

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

CMS files one row per role, so the 14 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $459K 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