Adept Nursing & Rehab of Waverly

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.

Met the expected recovery: 64.3% 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 28 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 0.23 therapist hours per resident per day in 2026Q1 — more than 29% 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 54 beds and averages 43.5 residents a day — about 81% 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 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 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 3.11 hrs/resident/day on weekends vs 3.66 on weekdays — 15% thinner on weekends. RN hours go from 0.74 to 0.73 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 78% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

32 citations, most serious first. The 12 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-06-17 · 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 12-006.09 Based on record review and interview; facility staff failed to follow protocol related to incomplete assessments when determining the death of 2 of 3 sampled residents; Resident 1 was pronounced dead and later discovered breathing while at the funeral home and Resident 2 had no evidence vital signs were assessed and verified at the time of death. The facility was notified on [DATE] at 4:20 PM of an Immediate Jeopardy (IJ) which began on [DATE]. The IJ was removed on [DATE], as confirmed by surveyor onsite verification. The facility census was 48. Findings are: A review of the facility's undated checklist Death In Facility revealed the following related to procedures for a resident death: -Note the absence of vital signs, no BP (blood pressure), no Pulse, no Respirations. -Notify the responsible party. -Call the physician and obtain a telephone order for the Time of Death, permission to release body to mortuary, physician name and indicate whether an autopsy was to 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-02-12 · 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 Based on record review and interview; the facility staff failed to evaluate, implement practitioner's orders, and initiate notification of emergency medical personnel for a change in condition for 1 (Resident 1) of 4 sampled residents. This caused the resident to not receive emergency care services resulting in the death of the resident. The facility census was 50. Findings are: A. A record review of Resident 1's Discharge Summary Sheet dated 2/12/2024 revealed the following diagnoses: - Pulmonary Hypertension (Higher pressures in the right side of the heart), - Congested Heart Failure (Failure of the heart), - Atrial fibrillation (An abnormal beat of the heart), - Venous insufficiency (Lack of sufficient blood flow through the veins), - Essential (primary) hypertension ( High blood pressure), - Altered mental status (Confusion or disorientation). Record review of Resident 1's Advanced Directive Information sheet dated October 2023, revealed Resident 1's wish was to receive CPR (Cardiopulmonary Resuscitation). Record review of a facility…

  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 · Ecited before2026-02-25 · 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 12-006.19(A) Based on observations, interviews, and record reviews, the facility failed to ensure the bathroom air vents were clean in three resident rooms (rooms [ROOM NUMBER]) out of 12 resident rooms sampled. The facility census was 42 at the time of the survey. Findings are: An observation during the initial facility tour on 2.23.2026 at 10:00 AM revealed a thick, fuzzy, grey material on the bathroom air vents (removes moisture and odors to prevent mold, mildew, and damage to fixtures) in three resident rooms (rooms [ROOM NUMBER]) out of 12 rooms observed. An observation on 2.24.2026 at 12:52 PM with the Administrator (ADM), revealed a thick, fuzzy, grey material on the bathroom air vents in rooms [ROOM NUMBER]. During an interview on 2.24.2026 at 12:52 PM with the ADM, it was confirmed the resident bathroom air vents in rooms [ROOM NUMBER] were dirty and needed cleaned. During an interview on 2.24.2026 at 1:21 PM with the Housekeeping District Manager (Hsk DM) confirmed…

  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 · D2026-02-25 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 Based on record review and interview, the facility failed to have 1 resident (Resident 2) referred for a level 2 PASARR (Preadmission Screening and Resident Review) evaluation based off of Resident 2 current medical diagnosis and failed to include a diagnosis to the level 2 PASARR for 1 resident (Resident 14) of 4 sampled residents. The facility census was 42.A.A record review of the admission Record with a printed date of 2/24/26 revealed that Resident 2 was admitted to the facility on [DATE] with the diagnosis of Diabetes (high blood sugar), cellulitis of left upper limbs (skin infection ), Hypertension (High blood pressure), Atrial Flutter (fast heart rate), and Pain in Shoulder. On 11/25/25 a diagnosis was added of irritability and anger, and disorientation, On 12/23/2025 a diagnosis was added of Visual Hallucinations. On 1/28/26 a diagnosis was added of Major Depressive disorder, recurrent, severe with psychotic symptoms (experiences intense, debilitating depression…

  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 before2026-02-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.10(D)Based on observations, record review and interview, the facility failed to maintain a medication error rate of less than 5%, which affected 2 residents (Residents 10 and Resident 12) of 3 sampled residents. The medication error rate was 8%. The facility census was 42. Licensure Reference Number 175 NAC 12-006.10(D) A.A record review of the admission Record dated 2/25/26 for Resident 10 revealed Resident 10 was admitted to the facility on [DATE] with the current diagnosis of Hemiplegia and Hemiparesis following Cerebral Infarction (Hemiplegia (total paralysis) and hemiparesis (weakness) are common, often severe, consequences of cerebral infarction (ischemic stroke) resulting from brain tissue damage), depression (persistent sadness, loss of interest, and physical symptoms like exhaustion), anxiety (excessive, persistent fear disrupts daily life), and Cognitive communication Deficit (an impairment in communication) .An observation of medication administration pass on…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-25 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure reference number 175 NAC 12.006.18(D) Based on observations, record reviews, and interviews, the facility failed to perform hand hygiene for 1 resident (Resident 7) of 1 sampled resident. Facility census was 42. Findings are: During an observation on 02/24/2026 at 1:20 PM Licensed Practical Nursing (LPN)-A gathered Personal Protective Equipment (PPE- specialized clothing or gear designed to protect workers from physical, chemical, biological or radiological hazards) to complete Resident 7's wound care. LPN-A placed PPE on an empty bed that had clean linens and then washed LPN-A hands for 20 seconds. LPN-A proceeded to tell Resident 7 that LPN-A was going to complete wound care to resident coccyx wound, Resident 7 then rolled to their left side on their own. LPN-A donned (put on) PPE in the following order: gown, mask, face shield then gloves, then began to wash Resident 7's wound with normal saline and gauze. LPN-A dried the wound, removed dirty gloves and placed them in the trash can, LPN-A then put a new pair of gloves on without performing hand hygiene. LPN-A completed…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-24 · 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) Licensure Reference Number 175 NAC 12-006.10(A)(ii) Based on observation, interview, and record review, the facility failed to ensure 2 (Residents 4 and 5) of 2 sampled resident's insulin (a hormone produced in the pancreas which regulates the amount of glucose in the blood) was administered as ordered and to ensure staff followed the 5 rights for medication administration. The facility census was 44. Findings are: A record review of the facility's Timely Administration of Insulin policy dated 8/23 revealed: -All insulin will be administered in accordance with physician's orders. -Insulin administration will be coordinated with mealtimes and bedtime snacks unless otherwise specified in the physician orders. -Procedure includes reviewing the resident's name, medication name, medication dosage, time to be administered, and the route of the administration. A record review of the facility's Medication Administration policy dated 8/2023 revealed: - Ensure that the six…

  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 · F2025-04-08 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12.006.19(A) Based on observation, interview, and record review, the facility failed to ensure that the ceiling ventilation (vent) covers in the facility were cleaned and sanitized to prevent cross contamination. This had the potential to affect all residents in the facility. Total census was 46 residents. Findings are: A record review of the facility's Routine Cleaning and Disinfection policy dated 08/2023 revealed that routine cleaning and disinfection of visible soiled surfaces would be performed in common areas. An observation on 04/07/2025 at 11:40 AM revealed the flat ceiling vent in the entrance foyer (sitting area), conference room, above the nurse's station, in the ceiling at the entrance to the dining room, at the end of the Havelock hall, and at the end of the [NAME] hall all had a brown fuzzy substance on them. An observation on 04/08/2025 at 6:47 AM revealed the flat ceiling vent in the entrance foyer (sitting area), conference room, above the nurse's station, 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-08 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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)(vi)(3)(g) Based on observation, interview, and record review, the facility failed to ensure 1 (Resident 1) of 1 sampled resident's oxygen concentrator (a machine that purifies oxygen) was functioning properly and that the settings were per the provider's orders. Total facility census was 46 residents. Findings are: A record review of the facility's undated Oxygen Concentrator policy revealed the staff was responsible for the use and care of oxygen concentrators and receive training on oxygen safety and the functionality of the device. Oxygen is administered under orders of the attending physician, except in the case of an emergency. A record review of the Invacare Operator's Manual Platinum Series concentrator manual revealed if the yellow indicator light was on by the exclamation point (!) indicator, the machine was only producing 73 percent (%) - 75% oxygen purity and the supplier should be called IMMEDIATELY. A record review of Resident 1's Clinical Census dated…

  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 · F2024-12-05 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure posting of the daily nursing staffing was current and contained all the required information. This had the potential to affect all the facility residents. The facility identified a census of 47. Findings are: Observation on 12/2/24 at 11:38 AM and 2:40 PM revealed missing posting for the daily census sheet. Observation on 12/3/24 at 8:20 AM and 3:15 PM revealed missing postings for the daily census sheet. Observation on 12/4/24 at 7:15 AM revealed missing postings for the daily census sheet. An interview on 12/4/24 at 8:09 AM with the Administrator (ADM) revealed the facility did not have a policy for daily nursing staffing posting. An interview on 12/4/24 at 8:15 AM with Human Resources (HR) confirmed the posting is missing for December 2nd, 3rd, and 4th of 2024. An interview on 12/4/2024 at 8:30 AM with the ADM, confirmed the posting of the daily nursing staffing was not posted for December 2nd, 3rd, and 4th of 2024.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-12-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12.006.18(D) Licensure Reference Number 175 NAC 12.006.18(B) Licensure Reference Number 175 NAC 12.006.19(A) Based on observation, interview, and record review, the facility failed to ensure the dietary staff performed handwashing for greater than 20 seconds to prevent foodborne illness, that the kitchen ceiling ventilation covers (vents) and light fixtures were clean to prevent cross contamination, and that all walls and the ceiling were in safe condition. The had the ability to affect 45 residents that consumed food from the kitchen. Findings are: A. A record review of the facility's Handwashing Guidelines for Dietary Employees policy dated 8/2023 revealed handwashing was necessary to prevent the spread of bacteria that may cause foodborne illnesses. Turn on water and moisten hands, cover with soap and rub vigorously for at least 20 seconds. An observation on 12/04/2024 at 09:50 AM revealed the facility's [NAME] (Cook-A) performed handwashing 8 seconds and gloved prior to food preparation. Cook-A got a knife and cut onions in quarters on cutting…

  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 before2024-12-05 · 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 12-006.19A Based on observations, interviews, and record review, the facility failed to maintain the walls, floors, door frames, light fixtures, exhaust fans, urine smells and baseboards in 14 rooms (rooms: 104,107,109, 112, 114, 116, 118, 119, 121, 122, 123, 124, 125, 126). The facility identified a census of 47. Findings are: Observations on 12/05/2024 between 9:05 AM and 9:45 AM with the facility Administrator (ADM) and the Corporate Nurse (CN) identifying the following environmental concerns during the environmental tour of the facility: -The ceiling fans in rooms: 104,107,109, 112, 114, 116, 118, 119, 121, 122, 123, 124, 125, 126 did not pull tissue to the fan during the tissue test and were covered in a gray fuzzy substance. -Resident rooms: 104,107,109, 112, 114, 116, 118, 119, 121, 122, 123, 124, 125, 126 had holes in drywall, walls with missing paint in. -There was a strong smell of urine present from resident room [ROOM NUMBER]. -In room [ROOM NUMBER] there was 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 Rights 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

$25,642 in federal fines across 2 penalties. 2 Medicare payment denials on record.

• $9,805 — penalty dated 2024-06-17
• $15,837 — penalty dated 2023-12-12
• Medicare payment denial — starting 2026-05-25 for 16 days
• Medicare payment denial — starting 2025-02-19 for 26 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 AVID HEALTHCARE GROUP — 11 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 →

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

10 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.

About 84% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $961K paid to related parties — landlords or management companies under common ownership — equal to about 31% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in NE