Courville At Manchester

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.

60.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 197 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.5% 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 94 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 66.6 residents a day — about 88% occupied, or roughly 9 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 4.18 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 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 3.73 hrs/resident/day on weekends vs 4.37 on weekdays — 15% thinner on weekends. RN hours go from 0.95 to 0.87 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

Inspection trend

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.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-05-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents were free from exposure to bloodborne pathogen transmission when staff used a resident's insulin pen to administer insulin to another resident. (Resident identifier is #1.)Findings include:Interview on 5/1/26 at approximately 11:30 a.m. with Resident #1 revealed he/she received someone else's insulin a week or two ago and was admitted to the hospital. Review on 5/1/26 of Resident #1's medical record revealed a hospital Discharge summary, dated [DATE], that stated .Accidentally Received Lispro 19 units and Trulicity 1.5 mg. Further review of the hospital discharge summary revealed no lab results for bloodborne pathogens. Further review of Resident #1's medical record revealed no orders for blood borne pathogen lab work before or after hospitalization.Interview on 5/5/26 at 2:30 p.m. with Staff F (Licensed Practical Nurse) confirmed that on 4/20/26 they had administered to Resident #1 insulin from another resident's open Lispro pen.…

  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
• Actual harm · G2026-05-06 · 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 Based on interview and record review, the facility failed to ensure residents are free from significant medication errors which resulted in a resident requiring intervention and hospitalization for multiple nights for 1 of 3 medication errors reviewed. (Resident identifier is #1.)Findings include:Interview on 5/1/26 at approximately 11:30 a.m. with Resident #1 revealed he/she had received someone else's insulin a week or two ago and was admitted to the hospital.Review on 5/1/26 of Resident #1's medical record revealed a hospital history and physical, dated 4/20/26, that stated .CHIEF COMPLAINT: Accidental medication overdose, nausea and vomiting .- Aspirin 81 mg The patient was found to be hypoglycemic over here with blood sugars in the low 60s. [Pronoun omitted] was symptomatic with nausea and vomiting . Further review of Resident #1's medical record revealed a hospital Discharge summary, dated [DATE], that stated .ASSESSMENT AND PLAN: .Monitor on telemetry overnight .Antiemetics . Blood glucose every 2 hours…

  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 · D2026-05-06 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure resident medications were labeled in accordance with currently accepted professional principles, medications were not removed from use after expiration, and failed to keep medications stored securely for 2 of 3 medication carts observed. (Resident identifiers are #3 and #6.)Findings include:Observation on 5/1/26 with Staff A (Licensed Practical Nurse) of the first floor medication cart revealed Resident #3's open Glargine (Lantus) insulin pen with no open date or open use by date. Further observation revealed Resident #3's Lispro insulin Kwikpen with an open date of 4/1/26 and a discard date of 4/29/26. Both insulin pens had a pharmacy sticker that read discard 28 days after opening. Review on 5/1/26 of the Lantus (insulin glargine) pen manufacturer instructions for use revealed .After 28 days throw your open Lantus pen away- even if it still has insulin in it. Review on 5/1/26 of the Lispro Kwikpen manufacturer instructions for use revealed .Do not use your pen past the expiration date printed on the…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and policy review, it was determined that the facility failed to remove expired food, label thawed items, properly store thawing meats, and maintain clean cooking equipment and microwaves for 1 of 1 kitchen and 2 of 3 kitchenettes observed. Findings include:KitchenObservation on 2/17/26 at approximately 8:00 a.m. with Staff B (Food Service Director) of the kitchen's revealed the following expired food items and unlabeled thawed items in the small refrigerator:Thirteen quarts of half and half milk product with an expiration date of 2/10/26;Three thawed Mighty Shakes (nutritional supplement) without a thaw or use by date;Six half gallons of whole milk with an expiration date of 2/4/26; andOne half gallon of whole milk with an expiration date of 2/14/26. Further observation in the kitchen revealed the following expired and unlabeled food items in the walk-in refrigerator:One defrosted frozen orange juice concentrate dated 2/2/26;Further observation in the kitchen revealed 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-19 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to assess a resident's ability to self-administer medications for 1 of 1 resident reviewed for choices in a final sample of 17 residents. (Resident identifier is #6.)Findings include:Observation on 2/17/26 at approximately 9:11 a.m. revealed that Resident #6 had a medicine cup containing two large white pills on their meal tray. There were no staff present at that time.Interview on 2/17/26 at approximately 9:15 a.m. with Resident #6 revealed that he/she self-administers their medications with their breakfast.Review on 2/17/26 of Resident #6's assessments revealed that there was no assessment for the self-administration of medications. Review on 2/19/26 of the Resident #6's Medication Administration Record revealed that Resident #6 received the following prescribed medications with breakfast: one capsule of Saccharmyces Boulardii +MOS (probiotic) 250 mg (Milligrams)/200mg, one soft gel of Vitamin D3 5000 UI (International Unit) with coconut oil, and one tablet of Turmeric Forte Herbal Supplement Tablet.Interview…

  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 · D2026-02-19 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to keep residents free from physical restraints for 1 of 1 residents reviewed for physical restraints in a final sample of 17 residents (Resident identifier is #17).Findings include:Observation on 2/18/26 at approximately 8:49 a.m. revealed Resident #17 sitting in his/her wheelchair wearing a seat belt.Interview on 2/18/26 at approximately 12:59 p.m. with Resident #17 revealed that he/she wore the seat belt because he/she has fallen out of the wheelchair in the past. Review on 2/18/26 of Resident #17's fall care plan revealed an intervention to apply the seat belt while in the motorized wheelchair for fall prevention per family request. Further review revealed that there were no interventions to release the seat belt and reposition the resident periodically while using the seat belt.Review on 2/18/26 of Resident #17's social service note (late entry) dated 6/17/25 revealed that a care planning meeting occurred on 6/13/25 that indicated that social services reviewed with the family that the seat belt would be…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-19 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 interview and record review, the facility failed to follow physician orders for 1 of 1 resident reviewed for dialysis and 1 of 5 residents reviewed for unnecessary medications in a final sample of 17 residents (Resident Identifiers are #2 and #8). Findings include:[NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 10th edition St. Louis, Missouri: Elsevier, 2021. Page 614 .It is essential to verify the accuracy of every medication you give to your patients with the patient's order. If the medication order is incomplete, incorrect, or inappropriate, or if there is a discrepancy between the original order and the information on the MAR [Medication Administration Record]. consult with the health care provider. Do not give a medication until you are certain that you can follow the seven rights of medication administration . Page 672 .seven rights of medication administration include right medication, right dose, right patient, right route, right time, right documentation and right indication . Resident…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-19 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to adequately monitor for adverse consequences for anticoagulant medication for 2 residents in a final sample of 17 residents (Resident identifiers are #5 and #7).Findings include:Resident #7Review on 2/19/26 of Resident #7's Medication Administration Record (MAR) revealed a physician's order dated 11/3/25 for Apixaban, (anticoagulant) for treatment of atrial fibrillation. Further review revealed no indications of monitoring for signs and symptoms of bleeding and bruising on the MAR.Review on 2/19/26 of Resident #7's comprehensive care plan revealed that no specific interventions to monitor or manage the risk of bleeding and bruises Resident #5, who was receiving anticoagulant therapy. Interview on 2/19/26 at approximately 2:51 p.m. with Staff C (Director of Nursing) confirmed the above findings.Resident #5Review on 2/19/26 of Resident #5's Medication Administration Record (MAR) revealed a physician's order dated 10/24/23 for Apixaban, anticoagulant) for treatment of atrial fibrillation. Further review revealed no evidence 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-17 · tag F0607 — failed to have anti-abuse policies — isolated
  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

  Based on interview, record review, and policy review, it was determined that the facility failed to implement the facility's abuse policy for 1 out of 1 residents reviewed for abuse in a final sample of 19 residents. (Resident Identifier is #21). Review on 1/17/25 of Resident #21's medical record revealed a progress note, dated 12/6/24, stating that Resident asked to use the bathroom this evening around 4:40 p.m. Resident appeared to still have the bed pan underneath of [pronoun omitted] bottom from the morning shift as LNA's [Licensed Nursing Assistant] stated. Resident appeared to have a red bottom . Interview on 1/17/25 at approximately 9:30 a.m. with Staff I (Licensed Practical Nurse) revealed that he/she had reported to Staff J (Nursing Supervisor (3-11 Shift)) on 12/6/24 that they found Resident #21 on a bedpan for an undetermined amount of time and that their bottom was red. Interview on 1/17/25 at approximately 9:30 a.m. with Staff I (Licensed Practical Nurse) revealed that he/she had reported to Staff J (Nursing Supervisor (3-11 Shift)) on 12/6/24 that they found Resident…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-17 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to report an allegation of neglect to the administrator for 1 of 1 resident reviewed for abuse in a final sample of 19 (Resident Identifier is #21). Review on 1/17/25 of Resident #21's medical record revealed a progress note, dated 12/6/24, stating that Resident asked to use the bathroom this evening around 4:40 p.m. Resident appeared to still have the bed pan underneath of [pronoun omitted] bottom from the morning shift as LNA's [Licensed Nursing Assistant] stated. Resident appeared to have a red bottom . Interview on 1/17/25 at approximately 9:30 a.m. with Staff I (Licensed Practical Nurse) revealed that he/she had reported to Staff J (Nursing Supervisor (3-11 Shift)) on 12/6/24 that they found Resident #21 on a bedpan for an undetermined amount of time and that their bottom was red. Interview on 1/17/25 at approximately 9:30 a.m. with Staff J revealed that he/she had not reported the incident to the Administrator or the Director of Nursing that Resident #21 had potentially been left on the bedpan…

  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 before2025-01-17 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 observation, interview, and record review, it was determined that the facility failed to follow physicians orders for 1 out of 1 residents reviewed for bowel/bladder incontinence in a final sample of 19 residents. (Resident identifier is #31). Findings include: Standards: [NAME], [NAME] A., and [NAME]. Fundamentals of Nursing. 7th ed. St. Louis, Missouri: Mosby Elsevier, 2009. Page 336 - Physicians' Orders .The physician is responsible for directing medical treatment. Nurses follow physician's orders unless they believe the orders are in error or harm clients. Therefore you need to assess all orders, and if you find one to be erroneous or harmful, further clarification from the physician is necessary . Review on 1/16/25 of Resident #31's physician's orders revealed the following orders: Offer 120 ml (milliliters) of prune juice by mouth for 3 days without a bowel movement on 7-3 shift. As needed for no bowel movement for 3 day, Start Date 12/5/24; M.O.M. (Milk of Magnesia Concentrate Suspension)…

  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 · D2025-01-17 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to provide supervision at meals for 1 of 1 resident reviewed for ADL's (Activities of Daily Living) in a final survey sample of 19 residents. (Resident identifier is #60). Findings include: Observation on 1/15/25 at approximately 9:40 a.m. revealed a sign posted above Resident #60's bed: ASPIRATION PRECAUTIONS 1:1 [One on One] ASSIST W/FEEDING [with feeding] (SLOWLY ALTERNATE BITES/SIPS). Observation on 1/15/25 at approximately 12:10 p.m. to 12:15 p.m. revealed that Resident #60 was sitting on his/her bed eating lunch with no staff present. Observation on 1/16/25 at approximately 12:10 p.m. to 12:15 p.m. revealed that Resident #60 was sitting on his/her bed eating lunch with no staff present. Review on 1/16/25 of Resident #60's Nutritional Care Plan, dated 12/30/24, revealed: . Interventions .Resident to eat all meals in supervised area. Encourage small bites; encourage frequent small sips of fluid between bites Interview on 1/16/25 at approximately 12:15 p.m. with Staff F (Licensed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$35,270 in federal fines across 2 penalties.

• $13,065 — penalty dated 2026-05-06
• $22,205 — penalty dated 2026-05-06

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

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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 $1.0M 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 NH