The Elms Center

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: 75.0% 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 24 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 0.22 therapist hours per resident per day in 2026Q1 — more than 27% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% 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 52 beds and averages 44.2 residents a day — about 85% occupied, or roughly 8 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 3.02 hrs/resident/day is below 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 1.66 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.67 hrs/resident/day on weekends vs 3.17 on weekdays — 16% thinner on weekends. RN hours go from 0.88 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% 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.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · G2024-01-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined that the facility failed to assess a resident after implementing a new device for safety resulting in a fall with serious injury for 1 out of 4 residents reviewed for accidents in a final sample of 20 residents (Resident Identifier is #26). Findings include: Review on 1/24/24 of Resident #26's progress notes revealed the following: Resident received [pronoun omitted] new wheelchair on 11/1/23 from [company name omitted]. this new wheelchair does not have a seatbelt connected and therapy stated that [company name omitted] will be back 1-2 weeks . (dated 11/2/23 at 9:56 a.m.) Resident noted to be sliding down or slouching down in wheelchair seat frequently throughout the shift. Resident required repositioning multiple times throughout the shift to maintain proper body alignment. Resident was fit for and recently received this new wheelchair from [company name omitted]. This new wheelchair does not have the safety belt in place at present. Per…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-27 · tag F0635 — isolated
  Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
  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 physician orders at admission were accurate for 1 of 4 residents reviewed for admission orders (Resident identifier is #4).Findings include:Review on 5/27/26 of Resident #4's progress note written by Staff A (Director of Nursing) dated 5/17/26 [name omitted] was discharged from [hospital omitted] on 5/9/26. [pronoun omitted] discharge summary was not reviewed with the physician on call.Medications had changed and [pronoun omitted] received the wrong dose of some [medications] and omission of others [medications] from 5/9/26 - 5/13/26.Review on 5/27/26 of Resident #4's Hospital Discharge summary dated [DATE] revealed a change in Carvedilol dose from 25mg to 12.5mg twice a day, a new order for Voltaren 1% gel topically to lower back twice a day, and a change in administration time for Divalproex from three times a day to every 8 hours.Review on 5/27/26 of Resident #4's May 2026 Medication Administration Record (MAR) revealed Carvedolil 25mg was…

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

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Potential for harm · D2026-02-24 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to provide routine medications to meet the needs of the residents for 1 of 1 resident reviewed for dialysis and 1 of 1 resident reviewed for choices. (Resident identifiers are #3 and #49.)Findings include:Resident #3 Review on 2/24/26 of Resident #3's February 2026 Medication Administration Record (MAR) revealed an order for Cinacalcet tablet 30 mg (milligrams) give 1 tablet by mouth one time a day for CKD4 [chronic kidney disease stage 4] give with dinner, with a start date of 6/28/23. Further review of Resident #3's February 2026 MAR revealed the following dates that the Cinacalcet medication was not administered: 2/3, 2/4, 2/5, 2/6, 2/8, 2/9, 2/10, 2/11, 2/12, 2/13, 2/14, 2/16, 2/17, 2/18, 2/19, and 2/20. Review on 2/24/26 of Resident #3's progress notes on 2/18/26 through 2/20/26 revealed that above medication was on order. Further review of Resident #3's progress notes revealed that there was no documentation indicating that the facility followed up with pharmacy or the dialysis center to obtain the above medication.…

  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 · Fcited before2025-01-10 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to implement and review, at least annually, the facility's water management plan that has the potential to effect the facility census of 46 residents who resided at the facility. Findings include: Review on 1/8/25 of the facility's water management plan revealed the following: 1. The last review date was dated June 2023, which is 18 months of when the plan was last reviewed. 2. The water management plan committee consisted of the Maintenance Supervisor, Director of Nursing, and the Administrator. There was no Infection Preventionist included in the committee. Further review of the water management plan revealed that the water management committee was responsible for the oversight and implementation of the water management plan, which included but not limited to, development, annual reviews, management, and maintenance activities where needed. 3. The water management plan revealed control measures and monitoring of the following: - dead legs (a section of potable water pipe which contains water that has…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-10 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to ensure that a resident is fully informed of their care and treatment in a language that he/she understands for 1 of 2 residents reviewed for communication in a final sample of 16 residents. (Resident identifier is #44.) Findings include: Interview on 1/8/25 at approximately 10:20 a.m. with Resident #44 revealed his/her primary language was Spanish. Interview on 1/8/25 at approximately 10:25 a.m. with Staff A (Social Services) revealed he/she utilize their personal translator application on their phone to communicate with Resident #44. Interview on 1/9/25 at approximately 12:00 p.m. with Staff B (Licensed Nursing Assistant (LNA)) revealed Resident #44 understands most English. The resident will initiate communication using his/her personal translator application on their phone. Review on 1/10/25 of Resident #44's admission Minimum Data Set (MDS) assessment with an Assessment Reference Date (ARD) of 5/17/24 revealed Section A coded Spanish as primary language and he/she wants an interpreter. Review 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-10 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and medical record review, it was determined that the facility failed to ensure the resident's right to formulate advance directives for 1 out of 2 residents reviewed for advance directives (Resident Identifier is #35). Findings include: Review on 1/10/25 of Resident #35's medical record revealed a physician's order dated 1/8/25 for Do Not Recusitate (DNR). Further review revealed that their care plan reflected Full Code status. Interview on 1/10/25 at approximately 9:20 a.m. with Staff N (Advanced Practice Nurse) revealed that he/she had not given an order to change Resident #35's code status to DNR. Interview on 1/10/25 at approximately 10:15 a.m. with Staff C (Director of Nursing) revealed that code status had been changed without discussion with Resident #35, Resident #35's representative or the Nurse Practioner.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-10 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that the facility failed to hold routine interdisciplinary care plan meetings for 2 of 16 residents reviewed for care planning in a final sample of 16 residents (Resident identifiers are #24 and #44). Findings include: Resident #24 Interview on 1/8/25 at approximately 12:00 p.m. with Resident #24's Representative (Durable Power of Attorney) revealed they did not think there had been a care plan meetings for about a year. Review on 1/9/25 of Resident #24's medical record revealed the most recent interdisciplinary care plan meeting minutes were on 5/1/24. Interview on 1/9/25 at approximately 1:30 p.m. with Staff C (Director of Nursing) confirmed the above findings. Resident #44 Review on 1/9/25 of Resident #44's medical record revealed that he/she had been admitted in May 2024. Review on 1/9/25 of Resident #44's medical record revealed no interdisciplinary care plan meetings between May and November 2024. Interview on 1/9/25 at approximately 1:30 p.m. with Staff C confirmed the only care plan meeting conducted for Resident #44…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-10 · 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, it was determined that the facility failed to ensure that multidose medications were labeled with opened/expiration dates appropriately in 1of 1 medication cart reviewed and expired medications were removed from use in 1 out of 1 medication room observed. Findings include: Observation on 1/8/25 at approximately 8:20 a.m. of the medication room refrigerator revealed an Aplisol TB (Tuberculin Purified Protein Derivative, Diluted [Stabilized Solution]) vial, with an open date of 11/22/24 (to expire on 12/22/24, 30 days from opening). Review on 1/8/25 of manufacturers instructions for Aplisol TB revealed .Vials in use more than 30 days should be discarded due to possible oxidation and degridation which may affect potency . Interview on 1/8/25 at approximatley 8:20 a.m. with Staff G (Unit Manager) confirmed the above findings. Staff G confirmed that the Aplisol TB would expire 30 days from opening. Observation on 1/8/25 at approximately 8:40 a.m. of the [NAME] Medication Cart revealed 1 bottle of Timolol Maleate Opthalmic Solution 0.5%…

  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 · D2025-01-10 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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, interview and policy review, it was determined that the facility failed to ensure that food was labeled and failed to maintain a clean environment in the food preparation area for the main kitchen observed. Findings include: Observation on 1/8/25 at approximately 8:30 a.m. in the main kitchen revealed individual plastic containers containing white liquid with no labeled identifiers and dates in the milk refrigerator. Interview on 1/8/25 at approximately 8:30 a.m. Staff F (Food Service Director) confirmed the above findings. Staff F stated that the white liquid was coffee creamer that they individually poured in the plastic containers. Review on 1/10/25 of the facility policy titled Food Storage: Cold foods, created date of 2017, revealed .5. All foods will be .labeled and dated . Observation on 1/8/25 at approximately 8:30 a.m. in the main kitchen revealed a fan with accumulation of dust on the blades and cage of the circulation fans which was pointing directly towards the food preparation area. Interview on 1/8/25 at approximately 8:30 a.m. with Staff K (cook)…

  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 · D2025-01-10 · tag F0868 — isolated
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, it was determined that the facility failed to ensure that the required committee members attended Quality Assurance Performance Improvement (QAPI) meetings at least quarterly for 2 of the 4 quarterly meetings reviewed for 2024. Findings include: Review on 1/10/25 of the second quarter QAPI meeting attendance sheet, dated July 2024, revealed that the Infection Preventionist (required member) was not in attendance. Review on 1/10/25 of the third quarter QAPI meeting attendance sheet, dated October 2024, revealed that the Infection Preventionist (required member) was not in attendance. Interview on 1/10/25 at approximately 2:30 p.m. with Staff C (Director of Nursing) confirmed the above findings. Staff C (Director of Nursing) further indicated that there was an Infection Preventionist in October but he/she did not attend the QAPI meeting.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-01-25 · tag F0725 — failed to have enough nursing staff — widespread
  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

  Based on interview, observation, and record review, it was determined that the facility failed to ensure sufficient staffing to ensure that each resident attained or maintained the highest practicable physical, mental, and psychosocial well-being. Facility census of 52 residents (Resident Identifier #153). Findings include: Interview on 1/23/24 at approximately 9:00 a.m. with Staff C (Licensed Practical Nurse) revealed that the facility had 2 LNAs (Licensed Nursing Assistants) on for the day shift a few times over the last few weeks and most days there were 3 to 4 LNAs on the day shift. The interview further revealed that treatments were not being provided to wounds as ordered by physicians, call lights were taking up to 30 minutes at a time to answer, and medications were often given late because there was not enough staff Interview on 1/23/24 at approximately 9:05 a.m. with Resident #153 revealed that sometimes it takes up to an hour for staff to assist him/her with dressing. Interview on 1/23/24 at approximately 11:00 a.m. with Staff K (Medication Nursing Assistant (MNA))…

  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

$9,770 in federal fines across 1 penalty.

• $9,770 — penalty dated 2024-01-25

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 603 HEALTHCARE — 7 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

CMS files one row per role, so the 12 rows in the source record cover these 8 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.

About 83% 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 $537K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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