No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Las Vegas Post Acute & Rehabilitation

2832 S. Maryland Parkway, Las Vegas, NV 89109 · For profit - Partnership · 79 certified beds · (702) 735-5848 Medicare & Medicaid certified

Call the home — (702) 735-5848 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jun 2026Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3006 S Maryland Pkwy · (702) 796-1820 · Call to confirm hours
Pharmacy
2797 S Maryland Pkwy · (833) 419-2921 · Call to confirm hours
Grocery
2575 S Maryland Pkwy · (702) 735-2135 · Call to confirm hours
Park
508 San Pablo Dr · (702) 735-3380 · Typically dawn to dusk
Place of worship

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

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased15.7%12.6%15.4%typical
Long-stay residents who lose too much weight0.0%5.5%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder4.2%1.6%0.9%worse
Long-stay residents with a urinary tract infection1.1%1.9%2.0%better
Long-stay residents with depressive symptoms0.0%5.1%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.4%2.0%3.3%better
Long-stay residents whose ability to walk worsened15.9%13.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication24.6%22.2%18.9%worse
Long-stay residents given the seasonal flu vaccine97.1%89.6%95.3%typical
Long-stay residents with pressure ulcers9.7%5.4%4.7%worse
Long-stay residents with worsening bladder/bowel control12.3%15.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table56.9%17.1%17.1%check this — see note marked dagger below the table
Short-stay residents who newly got an antipsychotic medication9.8%1.8%1.4%worse
Short-stay residents given the seasonal flu vaccine97.5%80.7%79.4%better
Short-stay residents rehospitalized after admission31.8%23.2%22.6%worse
Short-stay residents with an outpatient ER visit13.5%9.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.451.851.67better
Long-stay outpatient ER visits per 1,000 resident days1.441.451.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

34.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

34.6%U.S. median 51.5%
Got home and stayed home
9.4%U.S. median 10.7%
Went back to hospital
60.3%U.S. median 56.6%
Met the expected recovery
0.51U.S. median 0.31
Therapy hours / resident / day
0.24hours / resident / day
Physical therapy
0.27hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 60.3% 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 209 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 0.51 therapist hours per resident per day in 2026Q1 — more than 81% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF34.6%CMS range 26.1–42.651.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.4%CMS range 7.0–12.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge60.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge62.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge46.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified98.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting96.5%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge65.3%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 4.1–10.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.341.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.64
RN hours/ resident / day
0.78
LPN hours/ resident / day
1.64
Aide hours/ resident / day
3.06
Total nurse hours/ resident / day
0.49
RN hoursweekends
37.5%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 79 beds and averages 77.3 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.06 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.64 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 2.82 hrs/resident/day on weekends vs 3.15 on weekdays — 11% thinner on weekends. RN hours go from 0.70 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% 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

3
deficiencies at the latest standard inspection (2025-07-18)
6
at the previous standard inspection (2024-06-28)

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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Dcited before2026-06-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure a vulnerable resident was protected following physical abuse allegation for 1 of 4 sampled residents (R1). The deficient practice had the potential to result in increased fear, anxiety, emotional distress, and an increased risk of psychosocial harm.Findings include:Resident 1 (R1) was admitted on [DATE], with diagnoses including difficulty in walking and generalized muscle weakness.The admission Minimum Data Set (MDS) assessment dated [DATE], documented a Brief Interview for Mental Status score of 15 out of 15, indicating R1's cognitive status was intact. The assessment documented that R1 required extensive assistance with activities of daily living and was dependent on staff for transfers and incontinent care.The Nursing Staff Assignment and Sign in Sheet dated 06/01/2026, documented the involved CNA was assigned in room [ROOM NUMBER]A wherein R1was residing in 101.A typewritten statement by Social Services…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure a resident was free from physical abuse for 1 of 3 sampled residents (Resident 3). The deficient practice placed residents at risk for emotional distress.Findings include:1) Resident 3 (R3) was admitted on [DATE], with diagnoses including complete lesion at thoracic vertebra (T11-T12) and chronic kidney disease stage four.On 04/06/2026 at 9:30 AM, R3 had a bandage on the left hand dated 04/05. R3 recounted having an altercation with a former roommate whom R3 described as a crazy person who yelled at staff all day. R3 indicated upon being told to stop yelling, R4 hit R3 with a telephone on the left hand. R3 touched bandage on left hand indicating this was the injury which resulted from the incident.A Resident Event form dated 03/27/2026, documented R3 was involved in a resident-to-resident altercation with roommate.An Incident Narrative dated 03/27/2026, documented R4 hit R3 with a phone on the hand R3 refused X-ray…

    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 · Past Non-Compliance
  • Potential for harm · D2026-04-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure allegations of physical abuse were submitted to the state agency within 24 hours of the facility being informed of the allegation for 2 of 2 reports reviewed. The deficient practice placed residents at risk for abuse.Findings include: 1) Resident 1 (R1) was admitted on [DATE], with diagnoses including multiple fractures from motor vehicular accident and depression.A Facility Incident Report revealed R1 alleged a certified nursing assistant (CNA) on hit R1 on the face on 02/14/2026 at approximately 8:10 PM, after R1 used foul language toward the CNA. Law enforcement came to the facility to interview R1, R1's roommate and the CNA of concern.On 04/06/2026 at 9:08 AM, the Charge Nurse on duty on the evening of the incident indicated completing a Report Event form for the Director of Nursing (DON) and an Incident Narrative form dated 02/14/2026, which was a written form of communicating the alleged physical abuse…

    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 · D2025-07-18 · tag F0687 — failed to care for feet properly — isolated
    Provide appropriate foot care.
    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, record review and document review, the facility failed to provide documented evidence foot wound treatments were provided per the physician's order for 1 of 23 sampled residents (Resident 84). The deficient practice had the potential to place the resident at risk for delayed healing of a wound.Findings include:Resident 84 (R84) was admitted on [DATE] with diagnoses including idiopathic peripheral autonomic neuropathy, chronic obstructive pulmonary disease, and arthropathic psoriasis.On 07/16/2025 at 8:52 AM, R84 explained that they had wounds on both feet and back and the staff performing wound care went on leave and no one provided wound treatment. A Physician Order dated 06/19/2025 documented cleanse right foot with normal saline, pat dry, apply Clobetasol 0.05% cream and leave open to air every day for 30 days for diagnosis of psoriasis A Physician Order dated 06/19/2025 documented cleanse left foot with normal saline, pat dry, apply Clobetasol 0.05% cream and leave open to air every day…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-18 · 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 document review, the facility failed to ensure medication was properly labeled and stored. The deficient practice had the potential for non-viable medication to be administered to a resident. Findings include:On 07/17/2025 at 3:44 PM, inside the 300 Hall medication cart was a multi-dose vial of Applisol purified protein derivative (PPD) Tuberculosis (TB) 1 milliliter vial. The box of the vial had a labeled date of 7/10. The nurse in charge of the medication cart was not able to determine if the labeled date was the open date or the discard date. The nurse confirmed the labeling of the medication was not clear and should have been labeled with an open and discard date. The nurse indicated the medication should have been kept in the medication refrigerator and medication kept outside its recommended storage temperature would have rendered it not safe to be administered. The facility policy titled Storage of Medications revised November 2020, documented drugs and biologicals used in the facility are stored in locked compartments under proper…

    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 · D2025-07-18 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working 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 Based on observation, interview and document review, the facility failed to ensure preventative maintenance (PM) was performed annually for medical equipment being used for 2 of 23 sampled residents (Resident 30 and 40). The deficient practice had the potential for a resident not to receive the intended function of a medical device.Findings include:1) Resident 30 (R30) was admitted on [DATE], with diagnoses including cerebral infarction and physical debility.R30's physician's order dated 11/12/2024, documented to administer Oxygen at 2 liters via nasal canula continuously.On 07/16/2025 at 10:08 AM, R30's Oxygen concentrator (a medical device that extracts oxygen from ambient air and delivers it to a patient) had a PM sticker documented PM date: 05/23/2023, Due 05/24/2024. R30 received supplemental Oxygen from the same medical equipment.On 07/16/2025 at 10:15 AM, the maintenance personnel checked the medical equipment and confirmed the PM was outdated and should have been serviced more than a year ago.2) 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-28 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 Based on observation, interview, record review, and document review the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) level two referral was completed for 1 of 24 sampled residents (Resident 52). The deficient practice had the potential for residents to not receive necessary behavioral health services. Findings include: Resident 52 (R52) R52 was admitted on [DATE], with primary diagnoses including hypertension, neuropathy, atrial fibrillation, and right hip fracture. A PASARR level one document dated 03/22/2022, revealed R52 did not have dementia, mental illness (MI), intellectual disability, (ID) mental retardation (MR) or any related condition (RC) and was deemed appropriate for nursing facility placement. The resident face sheet noted on 10/01/2022, R52 had been diagnosed with dementia. A Psychiatry Note dated 05/29/2024 revealed R52 had disorganized thought process and limited concentration and insight. The resident had a neurocognitive disorder with intermittent agitation…

    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 · D2024-06-28 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    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, record review and document review, the facility failed to provide documented evidence a discharge plan was initiated and discussed with the resident and/or resident representative for 1 of 24 sampled residents (Resident 190). The deficient practice had the potential for the resident to be unprepared for discharge. Findings include: Resident 190 (R190) R190 was admitted on [DATE], with diagnoses including schizoaffective disorder (bipolar type) and suicidal ideations. The admission Care Plan dated 06/12/2024, documented the interventions to be provided to R190 which included to begin discharge planning. R190's medical record lacked documented evidence a discharge plan was initiated and discussed with the resident and/or resident representative. On 06/28/2024 at 7:29 AM, the Social Services (SS) Director indicated the SS Assistant would have talked to the resident and/or resident representative within 24 hours upon admission and discussed briefly about discharge planning. The SS Director would…

    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 · D2024-06-28 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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, record review and document review, the facility failed to ensure as needed (PRN) psychotropic medications were initially ordered for a duration not to exceed 14 days for 3 of 24 sampled residents (Resident 11, 64, and 188); and consents for the administration of psychotropic medications were obtained for 2 of 24 sampled residents (Resident 64 and 188). The deficient practices had the potential to cause an adverse medication effect and not honoring the resident's rights to be fully informed of the care and services being provided. Findings include: 1) Resident 11 (R11) R11 was admitted on [DATE] with diagnoses including generalized anxiety. On 06/27/24 at 9:20 AM, R11 reported taking a medication to treat symptoms of intermittent anxiety. The resident reported they asked a nurse for the medication when the symptoms occurred. A physician order dated 05/24/2024 indicated to give Alprazolam (an antianxiety agent) 0.5 milligrams (mg) by mouth every six hours as needed for anxiety manifested by…

    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 · D2024-06-28 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    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, record review and document review, the facility failed to ensure dietary orders were followed for a resident on a renal diet for 1 of 24 sampled residents (Resident 47). This deficient practice placed the resident at risk for weight loss. Findings include: Resident 47 (R47) R47 was readmitted on [DATE] with diagnoses including end stage renal disease, anemia, debility, benign prostatic hyperplasia, and hypertension. The admission Care Plan dated 06/07/2024, indicated the resident required skilled nursing due to the need to medically manage assistance with meals, offering and encouraging fluid intake, monitoring of weekly weights, and providing and serving diet as ordered to avoid any declines in nutrition. A Physician Order dated 05/31/2024, with a start date of 06/08/2024 documented a renal diet, with regular texture, and thin liquids. A telephone Physician admission Orders form dated 06/07/2024, indicated a renal diet consisting of regular textures with thin liquids. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2024-06-28 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 interview, record review and document review, the facility failed to ensure the medical record contained the nurse's notes and weekly summary form for 1 of 24 sampled residents (Resident 188). The deficient practice had the potential for the resident not to receive the timely interventions needed and for the facility missing the opportunity to identify care issues. Findings include: Resident 188 (R188) R188 was admitted on [DATE], with diagnoses including major depressive disorder, bipolar disorder, and post-traumatic stress disorder. A review of R188's medical record revealed there were no nurse's notes and weekly summary form completed and filed in the resident's medical record. On 06/27/2024 at 11:38 AM, the Director of Nursing (DON) confirmed the findings and revealed the nurses were expected to complete the 72-Hour Nurses Charting form every shift upon a resident's admission and a weekly summary form for each resident. On 06/27/2024 at 12:24 PM, the Medical Records Supervisor confirmed there were…

    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 · D2024-06-28 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review and document review, the facility failed to develop and implement at least one Performance Improvement Project (PIP) per year. The deficient practices had the potential to adversely impact each resident's well-being. Findings include: On 06/28/2024 at 1:17 PM, the Administrator revealed Quality Assurance Performance Improvement (QAPI) committee meetings were held monthly and usual attendees included the Administrator, the Medical Director, and the Director of Nursing. On 06/28/24 at 1:25 PM, the Director of Nursing (DON) reported the facility had a PIP planned for improving laboratory result timelines. There had been a problem with laboratory studies not being completed because of sample degradation through hemolysis. The DON described an intention to improve the laboratory service but was unable to provide documentation of the method of data collection, the analysis of the data, development of an action plan, implementation of the action plan, evaluation of the action plan, and any modifications to the plan if needed, and the target goal. The DON…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-10 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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, record review and document review, the facility failed to ensure a medication self-administration assessment was completed for 1 of 28 sampled resident (Resident #35). The failed practice could potentially lead to serious medication errors, adverse drug reactions, or other health complications for the resident. Findings include: Resident 35 (R35) R35 was admitted on [DATE] with diagnoses including chronic respiratory failure with hypoxia and asthma. On 08/08/2023 at 11:29 AM, R35 was observed with an inhaler medication placed on top of the bedside table. R35 indicated the staff at times takes too long to come to administer the inhaler and for the specified reason, R35 requested the medication to be kept at the bedside. R35 confirmed self - administering the inhaler medication at least one to two times a day. R35's medical record lacked a physician's order for self-administration of medications and the facility required assessment for a resident to self-administer medication. 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 · D2023-08-10 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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, record review, and document review, the facility failed to ensure a resident's grievance was thoroughly investigated and followed through for a resolution regarding medications being untimely administered and the staff being rude for 1 of 28 sampled residents (Resident 380). This deficient practice had the potential to escalate resident dissatisfaction and compromise their well-being. Findings include: Resident 380 (R380) R380 was admitted on [DATE], with diagnoses including chronic obstructive pulmonary disease, abnormalities of gait and mobility, and muscle weakness. The Brief Interview of Mental Status dated 04/12/2023, documented a score of 15/15, which indicated R380's cognitive status was intact. The Grievance Log dated 03/21/2023, documented R380's grievance regarding staff's rudeness was reported to the administration. A Complaint/Grievance form submitted by R380 dated 03/27/2023 documented, over the weekend at 2:00 AM resident had requested pain medication and was told would be given…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and document review, the facility failed to protect a resident's right to be free from verbal abuse by staff for one of 28 sampled residents (Resident #282). The deficient practice caused mental distress for the affected resident. Findings include: Resident 282 (R282). R282 was admitted on [DATE] with diagnoses including anxiety, infection of the left lower limb, and pain in the left foot. The admission assessment indicated the resident had good memory function. Facility investigation documents dated 08/07/2023 revealed R282 had informed a social worker assistant that a nurse had yelled and sworn at the resident early Saturday morning (08/05/2023). A follow up interview with R282 documented by the Administrator, revealed the resident verbalized had asked a nurse for an anxiety pill. The resident reported the nurse misunderstood the request to be for both an anxiety pill and a painkiller, and told the resident could not have both at the same time. The resident reminded the nurse the request…

    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 · D2023-08-10 · 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 interviews, employee file review, and document review, the facility failed to implement their written procedures for screening potential employees for a history of abuse, neglect, and exploitation for two of 12 employee files reviewed (Employees 11 and 12). The deficient practice had the potential to expose residents to interactions with harmful persons. Findings include: The facility policy and procedure titled Abuse, Neglect, Mistreatment and Misappropriation of resident property, undated, indicated would screen employees and volunteers prior to working with residents. Policy indicated before new employees were permitted to work with residents, references provided by the prospective employee would be verified as well as appropriate board registrations and certifications. The policy indicated a criminal background check would be conducted on all prospective employees. A significant finding on the background check would result with denied employment. The facility policy and procedure titled Background Screening/Investigation, dated 03/2019, indicated the director 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and document review, the facility failed to ensure residents' showers or bed baths were provided as scheduled to dependent residents for 3 of 28 sampled residents (Residents 380, 46, and 48). This deficient practice could lead to compromised hygiene and discomfort, potential skin issues, and a decline in their overall well-being and quality of life. Findings include: A facility policy titled Activities of Daily Living (ADL) dated 01/2020, documented the staff would provide assistance with resident's ADL, including personal hygiene and bathing. Resident 48 (R48) R48 was admitted on [DATE] and readmitted on [DATE], with diagnoses including dementia and muscle weakness. The Brief Interview of Mental Status dated 05/10/2023, documented a score of 9/15, which indicated R48's mental status was moderately impaired. R48's functional status with personal hygiene and bathing dated 05/10/2023, documented R48 required physical help and support. The Shower Record 2023,…

    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 · D2023-08-10 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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, record review and document review, the facility failed to ensure an assessment for the use of a sling for transfer at the dialysis center was conducted, and a physician was notified for a missed dialysis treatment for 1 of 28 sampled residents (Resident 81). This deficiency led to a situation where dialysis treatment was not provided, posing a risk to the resident's safety, potential hazards, comfort, and overall well-being. Findings include: Resident 81 (R81) R81 was admitted on [DATE], with diagnoses including end-stage renal disease, liver cirrhosis, and weakness. The Brief Interview of Mental Status dated 08/08/2023, documented a score of 15/15, which indicated R380's cognitive status was intact. The History and Physical dated 08/03/2023, documented R81's plan to continue dialysis as scheduled. A Physician order dated 08/02/2023, documented dialysis days on Monday, Wednesday, and Friday (MWF) at the Dialysis center outside the facility, with pick-up time at 8:30 AM and chair…

    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 · D2023-08-10 · 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 Based on observation, interview, record review, and document review, the facility failed to ensure their medication error rate was not five percent (%) or greater when three errors were identified with 25 opportunities observed, resulting in an error rate of 12%. Failure to reduce the medication error rate to less than 5% could lead to an adverse drug reaction from an overdose or underdose, which can cause harm or injury to the resident. Findings include: Resident 282 (R282) R282 was admitted on [DATE], with diagnoses including depression and osteomyelitis. The Brief Interview of Mental Status dated 08/07/2023, documented a score of 15/15, which indicated R282's cognitive status was intact. The Resident Care Plan dated 08/07/2023, documented R282 was at risk for emotional distress with an intervention documented to administer medications as ordered. On 08/09/2023 at 7:41 AM, a Licensed Practical Nurse (LPN) prepared R282's medications, which were administered through the oral route. The medications included 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 · Dcited before2023-08-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure bedside medication for resident's self-administration was secured for 1 of 28 sampled resident (Resident #35). The failed practice could potentially lead to misappropriation of a resident's medication by another resident or staff. Findings include: Resident #35 (35) R35 was admitted on [DATE] with diagnoses including chronic respiratory failure with hypoxia and asthma. On 08/08/2023 at 11:29 AM, R35 was observed with an inhaler medication placed on top of the bedside table, together with other resident personal belongings. The medication was not secured in any way. R35 indicated the staff at times, takes too long to come to administer the inhaler and for the specified reason, R35 requested the medication to be kept at the bedside. R35 confirmed self-administering the inhaler medication at least one to two times a day. On 08/09/2023 at 3:59 PM, a Registered Nurse (RN) indicated R35 had been self-administering the inhaler…

    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 · D2023-08-10 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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, record review, and document review, the facility failed to ensure the resident's dietary restriction or food preference was followed or implemented for 1 of 28 sampled residents (Resident 81). This deficient practice had the potential to trigger allergic reactions, endangering residents' health and leading to severe medical complications or adverse reactions. Findings include: Resident 81 (R81) R81 was admitted on [DATE], with diagnoses including end-stage renal disease, liver cirrhosis, and dependence on renal dialysis. The Brief Interview of Mental Status dated 08/08/2023, documented a score of 15/15, which indicated R380's cognitive status was intact. A Dialysis Resident Care Plan dated 08/02/2023, documented R81's approach which included providing a diet as ordered. The 10-page Resident Comprehensive admission assessment dated [DATE], documented R81's food as lactose intolerance. On 08/08/2023 at 10:37 AM, R81 lay in bed, alert and oriented, and verbalized being lactose…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to DAVID JOHNSON — 48 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 →

RatingThis homeChain avg
Overall 4 of 53.2+0.8 vs chain
Health inspection 4 of 52.7+1.3 vs chain
Staffing 4 of 53.3+0.7 vs chain
Quality measures 2 of 54.3-2.3 vs chain
The other 47 homes this chain runs (chain average 3.2★, per CMS)
1 of 5Bay View Rehabilitation Hospital, LLCAlameda, CA 1 of 5Crescent City Care CenterCrescent City, CA 1 of 5French Park Care CenterSanta Ana, CA 1 of 5North Valley Nursing CenterTujunga, CA 1 of 5Tarzana Health And Rehabilitation CenterTarzana, CA 2 of 5Blythe Post Acute LLCBlythe, CA 2 of 5College Vista Post-AcuteLos Angeles, CA 2 of 5Cottage Crest Post AcuteNorwalk, CA 2 of 5Diamond Ridge Healthcare CenterPittsburg, CA 2 of 5Gordon Lane Care CenterFullerton, CA 2 of 5Heritage ManorMonterey Park, CA 2 of 5Spring Valley Post Acute LLCVictorville, CA 2 of 5Sunny Hills Post AcuteLa Mirada, CA 2 of 5Torrey Pines Post Acute And RehabilitationLas Vegas, NV 2 of 5Trabuco Hills Post AcuteLake Forest, CA 2 of 5Villa Del Sol Post AcuteBellflower, CA 3 of 5Anaheim Healthcare Center, LLCAnaheim, CA 3 of 5Bonita Hills Post AcuteLa Habra, CA 3 of 5Community Care And Rehabilitation CenterRiverside, CA 3 of 5Country Oaks Care CenterPomona, CA 3 of 5Courtyard Care CenterSan Jose, CA 3 of 5Extended Care Hospital Of RiversideRiverside, CA 3 of 5Knolls West Post Acute LLCVictorville, CA 3 of 5Menifee Lakes Post AcuteSun City, CA 3 of 5Mission Carmichael Healthcare CenterCarmichael, CA 3 of 5Paramount Convalescent Hosp.Paramount, CA 3 of 5Pelican Ridge Post AcuteNewport Beach, CA 3 of 5Sunset Manor Conv HospEl Monte, CA 3 of 5Vineland Post AcuteNorth Hollywood, CA 4 of 5Garden Park Care CenterGarden Grove, CA 4 of 5Ocean View Post AcuteEscondido, CA 4 of 5Park Regency Care CenterLa Habra, CA 4 of 5Pomona Vista Care CenterPomona, CA 4 of 5Sierra View Care CenterBaldwin Park, CA 4 of 5Vista View Post AcuteVista, CA 5 of 5Alcott Rehabilitation HospitalLos Angeles, CA 5 of 5Citrus Nursing CenterFontana, CA 5 of 5Del Mar Convalescent HospitalRosemead, CA 5 of 5Excell Health Care CenterOakland, CA 5 of 5Mission Care CenterRiverside, CA

Showing 40 of 47; lowest-rated first.

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

Owner / managerTypeRoleSince
CHAMBERS, THOMASIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/14/2012
JOHNSON, DAVIDIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 11/14/2012
MERIDIAN MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2013
BELLINGER, FRANKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/07/2022
PUNZALAN, RUSTICOIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2024
SAXENA, ALOKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024

CMS files one row per role, so the 13 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

$14.8M
Net patient revenuemost recent cost report
-18.0%
Operating marginrevenue minus expenses
$821K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 51%Medicare 48%Other / private 1%

This home reported $821K 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

$630per resident / day
operating cost
$19,137per month
≈ monthly operating cost
$533per day
avg. revenue, all payers

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 NV

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Nevada Medicaid page.

Typical monthly cost in Nevada
$11,786/mo
Nursing home (semi-private)
$14,463/mo
Nursing home (private)
$6,241/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 295006. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

What to do next