Sunset Nursing And Rehabilitation Center, INC

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.

43.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 78 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 55 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 0.20 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 120 beds and averages 106.6 residents a day — about 89% occupied, or roughly 13 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 3.45 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.24 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.25 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.11 hrs/resident/day on weekends vs 3.59 on weekdays — 13% thinner on weekends. RN hours go from 0.27 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as 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 unchanged from the previous inspection. 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.

27 citations, most serious first. The 14 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · K2025-11-12 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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

  The facility policy Resident Rights and Responsibilities, dated 01/13/2025, documented the facility services provided to the resident demonstrated the belief in dignity and worth of every individual. The facility provided the resident with optimal nursing and psychosocial care. Every effort is made by the staff to meet the resident's individual needs and requirements. The facility policy Facility Incident/Abuse Investigation and Reporting, dated 09/2025, documented personnel must report any resident incident or suspected incident immediately to the Supervisor/Administrator. The facility would investigate instances of alleged resident abuse to ensure the physical and mental well-being of the resident. The facility would conduct an immediate and thorough investigation, upon discovery of sexual abuse. Sexual abuse was defined as non-consensual sexual contact of any type with a resident. Conduction of an investigation included rendering aid to protect the residents, removing them from harm; and ensuring an appropriate individualized care plan. 1) Resident #4 had diagnoses including…

  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
• Immediate jeopardy · K2025-11-12 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the abbreviated (#2639795) survey, the facility failed to ensure allegations of abuse, are reported immediately, but not later than two (2) hours after the allegation is made, to the Administrator of the facility and the New York State Department of Health in accordance with State law for three (3) of three (3) incidents of alleged abuse (10/05/2025, 10/09/2025 and 10/23/2025) involving Resident #1. Specifically, Resident #1 was witnessed engaging in sexually inappropriate behavior with Residents #3 and #4 who did not have capacity to consent on 10/05/2025, 10/09/2025, and 10/23/2025 and the incidents were not reported by the facility to the New York State Department of Health or local law enforcement. Additionally, the incident on 10/09/2025 was not reported to the Administrator until 10/24/2025. The facility's failure to report abuse to Administration, law enforcement, and the State Agency resulted in harm that is Immediate Jeopardy and Substandard Quality of Care for Residents #3 and #4 and placed all 111 residents in the facility at…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · K2025-11-12 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the abbreviated (#2639795) survey, the facility failed to ensure all alleged violations involving abuse, neglect, or mistreatment were thoroughly investigated for three (3) of eight (8) residents reviewed (Residents #1, #3, and #4). Specifically, on 10/05/2025, 10/09/2025, and 10/23/2025, Resident #1 was witnessed by visitors and/or staff engaging in sexually inappropriate behavior with Residents #3 and #4, who did not have capacity to consent. There was no documented evidence the incidents were thoroughly investigated to determine abuse and to protect residents from further abuse during the investigation. The facility's failure to investigate abuse thoroughly resulted in harm that is Immediate Jeopardy and Substandard Quality of Care for Residents #3 and #4 and placed all 111 residents in the facility at risk for the likelihood of serious harm, serious impairment, serious injury, or death.Refer to F 600 Free from Abuse and Neglect. Findings include: The facility policy Facility Incident/Abuse Investigation and Reporting, revised 09/2025,…

  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
• Immediate jeopardy · Jcited before2021-07-21 · 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, record review and interview during the recertification and extended surveys conducted from 7/13/21- 7/21/21, the facility failed to ensure the environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 2 of 2 residents (Residents #28 and #22) reviewed. Specifically, Resident #28 was observed in their room with a peanut can that contained 8 cigarette butts with ashes. Resident #28 reported that after smoking the resident would routinely bring the peanut can with cigarette butts and ashes into the facility and empty the contents into a plastic trash can in the unit kitchenette across from their room. The housekeeper reported the plastic trash can routinely contained smoked cigarette butts and ashes and that they had not reported this finding to anyone. The facility's failure to provide an approved metal disposal container with a self-closing lid in the smoking area and the resident's…

  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 · Fcited before2025-11-12 · tag F0835 — failed to run the facility competently — widespread
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the abbreviated survey (#2639795) the facility did not ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, administration failed to ensure residents were free from abuse, neglect and exploitation; and failed to ensure policies and procedures were properly identified, communicated, and consistently implemented. This failure resulted in Immediate Jeopardy in the areas of F600 Free from Abuse and Neglect, F609 Reporting of Alleged Violations, and F610 Investigation/Prevent/Correct Alleged Violation.Findings include: The undated Administrator job description documented they would set an example for all staff members, consultants and others affiliated with the facility which recognized the facility existed to serve the interest and the needs of the residents. They emphasized the importance of a resident's right to independence regarding all aspects of facility life and…

  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 · E2025-11-12 · tag F0744 — failed to care for residents with dementia — pattern
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the abbreviated (2639795) survey, the facility did not ensure a resident who displayed or was diagnosed with dementia received the appropriate treatment and services to attain and or maintain their highest practicable physical, mental, and psychosocial well-being for three (3) of seven (7) residents (Residents #1, #8, and #9) reviewed. Specifically, Residents #1, #8, and #9 had behavioral symptoms related to diagnoses of dementia and were not cared for in a dementia-informed manner with a personalized plan of care and interventions. Refer to F 600 Findings include:The facility policy Behavior Monitoring, revised 2/2025, documented behavior monitoring was utilized to identify specific behaviors, the frequency of behaviors, non-pharmacological interventions, and outcomes of prescribed psychological medications. The facility policy Social Worker-Services and Responsibilities, revised 8/2024, documented the facility provided a social service program that met the psychosocial needs of individual residents and provided 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-12 · tag F0837 — pattern
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the abbreviated survey (#2639795) the facility's governing body did not establish and implement policies regarding the management and operation of the facility. Specifically, there was not consistent communication between the governing body and the facility Administrator to ensure regulatory compliance. Deficiencies identified during the abbreviated survey included three Immediate Jeopardies in Free from Abuse and Neglect (F600), Reporting of Alleged Violations (F609), and Investigate/Prevent/Correct Alleged Violations (F610). Findings include:The 10/2025 facility policy Quality Assurance Performance Improvement (QAPI) Plan, documented:-The facility maintains a planned, systematic, organization-wide approach to design process that will measure, assess and improve the organization's performance and focus on indicators of quality.-The purpose of quality assurance performance improvement in the organization is to take a proactive approach to continually improve the way they care for and engage with residents, care givers, staff and other…

  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 · D2025-11-12 · tag F0836 — isolated
  Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the abbreviated survey (#2639795), the facility did not comply with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standard and principles that apply to professionals providing services in such a facility. Specifically, the facility did not provide requested accident and incident reports including abuse incident documentation when requested by the New York State Department of Health surveyor in a timely manner.Findings include:Refer to F609 - Reporting of Alleged ViolationsRefer to F610 - Investigate/Prevent/Correct Alleged ViolationsOn 10/29/2025 at 8:45 AM, the surveyor provided the Administrator a request for documents including their accident and incident reports for September 2025 and October 2025.On 10/29/205 at 9:45 AM, the Administrator provided copies of accident and incident reports for September 2025 and October 2025.On 10/29/205 at 10:45 AM, after review of the files provided, the surveyor clarified with Administrator the accident and incidents should include all abuse or…

  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 · E2025-06-27 · tag F0761 — failed to label and store drugs safely — pattern
  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 observations and interviews during the recertification survey conducted 6/23/2025-6/27/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for one (1) of three (3) medication carts (Unit A cart) and two (2) of two (2) medication rooms (Units A and B) reviewed. Specifically, the Unit A medication cart had one opened and undated insulin pen, one opened and undated multidose eye drop, and one opened and expired multidose eye drop; and the medication refrigerator temperatures on Units A and B were not consistently monitored. Findings include: The facility policy, Medication/ Treatment Labeling and Storage, revised 7/2013, documented medications were stored under proper temperature. The policy did not include instructions for labeling multidose vials or discarding expired medications. During an observation of the Unit B medication room on 6/25/2025 at 8:31 AM, the June 2025 medication refrigerator log was missing documentation of temperature readings on 6/14/2025, 6/18/22025, 6/19/2025, and…

  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 · D2025-06-27 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 observations, record review, and interviews during the recertification survey conducted 6/23/2025-6/27/2025, the facility did not ensure residents had the right to a dignified existence in a manner and an environment that promoted the maintenance or enhancement of quality of life for one (1) of one (1) resident (Resident #99) reviewed. Specifically, Resident #99 was independent with activities of daily living and was not allowed to shave independently. Findings include: The facility policy Resident Rights and Responsibilities, revised 1/13/2025, documented the facility rendered services that demonstrated belief in the dignity and worth of each individual. It was the objective of the facility the patient/representative was provided with optimal nursing and psychosocial care. Every effort was made by the staff to meet the patient/representative individual needs and requirements. The facility policy Activities of Daily Living, revised 10/2023, documented each resident received and the facility provided 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-27 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews during the recertification survey conducted 6/23/2025 -6/27/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for one (1) of three (3) units (A Unit) reviewed. Specifically, the ice/water dispenser in the A Unit dining room had standing fluids backed up in the drip tray and a public drinking fountain located at the A Unit nurses' station had standing fluids in the drink well. Findings include: During an observation on 6/23/2025 at 11:40 AM, the A Unit ice/water dispenser had a buildup of white scaley debris behind the dispenser chute. There was clear fluid built up to the very top of the drip tray. When water was dispensed it caused the water to overflow over the sides of the drip tray. During an observation on 6/23/2025 at 11:53 AM, Licensed Practical Nurse #4 filled two water pitchers with ice and water from the ice/water dispenser by placing the bottom of the pitcher over the drip pan that was filled to the top with fluid. The pitcher was in direct contact with the stagnant water. During observations 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 · D2025-06-27 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey conducted 6/23/2025-6/27/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two (2) of two (2) meals reviewed (Lunch meals on 6/24/2025 and 6/25/2025). Specifically, food was not served at palatable and appetizing temperatures during the lunch meals on 6/24/2025 and 6/25/2025. Additionally, nine (9) of fifteen (15) anonymous residents during a resident council meeting and one (1) resident (Resident #12) interviewed stated the food did not taste good and was cold. Findings include: The facility policy Food Preparation, Service and Distribution, initiated 7/1/2008 and revised 10/2/2022, documented the facility would serve hot foods hot and cold foods cold in accordance with resident preference. During an interview on 6/23/2025 at 1:02 PM, Resident #12 stated the food was not good, they did not like the way food was prepared, and the food was never hot. During a resident council meeting on 6/23/2025 at 2:00 PM,…

  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 · Dcited before2025-06-27 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey conducted 6/23/2025-6/27/2025, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (1) of one (1) resident (Resident #75) reviewed. Specifically, Resident #75 was on transmission-based precautions (contact precautions) and Housekeeper #9 cleaned Resident #75's room without wearing all required personal protective equipment, did not remove gloves or perform appropriate hand hygiene upon leaving the room, and cleaned another resident's room while wearing the same gloves; and Certified Nurse Aide #10 provided toileting care to Resident #75 without wearing appropriate personal protective equipment or washing their hands prior to leaving the resident's room. Findings include: The facility policy Policy Transmission Precautions, revised 7/2009, documented when it was determined that a resident needed…

  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 · D2025-06-27 · tag F0925 — failed to control pests — isolated
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews during the recertification survey conducted 6/23/2025-6/27/2025, the facility did not maintain an effective pest control program so that the facility was free of pests in the main kitchen. Specifically, mouse droppings were observed in the kitchen dry storage room. Findings include: The facility policy Pest Control, revised 12/2006, documented a competent authority addressed issues of pest control on a monthly and as needed basis. Rodents were kept away by keeping dumpsters away from the facility, garbage from the kitchen was taken directly to the dumpster, and general garbage was taken out four times daily. Observations of mouse droppings under shelving in the dry storage room were made on: - 6/24/2025 at 12:25 PM - 6/25/2025 at 2:04 PM - 6/26/2025 at 12:04 PM During an interview on 6/26/2025 at 12:04 PM, Food Service Director #8 stated that kitchen floors were cleaned twice daily, and the walls were cleaned as needed. The dry storage room was swept and mopped nightly. Mice were occasionally found in the facility, and someone came routinely to…

  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

“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

$56,261 in federal fines across 1 penalty.

• $56,261 — penalty dated 2025-11-12

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

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

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 80% 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

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