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Sunrise Nursing Healthcare LLC

3434 State Route 132, Amelia, OH 45102 · For profit - Corporation · 78 certified beds · (513) 797-5144 Medicare & Medicaid certified

Call the home — (513) 797-5144 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Apr 2019
Insights

On the public record, this home looks stronger than most — but visit before you decide.

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
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — 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 (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • nursing-staff turnover (74%) runs well above the national median (45%)

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) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
262 W Main St · (513) 718-2260 · Call to confirm hours
Pharmacy
1815 E Ohio Pike · (513) 797-1250 · Call to confirm hours
Grocery
Kroger0.3 mi
1783 E Ohio Pike · (513) 797-4900 · Call to confirm hours
Park
1751 State Route 125 · (513) 797-5637 · Typically dawn to dusk
Place of worship
3353 Lindale Pike

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 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 1 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 increased5.4%5.3%15.4%typical for the state — see note marked double-dagger below the table
Long-stay residents who lose too much weight9.1%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.3%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms30.2%30.1%6.5%typical for the state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.8%3.2%3.3%better
Long-stay residents whose ability to walk worsened4.2%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication35.2%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine96.6%94.5%95.3%typical
Long-stay residents with pressure ulcers3.5%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control28.8%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table5.3%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine82.7%75.6%79.4%typical
Short-stay residents rehospitalized after admission7.2%24.9%22.6%better
Short-stay residents with an outpatient ER visit15.5%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.281.731.67better
Long-stay outpatient ER visits per 1,000 resident days1.461.801.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ 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.

48.4% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.4%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
44.0%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 44.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 25 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 0.31 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 SNF48.4%CMS range 32.3–65.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 6.9–14.610.7%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 discharge44.0%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 discharge36.0%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 discharge24.0%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 identified100.0%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.6%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 worsened7.7%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 hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.051.02Oct 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

0.85
RN hours/ resident / day
1.15
LPN hours/ resident / day
1.80
Aide hours/ resident / day
3.80
Total nurse hours/ resident / day
0.65
RN hoursweekends
73.6%
Total nursing turnover
63.6%
RN turnover

How full it usually is: this home is certified for 78 beds and averages 70.9 residents a day — about 91% occupied, or roughly 7 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 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.80 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 3.35 hrs/resident/day on weekends vs 3.98 on weekdays — 16% thinner on weekends. RN hours go from 0.93 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 74% is well above 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

1
deficiencies at the latest standard inspection (2025-08-28)
11
at the previous standard inspection (2022-06-09)

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.

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

  • Potential for harm · D2025-08-28 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility policy review, the facility failed to ensure the right to privacy and confidential medical records for 2 (Resident #45 and Resident #59) of 67 facility residents. Specifically, observations revealed the computer screen on two medications carts was left visible in a facility hallway, while Resident #45 and Resident #59's identification and personal health information (PHI) was displayed. Findings include: A facility policy titled, Confidentiality of Information and Personal Privacy, revised 04/2017, indicated, Our facility will protect and safeguard resident confidentiality and personal privacy. The policy revealed, 4. Access to resident personal and medical records will be limited to authorized staff and business associates.On 08/25/2025 at 9:24 AM, an observation revealed a computer screen on top of a medication cart for the Peri/Primrose Hallway displayed Resident #45's PHI, including the resident's name, contact information, a list of medications and allergies, and progress notes. The nurse was in the room with a resident behind a…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-09 · 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 THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, staff interviews and policy review, the facility failed to ensure staff smoked only in designated areas of the facility in accordance with the facilities smoking policy. This affected one (Resident #58) of three reviewed for oxygen usage. The facility census was 62. Findings include: Review of the medical record for Resident #58 revealed an admission date of 09/22/23 with diagnoses of traumatic subarachnoid hemorrhage, anoxic brain damage, metabolic encephalopathy and tracheostomy. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #58 had severe cognitive impairment and had range of motion impairment of bilateral upper and lower extremities. Resident #58 was non-communicative and dependent on staff for all Activities of Daily Living (ADLs). Review of the physician orders for July 2024 revealed Resident #58 had a tracheostomy with…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2024-06-06 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview interview, and review of the facility policy, the facility failed to ensure there were no expired tube feed formula bottles stored in the medication rooms and central supply room. The facility identified one resident (#26) who received Glucerna 1.5 (a specialized tube feed formula) and no residents currently who received Nephro 1.8 (a specialized tube feed formula). The facility identified 11 residents who receive tube feed formula. The facility census was 63. Findings include: Observation of medication room B with Registered Nurse (RN) #206 on [DATE] at 11:15 A.M. verified there were eight bottles of expired Glucerna 1.5 in the medication room. The eight bottles had expiration date of [DATE]. Subsequent observations of the central supply room with RN #206 verified there were eight bottles Glucerna 1.5 with the expiration date of [DATE]. RN #206 verified there were a total of 16 bottles of Glucerna 1.5 bottles with expired date [DATE] in medication room B and central supply…

    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 · E2023-12-06 · tag F0694 — pattern
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, review of facility policy, staff interview, and interview with contracted entity provider representative, the facility failed to ensure a contracted entity had appropriate State of Ohio required credentials for provision of services for residents. This affected four (#01, #09, #11, and #12) of the four residents reviewed for medications administered by a contracted ancillary provider. This also affected two additional current Residents (#03 and #19) and 16 discharged Residents (#02, #04, #05, #06, #07, #08, #10, #13, #14, #15, #16, #17, #18, #20, #21, and #22) for total of 22 residents. The facility census was 46. Findings include: 1) Review of the medical record for Resident #01 revealed an admission date of 11/18/19. Diagnoses included Parkinsonism,…

    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 · Past Non-Compliance
  • Potential for harm · Ecited before2023-12-06 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, staff interview and contracted entity provider representative interview, the facility failed to ensure medications were obtained from a source with a Terminal Distributor of Dangerous Drugs (TDDD) license (which allows a business entity to purchase, possess, and/or distribute dangerous drugs at a specific location) specific to the State of Ohio. This affected four (#01, #09, #11, and #12) of the four residents reviewed for medications administered by a contracted ancillary provider. This also affected two additional current Residents (#03 and #19) and 16 discharged Residents (#02, #04, #05, #06, #07, #08, #10, #13, #14, #15, #16, #17, #18, #20, #21, and #22) for total of 22 residents. The census was 46. Findings include: 1) Review of the medical record for…

    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 · Past Non-Compliance
  • Potential for harm · E2023-12-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, review of facility policy, and interview the facility failed to ensure a contracted entity had appropriate State of Ohio required credentials for provision of services for residents. This affected four (#01, #09, #11, and #12) of the four residents reviewed for medications administered by a contracted ancillary provider. This also affected two additional current Residents (#03 and #19) and 16 discharged Residents (#02, #04, #05, #06, #07, #08, #10, #13, #14, #15, #16, #17, #18, #20, #21, and #22) for total of 22 residents. The facility census was 46. Findings include: 1) Review of the medical record for Resident #01 revealed an admission date of 11/18/19. Diagnoses included Parkinsonism, dementia, and protein calorie malnutrition. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #01, revealed the resident had moderate cognitive impairment. Review of 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.

    Administration Deficiencies · Past Non-Compliance
  • Potential for harm · Fcited before2022-06-09 · tag F0761 — failed to label and store drugs safely — widespread
    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 record review, observation, staff interview, and review of facility policy, the facility failed to timely discard expired medications. This affected two (#195 and #15) residents with expired medications observed in the medication carts and had the potential to affect all 41 residents residing in the facility who could potentially receive expired stock medications. The census was 41. Findings include: 1. Observation on 06/01/22 at 9:15 A.M. with Licensed Practical Nurse (LPN) #219 revealed the B Side medication room refrigerator contained two open vial of tuberculin testing solution dated upon opening with dates of 03/30/22 and 04/12/22. Interview on 06/01/22 at 9:15 A.M. with LPN #219 confirmed the TB test solution was expired and should have been discarded. 2. Review of the medical record for Resident #40 revealed an admission date of 04/08/16 with a diagnosis of glaucoma Review of the June 2022 monthly physician orders for Resident #40 revealed an order dated 02/08/21 for Brimonidine Tartrate Solution eye drops to left eye two times a day. Observation on 06/01/22 at 9:16…

    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 · F2022-06-09 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, review of a meal spreadsheet and policy review, the facility failed to provide qualified staff to ensure meals were provided as ordered by the physician. This had the potential to affect all 41 residents residing in the facility. The facility census was 41. Findings include: Review of lunch menu spreadsheet dated 06/01/22 revealed a puree diet was to have a #16 scoop portion of puree bread. There was no diet planned for mechanical soft diets. Observation on 06/01/22 from 11:00 A.M. to 11:15 A.M. , revealed [NAME] #228 preparing puree foods, and no puree bread was prepared. The 06/01/22 lunch spreadsheet was observed on the counter. [NAME] #228 did not review the spreadsheet when pureeing the food. Interview on 06/01/22 at 11:15 A.M. [NAME] #228 stated she did not normally made puree bread and did not know the amount of meat portion or foods to prepared for mechanical soft diets. [NAME] #228 stated she just received new spreadsheets from the Interim Dietary Manger #275 and had not been trained on the spreadsheets. [NAME] #228 stated the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-06-09 · tag F0802 — failed to prepare enough nourishing food — widespread
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff and resident interviews, review of a spreadsheet and policy review, the facility failed to ensure sufficient and trained dietary staff to meet residents' dietary needs. This had the potential to affect all 41 residents residing in the facility who received meals from the kitchen. The facility census was 41. Findings include: Review of the dietary schedule revealed no dinner cook was scheduled on 05/31/22 and 06/01/22. Interview on 05/31/22 at 4:45 P.M. Housekeeper #231 revealed she was pulled to assist in the kitchen for the meal. Housekeeper #231 stated she had not worked in the kitchen for 10 years. Observation on 06/01/22 at 1:30 P.M. revealed the dishwasher washer was not meeting temperature standards and the Administrator instructed Dietary Aide #243 to clean and sanitize the dishes in the three-sink method. Interview on 06/01/22 at 3:30 P.M. with Dietary Aide #243 stated she was not going to clean the dishes by the three-sink method because she did not have enough time. Dietary Aide #243 stated there was no one else in the kitchen. Dietary Aide…

    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 · Fcited before2022-06-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interview, review of the dish machine log and policy review the facility failed to label foods, sanitize dishes and store ice machine scoop in a sanitary manner. This had the potential to affect all 41 residents residing in the facility who received food from the kitchen. The facility census was 41. Findings include: Observation on 05/31/22 at 8:45 A.M. revealed in the dry storage room, an undated bag of macaroni. In the refrigerator walk in, macaroni salad and two bags of chopped lettuce were undated. The lettuce appeared to be wet and had a brown colored appearance. In the reach in refrigerator, thawed meat was in an undated box. The ice machine scoop was directly on top of the ice machine, lying on the wet surface. The ice scoop holder was hanging onto the ice machine, attached on one side. The ice scoop had several cracked areas and had brown debris in the cracked areas. Interview on 05/31 at 8:50 A.M., Dietary Aide #202 verified the lettuce needed discarded and the macaroni salad was undated. Dietary Aide #202 verified the ice scoop holder had been…

    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 21 citations
  • Potential for harm · E2022-06-09 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and staff , the facility failed to provide puree and mechanical soft diets as planned by a Registered Dietitian. This had the potential to affect two (#19 and #245) residents with orders for a puree diet, and six (#8, #10, #24, #41, #44 and #195) residents with orders for a mechanical soft diet. The facility census was 41. Findings include: Review of the spreadsheet for lunch meal of 06/01/22 revealed there was no menu plan for mechanical soft diets. The puree diet was to include a puree bread portion of a number 16 scoop and the meat portion of a number eight scoop. Observation on 06/01/22 from 11:00 A.M. to 11:35 A.M., revealed [NAME] #228 preparing puree foods, and no puree bread was prepared. The 06/01/22 lunch spreadsheet was present on the counter. [NAME] #228 did not review the spreadsheet when pureeing the food. [NAME] #228 had the incorrect food portion number 16 scoop in the puree meat. There was a number eight portion scoop for the mechanical meat. Interview on 06/01/22 at 11:15 A.M. [NAME] #228 stated she did not normally make puree…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-06-09 · tag F0880 — failed to prevent and control infections — pattern
    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 record review, observation, staff interview, and review of manufacturers guidelines, the facility failed to properly clean and sanitize blood glucose meters after use. This affected four (#22, #19, #7, and #14) of four residents observed for blood glucose monitoring. The census was 41. Findings include: Review of the medical record for Resident #22 revealed an admission date of 04/22/22 with a diagnosis of diabetes mellitus (DM). Review of the medical record for Resident #196 revealed an admission date of 04/27/22 with a diagnosis of DM. Review of the medical record for Resident #7 revealed an admission date of 01/01/22 with a diagnosis of DM. Review of the medical record for Resident #14 revealed an admission date of 01/21/19 with a diagnosis of DM Observation on 06/01/22 at 11:44 A.M. revealed Licensed Practical Nurse (LPN) #258 checked Resident #22's blood sugar with a glucose meter. After the procedure, LPN #258 wiped the meter with an alcohol pad. Continued observation at 11:49 A.M. revealed LPN #258 proceeded to check Resident #196's blood sugar with the same portable…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-09 · 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 record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure residents were dressed in a dignified manner. This affected one (Resident #195) of 12 residents reviewed for dignity. The census was 41. Findings include: Review of the medical record for Resident #195 an admission date of 05/26/22 with a diagnosis of heart failure. Review of admission nursing note dated 05/26/22 revealed Resident #195 was admitted to the facility for a five-day respite stay. Review of the admission nursing assessment dated [DATE] revealed Resident #195 was alert and oriented to person but was not checked as oriented to place, time, or situation. The resident was able to express herself verbally in an appropriate manner. Review of baseline care plan dated 05/26/22 revealed Resident #195 preferred to choose which clothes she would wear for the day. Review of nursing note dated 05/30/22 revealed Resident #195's daughter reported the clothes brought into 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 · D2022-06-09 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, resident interview, staff interview, and review of facility policy, the facility failed to ensure residents were bathed according to their preference. This affected one resident (#7) of 12 residents reviewed for bathing preferences. The census was 41. Findings include: Review of the medical record for Resident #7 revealed an admission date of 01/01/22 with a diagnosis of end stage renal disease (ESRD.) Review of the Minimum Data Set (MDS) for Resident #7 dated 05/16/22 revealed the resident was cognitively impaired and required extensive assistance of one to two staff with activities of daily living (ADLs). Review of MDS for Resident #7 dated 09/02/21 revealed resident was coded as very important for the question in section F of the MDS: How important is it to you to choose between a tub bath, shower, bed bath, or sponge bath? Review of the care plan for Resident #7 dated 04/19/21 revealed the resident had an ADL self-care performance deficit related to tibial plateau fracture, fibula fracture, diabetes, weakness, and non-weight bearing status.…

    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 · D2022-06-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 record review, observations and staff interview, the facility failed to implement a physician ordered intervention for a speciality cushion to a residents wheelchair to promote healing of a pressure ulcer. This affected one (#44) of three residents reviewed for pressure ulcers. The facility census was 41. Findings include: Medical record review for Resident #44 revealed an admission date of 01/12/22. Diagnoses included hemorrhage of cerebrum, loss of consciousness unspecified, pneumonia, dementia, and chronic heart failure. Resident #44 received hospice services. Review of the Significant Change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #44 was cognitively impaired and required extensive assistance of two staff for transfers and bed mobility. Review of nurse note date 05/22/22 at 1:15 P.M. revealed Resident #44 was noted to have a open area/pressure ulcer to right inner coccyx measuring 1.0 centimeter by 0.5 centimeter. New orders included hydrocolloid dressing for three days 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Record review revealed Resident #44 was admitted on [DATE] with diagnosis of hemorrhage of cerebrum, loss of consciousness unspecified, pneumonia, dementia, and chronic heart failure. Resident #44 received hospice services. Review of the Significant Change Minimum Data Set, (MDS), dated [DATE] revealed Resident #44 was cognitively impaired and required extensive assistance of two staff for care. Review of current physician orders revealed continuous oxygen at 3.5 milliliters via nasal cannula and change oxygen tubing every week on Sunday night shift and as needed. Observation on 05/31 22 at 12:24 P.M. and on 06/01/22 at 2:49 P.M. revealed Resident #44 was receiving oxygen via nasal cannula and the oxygen tubing was not dated. Interview on 06/01/22 at 2:50 P.M. with Licensed Practical Nurse (LPN) #219 verified Resident #44 oxygen tubing was not dated and was unable to determine when the oxygen tubing was last changed. LPN #219 stated the oxygen should have been changed and dated on Sunday, 05/29/22. Based 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-06-09 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, staff interview, and review of facility policy, the facility failed to ensure proper documentation of administration of controlled substances and accounting for controlled substance medications. This affected two (#15 and #20) of nine facility-identified residents with controlled substances stored on the Primrose Unit medication cart. The facility also failed to administer a residents medications (Ativan and Lyrica) as ordered. This affected one (#195) out of three residents reviewed for medication administration. The census was 41. Findings include: 1. Review of the medical record for Resident #15 revealed an admission date of 04/24/19 with a diagnoses of generalized anxiety disorder and chronic pain syndrome. Review of the June 2022 monthly physician orders for Resident #15 revealed an order dated 01/19/22 for Ativan twice daily at 9:00 A.M. and 9:00 P.M. Resident #15 also had an order dated 05/03/21 for hydrocodone twice daily at 9:00 A.M. for pain. Review of the controlled substance sheets for Resident #15's Ativan and hydrocodone revealed…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2019-04-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview and policy review, the facility failed to date foods stored in the refrigerator and failed to dispose of outdated foods in the kitchen. This had the potential to affect all 33 residents in the facility receiving meals from the kitchen. Findings include: Observation and interview of facility kitchen was completed on 04/09/19 at 9:40 A.M. with Food Service Director(FSD) #5. Observation of the facility walk in refrigerator revealed a box of pork chops thawed and undated; a box of Danish open and undated; a roll of bologna for use or freeze or use by 03/20/19 undated; two open boxes of bacon, undated; a tub of cole slaw with a use by date of 03/28/19; a package of ham open and dated 03/31/19; and a head of lettuce that was brown and soggy with green fuzz growing on it. In the kitchen area there were two loaves of bread with expiration dates of 04/02/19 and six bags of cheese puffs with a use by date of 03/25/19. FSD #5 verified all foods listed, stating all foods should be dated when delivered and when switched from the freezer to the refrigerator.…

    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 · F2019-04-11 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview, the facility failed maintain the stove and dish washer in safe operating conditions. This had the potential to affect all 33 resident receiving meals from the kitchen. Findings include: Observation and interview of facility kitchen on 04/09/19 at 9:40 A.M. with Food Service Director(FSD) #5 revealed the front bottom panel of the kitchen stove was missing with exposed wires. The wires were held together by wire connector caps with food noted down the front and sides of the stove that was dried and crusted. FSD #5 verified the above findings at the time of the observation. Observation and interview on 04/09/19 at 10:25 A.M. revealed Dietary Aid (DA) #12 was washing dishes in the dishwasher. The temperature gauges were not working. DA #12 stated she was unsure of how long the dish washer was broken. DA #12 said they just got test strips to verify sanitization was going to starting to use them that day. During interview on 04/10/19 at 12:11 P.M., FSD #5 stated instead of using the sanitization test strips, staff are using the three compartment…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-11 · 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 record review, observation and interviews, the facility failed to honor a resident's dignity when she was not provided incontinence care in a timely manner during night shift and she was left sopping wet in her bed. This affected one (Resident #9) of 16 residents reviewed during the annual survey for dignity issues. The resident census was 33. Findings include: Resident #9 was admitted to the facility on [DATE] with diagnoses of heart failure, hypertension, hyperlipidemia, hip fracture, stroke, hemiplegia, encephalopathy, history of falling, atherosclerotic heart disease. A review of Resident #9 quarterly comprehensive assessment dated [DATE] revealed her cognition was intact. She required extensive assistance of two staff with bed mobility, transfers, toilet use, the extensive assistance of one staff with dressing and personal hygiene. The resident was always incontinent of bladder functions and frequently incontinent of bowel functions. On 04/09/19 at 9:45 A.M. the resident stated she was not changed…

    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 · D2019-04-11 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 record review and interview, the facility failed to accurately code resident's status on the Minimum Data Set (MDS) Assessments. This affected two (Residents #36 and #27) of 16 residents sampled. The resident census was 33. Findings include: 1. Resident #36 was admitted to the facility on [DATE] and discharged on 01/26/19 to another nursing home. Review of the five day MDS assessment documented the resident had been discharged to an acute care hospital on [DATE]. Review of progress notes dated 01/26/19 at 6:15 P.M. revealed the Licensed Social Worker documented the resident was discharged to another nursing home at the family's request. During interview on 04/10/19 at 4:57 P.M., Registered Nurse (RN) #75 verified the MDS was coded in error. 2. Medical record review revealed Resident #27 was admitted to the facility on [DATE] with diagnoses including type two diagnoses schizoaffective disorder, dementia with behavioral disturbance and major depressive disorder. Review of the MDS dated [DATE] also…

    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 · D2019-04-11 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and policy review, the facility failed to initiate a baseline care plan within 48 hours of admission. This affected one (Resident #33) of 13 residents baseline care plans reviewed. The facility census was 33. Findings include: Review of the medical record revealed Resident #33 was admitted on [DATE] with diagnoses including Parkinson's disease, dementia and delusions, psychosis, behavior disorder, and vitamin B 12 and D deficiency. Review of Resident #33 admission comprehensive assessment dated [DATE] revealed the resident was severely cognitively impaired. The resident had physical and verbal behavioral symptoms directed toward others one to three days during the seven day look back period. The record contained no baseline care plan initiated within 48 hours of admission that addressed the resident's mental health diagnoses and behaviors. During interview on 04/11/19 at 12:27 P.M., MDS Registered Nurse (RN) #18 and Regional Clinical Director(RCD) #50 stated no baseline…

    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 · D2019-04-11 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 medical record review, staff interview and policy review, the facility failed to complete comprehensive care plans to address resident needs. This affected two (Residents #9 and #33) of 13 residents reviewed for comprehensive care plans. The facility census was 33. Findings include: 1. Review of the medical record revealed Resident #33 was admitted on [DATE] with diagnoses including Parkinson's disease, dementia and delusions, psychosis, behavior disorder, and vitamin B12 and D deficiency. Review of the admission comprehensive assessment dated [DATE] revealed Resident #33 was severely cognitively impaired with physical and verbal behaviors directed towards others noted one to three days during the seven day look back period. The resident required supervision with walking and locomotion, supervision and setup with eating, limited one-person assistance with bed mobility, transfer, extensive one-person assistance with dressing, toileting, and personal hygiene. There was no evidence in the record a…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-11 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    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 record review and interview, the facility failed ensure discharge records contained a recapitulation of the resident's stay, a final summary of resident's status, and a reconciliation of all pre- and post- discharge medications. This affected two (Residents #37 and #36) of four residents reviewed for discharge. The facility census was 33. Findings include: 1. A closed record review revealed that Resident #37 was admitted on [DATE] discharged on 01/18/19 to another facility. The closed record revealed there was no discharge summary. a Review of Social Service note dated 01/18/19 that Resident #37 was discharged to another facility of family's choice. During interview on 04/11/19 at 4:00 P.M. with Regional Clinical Director #50 verified there was no discharge summary for Resident #37. 2. Resident #36 was admitted to the facility on [DATE] and discharged on 01/26/19 to another nursing home. The comprehensive assessment dated [DATE] documented the resident had been discharged to an acute care hospital. 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-11 · 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 record review and interview, the facility failed to provide a resident with incontinence care to maintain personal hygiene. This affected one (Resident #9) of 16 residents sampled. The resident census was 33. Findings include: Resident #9 was admitted to the facility on [DATE] with diagnoses of heart failure, hypertension, hyperlipidemia, hip fracture, stroke, hemiplegia, encephalopathy, history of falling, atherosclerotic heart disease. A review of Resident #9 quarterly comprehensive assessment dated [DATE] revealed her cognition was intact. She required extensive assistance of two staff with bed mobility, transfers, toilet use, the extensive assistance of one staff with dressing and personal hygiene. The resident was always incontinent of bladder functions and frequently incontinent of bowel functions. On 04/09/19 at 9:45 A.M. the resident stated she was not changed the night prior and she was wet from her shoulders to her knees. She said she didn't tell anyone because it would not do any good. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-04-11 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to provide laboratory testing to monitor the use of medications. This affected one (Resident #17) of five residents reviewed for unnecessary medications. The resident census was 33. Findings include: Resident #17 was admitted to the facility on [DATE] with diagnoses including hypertension, urinary tract infection, hyperlipidemia, dementia, hypothyroidism, colon polyps and atherosclerosis of chronic ischemic disease. A review of physician orders revealed Resident #17 was receiving Atorvastatin ( to lower cholesterol), Levothyroxine (a thyroid medication) and Isosorbide ( for coronary artery disease) every day. The physician had ordered laboratory testing of Thyroid Stimulating Hormone, Total Thyroid 4, Complete Metabolic Panel, Complete Blood Count and Liver Profile to be done in January 2019. A review of the medical record revealed these laboratory tests were not completed in January 2019 in accordance with physician orders. During interview on…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-11 · 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 review of monitoring measures, interview and policy review, the facility failed to have any water monitoring for Legionella; failed to provide a functional sink where staff and residents could wash their hands in the Main Shower Room. This occurred in one (Main Shower Room) of two shower rooms used by 16 residents (Residents #12, #8, #13, #25, #30, #35, 328, #23, #34, #4, #16, #9, #10, #19, #22 and #17); and failed to administer Tuberculosis (TB) testing in accordance with facility policy. This involved six employees (Maintenance Director #2, Registered Nurse (RN) #21, Licensed Social Worker (LSW) #6, Housekeeper #34, the Director of Nursing (DON) and State Tested Nurse Aide (STNA) #4) of eleven personnel files reviewed. This had the potential to affect all residents residing in the facility. Facility census was 33. Findings include: 1. Review of the facility's Legionella Program revealed that the last water test was completed on 02/21/18 there was no evidence water temperatures being tested or any other monitoring for Legionella. During interview on 04/11/19 at 2:28 P.M.,…

    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
  • No harm found · C2019-04-11 · tag F0607 — failed to have anti-abuse policies — widespread
    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 record review, interview and policy review, the facility failed to ensure reference checks were obtained on employees prior to hire. This affected two (Dietary Manager #5 and Registered Nurse #21) of eight employees hired since 01/01/19. This had the potential to affect all 33 residents in the facility. Findings include: 1. Review of the personnel file for Dietary Manager #5 revealed this employee was hired on 04/03/19. There was no evidence of reference checks prior to hire. 2. Review of the personnel file for Registered Nurse #21 revealed this employee was hired on 01/28/19. There was no evidence of reference checks prior to hire. On 04/11/19 at 4:35 P.M. an interview with Human Resources Staff (HR) #51 verified the facility had no evidence of reference checks in these new employee personnel files. HR #51 was unable to provide an explanation as to why reference checks were not obtained by the facility. On 04/11/19 at 5:00 P.M. an interview with the Administrator verified the facility policies indicated background checks would be conducted within two days of an offer 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 plan of correction
  • No harm found · B2019-04-11 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to provide Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) letters to residents discharged from skilled care to nursing care. This affected three (Residents #13, #26 and #31) of three residents reviewed for Beneficiary Protection Notification. The facility census was 33. Findings include: 1. Review of the SNF Beneficiary Protection Notification Review for Resident #13 revealed Medicare Part A skilled services began on 12/12/18 and the last covered day was 02/05/19. Resident #13 remained in the nursing facility and was not provided a SNF ABN Form. 2. Review of the SNF Beneficiary Protection Notification Review for Resident #26 revealed Medicare Part A skilled services began on 01/31/19 and the last covered day was 02/10/19. Resident #26 remained in the nursing facility and was not provided a SNF ABN Form. 3. Review of the SNF Beneficiary Protection Notification Review for Resident #31 revealed Medicare Part A skilled services began on 02/11/19 and the last covered day was 03/15/19 and Resident #31 remained in…

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

    Resident Rights Deficiencies · Deficient, Provider has plan of correction
  • No harm found · B2019-04-11 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 record review, staff interview and policy review, the facility failed to provide residents, resident representatives, and/or the local Ombudsman the required notification of transfer when the residents were sent out to the hospital. This affected two (Residents #26 and #33) of three residents reviewed for hospitalization. The facility census was 33. Findings include: 1. Review of the medical record revealed Resident #33 was admitted on [DATE]. The resident was transferred from the facility to the hospital on [DATE] for hallucinations resulting in aggressive behaviors towards peer. The resident returned to the faciltiy on 03/07/19. The record contained no documentation the resident, resident's representative, and/or local ombudsman was provided with notice of transfer when the resident was sent out of the facility. 2. Review of the medical record revealed Resident #26 was discharged to the hospital on [DATE] for gastrointestinal issues and was readmitted on [DATE]. The record contained no documentation…

    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 plan of correction
  • No harm found · B2019-04-11 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 record review, interview and policy review, the facility failed to provide residents and/or resident representatives the required bed hold notices when residents were transferred to the hospital. This affected two (Residents #26 and #33) of three residents reviewed for hospitalization. The facility census was 33. Findings include: 1. Review of the medical record revealed Resident #33 was admitted on [DATE]. The resident was transferred from the facility to the hospital on [DATE] for hallucinations resulting in aggressive behaviors towards peer. The resident returned to the facility on [DATE]. The record contained no documentation the resident, resident's representative, and/or local ombudsman was provided with the facility's bed hold policy when the resident was sent out of the facility. 2. Review of the medical record revealed Resident #26 was discharged to the hospital on [DATE] for gastrointestinal issues and was readmitted on [DATE]. The record contained no documentation the resident, 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.

    Resident Rights Deficiencies · Deficient, Provider has plan 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 CCH HEALTHCARE — 33 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 52.5+1.5 vs chain
Health inspection 4 of 52.4+1.6 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 4 of 53.9+0.1 vs chain
The other 32 homes this chain runs (chain average 2.5★, per CMS)
1 of 5Carver Living CenterDurham, NC 1 of 5Countryside Manor Nursing And Rehabilitation LLCFremont, OH 1 of 5Harrison Pavilion Care CenterCincinnati, OH 1 of 5Meadowbrook Care CenterCincinnati, OH 1 of 5Smoky Mountain Health And Rehabilitation CenterPigeon Forge, TN 1 of 5The Greens at GastoniaGastonia, NC 1 of 5Valley Nursing and Rehabilitation CenterTaylorsville, NC 1 of 5Weakley Rehabilitation And Nursing CenterDresden, TN 2 of 5Cedars Of Lebanon Care CenterLebanon, OH 2 of 5Clovernook Health Care And Rehabilitation CenterCincinnati, OH 2 of 5Louisville Gardens Care CenterLouisville, OH 2 of 5Ridgewood Living & Rehabilitation CenterWashington, NC 2 of 5Solon Pointe At Emerald RidgeSolon, OH 2 of 5The Greens at HickoryHickory, NC 2 of 5The Greens at LincolntonLincolnton, NC 2 of 5The Greens at ViewmontHickory, NC 2 of 5Willow Ridge Of NCRutherfordton, NC 3 of 5Flint Ridge Nrsg & Rehab CtrNewark, OH 3 of 5Lincoln Crawford Care CenterCincinnati, OH 3 of 5Meadow Wind Health Care CenterMassillon, OH 3 of 5Northcrest Rehab And Nursing CenterNapoleon, OH 3 of 5Pineville Rehabilitation and Living CenterPineville, NC 3 of 5Scarlet Oaks Nursing And Rehabilitation CenterCincinnati, OH 3 of 5The Greens at HendersonvilleHendersonville, NC 3 of 5The Greens at Pinehurst Rehabilitation & Living CePinehurst, NC 3 of 5The Greens at Spruce PinesSpruce Pine, NC 4 of 5Cedarview Care CenterLebanon, OH 4 of 5The Greens at Maple LeafStatesville, NC 4 of 5The Greens at WeavervilleWeaverville, NC 4 of 5Twilight Gardens Nursing And RehabilitationNorwalk, OH 5 of 5Locust Ridge Healthcare LLCWilliamsburg, OH 5 of 5The Greens at CabarrusConcord, NC

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
VANNOSTRAND, GARYIndividualW-2 MANAGING EMPLOYEEsince 12/01/2018
JEREMIAS, BARUCHIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 12/01/2018
STERN, JACOBIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 12/01/2018

CMS files one row per role, so the 5 rows in the source record cover these 3 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.

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.

$6.3M
Net patient revenuemost recent cost report
+2.6%
Operating marginrevenue minus expenses
$643K
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 77%Medicare 10%Other / private 13%

About 77% 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 $643K 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.

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

$341per resident / day
operating cost
$10,371per month
≈ monthly operating cost
$350per 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 OH

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 Ohio Medicaid page.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/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 366288. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-28, 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.

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