Holzer Senior Care Center

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

46.3% 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 64 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 87.1% 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 31 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 41 beds and averages 39.8 residents a day — about 97% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.40 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 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 3.14 hrs/resident/day on weekends vs 3.50 on weekdays — 10% thinner on weekends. RN hours go from 0.84 to 0.60 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% 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

Deficiencies are more than at the previous inspection — worsening. 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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2025-05-08 · 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 observation, record review, review of wound notes, facility policy review review and interview, the facility failed to assess, develop, and implement a comprehensive and individualized prevention program to prevent the development of avoidable pressure ulcers and ensure interventions were in place as ordered to prevent new or worsening pressure injuries for Resident #8 and #34. Actual Harm occurred on 04/17/25 when it was discovered that Resident #8, who was determined to be at risk for skin breakdown with no pressure ulcers upon admission, was assessed as cognitively impaired, incontinent, and required moderate (staff) assistance with bed mobility, developed an unstageable (dead or devitalized tissue that is hard or soft in texture; usually black, brown, or tan in color, and may appear scab-like. Necrotic tissue and eschar are usually firmly adherent to the base of the wound and often the sides/ edges of the wound.) pressure ulcer to her coccyx. Between 05/05/25 and 05/06/25 Resident #8's low air loss…

  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
• Actual harm · Gcited before2021-10-18 · 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

  Based on observation, record review, facility policy and procedure review and interview the facility failed to implement interventions to prevent the development of a pressure ulcer for Resident #10. Actual harm occurred on 10/07/21 when Resident #10, who was severely cognitively impaired was identified to have a Stage III (full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining or tunneling) pressure ulcer to the ball of his left foot. There was no evidence the facility had adequate interventions in place to prevent the development of the ulcer and to promote healing once the ulcer was identified. The facility failed to ensure the pressure ulcer was timely identified prior to being found as a Stage III and failed to ensure a treatment was initiated at the time the ulcer was first identified. This affected one resident (#10) of four residents reviewed for pressure ulcers. Findings include: Review of Resident #10's medical record revealed an…

  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
• Actual harm · G2021-10-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  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, facility policy and procedure review and interview the facility failed to provide adequate and necessary care and services to prevent the development of hand contractures for two residents (#5 and #25). Actual harm occurred when Resident #25 who was severely cognitively impaired was not provided range of motion services or the application of splint/ orthotic devices resulting in the development of bilateral hand contractures. Actual Harm also occurred for Resident #5 when the facility failed to provide range of motion and/or hand roll/splinting care for the resident's left hand to prevent a decline in range of motion and development of a contracture to the hand. This affected two residents (#5 and #25) of three residents reviewed for positioning/ mobility. Findings include: 1. A review of Resident #25's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including Parkinson's disease, muscle wasting and atrophy, polyosteoarthritis 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 · Ecited before2025-05-08 · tag F0644 — pattern
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure Pre-admission Assessment/Resident Reviews (PASRRs) were completed accurately to reflect diagnoses of serious mental illness. This affected four (#7, #12, #13, and #28) of four residents reviewed for PASRRs. The facility census was 40. Findings include: 1. Record review revealed Resident #7 admitted to the facility on [DATE] with diagnoses including cerebral infarction, unspecified psychosis, delusional disorders, major depression, and anxiety disorder. Review of a care plan revised on 10/31/18 revealed Resident #7 had depression related to diagnosis and signs and symptoms including false accusations, anger with shaking, sad facial expressions, tearfulness, and agitation. Review of a significant change PASRR completed 11/30/21 revealed Resident #7 had diagnoses including delusional disorders and other psychotic disorders. The PASRR did not reflect diagnoses of mood disorder (major depression) or anxiety disorders. Interview on 05/06/25 at 10:10…

  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 · E2025-05-08 · tag F0656 — failed to write and follow a full care plan — pattern
  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 record review, observation, resident interview, staff interview, and policy review, the facility failed to ensure comprehensive care plans were in place to address mental illness disorders and care plans were implemented in the areas of fall prevention, incontinence care, and pressure ulcer prevention. This affected four (Resident #12, #13, #21, and #34) of 17 residents reviewed for care planning. Findings include: 1. Review of Resident #21's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses included Alzheimer's disease, vascular dementia, major depressive disorder, heart failure, osteoarthritis, chronic kidney disease (Stage II (mild), and irritable bowel syndrome. Review of Resident #21's annual Minimum Data Set (MDS) assessment dated [DATE] revealed the resident did not have any speech and was rarely/ never able to make herself understood and was rarely/ never able to understand others. Her vision was highly impaired without the use of corrective lenses. She had short…

  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 · E2025-05-08 · 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

  Based on observation, interview and review of the Tuberculin or purified protein derivative (PPD) solution manufacturer guidelines revealed the multi dose vial was dated as opened on 03/19/25 and should be discarded in 30 days after opened. This had the potential to effect all new admissions to the facility from 03/19/25 through 05/07/25. The facility census was 40. Findings include: Observation of the medication storage room refrigerator on the Laural Hall of the facility revealed a multi dose vial of Tuberculin or purified protein derivative (PPD), a solution injected under the skin to determine if a person had been infected with the Tuberculosis bacteria, dated as opened on 03/19/25. Per the manufacturers guidelines and standards of practice, the multi dose vial of Tuberculin solution should be discarded 30 days after opened. An interview on 05/07/25 at 1:46 P.M. with Registered Nurse (RN) #158 confirmed the multi dose vial of Tuberculin was opened and dated 03/19/25. RN #158 confirmed the vial should have been discarded in 30 days after opened. The facility did not provide 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-08 · tag F0757 — failed to avoid unnecessary drugs — pattern
  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, interview, and facility policy review, the facility failed to follow diagnostic criteria prior to the administration of antibiotics and failed to follow blood pressure medication parameters. This affected four (#16, #31, #34, and #194) of four residents reviewed for antibiotic stewardship. The facility census was 40. Findings include: 1. Record review revealed Resident #16 admitted to the facility on [DATE] with diagnoses including congestive heart failure, type II diabetes, and ileus. Review of a urinalysis dated [DATE] revealed urinalysis results did not meet the accepted criteria for culture to be performed. Review of a medication administration record (MAR) for [DATE] revealed Resident #16 received Cefdinir oral capsule (antibiotic) 300 milligrams (mg) one capsule by mouth two times a day for a urinary tract infection (UTI) for three days. The medications were administered as ordered. Review of the infection control log revealed no evidence of diagnostic criteria (McGeer's) being…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-08 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  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 facility policy review, the facility failed to follow diagnostic criteria prior to the administration of antibiotics. This affected four (#16, #31, #193 and #194) of four residents reviewed for antibiotic stewardship. The facility census was 40. Findings include: 1. Record review revealed Resident #16 admitted to the facility on [DATE] with diagnoses including congestive heart failure, type II diabetes, and ileus. Review of a urinalysis dated [DATE] revealed urinalysis results did not meet the accepted criteria for culture to be performed. Review of a medication administration record (MAR) for [DATE] revealed Resident #16 received Cefdinir oral capsule (antibiotic) 300 milligrams (mg) one capsule by mouth two times a day for a urinary tract infection (UTI) for three days. The medications were administered as ordered. Review of the infection control log revealed no evidence of diagnostic criteria (McGeer's) being charted on for Resident #16. 2. Record review 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-08 · tag F0887 — pattern
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  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 ensure residents being offered a COVID vaccination received education regardless of if the vaccine was administered or not. This affected four (#7, #12, #22 and #25) of five residents reviewed for vaccination administration. The facility census was 40. Findings include: 1. Record review revealed Resident #7 admitted to the facility on [DATE] with diagnoses including cerebral infarction, locked-in state, and type II diabetes. Review of a COVID vaccination consent form dated 11/12/24 revealed Resident #7 provided consent to receive the vaccination, but did not specify if they received education on the vaccination prior to administration. 2. Record review revealed Resident #12 admitted to the facility on [DATE] with diagnoses including type II diabetes, chronic obstructive pulmonary disease, and hyperlipidemia. Review of a COVID vaccination consent form dated 11/07/24 revealed Resident #12 provided consent to receive the vaccination, but did not specify…

  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 · D2025-05-08 · tag F0646 — isolated
  Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
  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 notify the state agency of a significant change to the Pre admission Screening and Resident Review (PASSAR) for Resident #13. This effected one (Resident #13) of four residents reviewed for PASSAR. The facility census is 40. Review of the medical record for Resident #13 revealed an admission date of 06/12/23 with diagnoses including diabetes mellitus type two, atrial fibrillation and dementia with other behavioral disturbances. A new diagnosis of delusional disorder was added on 09/18/23. Review of the physician orders dated 05/25 revealed Resident #13 was ordered donepezil hydrochloride (a medication used to treat dementia) 10 milligrams by mouth one time daily for dementia. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #13 had intact cognition with no behaviors documented. Resident #13 required minimal assistance from the staff to complete activities of daily living. The assessment indicated Resident #13 diagnoses…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-08 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of the manufacturer's guidelines and per the standards of practice the facility failed to ensure Resident #31's insulin was administered per the standard of practice and manufacturer's guidelines. This effected one ( Resident #31) of two residents reviewed for insulin administration. The facility census was 40. Findings include: Review of the medical record for Resident #31 revealed an admission date of 09/01/23 with diagnoses including chronic obstructive pulmonary disorder, oxygen dependence, peripheral vascular disease, congestive heart failure, anxiety, dementia, depression, malignant neoplasm of unspecified kidney and diabetes mellitus type two. Review of the Medication Administration Record (MAR) dated 05/25 revealed Resident #31 had an order for accucheck blood sugar before meals and at bedtime and an order for sliding scale insulin based on the blood sugar results. Resident #31 sliding scale order stated Novolog Insulin Aspart injection solution to inject…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-08 · 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, observation, and interview, the facility failed to ensure residents who were dependent on staff for personal care received the assistance needed with incontinence care and the removal of unwanted facial hair as per their plan of care. This affected two (Resident #1 and #21) of two residents reviewed for activities of daily living (ADL's). The facility census was 40. Findings include: 1. Review of Resident #21's medical record revealed she was admitted to the facility on [DATE]. Her diagnoses included Alzheimer's disease, vascular dementia, major depressive disorder, heart failure, osteoarthritis, chronic kidney disease (Stage II (mild), and irritable bowel syndrome. Review of Resident #21's annual Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was non-verbal and was rarely/ never able to make herself understood. She was also rarely/ never able to understand others. She had short and long term memory impairment and her cognitive skills for daily decision making was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  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 interview, the facility failed to ensure a resident was properly positioned when up in a specialized wheelchair and another resident received appropriate intervention when they went without a bowel movement for six days. This affected one (Resident #28) of two residents reviewed for positioning and one (Resident #8) of two residents reviewed for nutrition. The facility census was 40. Findings include: 1. Review of Resident #28's medical record revealed he was admitted to the facility on [DATE]. His diagnoses included Parkinson's disease, neurocognitive disorder with Lewy Bodies, dementia with psychotic disturbance and agitation, muscle wasting and atrophy, restlessness and agitation, muscle weakness, rheumatoid arthritis, abnormalities of gait and mobility, and a history of falls. Review of Resident #28's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had unclear speech. He was rarely/ never able to make himself understood and was rarely/…

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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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