Brewster Convalescent Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 60 beds and averages 52.6 residents a day — about 88% 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 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 3.01 hrs/resident/day on weekends vs 3.65 on weekdays — 18% thinner on weekends. RN hours go from 0.76 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

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 before2023-08-28 · 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 medical record review and interview, the facility failed to thoroughly assess and provide timely medical treatment to a resident with multiple fractures. This affected one resident (#31) of four residents reviewed for accidents. Actual harm occurred on 04/16/23 when Resident #31 fell, hitting her elbow on the shower chair and landing on her buttocks. At the time of the fall, Resident #31 complained of elbow pain and tailbone pain, however only the elbow pain was assessed, and physician notified resulting in the resident receiving an Xray of the shoulder and being diagnosed with a fractured humeral head on 04/17/23. The failure of the facility to appropriately assess and document the resident's sacral pain at the time of the fall resulted in a delay in the diagnosis and treatment of the resident's fractured sacrum until 04/20/23. Harm continued 04/29/23 when facility staff failed to notify the resident's physician of swelling and pitting edema in Resident #31's left arm until 05/06/23 when the resident's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-08-28 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, orthopedic consult review, therapy note review, and interview, the facility failed to manage Resident #31's pain adequately and within a timely manner. This affected one resident (#31) of one resident reviewed for pain management. The facility census was 51. Actual harm occurred on 04/16/23 to Resident #31, who had sustained a fall with fractured left humeral head and sacrum, when staff failed to adequately address the resident's pain resulting in Resident #31 having a decline in her activities of daily living. The facility also failed to administer pain medications timely when staff were notified Resident #31 was crying out in pain during therapy sessions and was declining to participate in therapy services. Findings included: Record review revealed Resident #31 was admitted to the facility on [DATE] with diagnoses including hypertension, major depressive disorder, osteoarthritis, anxiety disorder, overactive bladder, irritable bowel syndrome, and dementia. Review 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2021-07-26 · 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, review of the medical record, interviews with staff, and review of the facility policy the facility failed to prevent the development of a pressure ulcer for Resident #28. Actual harm occurred when Resident #28 developed an avoidable, in house acquired, stage three (full thickness wound with fat and tissue exposed) pressure ulcer to the left outer ankle. This affected one (Resident #28) of three residents reviewed for pressure ulcers. The facility census was 42. Findings include: Review of the medical record revealed Resident #28 was admitted to the facility on [DATE] with diagnoses including infection in left knee, arthritis, severe protein calorie malnutrition, epilepsy, altered mental status, gastro-esophageal reflux disease, osteoarthritis, COVID-19, major depression, hypertension, hemiplegia, and hemiparesis to left side following a cerebrovascular disease, and psychosis. Further review of the medical record revealed Resident #28 was discharged to the hospital on [DATE] and the order…

  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 · E2026-06-01 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and record review, the facility failed to maintain a comfortable air temperature in the resident living environment. This affected two residents (Resident #32, Resident #28) and had the potential to affect all 10 residents on the 500 unit. The facility was census was 57.Findings include: 1. Record review of Resident #32 revealed an admission date of 03/17/26 with diagnoses of quadriplegia, anxiety disorder, major depressive disorder. Resident #32 was cognitively intact and was dependent with ADLs.Interview with Resident #32 on 06/01/26 at 8:14 A.M. revealed he was always cold and the room was always cold until the afternoon and then cold again at night. Observation of Resident #32 revealed he had four blankets on and was wearing a winter skull cap.2. Record review of Resident #28 revealed an admission date on 03/17/26 with diagnoses of emphysema, anxiety disorder, trigeminal neuralgia, and hypertension. Resident #28 was cognitively intact.Observation of Resident #28 on 06/01/26 at 8:16 A.M. revealed the resident had three blankets and a fuzzy robe…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-28 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, review of facility policy, and observation, the facility failed to update the physician on a change of condition for Resident #38. This affected one (Resident #38) of one resident reviewed for changes in conditions. The facility census was 55. Findings include: Review of the medical record for Resident #38 revealed an admission date of 03/22/23 with diagnoses including chronic respiratory failure, chronic obstructive pulmonary disease and emphysema (a condition of the lungs that causes shortness of breath). Review of the care plan dated 04/03/23 for Resident #38 revealed she was at risk for altered respiratory status and difficulty breathing related to anxiety, chronic obstructive pulmonary disease, congestive heart failure and chronic respiratory failure. Interventions included to monitor for signs and symptoms of respiratory distress and report to the physician increased respirations, decreased pulse oximetry, restlessness, lethargy and confusion. Review of the physician's order for Resident #38 revealed an order for oxygen at two liters…

  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 · D2024-12-28 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 interventions were implemented and monitored for Resident #33's trending weight loss. This finding affected one (Resident #33) of two residents reviewed for nutrition. Findings include: Review of Resident #33's medical record revealed the resident was readmitted on [DATE] with diagnoses including anxiety disorder, dementia in other diseases classified elsewhere and essential hypertension. Review of Resident #33's initial weight dated 07/29/24 revealed the resident weighed 187.2 pounds. Resident #33's weights revealed the resident weighed 196.6 pounds on 08/20/24, 183.9 pounds on 11/07/24 and 179.2 pounds on 12/04/24. Review of Resident #33's physician orders revealed an order dated 08/16/24 revealed a reduced carbohydrate diet, no added sodium with a regular texture, regular/thin consistency. There were no physician orders for nutritional supplements including the boost brought in by the resident's family members. Review of the Minimum Data Set…

  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 before2024-12-28 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, medical record review, and facility policy review, the facility failed to ensure pre-treatment and post-treatment monitoring was completed for a dialysis resident. This affected one (Resident #24) of two residents reviewed for dialysis. The facility census was 55. Findings include: Review of the medical record for Resident #24 revealed an admission date of 11/13/23 and diagnoses including type two diabetes mellitus, diabetic chronic kidney disease, diabetic polyneuropathy, dependence on renal dialysis, acquired absence of left leg below knee, and stage four chronic kidney disease. Review of physician's order dated 09/26/24 revealed Resident #24 received dialysis treatments on Tuesdays, Thursdays, and Saturdays. Resident #24 has right sided tunneled internal jugular catheter dialysis site. The medical record revealed no evidence of monitoring of Resident #24's condition prior to or following dialysis treatments. Interview on 12/27/24 at 11:07 A.M. with Licensed Practical Nurse (LPN) #542 revealed Resident #24's blood pressure and weight were obtained at dialysis.…

  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 before2024-12-28 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure appropriate hand washing or hand sanitization was completed prior to completing Residents #1 and #33's non-pressure wound care. This affected two (Residents #1 and #33) of two residents reviewed for general skin conditions. Findings include: 1. Review of Resident #1's medical record revealed the resident was admitted on [DATE] with diagnoses including Parkinson's disease without dyskinesia, Alzheimer's disease and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #1 exhibited severe cognitive impairment. Review of Resident #1's Weekly Wound Report form dated 12/17/24 revealed the resident had left buttock moisture associated skin damage (MASD)/shearing acquired 12/14/24. Review of Resident #1's physician orders revealed an order dated 12/17/24 to cleanse the open area on the left buttock with normal saline, pat dry, apply collagen moistened with normal saline to the wound…

  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 · D2024-12-28 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure Residents #24 and #42's medical records have the appropriate documentation of the education provided regarding the risks and benefits of the influenza and pneumococcal vaccines. This affected two (Residents #24 and #42) of five residents reviewed for immunizations. Findings include: 1. Review of Resident #24's Consent/Declination of Pneumococcal, Influenza, and COVID-19 Vaccines form dated 11/14/23 revealed the resident did not wish to receive the pneumococcal vaccine, the influenza vaccine or the COVID-19 vaccine and/or booster. Review of Resident #24's medical record revealed the resident refused the pneumovax and the influenza immunization. The medical record did not reveal evidence the resident was educated on the risks and benefits of the pneumovax and influenza immunizations. Interview on 12/27/24 at 9:09 A.M. with Registered Nurse (RN) #538 confirmed Resident #42's medical record did not have evidence the education was provided regarding the risks and benefits of the influenza and pneumococcal vaccines. 2.…

  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 before2023-10-06 · 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, review of policy, observation and interview, the facility did not ensure infection control practices were maintained during a wound treatment for Resident #9. This affected one resident (#9) of three residents reviewed for hospice. The facility census was 47. Findings include: Record review was conducted for Resident #9 who was admitted to the facility on [DATE] with diagnoses including chronic kidney disease, type two diabetes mellitus, moderate protein calorie malnutrition, dysphagia following a stroke and peripheral vascular disease. Resident #9 was admitted to hospice on 04/01/23 for a terminal diagnosis of dysphagia. Review of the Minimum Data Set 3.0 assessment, dated 07/10/23, revealed Resident #9 required extensive assistance by one staff for eating, dressing, toileting and hygiene and extensive assistance of two staff for transfers and bed mobility. Review of the plan of care, revised 08/28/23, revealed Resident #9 had potential for pressure ulcer development due to incontinence,…

  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 · F2023-08-28 · 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, interview, and record review, the facility failed to ensure clean and sanitary kitchen area and ensure appropriate glove use by kitchen staff. This had the potential to affect all residents receiving meals from the facility kitchen. The facility identified one resident (#38) as not receiving meals from kitchen for Nothing by Mouth (NPO) status. The facility census was 51. Findings include: Observations on 08/21/23 from 9:06 A.M. to 9:23 A.M. revealed under dry storage room storage racks was darkened, sticky flooring and there was various food debris and plasticwares. The main food preparation area contained food preparation tables, racks for storing cookware, and equipment including steamtable, deep fryer, oven with range and flat grill top. There was a microwave on a storage rack. Inside the microwave was splattered with red food substance. Under preparation tables revealed darkened flooring with grease build up with significant food debris. Observation of deep fryer revealed significant dark brown grease build up on splash guards and yellow colored build up…

  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 · F2023-08-28 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and review of PBJ (Payroll Based Journal) data report the facility failed to ensure accuracy of PBJ information. This had the potential to affect all 51 residents residing in the facility. Findings include: Review of the facility PBJ Staffing Data Report dated 01/01/23 through 03/31/23 revealed submitted weekend staffing data was excessively low. Review of the facility nursing schedules from 01/03/23 through 02/28/23 did not reveal documentation when nurses assigned to the Nursing Home area of the facility were also required to cover the Assisted Living area on night shift. Further review did not reveal nurses signed out from the Nursing Home when they needed to go to the Assisted Living area, and did not sign back in when they returned. Interview on 08/21/23 at 11:30 A.M. of Registered Nurse (RN) #445 revealed she worked in the Nursing Home part of the facility, but sometimes when she worked night shift from 6:00 P.M. through 6:00 A.M. she was required to cover the Nursing Home and the Assisted Living (AL) because the AL did not have a nurse who…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-08-28 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of facility policy the facility failed to identify a pattern of urinary tract infections (UTIs) did not occur for ten residents (#13, #18, #23, #34, #38, #41, #50, #156, #158 and #256) residing in the same nursing unit, the facility failed to ensure appropriate use of personal protective equipment (PPE) for resident (#308) on droplet precautions, and failed to ensure documentation of education for hand hygiene, gloves and cleansing of perineal area. This affected ten residents (#13, #18, #23, #34, #38, #41, #50, #156, #158 and #256) of 16 residents reviewed for UTIs, one (#308) out of four residents reviewed for transmission based precautions. The facility census was 51. Findings include: 1.Review of the infection control log dated July 2023 revealed ten residents (that resided on the same nursing unit and required staff assistance with personal/incontinence care) had UTIs in July 2023; however the log did not provide the contact organism for all of them. a. Resident #13 developed a UTI on 07/05/23. The resident 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.

  Infection Control 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

$62,113 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $62,113 — penalty dated 2023-08-28
• Medicare payment denial — starting 2023-09-22 for 46 days

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

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

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

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in OH