Avenue At Brooklyn
4700 Idlewood Drive, Brooklyn, OH 44144 · For profit - Limited Liability company · 111 certified beds · (216) 465-3770 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 3 immediate-jeopardy problems — the most serious level
- a high number of inspection citations overall (35) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $56,301 in federal fines (most recent 2025-06-02)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (1/5)
- nursing-staff turnover (62%) runs well above the national median (45%)
- about 31% of its spending goes to commonly-owned related companies
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
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
| 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 2025-04 to 2026-06, this home’s CMS overall rating held steady at 1 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 2.9% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 2.1% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 19.0% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.7% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 3.8% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 15.9% | 25.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 96.9% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.6% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 29.6% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.2% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 54.7% | 75.6% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 32.4% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 16.6% | 12.9% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.36 | 1.73 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.66 | 1.80 | 1.80 | worse |
‡ 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.
51.2% 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 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 71.0% 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 38 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 6% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 51.2%CMS range 40.8–62.7 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.6%CMS range 7.9–16.0 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 71.0% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 73.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 57.9% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.6% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not 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 stay | 2.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 4.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 11.9%CMS range 6.2–18.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.00 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 111 beds and averages 103.4 residents a day — about 93% occupied, or roughly 8 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 3.16 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.75 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.25 on weekdays — 9% thinner on weekends. RN hours go from 0.46 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are 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.
35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.
- Immediate jeopardy · Jcited before2025-06-02 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 closed medical record review, review of an Emergency Medical Services (EMS) report, facility policy review and interview, the facility failed to timely identify and provide adequate and necessary care for Resident #104, who experienced an acute change in condition. This resulted in Immediate Jeopardy and actual harm/death beginning on [DATE] when the facility failed to recognize and failed to timely and adequately respond to Resident #104's report of a low blood glucose level. On [DATE], at 12:18 A.M., Resident #104, who was known by staff to be a brittle diabetic, activated her call light and Certified Nursing Assistant (CNA) 636 responded. Resident #104 reported she needed a snack because her blood glucose level was low. CNA #636 reported she gave Resident #104 a snack and got side-tracked and did not report the change of condition to the nurse on duty, Licensed Practical Nurse (LPN) #637. CNA #636 did not round on Resident #104 after providing the snack. LPN #637 revealed she had last seen Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Immediate jeopardy · J2024-08-06 · tag F0678 — failed to provide CPR when needed — isolatedProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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 closed medical record review, review of a Prehospital Care Report Summary/EMS Run report, review of the American Heart Association Cardiopulmonary Resuscitation (CPR) guidelines, facility policy review, interview with Emergency Medical Service (EMS) staff, staff interview and family interview, the facility failed to ensure all staff provided effective cardiopulmonary resuscitation (CPR). Additionally, the facility failed to ensure crash carts (a cart that holds equipment and includes a backboard, a hard, flat surface to facilitate effective chest compressions and an ambu bag, used to provide mechanical ventilation) in emergency resuscitation efforts were readily available and accessible during a cardiac emergency. This resulted in Immediate Jeopardy and actual harm/subsequent death when staff failed to initiate effective CPR for Resident #101 who experienced a cardiac emergency on [DATE]. At the initiation of the cardiac emergency, Resident #101 ' s family was with the resident in her room and yelled…
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.
- Immediate jeopardy · Jcited before2024-08-06 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 closed medical record review, review of an Emergency Medical Services (EMS) Run report, review of the Health Care Summary, facility policy review, staff interview, physician interview and nurse practitioner (NP) interview, the facility failed to timely identify and provide adequate and necessary care for Resident #100, who experienced an acute change in condition. This resulted in Immediate Jeopardy and actual harm/serious health outcomes and potential for death beginning on 06/20/24 when the facility failed to recognize and adequately and timely respond to a decline in Resident #100's condition. Beginning on 06/20/24, Resident #100 was observed to have difficulty swallowing and his diet was downgraded to pureed. The physician was not notified of this change in condition. On 06/21/24 and 06/22/24, Resident #100 had poor oral intakes with no nursing assessments or monitoring completed and no evidence the physician was notified. On 06/22/24, at approximately 7:30 A.M., State Tested Nursing Assistant…
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.
- Potential for harm · D2025-06-02 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 observation, resident record review, resident interview, and staff interview, the facility failed to ensure residents were treated with respect and dignity. This affected three residents (#30, #31, and #87) of three reviewed for respect and dignity. The facility census was 103. Findings include: 1. Review of the medical record for Resident #30 revealed she was admitted to the facility on [DATE] with diagnoses that included urinary tract infection, repeated falls, hypoxemia, cerebral palsy, and epilepsy. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #30 was alert and oriented to person, place, and time, impaired on both sides of her lower extremities, and required assistance from staff for Activities of Daily Living (ADLs). Review of the care plan dated 05/07/25 revealed Resident #30 had an ADL self-care deficit with interventions that included staff to assist with completion of needs throughout the day. Observation on 05/14/25 at 8:07 A.M. revealed Resident #30 laying 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.
- Potential for harm · Dcited before2025-06-02 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, policy review and interview, the facility failed to have less than 5 percent (%) medication error rate. Three errors out of twenty-nine opportunities were observed resulting in an error rate of 10.34 %. This affected three residents (#5, #35, and #107) of five residents observed for medication administration. Findings include: 1. Review of the medical record for Resident #35 revealed an admission date of 02/16/23 with diagnoses including but not limited to Alzheimer's Disease, stage three chronic kidney disease (CKD), and hypertension (HTN). Review of the physician orders for May 2025 revealed an order for Aspirin 81 milligram (mg) delayed release (delayed release refers to medication designed to release the active ingredients at a time later than immediately after administration) to give 1 tablet in the morning for thrombosis and do not crush. Observation on 05/15/25 at 7:38 A.M. with Licensed Practical Nurse (LPN) #712 revealed she placed an Aspirin 81 mg chewable tablet in the medicine cups with other medications then proceeded to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-02 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and observation, the facility failed to ensure residents were free from significant medication errors. This affected one resident (#5) out of five residents reviewed for medication administration. The facility census was 103. Findings include: Review of the medical record for Resident #5 revealed an admission date of 04/20/25 and diagnoses included but not limited to epilepsy, fracture of left femur, type 2 diabetes mellitus (DM), and adult failure to thrive. Review of the physician orders for May 2025 revealed an order for Phenobarbital tablet 32.4 milligram (mg) give 1 tablet in the morning for seizures and Phenobarbital 32.4 mg give 2 tablets at bedtime (HS). a. Review of Resident #5's May 2025 medication administration records (MARS) revealed a total of nine missed morning doses for Phenobarbital 32.4 mg. On 05/02/25, 05/03/25, 05/04/25, 05/10/25, 05/11/25, 05/12/25, 05/15/15, 05/22/25, and 05/24/25 the MAR was coded #9, which means to see nurses' note. Review of Resident #5's medical record revealed there was not a nurses notes on 05/01/25.…
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.
- Potential for harm · F2025-02-06 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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, and review of the facility policy and procedures revealed the facility failed to ensure the kitchen and nursing unit refrigerators were maintained in a clean and sanitary manner. This had the potential to affect all residents except one resident (#33) who received nothing by mouth. The facility census was 105. Findings include: Observations during initial tour of the kitchen on 02/03/25 between 9:42 A.M. and 10:06 A.M. with Mobile Dietary Manager (MDM) #450 revealed: • Dry storage area under the rack against wall had a large container of cooking oil, on the floor underneath was a large oil spill. • Observed various food debris on top of the oven, an oven mitt on the floor behind and between the oven and steamer. • The deep fryer had various food crumbs on it, an old french fry in one of the baskets, the outside of the deep fryer had grease stains running down. • The floor under the steamer and deep fryer had a brownish substance and food crumbs • The two set of shelves under the steam stable facing the stove area had various crumbs/food…
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.
- Potential for harm · F2025-02-06 · tag F0814 — failed to dispose of garbage properly — widespreadDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and review of the facility policy and procedures, the facility failed to ensure the outside dumpster area was maintained in a sanitary manner free from debris. This had the potential to affect all residents. The facility census was 105. Findings include: Observation on 02/05/25 at 10:06 A.M. of the outside dumpsters revealed two dumpsters, both with the lids opened. There was a large clear trash bag of trash on the ground next to the dumpster closer to the door to the building. Observed on the ground around and between the dumpsters was a moderate amount of various trash including an empty cigarette package, several used latex gloves, etc. Interview on 02/05/25 at 10:08 A.M. with Mobile Dietary Manager (MDM) #450 verified the observation. MDM #450 stated maintenance was responsible for maintaining the dumpster area. Reviewed policy Trash Handling, undated revealed outside dumpsters and surrounding area are to be kept clean and [NAME] of debris.
- Potential for harm · F2025-02-06 · tag F0847 — widespreadInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff interview, and review of facility arbitration the facility failed to ensure its arbitration agreement contained all required information. This affected all residents. The facility census was 105. Findings include: Review of the facility's admission packet revealed its arbitration agreement and requirements were contained on pages nine and ten of the facilities admission agreement that authorized the facility to provided care and services required to be admitted to the facility. Review of the facility's arbitration agreement revealed that the agreement does not state that the resident or resident representative may communicate with federal, state, or local officials, including but not limited to, federal and state surveyors, other federal or state health department employees, and representative of the Office of the State Long-Term Care Ombudsman. Interview with Corporate Nurse (CN) #999 on 02/05/25 at 10:25 A.M. verified the agreement does not state that the resident or resident representative may communicate with federal, state, or local officials,…
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.
- Potential for harm · F2025-02-06 · tag F0848 — widespreadProvide a neutral and fair arbitration process and agree to arbitrator and venue.
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 review of facility arbitration agreement revealed the facility failed to provide a neutral and fair arbitration process by ensuring both the resident or the resident representative, and the facility agree on the selection of a neutral arbitrator, and that the venue is convenient to both parties. This affected all residents. The facility census was 105. Findings include: Review of the facility's admission packet revealed that an arbitration agreement was within the packet and located on pages nine and ten within the general admission agreement required for admission/treatment from the facility. Review of resident medical records during the survey revealed admission agreements and subsequently arbitration agreements were signed by all residents residing in the facility. Review of the Who Will Conduct Arbitration subsection of the arbitration agreement revealed C. The arbitration shall be conducted by the National Arbitration Forum (NAF). Information regarding NAF and 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.
- Potential for harm · E2025-02-06 · tag F0699 — patternProvide care or services that was trauma informed and/or culturally competent.
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 ensure residents who are trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice residents in order to eliminate or mitigate triggers that may cause re-traumatization of the resident. This affected five residents (#8, #43, #80, #98 and #303) of five residents residing in the facility with diagnoses of post traumatic stress disorder (PTSD). The facility census was 105. Findings include: 1. Review of the medical record revealed Resident #8 was admitted to the facility on [DATE] with diagnoses that included major depressive disorder, PTSD and irritable bowel syndrome. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 was severely cognitively impaired and was independent for completing activities of daily living (ADLs). 2. Review of the medical record revealed Resident #43 was admitted to the facility on [DATE] with diagnoses that included…
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.
- Potential for harm · D2025-02-06 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing 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 record review, resident interview, and staff interview, the facility failed to ensure a referral for an appointment to ear, nose, and throat (ENT) was made timely for Resident #12. This affected one resident (#12) of two residents reviewed for vision and hearing. The facility census was 105. Findings include: Review of the medical record for Resident #12 revealed an initial admission date of 10/23/23. Diagnoses included type I diabetes mellitus with ketoacidosis without coma, type I diabetes mellitus with diabetic autonomic (poly) neuropathy, type I diabetes mellitus with diabetic retinopathy without macular edema, type I diabetes mellitus with diabetic neuropathy, type I diabetes mellitus with diabetic chronic kidney disease, type I diabetes mellitus with hyperglycemia, type I diabetes mellitus with hypoglycemia without coma, chronic pancreatitis, hypotension, cardiomegaly, dependence on renal dialysis, end stage renal disease, and epilepsy. Review of the annual Minimum Data Set (MDS) assessment dated…
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.
- Potential for harm · D2025-02-06 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of the facility policy and procedure the facility failed to ensure consistent communication between the facility and dialysis with the dialysis communication forms. This affected one resident (#12) of one resident reviewed for dialysis. The facility census was 105. Findings include: Review of the medical record for Resident #12 revealed an initial admission date of 10/23/23. Diagnoses included type I diabetes mellitus with ketoacidosis without coma, type I diabetes mellitus with diabetic autonomic (poly) neuropathy, type I diabetes mellitus with diabetic retinopathy without macular edema, type I diabetes mellitus with diabetic neuropathy, type I diabetes mellitus with diabetic chronic kidney disease, type I diabetes mellitus with hyperglycemia, type I diabetes mellitus with hypoglycemia without coma, chronic pancreatitis, hypotension, cardiomegaly, dependence on renal dialysis, end stage renal disease, and epilepsy. Review of the annual Minimum Data Set (MDS)…
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.
Show the remaining 22 citations
- Potential for harm · D2025-02-06 · tag F0725 — failed to have enough nursing staff — isolatedProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 provide timely incontinence care for Resident #22. This affected one (Resident #22) of two residents reviewed for incontinence care. The facility census was 105. Findings include: Record review of Resident #22 revealed he was admitted [DATE] and had diagnoses including cerebral infarction, hemiplegia and hemiparesis, human immunodeficiency virus (HIV) disease, aphasia, and neurogenic bowels. Review of the Minimum Data Set (MDS) assessment dated [DATE] identified Resident #22 as being occasionally incontinent and requiring substantial assistance for toileting. Interview with Resident #22 on 02/03/25 at 9:11 A.M. revealed he sometimes waited 30 minutes for attention when ringing his call light and was occasionally incontinent. Observation on 02/04/25 at 1:27 P.M. revealed Resident #22's call light was on. Interview with the resident at this time revealed he was waiting for incontinence care. Continuous observation of Resident #22's room…
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.
- Potential for harm · Dcited before2025-02-06 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview, the facility failed to administer medications as ordered and failed to ensure medication orders included appropriate dosage, creating a medication error rate above 5%. This affected one (Resident #25) of two residents reviewed for medication administration. The facility census was 105. Findings include: Observation of medication administration for Resident #25 by Licensed Practical Nurse (LPN) #426 on 02/03/25 at 8:47 A.M. revealed one pill of magnesium oxide 400 milligrams (mg), one pill of cranberry 450 mg, one pill of vitamin D-3 125 micrograms, and two pills of simethicone (gas relief) 80 mg were prepared for, handed to and consumed by Resident #25. Record review of Resident #25 revealed they were admitted [DATE] and had diagnoses including femur fracture, major depressive disorder, dementia, and gastric ulcer. Resident #25 had no order for magnesium oxide 400 mg, and instead had an active order dated 07/31/24 for 500 mg magnesium oxide to be given…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-06 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, and interviews the facility failed to provide appropriate and timely ongoing communication between the facility and hospice for one resident (Resident #63) of three residents reviewed for Hospice services. The facility identified eight residents receiving hospice services. The facility census was 105. Findings include: Review of the medical record for Resident #63 revealed an admission date of 12/15/23. Diagnoses included stroke affecting left side and pneumonia. The Resident #63 was admitted to hospice services on 10/07/24. Interview on 02/05/25 at 12:49 P.M. with Resident #63's power of attorney (POA) revealed the POA complained of a lack of communication between the facility and hospice services. The POA stated the facility did not provide a designated staff member to address Resident #63's medical care. The POA stated she was not provided updates on hospice services or Residents #63's medical care. Review of the Resident #63's hospice contract revealed the agreement did not specify a designated staff member, a hospice representative, and/or the medical…
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.
- Potential for harm · Ecited before2024-12-31 · tag F0880 — failed to prevent and control infections — patternProvide 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, review of the medical record and review of the facility policy, the facility failed to ensure appropriate handling and transport or soiled linens after providing incontinence care to Resident #37. This affected one resident (#37) and had the potential to affect an additional 12 residents (#20, #36, #40, #41, #49, #55, #72, #87, #88, #89, #90, and #92) who were to receive care and services from Certified Nurse Aide (CNA) #300. The facility census was 103. Findings include: Review of the medical record revealed Resident #37 had an admission date of 08/15/24 with diagnoses including cerebral infarction, pure hypercholesterolemia, primary insomnia, atherosclerotic heart disease, vitamin D deficiency, slow transit constipation, essential hypertension, long term use of anticoagulants, poly-osteoarthritis, occlusion and stenosis of bilateral carotid arteries, flaccid hemiplegia affecting the right dominant side, neuralgia and neuritis, facial weakness following cerebral infarction, difficulty in walking, generalized muscle weakness, and chronic pain. Review…
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.
- Potential for harm · Dcited before2024-12-31 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
Based on medical record review, interview, and review of the facility policy, the facility failed to ensure all intravenous (IV) antibiotics were administered to resident #6 as ordered by the physician. This affected one resident (#6) of three residents reviewed for medication administration. The facility census was 103. Findings include: Review of the medical record for Resident #6 revealed an admission date of 11/07/24 with diagnoses including osteomyelitis of vertebra, sacral and sacrococcygeal area, pressure ulcer of sacral region, cervical spinal cord injury, quadriplegia, protein-calorie malnutrition, type two diabetes mellitus, and neuromuscular dysfunction of the bladder. Review of the care plan dated 11/11/24 revealed Resident #6 was receiving antibiotic therapy for treatment of osteomyelitis. Interventions included the administration of antibiotics per the medical provider's orders. Review of the admission Minimum Data Set (MDS) 3.0 assessment completed on 11/15/24 revealed Resident #6 was cognitively intact and dependent for all activities of daily living (ADL). Further…
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.
- Potential for harm · F2024-09-16 · tag F0727 — failed to provide required RN coverage — widespreadHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interview, the facility failed to use the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week. This had the potential to affect all 96 residents residing in the facility. Findings include: Review of the nursing schedules from 08/28/24 to 09/03/24 revealed there was no RN coverage for eight consecutive hours on 08/31/24 and 09/01/24 as required. Interview on 09/11/24 at 3:33 P.M. with the Human Resources Director #203 verified there was no RN coverage for 08/31/24 and 09/01/24. This deficiency represents non-compliance investigated under Complaint Number OH00157047.
- Potential for harm · Ecited before2024-08-06 · tag F0880 — failed to prevent and control infections — patternProvide 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, staff interview, medical record review and review of facility policy, the facility failed to ensure a shared blood glucose meter (glucometer) was cleaned and disinfected between use with residents. This affected three (#31, #8, and #63) of three residents observed for blood sugar assessment with use of a glucometer. This had the potential to affect two (#30 and #74) additional residents who received blood sugar checks via glucometer. The facility census was 95. Findings include: 1. Record review for Resident #31 revealed an admission date of 03/04/24. Diagnoses included type two diabetes mellitus. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #31 was moderately cognitively impaired. Resident #31 had a diagnosis of diabetes mellitus. Review of the care plan dated 03/21/24 revealed Resident #31 had a diagnosis of diabetes mellitus. Interventions included accu checks as ordered and as needed, diabetes medication as ordered by the doctor and monitor/document 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.
- Potential for harm · D2024-08-06 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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, resident interview, staff interview, medical record review and review of a local police department (LPD) report, the facility failed to ensure timely and appropriate toileting and incontinence care was provided. This affected three (Residents #80, #98, and #95) of four residents reviewed for incontinence care. The facility census was 95. Findings include: 1. Review of Resident #98's medical record revealed the resident was admitted on [DATE] and discharged on 07/08/24 with diagnoses including unilateral primary osteoarthritis, palmar facial fibromatosis and Raynaud's syndrome without gangrene. Review of Resident #98's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident exhibited intact cognition. Telephone interview on 08/01/24 at 10:01 A.M. with Resident #98 revealed on the morning of 07/01/24 she had to wait about an hour for staff to take her to the bathroom. She stated her daughter called the facility to have someone come down and take her to 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.
- Potential for harm · Dcited before2024-08-06 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
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, staff interview, medical record review and review of facility policy, the facility failed to ensure residents were free from significant medication errors. This affected two (#6 and #8) of three residents reviewed for medication administration. The facility census was 95. Findings include: 1. Record review for Resident #6 revealed an admission date of 01/18/24. Diagnoses included epileptic spasms intractable with status epilepticus. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #6 was moderately cognitively impaired. Resident #6 required set up or clean up assistance with meals and was independent with personal hygiene. Resident #6 had a seizure disorder or epilepsy. Review of the care plan dated 03/14/24 revealed Resident #6 had a seizure disorder. Interventions included to give seizure medication as ordered by the doctor. Review of the current physician orders for Resident #6 revealed an order for vimpat oral tab give 200 milligrams (mg) two times a day 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.
- Potential for harm · E2024-06-18 · tag F0755 — failed to provide safe pharmacy services — patternProvide 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 Based on observation, record review, and interview, the facility failed to securely administer medications according to professional standards. This affected four (Resident #78, #18, #54, and #84) of seven residents reviewed for medication administration. The total census was 93. Findings include: 1. Observation of Resident #78 on 06/18/24 at 8:29 A.M. revealed there was an unattended medication cup containing six pills on her bedside table. The resident was in bed. Interview with Resident #78 at this time revealed she was able to take medications on her own, but could not reach them where they were on her table. Record review of Resident #78 revealed an admission date of 04/11/23 and diagnoses including anxiety disorder and depression. An active order dated 04/05/24 indicated the resident was not to self-administer medications. 2. Observation of Resident #18 on 06/18/24 at 8:31 A.M. revealed there was an unattended medication cup containing six pills on her bedside table. The resident was asleep in bed. Record…
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.
- Potential for harm · F2024-04-01 · tag F0562 — widespreadProvide immediate access to any resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, family interview, and staff interviews the facility failed to ensure phone calls were timely answered and addressed when transferred to nursing staff. This had the potential to affect all residents. The facility census was 81. Findings Include: Interview on 03/27/24 at 12:04 P.M. with Resident #42's daughter revealed when she calls the facility, she is transferred to the nurse's station. No staff answered her calls, so she leaves messages but never receives return calls. Observation on 03/27/24 at 12:44 P.M. revealed the facility's main phone number was called. Business Office Manager (BOM) #308, who had filled in as receptionist, answered and transferred the call to Resident #50's nursing station. At 12:48 P.M. BOM #308 came back on the line and transferred the call to a different station due to no answer. At 12:51 P.M. BOM #308 came back, said she would give the message to the nurse to return the call. The call was never returned. Interviews on 03/27/24 at 2:04 P.M. through 2:56 P.M. with Licensed Practical Nurse (LPN) #317, Registered Nurse (RN) #318, and RN…
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.
- Potential for harm · D2024-04-01 · tag F0557 — isolatedHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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, resident interview, family interview, staff interview, and review of the facility policy, the facility failed to treat Resident #24 with dignity and respect during an interview. This affected one resident (#24) of three residents reviewed for abuse. The facility census was 98. Findings include: Record review for Resident #24 revealed an admission date of 02/09/24. Diagnosis included hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. Review of the admission Minimal Data Set (MDS) assessment dated [DATE] revealed Resident #24 was cognitively intact. Resident #24 had clear speech and was usually understood and was able to understand others. Resident #24 had impairment on one side of the upper extremity and both sides of the lower extremities. Resident #24 used a wheelchair for mobility, required setup or clean up assist for eating, dependent for toileting, bed mobility, transfers, and substantial/maximum assist for personal…
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.
- Potential for harm · D2024-04-01 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, phone text review, resident interview, family interview, staff interview, review of the facility time sheets, and review of the policy, the facility failed to implement their abuse policy after allegations of staff-to-resident abuse. This affected one resident (#24) of three residents reviewed for abuse. The facility census was 98. Findings include: Record review for Resident #24 revealed an admission date of 02/09/24. Diagnosis included hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. Review of the admission Minimal Data Set (MDS) assessment dated [DATE] revealed Resident #24 was cognitively intact. Resident #24 had clear speech and was usually understood and was able to understand others. Resident #24 had impairment on one side of the upper extremity and both sides of the lower extremities. Resident #24 used a wheelchair for mobility, required setup or clean up assist for eating, dependent for toileting, bed mobility, transfers, 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.
- Potential for harm · D2024-04-01 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, phone text review, resident interview, family interview, staff interview, and review of the policy, the facility failed to timely report an allegation of staff-to-resident abuse to the state agency. This affected one resident (#24) of three residents reviewed for abuse. The facility census was 98. Findings include: Record review for Resident #24 revealed an admission date of 02/09/24. Diagnosis included hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. Review of the admission Minimal Data Set (MDS) assessment dated [DATE] revealed Resident #24 was cognitively intact. Resident #24 had clear speech and was usually understood and was able to understand others. Resident #24 had impairment on one side of the upper extremity and both sides of the lower extremities. Resident #24 used a wheelchair for mobility, required setup or clean up assist for eating, dependent for toileting, bed mobility, transfers, and substantial/maximum assist 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.
- Potential for harm · D2024-04-01 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
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, phone text review, resident interview, family interview, staff interview, and review of the policy, the facility failed to timely investigate an allegation of staff-to-resident abuse. This affected one resident (#24) of three residents reviewed for abuse. The facility census was 98. Findings include: Record review for Resident #24 revealed an admission date of 02/09/24. Diagnosis included hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side. Review of the admission Minimal Data Set (MDS) assessment dated [DATE] revealed Resident #24 was cognitively intact. Resident #24 had clear speech and was usually understood and was able to understand others. Resident #24 had impairment on one side of the upper extremity and both sides of the lower extremities. Resident #24 used a wheelchair for mobility, required setup or clean up assist for eating, dependent for toileting, bed mobility, transfers, and substantial/maximum assist for personal hygiene.…
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.
- Potential for harm · D2024-04-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure Resident #57 was consistently gotten out of bed. This affected one resident (#57) of three residents reviewed for activities of daily living provided for dependent residents. The Facility census was 81. Findings included: Review of the medical record for Resident #57 revealed an admission date of 11/13/23 with diagnoses including encephalopathy, gastrostomy, dysphagia, pneumonia, blindness left eye, and genetic related intellectual disability. Review of the modification of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #57 was rarely or never understood. Resident #57's cognitive skills for daily decision making were severely impaired. Review of the social services progress note dated 11/14/23 revealed Resident #57's previous facility stated the resident loved music, joking around, and tried to be sociable. It was stated he does not like to be touched because it caused irritability and discomfort.…
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.
- Potential for harm · D2024-04-01 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure Resident #57 was consistently provided with activities that met his needs. This affected one resident (#57) of three residents reviewed activities. The facility census was 81. Findings include: Review of the medical record for Resident #57 revealed an admission date of 11/13/23 with diagnoses including encephalopathy, gastrostomy, dysphagia, pneumonia, blindness left eye, and genetic related intellectual disability. Review of the modification of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #57 was rarely or never understood. Resident #57's cognitive skills for daily decision making were severely impaired. Review of the plan of care for Resident #57 revealed plan of care for activities. Review of the social services progress note dated 11/14/23 revealed Resident #57's previous facility stated the resident loved music, joking around, and tried to be sociable. It was stated he does not like to be…
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.
- Potential for harm · Dcited before2024-02-01 · tag F0582 — isolatedGive 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident interview, and staff interview the facility failed to ensure timely notification to residents of changes to Medicaid coverage. This affected one (Resident #64) of three residents reviewed for Medicaid coverage. The total census was 70. Findings include: Review of the medical record for Resident #64 revealed an admission date of [DATE] with diagnoses including cerebral infarction, diabetes, and chronic obstructive pulmonary disorder. Review of the census records for the facility revealed Resident #64's payor source was Medicaid from admission on [DATE] to [DATE]. Resident's payor source on [DATE] was private pay. Review of the October Medicaid eligibility form for Resident #64 revealed the resident's Medicaid coverage expired on [DATE]. Review of an email communication dated [DATE] from the facility and the county Medicaid agency regarding Resident #64 revealed the facility requested urgent attention to the resident's Medicaid renewal application. Further review of the email from…
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.
- Potential for harm · D2024-02-01 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and staff interview, the facility failed to ensure resident blood lab draws for laboratory testing were completed as ordered by the physician. This affected one (Resident #64) of three residents reviewed for laboratory testing. The facility census was 70 residents. Findings include: Review of the medical record for Resident #64 revealed an admission date of 08/17/23 with diagnoses including cerebral infarction, diabetes, and chronic obstructive pulmonary disorder. Review of physician's orders for Resident #64 revealed an order dated 11/27/23 to obtain a complete blood count (CBC) and basic metabolic panel (BMP) to be drawn weekly for three weeks. Review of the laboratory test results for Resident #64 revealed they did not include the weekly CBC and BMP laboratory tests for the resident as ordered on 11/27/23. Interview on 01/30/24 at 5:13 P.M. with the Director of Nursing (DON) and the Administrator confirmed the facility had not obtained the CBC and BMP laboratory tests for Resident #64 as the physician had ordered. This deficiency represents non-compliance…
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.
- Potential for harm · D2024-02-01 · tag F0887 — isolatedEducate 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
Based on medical record review, staff interview, review of employee files, review of online resource per the Centers for Disease Control (CDC), and review of the facility policy, the facility failed to offer Coronavirus (COVID-19) vaccinations to residents and staff. This affected three (Resident #55, #31, and #71) of five residents reviewed for vaccine administration. The facility census was 70 residents. Findings include: 1.Review of the medical record for Resident #31 revealed an admission date of 10/25/23 with diagnoses including sepsis, diabetes, and altered mental status. Review of the vaccination record for Resident #31 revealed it did not include documentation that a COVID-19 vaccine was offered at the facility or previously administered. The record revealed Resident #31 was overdue for a COVID-19 vaccine as of 01/08/21. Review of the medical record for Resident #55 revealed an admission date of 11/15/23 with diagnoses including sepsis, diabetes, and altered mental status. Review of the vaccination record for Resident #55 revealed the resident had received COVID-19 vaccines…
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.
- Potential for harm · D2023-12-26 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 showers as scheduled. This affected two residents (Resident #24 and Resident #47) of five residents reviewed for showers. Findings include: 1. Review of the medical record for Resident #24 revealed an admission date of 07/20/23. Diagnoses included complete traumatic metacarpophalangeal amputation of right middle finger, COVID-19 and need for personal care. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed he was cognitively intact. Review of the shower sheets for November and December 2023 revealed he had showers on 11/18/23 and 12/05/23. Interviews on 12/26/23 from 8:47 A.M. through 9:10 A.M. with Resident #24 revealed they did not receive showers on a consistent basis. Interview on 12/26/23 at 3:11 P.M. with the Director of Nursing (DON) revealed showers should be documented in the shower book. The DON verified there were only shower sheets for the aforementioned dates for Resident #24. 2. 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.
- No harm found · Bcited before2025-02-06 · tag F0582 — patternGive 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure all required notices of potential financial obligation were given to residents prior to the discontinuation of skilled services while using their Medicare Part A benefit. This affected three (Residents #85, #95 and #304) of three residents review of appropriate beneficiary notices. The facility census was 105. Findings include: 1. Resident #85 was admitted to the facility on [DATE] with diagnoses including dementia, protein malnutrition and high blood pressure. Review of the medical record revealed the resident was discharged from skilled services on 01/16/25 and chose to return to his community residence. 2. Resident #95 was admitted to the facility on [DATE] with diagnoses including fracture of the right and left femur, dementia and visual hallucinations. Review of the medical record revealed the resident was discharged from skilled services on 01/02/25 and chose to transition to hospice services at the facility. 3. Resident #304 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.
“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.
- 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.
Fines & penalties
$56,301 in federal fines across 2 penalties.
- $18,704 — penalty dated 2025-06-02
- $37,597 — penalty dated 2024-08-06
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.
Part of a chain
This home belongs to PROGRESSIVE QUALITY CARE — 11 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 2.7 | -1.7 vs chain |
| Health inspection | 1 of 5 | 2.0 | -1.0 vs chain |
| Staffing | 1 of 5 | 1.8 | -0.8 vs chain |
| Quality measures | 4 of 5 | 4.7 | -0.7 vs chain |
The other 10 homes this chain runs (chain average 2.7★, per CMS)
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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BROOKLYN FK HEALTHCARE HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/25/2020 |
| BROOKLYN FK INVESTOR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 09/11/2020 |
| FK INVESTOR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 09/11/2020 |
| MIKE FLANK TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 09/09/2022 |
| FLANK, EITAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/10/2022 |
| FLANK, LIAT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/10/2022 |
| FLANK, MATAN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/10/2022 |
| FLANK, SHAUL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/10/2022 |
| GUTTMAN, BEZALEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 09/11/2020 |
| KATZ, ELIYOHU | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 09/11/2020 |
| KATZ, YOSEF | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 09/11/2020 |
| SAUSEN, JOEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/10/2022 |
| SHILLER, DANIEL | Individual | CORPORATE OFFICER; ADP OF THE SNF | — | since 08/25/2020 |
| PROGRESSIVE QUALITY CARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/16/2025 |
| POTOKAR, CARON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/13/2025 |
| THOMAS, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/30/2022 |
CMS files one row per role, so the 28 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.
5 organizational owners 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 $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 31% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
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.
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 366495. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-06, 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.