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Centerville Post Acute

1001 Alex Bell Road, Centerville, OH 45459 · For profit - Corporation · 129 certified beds · (937) 436-9700 Medicare & Medicaid certified

Call the home — (937) 436-9700 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Oct 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2024
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (59%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1551 Shore Woods Dr · (937) 435-2083 · Call to confirm hours
Pharmacy
922 Senate Dr · (937) 610-3051 · Call to confirm hours
Grocery
986 Miamisburg Centerville Rd · (937) 435-2086 · Call to confirm hours
Park
6588 McEwen Rd · (937) 291-3053 · Typically dawn to dusk
Place of worship
450 W Alexandersville Bellbrook Rd · (937) 433-1636

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased3.8%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight13.4%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms85.2%30.1%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.0%3.2%3.3%better
Long-stay residents whose ability to walk worsened3.7%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication25.9%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine62.6%94.5%95.3%worse
Long-stay residents with pressure ulcers3.1%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control21.0%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table10.4%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine41.1%75.6%79.4%worse
Short-stay residents rehospitalized after admission21.2%24.9%22.6%typical
Short-stay residents with an outpatient ER visit10.3%12.9%12.0%better

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.

46.9% 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 131 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

46.9%U.S. median 51.5%
Got home and stayed home
9.3%U.S. median 10.7%
Went back to hospital
40.6%U.S. median 56.6%
Met the expected recovery
0.31U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 40.6% 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 32 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF46.9%CMS range 40.2–57.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.3%CMS range 6.0–13.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge40.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge50.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge28.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.2%CMS range 4.6–12.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.41
RN hours/ resident / day
0.99
LPN hours/ resident / day
1.61
Aide hours/ resident / day
3.01
Total nurse hours/ resident / day
0.33
RN hoursweekends
59.4%
Total nursing turnover
54.5%
RN turnover

How full it usually is: this home is certified for 129 beds and averages 100.5 residents a day — about 78% occupied, or roughly 28 beds typically open. It usually has some room. 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 3.01 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.61 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 2.75 hrs/resident/day on weekends vs 3.12 on weekdays — 12% thinner on weekends. RN hours go from 0.44 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% 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

7
deficiencies at the latest standard inspection (2025-03-27)
3
at the previous standard inspection (2022-06-16)

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.

ABCDEFGHIJKL

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

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · D2026-05-21 · tag F0627 — isolated
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and transportation interview, the facility failed to properly discharge a resident. This affected one (Resident #117) out of three reviewed for discharge. The facility census was 111.Findings include:Review of Resident #117's medical record revealed an admission date of 11/18/25 and a discharge date of 04/25/26 with diagnoses of paraplegia, complete, other acute osteomyelitis, right ankle and foot, neuromuscular dysfunction of bladder, and chronic pulmonary embolism. Further review revealed Resident #117's wounds to the bilateral heels were healed. Review of the Quarterly Minimum Data Set (MDS) dated [DATE] revealed resident had moderate cognitive impairment with no behaviors documented. Resident required assistance with eating, required partial assistance with oral hygiene, required substantial assistance with bathing, personal hygiene, and was dependent on staff assistance with toileting hygiene, dressing, bed mobility, transfers, and wheelchair mobility.Review of the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-27 · tag F0644 — pattern
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to assess residents with new diagnoses and medications to treat serious mental illness for eligibility for Level II pre-admission screening and resident review (PASARR) services. The affected four (#19, #34, #55, And #63) of five residents sampled for PASARR. The facility census was 96. Findings include: 1. Review of the medical record revealed Resident #34 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, type II diabetes, stage II chronic kidney failure, unspecified bipolar disorder, and paranoid schizophrenia. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident # 34 had moderately impaired cognition, had no behaviors, did not wander , and did not reject care. Review of care plan dated 12/10/2023 revealed Resident # 34 had an Activity of Daily Living (ADL) Self-care/mobility/ functional ability/performance deficit. Interventions 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, record review, and policy review, the facility failed to ensure a resident was being transported in a wheelchair in a dignified manner. This affected one (#34) of four residents sampled for dignity. The facility census was 96. Findings include: Review of the medical record revealed Resident #34 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, type II diabetes, stage II chronic kidney failure, unspecified bipolar disorder, and paranoid schizophrenia. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #34 had moderately impaired cognition, had no behaviors, did not wander , and did not reject care. Review of care plan dated 12/10/23 revealed Resident #34 had an Activities of Daily Living (ADL) Self-care/mobility/functional ability/performance deficit. Interventions included limited to extensive assistance with bathing, and additional staff assistance with ADL's as needed to ensure needs…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 interviews; resident interviews, and policy review, the facility failed to ensure quarterly care conferences were conducted with residents and resident representatives. This affected three (#16, #41, and #73) of three residents sampled for care planning. The facility census was 96. Findings include: 1. Review of the medical record revealed Resident # 41 was admitted to the facility on [DATE]. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, major depressive disorder, morbid obesity, unspecified gout, and chronic pain syndrome. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #41 was cognitively intact, had no behaviors, did not wander, and did not reject care. Review of care conference note dated 03/07/23 revealed Resident #41 and his father (via telephone) had a care conference with the social worker, dietary, and activity staff in attendance. Interview on 03/24/25 at 2:02 P.M.,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · 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

    Based on medical record review, observation, staff interview, and family interview, the facility failed to ensure gastrostomy tube dressings were changed as ordered. This affected one (#301) residents of four residents reviewed for wound care. The facility census was 96. Findings include: Review of the medical record for Resident #301 revealed an admission date of 03/11/25, with medical diagnoses of aftercare following surgery for neoplasm, squamous cell cancer of skin on face, encounter for attention to gastrostomy, malignant neoplasm of mouth, dysphagia, and anemia. Review of the medical record for Resident #301 revealed an admission evaluation, dated 03/11/25, which indicated Resident #301 was cognitively intact and admitted with cancer biopsy site to right jaw, and a gastrostomy tube (g-tube). Review a physician order dated 03/12/25 revealed to cleanse g-tube site with normal saline and cover with a t-drain dressing daily. Review of the March 2025 Treatment Administration Record (TAR) which had documentation to support Resident #301's g-tube care was completed 03/12/25 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · 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 medical record review, observation, staff interview, resident interview, and review of policies, the facility failed to accurately assess a wound and timely initiate a treatment for new skin area. This affected one (#41) residents of four residents reviewed for wound care. The facility census was 96. Findings include: Review of the medical record revealed Resident # 41 was admitted to the facility on [DATE]. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, major depressive disorder, morbid obesity, unspecified gout, and chronic pain syndrome. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident # 41 was cognitively intact, had no behaviors, did not wander, and did not reject care. Review of care plan dated 06/17/24 revealed Resident # 41 had potential for alteration in skin integrity related to incontinence. Interventions included diet as ordered, lotion for dry skin, Braden scale quarterly and as needed,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, and policy review, the facility failed to investigate a resident elopement. This affected one (#22) of one resident reviewed for elopement. The facility census was 96. Findings included: Review of the medical record for Resident #22 revealed an admission date of 10/27/25 with medical diagnoses of major Depression, diabetes mellitus, congestive heart failure, history of suicidal ideations, and hypertension. Review of the medical record for Resident #22 revealed a Minimum Data Set (MDS) assessment, dated 01/27/25, which indicated Resident #22 had severely impaired cognition and required set-up assistance with eating, toileting, bathing, bed mobility and transfers. The MDS did not indicate Resident #22 had behaviors. Review of the medical record for Resident #22 revealed a physician order dated 02/18/25 for wanderguard to check placement to left ankle and function every shift. Review of the medical record for Resident #22 revealed an elopement care plan 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-27 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff and resident interviews, and policy review, the facility failed to provide mechanically alter diet as ordered. This affected one (23) of the two residents reviewed for food texture. The facility identified seven residents on a pureed diet. The facility census was 96. Findings include: Review of the medical record for Resident #23 revealed an admission date of 04/23/23 with medical diagnoses of hypertensive heart disease with heart failure, chronic kidney disease, congestive heart failure, diabetes mellitus, and dysphagia. Review of the medical record for Resident #23 revealed a quarterly Minimum Data Set (MDS) assessment, dated 02/07/25, which indicated Resident #23 was cognitively intact and was independent with transfers, toileting, and set-up assist with eating. The MDS indicated Resident #23 received a mechanically altered diet. Review of the medical record for Resident #23 revealed a physician order dated 03/24/25 for carbohydrate control, no added salt, pureed texture diet with thin liquids. Observation and interview with Resident #23 on 03/24/25 at…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record reviews, review of Self-Reported Incident (SRI), staff and guardian interviews and review of facility policy, the facility failed to ensure resident was free from abuse. This affected one (#102) out of the three residents reviewed for abuse. The facility census was 110. Findings include: Review of the medical record for Resident #102 revealed an admission date of 08/10/24 with medical diagnoses of chronic respiratory failure, [NAME]-[NAME] Syndrome (multisystem disorder characterized by developmental delay and impaired cognition), hypothyroidism, obesity, and mild intellectual disabilities. Review of the medical record for Resident #102 revealed an admission Minimum Data Set (MDS) assessment, dated 08/14/24, which indicated Resident #102 had severe cognitive impairment and was dependent upon staff for toileting, bathing, bed mobility, and transfers. The 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2023-12-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff and resident interviews, the facility failed to provide assistance with activities of daily living by not offering a resident showers. This affected one (#10) of three residents reviewed for personal hygiene. The facility census was 96. Findings include: Review of medical record for Resident #10 revealed admission date of 05/25/23. Diagnoses included heart attack, stage four kidney disease, congestive heart failure, peptic ulcer and anxiety. The resident remains at the facility. Review of Resident #10's quarterly Minimum Data Set (MDS) dated [DATE] revealed he required extensive two person assistance for bed mobility, transfers, toileting and supervision for eating. Resident #10's Brief Interview Mental Status (BIMS) was not assessed. Review of Resident #10's care plan for Activities of Daily Living Deficit initiated 05/25/23 documented intervention to provide extensive assistance with bathing. Further review of Resident #10's electronic medical records revealed no documentation…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · Dcited before2023-12-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and staff and resident interviews, the facility failed to accurately assess, monitor and/or document resident with bruising. This affected two ( #10 and #11) of three residents reviewed for skin breakdown. The facility census was 96. Findings include: 1. Review of medical record for Resident #10 revealed admission date of 05/25/23. Diagnoses included heart attack, stage four kidney disease, congestive heart failure, peptic ulcer and anxiety. The resident remains at the facility. Review of Resident #10's quarterly Minimum Data Set (MDS) dated [DATE] revealed he required extensive two person assistance for bed mobility, transfers, toileting and supervision for eating. Resident #10's Brief Interview Mental Status (BIMS) was not assessed. Observation and interview on 12/12/23 at 1:20 P.M. of Resident #10 revealed multiple, scattered bruising on both of the resident's arms. Resident #10 stated the bruises were due to his blood thinners and old, thin skin. Review of Resident #10's…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, staff interviews and review of facility policy, the facility failed to ensure fall interventions were implemented per the residents care plan. This affected two (#10 and #12) of three residents reviewed for falls. The facility census was 96. Findings include: 1. Review of medical record for Resident #10 revealed admission date of 05/25/23. Diagnoses included heart attack, stage four kidney disease, congestive heart failure, peptic ulcer and anxiety. The resident remains at the facility. Review of Resident #10's quarterly Minimum Data Set (MDS) dated [DATE] revealed he required extensive two person assistance for bed mobility, transfers, toileting and supervision for eating. Resident #10's Brief Interview Mental Status (BIMS) was not assessed. Review of Resident #10's care plan revealed the resident was at risk for falls. There was an intervention initiated 08/23/23 for a low bed. Review of Resident #10's progress notes dated 08/28/23 revealed the resident was found on the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-06-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, and policy review, the facility failed to ensure staff wore Personal Protective Equipment (PPE) appropriately. This had the potential to affect all 88 residents who reside in the facility. The facility census was 88. Findings Included: 1. Observation on 06/13/22 at 12:24 P.M. with Registered Nurse (RN) #31 who worked on the skilled hall, came out of Resident #326 room wearing a yellow procedure gown, and gloves. RN #31 had an N95 mask and a face shield on. RN #31 walked from room [ROOM NUMBER] to room [ROOM NUMBER] to retrieve a straw for Resident #326. RN #31 walked back to Resident #326's room after retrieving a straw from medication cart located in the hall. At no time was RN #31 observed removing her yellow protective gown or gloves. There was no observed hand hygiene completed after leaving he residents room or returning to the room of Resident #326. Interview on 06/13/22 at 12:27 P.M., RN #31 verified she came out of Resident #326's room with a yellow…

    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 · D2022-06-16 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of the medical record revealed Resident #31 was admitted to the facility on [DATE]. Diagnoses included displacement of gastrointestinal prosthetic devices/implants/grafts, nontraumatic intracerebral hemorrhage, acute respiratory failure with hypoxia, hyperlipidemia, hemiplegia and hemipresis affecting the right side. Review of the MDS five day assessment dated [DATE]. Resident #31 had a Brief Interview for Mental Status (BIMS) score of eight indicating he had moderate cognitive impairment. He needed extensive assistance of two staff for bed mobility, transfer, toilet use, and personal hygiene. He did not walk. He required extensive assist of one staff for eating. He was totally dependent on one staff for bathing. He had functional limitation in range of motion on one side in the upper and lower extremity. Observation on 06/14/22 at 8:59 A.M. Resident #31 was lying in bed. His call light was on the floor out of reach. On 06/14/22 at 10:49 A.M., Nurse Aid in Training #33 verified the call light was out…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-06-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and policy review, the facility failed to ensure physician orders for oxygen therapy were implemented. This affected one resident (#30) of three residents reviewed for oxygen. In addition, the facility failed to obtain physician orders for oxygen use. This affected one resident (#73) of three residents reviewed for oxygen. The facility census was 88. Findings Included: 1. Review of the medical record revealed Resident #30 was admitted to the facility on [DATE]. Diagnosis included pulmonary hypertension, Covid-19 on 06/07/22, major depressive disorder, dementia, mild cognitively impaired, and cardiomyopathy. Review of the minimum data set (MDS) quarterly assessment dated [DATE] revealed the Brief Interview of Mental Status was not completed. Resident #30 was alert and not able to answer questions in the interview. The resident required extensive two-person physical assistance for bed mobility, and transfers. The resident required total dependence 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
  • Potential for harm · D2019-06-20 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews, the facility failed to provide the required Skilled Nursing Facility Advanced Beneficiary Notices of Non-Coverage (SNFABN). This affected two (Resident #230 and #231) of three residents review for Beneficiary Notices. The facility census was 88. Findings include: Review the facility completed list Beneficiary Notices-Residents discharged in the Last Six Months revealed Residents #230 and #231 were discharged from Medicare Part A services, will skilled days remaining, and remained in the facility after discharge. Review of the facility completed form SNF Beneficiary Protection Notification Reviews revealed the facility initiated the discharge from Medicare Part A services when benefit days were not exhausted for Resident #230 on 04/09/19 and Resident #231 on 04/05/19. There was no evidence the SNFABN forms were provided to either resident. Interview conducted on 06/20/19 at 8:43 A.M. with Social Services (LSW) #94 stated the only form he was trained to provide when residents were discharged from skilled services were the Notice of Medicare…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-06-20 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policy, the facility failed to initiate a baseline and/or comprehensive care plan related to a seizure risk. This affected one (Resident #72) of five residents reviewed for unnecessary medications during the investigation stage of the annual survey. The facility census was 88. Findings include: Review of the medical record revealed Resident #72 was admitted to the facility on [DATE] with diagnoses including Herpes Viral Encephalitis (virus causing swelling in the brain) and dementia without behaviors. Review of the resident's physician orders revealed the resident was prescribed medications including Vimpat 150 milligrams (mg.) twice daily for seizures, Phenytoin Sodium Extended Capsule 100 mg. twice daily for seizures, and Keppra Tablet 1000 mg. twice daily for seizures. Review of the resident's care plans revealed they were silent that any care plans were initiated related to the resident's risk for seizure activity. Interview on 06/20/19…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-06-20 · 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 observation, record review, staff interview, and review of facility policy, the facility failed to provide proper positioning for a resident requiring total assistance. The affected one (Resident #25) of two residents reviewed for positioning, during the annual survey. The facility census was 88. Findings include: Review of the medical record revealed Resident #25 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, major depressive disorder, unspecified psychosis, insomnia and polyosteoarthritis. Review of the quarterly Minimum Data Set (MDS) assessment, dated 04/15/19, revealed Resident #25 was severely cognitively impaired with no noted behaviors. The resident required extensive two-person assistance with mobility and transfers. Observations conducted on 06/17/19 at 11:35 A.M., 06/18/19 at 9:44 A.M., 06/18/19 at 5:43 P.M., 06/19/19 at 12:39 P.M. and 06/20/19 at 8:18 A.M. revealed Resident #25 was observed in a custom broda chair (special wheelchair). During every…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-06-20 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff and family interviews, and review of facility policy, the facility failed to obtain and provide medication timely. This affected one (Resident #72) of five residents reviewed for unnecessary medication during the annual survey. The facility census was 88. Findings including: Review of the medical record revealed Resident #72 was admitted to the facility on [DATE] with diagnoses including Herpes Viral Encephalitis (virus causing swelling in the brain), difficulty waking, urinary tract infection, hypertension, and dementia without behaviors. Review of the admission Minimum Data Set (MDS) assessment, dated 06/06/19, revealed Resident #72 was severely cognitively impaired with disorganized thinking behavior continuously present. Review of the physician orders revealed the resident was prescribed medications on admission including Vimpat 150 milligrams (mg.) twice daily for seizures, Phenytoin Sodium Extended Capsule 100 mg. twice daily for seizures, and Keppra Tablet 1000 mg.…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-06-20 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 timely act upon recommendations made by the facility pharmacist. This affected one (Resident #54) of five residents reviewed for unnecessary medication during the annual survey. The facility census was 88. Findings include: Review of the medical record revealed Resident #54 was admitted to the facility 06/16/13 with diagnoses including unspecified dementia with behavioral disturbance, Alzheimer's disease and anxiety disorder. Review of the annual Minimum Data Set (MDS) assessment, dated 05/29/19, revealed Resident #54 was severely cognitively impaired with no noted behaviors. The resident received antipsychotic and antianxiety seven of the seven days during the look back period. Review of the Medication Regimen Review (MRR), dated 02/14/19, revealed the facility pharmacist recommended Resident #54's medication Risperdal (antipsychotic) 0.25 milligram (mg.) tablet to be gradually reduced from twice a day to daily. Further review of the MRR revealed the physician did not review the recommendation until 06/06/19. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2025-09-19 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and resident and staff interview, the facility failed to ensure a clean and sanitary environment. This had the potential to affect all 92 residents residing in the facility. Findings include:Review of quote summary for facility hallways dated 09/18/25 with an expiration date upon 30 days notice, revealed there was an estimate to replace the flooring throughout the facility. The facility was unable to provide any other quote summaries for replacement of the flooring. Observation on 09/19/25 at 10:21 A.M. revealed widespread soiling, staining and wear throughout the facility's carpeted areas. Carpet tiles, each measuring 20 in length by (x) 20 inches in width, were found in poor condition with extensive dark brown discoloration, water damage, bright yellow blotches and sticky adhesive residue. The overall appearance of carpet was grimy and heavily trafficked, with visible signs of neglect, staining and deterioration. Observation on 09/19/25 at 10:24 A.M. revealed hallway 200-218 (431 Hall), approximately measuring 81 tiles in length by five 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.

    Environmental Deficiencies · No revisit needed

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PACS GROUP — 274 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.9+0.1 vs chain
Health inspection 4 of 52.5+1.5 vs chain
Staffing 1 of 52.5-1.5 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 273 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Anchor Post AcuteAiken, SC 1 of 5Arbor Post AcuteChico, CA 1 of 5Artesia Palms Care CenterArtesia, CA 1 of 5Arvin Post AcuteArvin, CA 1 of 5Ashland Post AcuteAshland, OR 1 of 5Bakersfield Post AcuteBakersfield, CA 1 of 5Beachwood Post-Acute & RehabSanta Monica, CA 1 of 5Brookshire Post AcuteDenver, CO 1 of 5Brushy Creek Post AcuteGreer, SC 1 of 5Buckeye Care And RehabilitationLancaster, OH 1 of 5Carnegie Park Post AcutePittsburgh, PA 1 of 5Cascade Terrace Post AcutePortland, OR 1 of 5Centennial Post AcuteAnchorage, AK 1 of 5Chandler Creek Post AcuteGreer, SC 1 of 5Chehalem Post AcuteNewberg, OR 1 of 5Country Hills Post AcuteEl Cajon, CA 1 of 5Delhi Post-AcuteCincinnati, OH 1 of 5Dublin Post AcuteDublin, OH 1 of 5Edisto Post AcuteOrangeburg, SC 1 of 5Evan Terrace Post AcuteMcMinnville, OR 1 of 5Forest Acres Post AcuteColumbia, SC 1 of 5Grandview Post AcuteCookeville, TN 1 of 5Great Plains Post AcuteWichita, KS 1 of 5Hemet Hills Post AcuteHemet, CA 1 of 5Highland Hills Post AcutePittsburgh, PA 1 of 5Highline Post AcuteDenver, CO 1 of 5Johns Island Post AcuteJohns Island, SC 1 of 5Karcher Post AcuteNampa, ID 1 of 5Kennedy Care CenterLos Angeles, CA 1 of 5Kern River Transitional CareBakersfield, CA 1 of 5Lakeview Post AcuteFlorissant, MO 1 of 5Marion Valley Post AcuteMarion, OH 1 of 5Mirage Post AcuteLancaster, CA 1 of 5Monroeville Post AcuteMonroeville, PA 1 of 5Napa Post AcuteNapa, CA 1 of 5North Royalton Post AcuteParma, OH 1 of 5Northstar Post AcuteCarson City, NV 1 of 5Overland Park Post AcuteOverland Park, KS 1 of 5Pikes Peak Post AcuteColorado Springs, CO 1 of 5Ridgeway Post AcutePetaluma, CA

Showing 40 of 273; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
MURRAY, JASONIndividualINDIRECT OWNERSHIP INTERESTsince 12/01/2024
APT, FREDERICKIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 12/01/2024
JERGENSEN, JOSHUAIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 12/01/2024
MITCHELL, JOHNIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICERsince 12/01/2024
PACS GROUP, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2024
PACS HOLDINGS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2024
PROVIDENCE GROUP NH, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 12/01/2024
STRUCK, MARIANNEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2024
1001 E ALEX BELL ROAD OH OWNER LLCOrganizationADP OF THE SNFsince 12/01/2024
INTEGRA WIP MEMBER LLCOrganizationADP OF THE SNFsince 12/01/2024
J & R FAMILY INVESTMENTS, LLCOrganizationADP OF THE SNFsince 12/01/2024
LANDAU FAMILY INVESTMENT TRUSTOrganizationADP OF THE SNFsince 12/01/2024
SNF OH HOLDCO LLCOrganizationADP OF THE SNFsince 12/01/2024
WELL INTEGRA MASTER JV LLCOrganizationADP OF THE SNFsince 12/01/2024
WELL PM HOLDCO JV LLCOrganizationADP OF THE SNFsince 12/01/2024
WELLTOWER OP, LLCOrganizationADP OF THE SNFsince 12/01/2024
WELLTOWER, INCOrganizationADP OF THE SNFsince 12/01/2024
PALMER, GARYIndividualADP OF THE SNFsince 12/01/2024

CMS files one row per role, so the 22 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

12 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.

$6.1M
Net patient revenuemost recent cost report
-14.6%
Operating marginrevenue minus expenses
$380K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 24%Medicare 6%Other / private 70%

This home reported $380K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$321per resident / day
operating cost
$9,767per month
≈ monthly operating cost
$280per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366100. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-27, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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