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New Albany Care Center

5691 Thompson Road, Columbus, OH 43230 · For profit - Limited Liability company · 67 certified beds · (614) 855-8866 Medicare & Medicaid certified

Call the home — (614) 855-8866 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Aug 2022Resident-funds citations (F0567, F0569)Behavioral-health or dementia-care citation — no harm found (F0740)2 actual-harm citations$12,149 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has citations for mishandling residents’ money or property (F0567, F0569)
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (32) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $12,149 in federal fines (most recent 2024-12-17)

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 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Urgent care / clinic
5175 Morse Rd · (614) 741-4411 · Call to confirm hours
Pharmacy
Walgreens1.3 mi
5195 N Hamilton Rd · (614) 476-0988 · Call to confirm hours
Grocery
Meijer1.2 mi
5050 N Hamilton Rd · (614) 855-4900 · Call to confirm hours
Park
5600 Thompson Rd · (614) 939-7275 · Typically dawn to dusk
Place of worship

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 4 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 fell from 4 to 2 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 rating2★
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 increased4.1%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight3.0%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.9%0.4%2.0%typical
Long-stay residents with depressive symptoms35.0%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 injury0.0%3.2%3.3%check this — see note marked star below the table
Long-stay residents whose ability to walk worsened7.3%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication14.9%25.5%18.9%better
Long-stay residents given the seasonal flu vaccine94.1%94.5%95.3%typical
Long-stay residents with pressure ulcers7.0%3.4%4.7%worse
Long-stay residents with worsening bladder/bowel control20.4%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table6.0%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.3%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine91.2%75.6%79.4%better
Short-stay residents rehospitalized after admission26.6%24.9%22.6%worse
Short-stay residents with an outpatient ER visit15.8%12.9%12.0%worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

66.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 343 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

66.7%U.S. median 51.5%
Got home and stayed home
8.3%U.S. median 10.7%
Went back to hospital
89.0%U.S. median 56.6%
Met the expected recovery
0.53U.S. median 0.31
Therapy hours / resident / day
0.29hours / resident / day
Physical therapy
0.22hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 89.0% 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 91 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 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNF66.7%CMS range 61.9–71.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.3%CMS range 6.1–10.510.7%Oct 2022–Sep 2024better than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge89.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge83.5%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 discharge61.5%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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.3%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 worsened4.0%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 hospitalization5.9%CMS range 3.5–8.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.091.02Oct 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

0.92
RN hours/ resident / day
0.93
LPN hours/ resident / day
2.16
Aide hours/ resident / day
4.01
Total nurse hours/ resident / day
0.57
RN hoursweekends
42.5%
Total nursing turnover
43.8%
RN turnover

How full it usually is: this home is certified for 67 beds and averages 60.0 residents a day — about 90% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.38 hrs/resident/day on weekends vs 4.26 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.05 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

12
deficiencies at the latest standard inspection (2025-02-06)
12
at the previous standard inspection (2022-08-22)

Deficiencies are unchanged from the previous inspection. 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.

32 citations, most serious first. The 12 most serious are shown; the remaining 20 are one tap away and print in full.

  • Actual harm · Gcited before2024-12-17 · 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 closed medical record review, staff interview, and facility policy review, the facility failed to provide timely, adequate and necessary care, monitoring and treatment for Resident #62 who exhibited an acute change in condition. Actual harm occurred on 12/10/24 when Resident #62, who had an order for continuous use of oxygen, was noted to have an acute change in condition (decreased oxygen saturation levels and increased confusion) throughout the night that was not timely monitored or treated. In addition, there was no evidence the change in condition was reported timely to the physician. Per a facility fall investigation, on 12/10/24 at 5:45 A.M. the resident sustained an unwitnessed fall out of bed with low documented oxygen saturation levels. The resident was subsequently transported to the emergency room with a critically low oxygen saturation level of 64%. This affected one resident (#62) of three residents reviewed for change in condition. The census was 57. Findings Include: Review of 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-11-20 · 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, facility investigation review, staff interview, and review of the facility fall management guide the facility failed to ensure Resident #25 was provided adequate assistance and supervision during the provision of personal care to prevent a fall with injury. Actual harm occurred on 10/23/24 when Resident #25, who had cognitive impairment and required staff assistance for personal care including toileting sustained a fall in the bathroom after being left on the toilet unattended. The resident was assessed to have a laceration to the head (as a result of the fall) and was transported to the hospital where she was admitted and received 15 sutures to the area. The resident was hospitalized from [DATE] until 10/28/24. This affected one resident (#25) of three residents reviewed for accidents. The census was 59. Findings Include: Record review revealed Resident #25 was admitted to the facility on [DATE] with diagnoses including laceration to scalp, muscle weakness, hyperlipidemia,…

    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 · F2025-02-06 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and review of the facility policy, the facility failed to properly store and date food items in the kitchen. This had the potential to affect 60 of 61 residents who resided in the facility who received foods prepared in the facility kitchen. The facility identified (Resident #45) who had an ordered was ordered a nothing by mouth diet. Findings include: Observation on 02/03/25 at 11:38 A.M. revealed there was an opened undated package of cherry gelatin powder wrapped in clear cellophane and placed in a plastic bag in the dry storage area. Observation on 02/03/25 at 11:44 A.M. revealed the following items were being stored in the refrigerator: a large metal tray of cooked roast beef uncovered and exposed to the air, a large metal tray of chicken with another metal tray that did not fully cover the kitchen and left it exposed to the air, a plastic bucket of scrambled eggs uncovered and exposed to the air. Observation on 02/03/25 at 11:52 A.M. revealed there was a large bag of opened undated onion rings in the freezer. Interview on 02/03/25 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 · D2025-02-06 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, resident interview, staff interview and review of the facility the facility failed to arrange transportation for scheduled medical appointments. This affected one (Resident #112) of 25 sampled residents. The facility census was 61 residents. Findings include: Review of the medical record for Resident #112 revealed an admission date of 01/27/25 with diagnoses including cerebral infarction, atrial fibrillation, chronic kidney disease stage four, type two diabetes mellitus, morbid obesity, hypertension, and depression. Review of the after-visit summary for Resident #112 dated 01/27/25 revealed discharge instructions that included a scheduled appointment at the wound care center on 01/28/25 at 8:00 A.M. Interview on 02/06/25 at 9:42 A.M. with Resident #112 confirmed he was upset he missed his follow up appointment with the wound care center scheduled for 01/28/25 because the facility did not provide him with transportation to the appointment. Interview on 02/06/25 at 10:50 A.M. with the Administrator confirmed the facility had a transport van and a driver…

    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 · D2025-02-06 · tag F0567 — failed to protect residents' money held by the home — isolated
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of resident funds accounts, staff interview, and review of the facility policy, the facility failed to obtain written authorizations to manage resident funds accounts. (Residents #123 and #124). This affected two (Residents #123 and #124) of five residents reviewed for resident funds accounts. The facility census was 61 residents. Findings include: Review of the banking records dated 02/06/25 revealed Resident #123 had a balance of $50.04 and Resident #124 had a balance of $67.03 in the resident trust accounts. Further review of the banking records for Resident #123 and #124 revealed they did not include written authorizations for the facility to manage the residents' funds. Interview on 02/06/24 at 5:15 P.M. with the Administrator confirmed the facility had not obtained written authorizations to manage resident fund accounts for Resident #123 or Resident #124. Review of the facility policy titled Resident Trust Account-Personal Needs Allowance dated 06/28/21 revealed the facility staff would ensure all resident fund accounts would have a written authorization per…

    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 · D2025-02-06 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of resident funds accounts, staff interview, and review of the facility policy, the facility failed to provide written notification for the need to spend down resident funds to residents and/or resident representatives. This affected one (Resident #22) of five residents reviewed for resident fund accounts. The facility census was 61 residents. Findings include: Review of the banking records dated 02/06/25 revealed Resident #22 had a balance of $2,482.60 in the resident fund account. Further review of the account for Resident #22 revealed there was no notification to the resident and/or resident's representative the account balance had exceeded the asset limit set by Medicaid. Interview on 02/06/25 at 5:15 P.M. with the Administrator confirmed the asset limit for Medicaid recipients was $2000 and residents and/or resident representatives should be notified in writing when the balance in the resident fund account was within $200 of the asset limit. The Administrator further confirmed the facility had not notified Resident #22 of the need to spend down the resident fund…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-06 · 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

    Based on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide assistance with bathing and shaving to dependent residents. This affected one (Resident #2) of 41 facility-identified residents (#2, #4, #6, #11, #14, #20, #21, #22, #23, #24, #26, #27, #28, #29, #31, #32, #33, #34, #36, #41, #42, #43, #44, #45, #47, #48, #50, #53, #57, #61, #112, #114, #116, #119, #161, #165, #168, #170, #171, #174, #175) who required assistance with shaving. The facility census was 61 residents. Findings include: Review of the medical record for Resident #2 revealed an admission date of 11/25/15 with diagnoses including acute respiratory failure with hypoxia, acute kidney failure, chronic diastolic heart failure, hypertension, chronic obstructive pulmonary disease, chronic pain syndrome, insomnia, polyosteoarthritis and major depressive disorder. Review of Minimum Data Set (MDS) assessment for Resident #2 dated 11/11/24 revealed the resident had moderate cognitive impairment and required partial/moderate staff…

    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 · D2025-02-06 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility staff failed to ensure residents received the proper treatment and assistive devices to maintain hearing. This affected two (Residents #15 and #48) of two residents reviewed for hearing. The facility census was 61 residents. Findings include: 1. Review of the medical record for Resident #15 revealed an admission date of 12/19/23 with diagnoses including depression, endometrial hyperplasia, anxiety disorder, dysphagia, anemia, pulmonary embolism, type two diabetes mellitus, disorders of the pituitary gland, and unspecified hearing loss. Observation on 02/03/25 at 12:57 P.M. revealed Resident #15 was unable to adequately hear conversations unless parties who were speaking spoke close to her ears. Interview on 02/03/25 at 12:57 P.M. with Resident #15 confirmed her hearing aids had been lost from her bedside table approximately two years ago. The facility staff was notified, but the hearing aids were never found. Observation on 02/03/25 at 1:26 P.M. revealed…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-06 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, resident representative interview, resident interview, staff interview, and review of the facility policy, the facility failed to pressure ulcer interventions were implmented for residents with pressure ulcers. This affected one (Residents #25 ) of five residents reviewed for pressure ulcers. The facility census was 61 residents. Findings include: Review of the medical record for Resident #25 revealed an initial admission date on 01/03/25 and a readmission date on 02/02/25 with diagnoses including type two diabetes mellitus without complications, acute on chronic diastolic (congestive) heart failure, neuromuscular dysfunction of bladder, and morbid obesity. Resident #25 was hospitalized from [DATE] to 02/02/25. Review of the Minimum Data Set (MDS) assessment for Resident #25 dated 01/10/25 revealed the resident had intact cognition, required staff assistance with activities of daily living (ADLs), and had no pressure ulcers. Review of the care plan for Resident #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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-06 · 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

    Based on medical record review, observation, and staff interviews, the facility failed to ensure oxygen was administered according to physician orders. This affected one resident (Resident #45) of two residents reviewed for oxygen administration. The facility identified 13 residents (#2, #28, #34, #41, #44, #45, #121, #122, #162, #165, #170, #173, #174) who were receiving oxygen. The facility census was 61 residents. Findings include: Review of the medical record for Resident #45 revealed an admission date of 2/6/24 with diagnoses including chronic idiopathic constipation, hypertension, type two diabetes mellitus, dementia, osteomyelitis, occlusion and stenosis of bilateral carotid arteries, and respiratory failure. Review of Minimum Data Set (MDS) assessment for Resident #45 dated 01/20/25 revealed the resident was severely cognitively impaired and received oxygen therapy. Review of physician's orders for Resident #45 revealed an order dated 01/31/24 for humidified oxygen via nasal cannula at three liters per minute (LPM). Review of the care plan for Resident #45 dated 09/13/24…

    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 · D2025-02-06 · 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 — the official record, unedited, may be distressing

    Based on medical records review staff interview the facility failed to respond in a timely manner to consultant pharmacist recommendations. This affected one (Resident #42) of five residents reviewed for unnecessary medications. The facility census was 61 residents. Findings include: Review of the medical record for Resident #42 revealed an admission date of 12/09/22 with diagnoses including paraplegia, congestive heart failure, type two diabetes mellitus, hypothyroidism, bipolar disorder, depression, and sleep apnea. Review of the drug regimen review per the consultant pharmacist for Resident #42 dated 12/19/24 revealed a recommendation to reduce the anticoagulant, Eliquis, for the resident from 5 milligrams (mg) two times a day to 2.5 mg two times a day. The recommendation was not addressed until 02/06/25. Interview on 02/06/25 at 1:22 P.M. with the Regional Clinical Services Director (RCSD) confirmed that the facility missed the recommendation in December 2024 and had not addressed the recommendation for Resident #42 with the nurse practitioner until 02/06/25.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-06 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure 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 medical record review, staff interview, and review of the facility policy, the facility staff failed to ensure residents were free from significant medication errors. This affected one (Residents #48) of five residents reviewed for unnecessary medications. The facility census was 61 residents. Findings include: Review of the medical record for Resident #10 revealed an admission date on 11/18/24 with diagnoses including type two diabetes mellitus, diastolic (congestive) heart failure, chronic kidney disease stage three, anxiety disorder, and essential primary hypertension. Resident #10 was discharged [DATE] and readmitted [DATE]. Review of the Minimum Data Set (MDS) assessment for Resident #10 dated 11/25/24 revealed the resident had intact cognition and required staff assistance with activities of daily living (ADLs). Review of the physician's orders for Resident #10 revealed an order dated 11/19/24 for clonidine 0.1 milligrams (mg) one tablet by mouth daily for a systolic blood pressure greater than…

    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
Show the remaining 20 citations
  • Potential for harm · D2025-02-06 · 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 interview, and review of the facility policy, the facility failed to ensure kitchen staff blended pureed food to an appropriate texture prior to serving to the residents. This affected two residents (Residents #32 and #33) of two residents with orders for a pureed diet. The facility census was 61 residents. Findings include: Observation on 02/06/25 at 10:30 A.M. of pureed food preparation per [NAME] #188 revealed the cook confirmed she would be making two servings of pureed lasagna. [NAME] #188 added two scoops of lasagna, one-quarter cup of water, and two plastic spoonfuls of thickener to the blender and started blending. At 10:38 A.M. [NAME] #188 stopped the blender, used a clean spatula to scrape the sides down and confirmed she felt the lasagna was an appropriate texture to serve to the residents. [NAME] #188 plated the pureed lasagna onto two plates and did not taste the food prior to plating it for resident consumption. Interview on 02/06/25 at 10:38 A.M. with [NAME] #188 confirmed the lasagna was ready to serve to the residents. Observation on…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-06 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and record review the facility failed to ensure that residents who were at risk for developing multidrug-resistant organisms (MDRO) were placed in enhanced barrier precautions (EBP) per facility policy. This affected one (Resident #57) of 23 residents reviewed for EBP. The facility census was 61 residents. Findings include: Review of the medical record for Resident #57 revealed an admission date of 01/02/25 with diagnoses including sepsis, protein-calorie malnutrition and gastroesophageal reflux disease. Observation on 02/05/25 at 11:18 A.M. of Resident #57's room revealed there was no signage indicating the resident was on EBP nor was there personal protective equipment (PPE) outside or in the vicinity of the resident's room. Review of the physician's orders for Resident #57 dated February 2025 revealed the resident had wound care orders for an unstageable pressure wound to the left buttock. Interview on 02/05/25 at 11:32 A.M. with Unit Manager (UM) #148 confirmed that Resident #57 had an unstageable pressure ulcer which required the 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-17 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and facility policy review, the facility failed to notify the physician and resident representative of a change in resident condition, in a timely manner. This affected one (Resident #62) of three residents reviewed for change in condition. Findings Include: Record review revealed Resident #62 was admitted to the facility on [DATE] with diagnoses including congestive heart failure, constipation, disorder of muscle, cognitive communication deficit, dilated cardiomyopathy, pleural effusion, hyperkalemia, acute kidney failure, chronic kidney disease, atrial fibrillation, major depressive disorder, insomnia, hypo-osmolality and hyponatremia, atherosclerotic heart disease, hypertension, peripheral vascular disease, anemia, type II diabetes, and personal history of pulmonary embolism. Review of Resident #62's Minimum Data Set (MDS) assessment dated [DATE] revealed she had a mild cognitive impairment. Review of Resident #62's plan of care revealed she was at risk 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-17 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to maintain a complete medical record regarding resident changes of condition that occurred. This affected one (Resident #62) of three residents reviewed for change in condition. Findings Include: Record review revealed Resident #62 was admitted to the facility on [DATE] with diagnoses including congestive heart failure, constipation, disorder of muscle, cognitive communication deficit, dilated cardiomyopathy, pleural effusion, hyperkalemia, acute kidney failure, chronic kidney disease, atrial fibrillation, major depressive disorder, insomnia, hypo-osmolality and hyponatremia, atherosclerotic heart disease, hypertension, peripheral vascular disease, anemia, type II diabetes, and personal history of pulmonary embolism. Review of Resident #62's Minimum Data Set (MDS) assessment dated [DATE] revealed she had a mild cognitive impairment. Review of Resident #62's Fall Investigation form, dated 12/10/24, revealed she fell on [DATE] at 5:45 A.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 · D2024-07-12 · 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, resident interview, staff interview, review of facility documents, and review of the facility policy review the facility failed to administer medications as ordered by the physician. This affected one (Resident #80) of three residents reviewed for medication administration. The facility census was 60 residents. Findings include: Review of the closed medical record for Resident #80 revealed an admission date of 06/19/24 with diagnoses including aftercare following joint replacement surgery, hypertension, heart failure, and depression with a discharge date of 06/20/24 at 11:20 P.M. Review of the Minimum Data Set (MDS) assessment for Resident #80 dated 06/20/24 revealed the resident was cognitively intact. Review of the admitting physician's orders for Resident #80 dated 06/20/24 revealed orders for the following medications: Eliquis at 9:00 A.M. and 9:00 P.M., Arthrotec at 9:00 A.M., aspirin at 9:00 A.M., Wellbutrin at 9:00 A.M., calcium carbonate-vitamin D at 9:00 A.M., carvedilol…

    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 · D2022-08-22 · 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

    Based on observation, record review, facility policy review and interview the facility failed to maintain Resident #47 and Resident #165's dignity when urinary catheter bags were uncovered and visible to others. This affected two residents (#47 and #165) of six residents reviewed for dignity. The facility census was 61. Findings Include: 1. Review of the medical record for Resident #47 revealed an admission date of 06/27/22 with diagnoses including hemoperidoneium, localized edema, and obstructive and reflux uropathy. Review of the care plan, dated 06/29/22 revealed Resident #47 had a Foley catheter due to the diagnosis of obstructive uropathy. Interventions included encourage fluids, Foley catheter and peri care per order or facility policy, monitor for signs and symptoms of infection, monitor intake and output as indicated, notify physician and responsible party of concerns and document, and size 16 inch French Foley catheter as per order. Review of the Minimum Data Set (MDS) 3.0 assessment, dated 07/27/22 revealed Resident #47 had impaired cognition with a Brief Interview 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-22 · 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, beneficiary notice worksheet review and interview the facility failed to provide an Advanced Beneficiary Notice (ABN) to Resident #315, prior to the resident being cut from Medicare part A therapy services and remaining in the facility. This affected one resident (#315) of one resident reviewed for beneficiary notices who had remained in the facility after being cut from services. Findings Include: Review of the facility beneficiary notice worksheet revealed Resident #315 was the only resident who had been cut from Medicare part A therapy services and remained in the facility in the last six months. Review of the medical record for Resident #315 revealed an admission date of 07/30/22 with diagnoses including wedge compression fracture of T11-T12 vertebra, lower back pain, dyspnea, repeated falls, other spondylosis of the lumbar region, muscle wasting and atrophy and muscle weakness. Review of the Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review for Resident #315 revealed Medicare Part A skilled services episode started on 07/30/22…

    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 · D2022-08-22 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, facility policy and procedure review and interview the facility failed to ensure all required information was included on bed hold notices issued to Resident #31, Resident #33, and Resident #64 who experienced hospitalizations. This affected three residents (#31, #33 and #64) of three residents reviewed for hospitalization. Findings Include: 1. Review of the medical record for Resident #33 revealed an admission date of 04/07/22 and a re-admission date on 05/18/22. Resident #33 had diagnoses including encephalopathy, sepsis, other intestinal obstruction, bacteremia, type II diabetes mellitus, Alzheimer's Disease, altered mental status, and urinary tract infection. Resident #33's payor source was Medicaid. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 07/11/22 revealed Resident #33 had impaired cognition with a Brief Interview for Mental Status (BIMS) score of five out of 15. The assessment revealed Resident #33 required extensive assistance from one staff to complete…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-08-22 · 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 observation, record review and interview the facility failed to ensure Resident #26, who required extensive assistance from staff for personal hygiene received showers as scheduled. This affected one resident (#26) of one resident reviewed for activities of daily living. Findings Include: Review of Resident #26's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including bipolar disorder, severe morbid obesity, chronic obstructive pulmonary disease (COPD), diabetes, heart failure peripheral vascular disease, depression, pacemaker, atrial fibrillation and lymphedema. Review of the Minimum Data Set (MDS) 3.0 assessment, dated 07/07/22 revealed the resident was moderately cognitively impaired. The assessment revealed the resident was totally dependent on two or more staff members for bed mobility, transfers and toilet use, and required extensive assistance from two or more staff members for dressing and personal hygiene. Record review revealed a plan of care…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to develop and implement a comprehensive and individualized range of motion program for Resident #50 who was assessed to have limitations in range of motion. This affected one resident (#50) of one resident reviewed for range of motion. Findings Include: Review of Resident #50's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including cerebral infarction, aphasia, hemiplegia, encephalopathy, diabetes, and anxiety. A physical therapy evaluation, dated 06/07/21 revealed the resident appeared to be at his baseline with all functional mobility and activities and daily living. Review of the quarterly Minimum Data Set (MDS) assessment,dated 08/02/22 revealed the resident had intact cognition, required extensive assistance fro two or more staff members for bed mobility, and was totally dependent on two or more staff members for dressing and personal hygiene. The assessment revealed the resident had functional limitation…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-08-22 · 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

    Based on observation, record review, facility policy and procedure review and interview the facility failed to ensure fall interventions were in place to reduce the risk of falls for Resident #21 as care planned. This affected one resident (#21) of three residents reviewed for accidents. Findings Include: Review of the medical record for Resident #21 revealed an admission date on 12/21/18 with diagnoses including dementia with behavioral disturbance, cerebral infarction (stroke), chronic kidney disease, and unspecified protein-calorie malnutrition. Review of the care plan, dated 10/07/20 revealed Resident #21 was at risk for falls due to weakness, limited mobility, cognitive impairment, and impaired safety awareness. Interventions included anticipate needs, assess for fall risk on admission, call light within reach, bright color tape to call light as sensory reminder, pad style call light, night light to the left side of the bed, and body pillow to the right side of the bed, therapy evaluation for a new wheelchair, defined perimeter mattress (DPM) (point to point), drop seat and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-22 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide 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 observation, record review and interview the facility failed to ensure interventions were in place to decrease the risk of urinary tract infections associated with the use of indwelling urinary catheters for Resident #31. This affected one resident (#31) of three residents review for urinary catheters. Findings Include: Record review revealed Resident #31 was admitted to the facility on [DATE] with diagnoses including respiratory failure, acute kidney failure, hypertension, cerebral infarction, hemiplegia, dysphagia, visual deficit, cerebral atherosclerosis, bradycardia, hyperlipidemia, transient cerebral ischemic attack, dementia, peripheral vascular disease, chronic kidney disease, hydronephrosis, retention of urine, polyneuropathy, weakness, and age related cataract. Review of the Minimum Data Set (MDS) 3.0 assessment, dated 07/10/22 revealed the resident was cognitively impaired. Record review revealed Resident #31 had an indwelling urinary catheter. A plan of care related to the catheter revealed…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-22 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, facility policy and procedure review and interview the facility failed to ensure weekly weights were obtained as ordered to monitor the nutritional status of Resident #13. This affected one resident (#13) of three residents reviewed for nutrition. Findings Include: Record review revealed Resident #13 was admitted to the facility on [DATE] with diagnoses including anemia, high blood pressure, malnutrition, anxiety, depression and osteoarthritis. Review of the physician's orders, revealed an order dated 01/31/22 to obtain weekly weights. Review of the weight report from March to August 2022 revealed weights were not obtained weekly as ordered. Weights were only documented as being obtained on 03/07/22, 03/21/22, 04/03/22, 04/04/22, 04/18/22, 04/25/22, 05/02/22, 05/04/22, 05/16/22, 05/23/22, 05/30/22, 06/06/22, 06/13/22, 06/20/22, 06/27/22, 07/11/22 and 07/25/22. The resident was hospitalized from [DATE] to 08/07/22 and refused a weight on 08/08/22. Review of the quarterly Minimum Data Set…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-22 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, facility policy and procedure review and interview the facility failed to develop and implement a comprehensive and individualized behavioral health program to address Resident #256's depression diagnosis and anti-depressant medication use. This affected one resident (#256) of five residents reviewed for unnecessary medication use. Findings include: Review of the medical record for Resident #256 revealed an admission date of 08/13/22 with diagnoses including encounter for orthopedic aftercare, alcohol dependence and depression. Review of the baseline plan of care, dated 08/13/22 revealed Resident #256 was to have mental health monitored and a depression screening completed as needed. Review of a progress note, dated 08/14/22 at 12:26 P.M. revealed the resident was admitted to skilled facility with family at bedside, status post back surgery due to narrowing on spinal cord. Past medical history included irregular heart beat, pre-operative cardiovascular exam, alcohol use and episodic confusion. The note revealed the resident was alert and oriented times three…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-22 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure non-pharmacological interventions were attempted and documented prior to the administration of as needed (PRN) pain medications . This affected three residents (#13, #56 and #60) of five residents reviewed for unnecessary medication use. Findings Include: 1. Review of Resident #13's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including anemia, high blood pressure, malnutrition, anxiety, depression, osteoarthritis. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 08/11/22 revealed the resident had moderately impaired cognition and required extensive assistance from one staff member for bed mobility, dressing, toilet use and personal hygiene. Review of the 08/2022 physician's orders revealed the resident had an order for the narcotic analgesic, Oxycodone HCL five milligrams (mg) every two hours as needed for pain. Review of the plan of care revealed to administer medications as…

    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 · D2022-08-22 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, facility policy and procedure review and interview the facility failed to ensure an antibiotic for prophylactic treatment of urinary tract infections was justified and necessary for Resident #53. This affected one resident (#53) of five residents reviewed for unnecessary medication use. Findings include: Review of the medical record for Resident #53 revealed an admission date of 10/26/21 with diagnoses including COVID-19, dementia without behavioral disturbance, need for assistance with personal care and adult failure to thrive. Review of Resident #53's quarterly Minimum Data Set (MDS) 3.0 assessment, dated 07/14/22 revealed a Brief Interview for Mental Status (BIMS) score of 07 indicating the resident had moderately impaired cognition for daily decision making abilities. The assessment revealed Resident #53 required extensive assistance from two staff members for toilet use and personal hygiene and was frequently incontinent of bowel and bladder. Review of Resident #53's physician's orders revealed an order, dated 05/17/22 for the antibiotic Macrobid 100…

    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 · E2019-12-28 · tag F0557 — pattern
    Honor 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 medical record review, resident interview, and staff interview, the facility failed to ensure residents were treated with dignity and respect. This affected four residents (#6, #16, #32 and #33) out of 64 residents interviewed for dignity and respect. The facility census was 64. Findings include: 1. A review of Resident #33's medical record revealed an admission date of 03/05/19 and the diagnoses of multiple sclerosis (MS), depression and high blood pressure. A Minimum Data Set (MDS) assessment, dated 11/26/19, revealed the resident was cognitively intact, and required extensive assistance of one staff for bed mobility, transfers, dressing, toileting and personal hygiene. A care plan, dated 03/25/19 revealed the resident had a self care deficit related to MS, weakness and limited mobility. Interventions included extensive assistance as needed and showers per schedule and as needed. An interview on 12/26/19 at 9:34 A.M. with Resident #33 revealed she was unhappy with the attitude of State Tested Nurse…

    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 · D2019-12-28 · tag F0561 — failed to honor residents' choices — isolated
    Honor 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

    Based on medical record review, resident interview and staff interview, the facility failed to complete resident showers per resident preference. This affected one resident (Resident #33) out of three residents reviewed for choices. The facility census was 64. Findings include: A review of Resident #33's medical record revealed an admission date of 03/05/19 and the diagnoses of multiple sclerosis (MS), depression and high blood pressure. A Minimum Data Set (MDS) assessment, dated 11/26/19, revealed the resident had a Brief Interview of Mental Status (BIMS) of 15, indicative of intact cognition, and required extensive assistance of one staff for bed mobility, transfers, dressing, toileting and personal hygiene. A care plan, dated 03/25/19 revealed the resident had a self care deficit related to MS, weakness and limited mobility. Interventions included extensive assistance as needed and showers per schedule and as needed. A review of Resident #33's undated shower preference form revealed she requested showers on Tuesdays and Fridays in the evenings before dinner. A 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 · Dcited before2019-12-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and staff interview, the facility failed to provide physician ordered care for a resident with lymphedema. This affected one of one resident reviewed for edema. Findings included: Review of the medical record for Resident #32 revealed an admission date of 12/08/17 with diagnoses to include lower extremity cellulitis, lymphedema and major depressive disorder. Review of the physician's orders for 12/2019 revealed orders for double ace wraps to bilateral legs during the day. Review of the treatment administration record for 12/2019 revealed there were several days that were not signed by the nurses indicating the ace wraps were applied. Days that were not signed off included, 12/02/19, 12/03/19, 12/05/19, 12/15/19, 12/17/19, 12/19/19, 12/23/19, 12/25/19, 12/27/19 and 12/28/19. On 12/26/19 the nurse had signed the ace wraps were applied but observations on that date revealed the resident did not have the ace wraps on as ordered. Observation on 12/26/19 at 10:35 A.M. revealed the resident was lying in bed with the head of the bed up. Interview with 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
  • No harm found · C2022-08-22 · tag F0607 — failed to have anti-abuse policies — widespread
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on personnel file review, facility policy and procedure review and interview the facility failed to implement their abuse policy and procedure to ensure new hire reference checks were completed upon hire as part of the facility screening process. This had the potential to affect all 61 residents residing in the facility. Findings Include: Review of the following employee personnel files revealed reference checks were either not completed, not completed timely, or had no date to support when the reference check was completed: The Director of Nursing (DON) was hired on 12/29/21. Review of the employee's personnel file revealed no evidence reference checks were completed until 02/16/22. Admissions Director (AD) #32 was hired on 11/08/21. Review of the employee's personnel file revealed she only had one reference check completed and it was undated. In addition, the reference check only mentioned AD #32 was a referral from an existing employee and was asked to come work at the facility; there was no attempt to answer any of the questions on the reference check form. 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

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

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

$12,149 in federal fines across 1 penalty.

  • $12,149 — penalty dated 2024-12-17

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 OPTALIS HEALTH & REHABILITATION — 36 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 52.4+0.6 vs chain
Health inspection 3 of 51.9+1.1 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 4 of 54.3-0.3 vs chain
The other 35 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Greenfield Rehab and Nursing CenterRoyal Oak, MI 1 of 5Optalis Health & Rehabilitation at Kent-CrossingGrand Rapids, MI 1 of 5Optalis Health & Rehabilitation of Bloomfield HillBloomfield Hills, MI 1 of 5Optalis Health & Rehabilitation of WhitehallWhitehall, MI 1 of 5Optalis Health & Rehabilitation of WyomingWyoming, MI 1 of 5Optalis Health and Rehabilitation of Grand RapidsGrand Rapids, MI 1 of 5Optalis Health and Rehabilitation of KingsfordKingsford, MI 1 of 5Optalis Health and Rehabilitation of Three RiversThree Rivers, MI 1 of 5Pickaway Manor Care CenterCircleville, OH 1 of 5The Lakeland CenterSouthfield, MI 1 of 5West Park Care Center LLCColumbus, OH 2 of 5Monterey Care CenterGrove City, OH 2 of 5Optalis Health & Rehabilitation of MuskegonMuskegon, MI 2 of 5Optalis Health and Rehabilitation at St. FrancisSaginaw, MI 2 of 5Optalis Health and Rehabilitation of CantonCanton, MI 2 of 5Optalis Health and Rehabilitation of Dearborn HeigDearborn Heights, MI 2 of 5Optalis Health and Rehabilitation of TroyTroy, MI 2 of 5Woodward Hills Health and Rehabilitation CenterBloomfield Hills, MI 3 of 5Belle Fountain Nursing & Rehabilitation CenterRiverview, MI 3 of 5Canal Winchester Care CenterCanal Winchester, OH 3 of 5Evergreen Health and Rehabilitation CenterSouthfield, MI 3 of 5Four Seasons Nursing Center of WestlandWestland, MI 3 of 5Grand TheDublin, OH 3 of 5Mill Run Care CenterHilliard, OH 3 of 5Optalis Health & Rehabilitation at LeonardGrand Rapids, MI 3 of 5Optalis Health & Rehabilitation of IoniaIonia, MI 3 of 5Optalis Health and Rehabilitation of Allen ParkAllen Park, MI 3 of 5Optalis Health and Rehabilitation of Ann ArborAnn Arbor, MI 3 of 5Optalis Health and Rehabilitation of Sterling HeigSterling Heights, MI 3 of 5RiverviewColumbus, OH 3 of 5ShorePointe Nursing CenterSt. Clair Shores, MI 4 of 5Fountain Bleu Health and Rehabilitation CenterLivonia, MI 4 of 5Shelby Health and Rehabilitation CenterShelby Township, MI 5 of 5Abbyshire Place Health And Rehabilitation Center LBidwell, OH 5 of 5Optalis Health and Rehabilitation of Grosse PointeGrosse Pointe Woods, MI

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 / managerTypeRoleShareSince
OM HOLDCO 2 LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 06/01/2022
OPTALIS LP INVESTORS 2 LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF10%since 06/01/2022
SNW LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF30%since 06/01/2022
OPTUM MANAGEMENT SOLUTIONS. INCOrganizationINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
SIENA LENDING GROUP LLCOrganization5% OR GREATER SECURITY INTERESTsince 06/01/2022
PATEL, RAJANIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 06/01/2022
SHARON, ROBERTIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/13/2024
GILLILAND, KACYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
NDIFE, ANITAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
OSSO, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
DUNN, CHARLESIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 11/25/2025
SHAH, HEMANTIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 11/25/2025
CHARLES FRANKLIN LLCOrganizationADP OF THE SNFsince 06/01/2022
CHARLES WESTLAND LLCOrganizationADP OF THE SNFsince 06/01/2022
HEMANT SHAH 2018 IRREVOCABLE TRUSTOrganizationADP OF THE SNFsince 06/01/2022
PAAR 108 LLCOrganizationADP OF THE SNFsince 06/01/2022
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATELOrganizationADP OF THE SNFsince 06/01/2022
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATELOrganizationADP OF THE SNFsince 06/01/2022
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020OrganizationADP OF THE SNFsince 06/01/2022
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020OrganizationADP OF THE SNFsince 06/01/2022

CMS files one row per role, so the 30 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

13 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.

$9.1M
Net patient revenuemost recent cost report
-9.6%
Operating marginrevenue minus expenses
$535K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 13%Medicare 33%Other / private 54%

This home reported $535K 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

$462per resident / day
operating cost
$14,043per month
≈ monthly operating cost
$421per 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 366155. 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.

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