West Park Care Center LLC

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

65.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 90.0% 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 20 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 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 99 beds and averages 89.0 residents a day — about 90% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.96 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 3.10 hrs/resident/day on weekends vs 3.40 on weekdays — 9% thinner on weekends. RN hours go from 0.43 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

30 citations, most serious first. The 14 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · J2022-06-30 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed medical record review, staff interviews, resident emergency contact interview, review of the hospital history and physical, review of continuity of care, review of hospital ethics team meeting notes, review of a hospital discharge summary, review of a hospital transfer report, review of facility policy related to code status, and review of a facility policy related to Cardiopulmonary Resuscitation (CPR), the facility failed to initiate CPR and contact Emergency Medical Services (EMS) for one resident (Resident #73) who was a Full Code status and was found unresponsive without vital signs. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm and/or death, when facility staff did not immediately initiate CPR on Resident #73 nor contact EMS to assist in life-sustaining measures and expired at the facility. This affected one (#73) of four residents reviewed for death. The facility identified 44 residents who were a Full Code status. The facility census was 74. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-06 · 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 medical record review, staff interview, review of hospital records, and review of the facility policy, the facility failed to ensure a resident, who was identified at risk of malnutrition and dehydration, maintained acceptable parameters of nutritional status, failed to initiate appropriate nutritional interventions, and address significant and severe weight loss for Resident #52. This resulted in Actual Harm for one (Resident #52) resident who experienced a significant weight loss of 5.1 percent (%) in four weeks and had ongoing severe weight loss of 13.6% over less than three months, when on 12/10/24 was noted with increased lethargy, malaise and was difficult to arouse, resulting in hospitalization for failure to thrive and percutaneous endoscopic gastrostomy (PEG) tube placement for enteral nutrition support. Additionally, the facility failed to complete weight monitoring as required for a second (Resident #81) resident who was identified at risk for nutrition, placing the resident at risk for 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
• Actual harm · G2025-03-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident guardian interview, staff interview, facility Self-Reported Incident (SRI) review, and review of facility investigation, the facility failed to investigate and implement psychiatric recommendations to ensure Resident #82 had the ability to attain or maintain their highest physical, mental, and psychosocial wellbeing. Actual Harm occurred when the facility failed to fully investigate the root cause of Resident #82's potential hallucinations/behaviors, which contributed to the facility being unable to meet the residents behavioral health needs, resulting in a discharge from the facility. This affected one (Resident #82) of one resident reviewed for behavioral/emotional needs. The facility census was 84. Findings include: Review of medical record for Resident #82 revealed an admission dated of 12/06/24 and diagnoses including vascular dementia, anxiety disorder, adult failure to thrive and primary hypertension. Review of Resident #82's Minimum Data Set (MDS) assessment dated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-06-30 · 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, review of a fall investigation, and staff interviews, the facility failed ensure staff utilized proper precautions while ambulating with residents. Actual harm occurred when State Tested Nurse Aide(STNA) #126 was ambulating with Resident #64, while not using a gait belt, and Resident #64 fell resulting in a left hip fracture and subsequent hospitalization. This affected one (Resident #64) out of seven residents reviewed for falls. The facility census was 74. Findings include Review of the medical record for Resident #64 revealed an admission date of 11/19/21. Diagnoses included dementia, weakness, spinal stenosis, and depression. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #64 had significant cognitive impairment, and required extensive assistance of two staff members for bed mobility and transfers. Review of the Care Plan dated 12/03/21, with handwritten updates, revealed Resident #64 was at risk for falls with interventions for 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 · E2025-03-06 · tag F0570 — pattern
  Assure the security of all personal funds of residents deposited with the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility financial record review and staff interview, the facility failed to secure a surety bond that covered all of the resident funds. This had the potential to affect 42 residents (#2, #3, #4, #5, #6, #7, #9, #11, #13, #14, #15, #16, #18, #19, #21, #22, #23, #24, #25, #26, #28, #32, #33, #39, #40, #43, #44, #45, #46, #51, #52, #54, #55, #56, #57, #58, #60, #63, #64, #72, #76, #82) of 42 residents who had funds managed by the facility. The census was 84. Findings Include: Review of 42 residents (#2, #3, #4, #5, #6, #7, #9, #11, #13, #14, #15, #16, #18, #19, #21, #22, #23, #24, #25, #26, #28, #32, #33, #39, #40, #43, #44, #45, #46, #51, #52, #54, #55, #56, #57, #58, #60, #63, #64, #72, #76, #82) current financial records revealed the total for all funds managed by the facility was $158,125.48. Review of facility surety bond, dated 05/31/24, revealed the bond amount was increased from $40,000 to $50,000. There was no documentation or evidence to support the surety bond amount was increased again to meet the needs of all the funds managed by the facility. 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 observation, staff interview, and facility policy review, the facility failed to ensure hot water temperatures were maintained below the maximum temperature of 120 degrees. This had the potential to affect 37 residents (#3, #6, #7, #8, #10, #11, #13, #16, #18, #23, #29, #32, #33, #37, #38, #39, #44, #45, #51, #57, #58, #60, #65, #68, #70, #73, #74, #78, #83, #138, #139, #140, #141, #142, #143, #238 and #239) who resided on the [NAME] hallway. In addition, based on medical record review, staff interview, and review of facility policy, the facility failed to ensure Resident #52's fall was documented and investigated. This affected one resident (#52) of ten residents reviewed for accidents. The facility census was 84 residents. Findings Include: 1. a. On 02/24/25 at 10:42 A.M., observation of the water temperature from Resident #6's sink revealed a temperature of 124.5 degrees Fahrenheit (F). b. On 02/24/25 at 10:56 A.M., observation of the water temperature from Resident #139's sink revealed a temperature…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-06 · 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, staff interview, and facility policy review, the facility failed to treat Resident #143 in a dignified manner. This affected one resident (#143) of one resident reviewed for dignity. The facility census was 84. Findings include: Review of the medical record for Resident #143 revealed an initial admission date of 02/18/25 with diagnoses including atrial fibrillation, diabetes mellitus, panlobular emphysema, dementia, obstructive and reflux uropathy, artificial openings of urinary tract, hyperlipidemia, hypertension, constipation, acquired absence of other genital organs and urinary tract infection (UTI). Review of Resident #143's admission evaluation dated 02/18/25 revealed the resident was alert and oriented on admission. The assessment indicated the resident required extensive assistance with bed mobility, was dependent on staff for transfers and toilet use, and required supervision with eating. Review of the plan of care dated 02/18/25 revealed Resident #143 had an Activities of Daily Living (ADL) self-care performance deficit related to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-06 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and facility policy review, the facility failed to notify Resident #140's primary care physician (PCP) of a weight gain outside of the physician ordered parameters. This affected one resident (#140) of five residents reviewed for unnecessary medications. The facility census was 84. Findings Include: Review of the medical record for Resident #140 revealed an initial admission date of 02/18/25 with the diagnoses including light chain (AL) amyloidosis, congestive heart failure, hypertensive heart disease, atrial fibrillation, lymphedema, respiratory syncytial virus (RSV), type one diabetes mellitus, morbid obesity, cardiomyopathy, hyperlipidemia, anemia, chronic kidney disease, hydrocephalus, anxiety disorder, depression, orthopnea, solitary pulmonary nodule, bilateral conductive hearing loss and constipation. Review of Resident #140's admission evaluation dated 02/18/25 revealed the resident had no cognitive deficit. Review of Resident #140's monthly physician orders for February 2025 identified orders dated 02/19/25 for 1800 milliliter (ml)…

  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 before2025-03-06 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and facility policy review, the facility failed to adequately revise resident care plans. This affected one (Resident #81) of 18 resident care plans reviewed. Findings Include: Review of Resident #81's record revealed she was admitted to the facility on [DATE]. Her diagnoses included complete traumatic amputation between knee and ankle, atrial fibrillation, Crohn's disease, aortic insufficiency, venous insufficiency, hypertension, hyperlipidemia, vitamin D deficiency, other primary thrombophilia, hypokalemia, anxiety disorder, depression, pressure ulcer to right heel (stage II), polyosteoarthritis, edema, and dementia. Review of Resident #81's Minimum Data Set (MDS) assessment, dated 02/04/25, revealed she had a severe cognitive impairment. Review of Resident #81's behavior logs, dated 11/25/24 to 01/13/25, revealed 24 different entries in which she rejected care, which included the treatment and care for her right heel pressure ulcer. Review of Resident #81's…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-06 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, resident interview, staff interview, and facility policy review, the facility failed to ensure one resident (#140) received routine showers. This affected one resident (#140) out of three residents reviewed for activities of daily living (ADL). The facility census was 84. Findings Include: Review of the medical record for Resident #140 revealed an initial admission date of 02/18/25 with the diagnoses including but not limited to light chain (AL) amyloidosis, congestive heart failure, hypertensive heart disease, atrial fibrillation, lymphedema, respiratory syncytial virus (RSV), type one diabetes mellitus, morbid obesity, cardiomyopathy, hyperlipidemia, anemia, chronic kidney disease, hydrocephalus, anxiety disorder, depression, orthopnea, solitary pulmonary nodule, bilateral conductive hearing loss and constipation. Review of Resident #140's admission evaluation dated 02/18/25 revealed the resident had no cognitive deficit. The assessment indicated the resident was independent with bed mobility, toilet use, eating and required supervision with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-06 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to complete daily weights as ordered for one resident (Resident #5), failed to implement a physician-ordered fluid restriction for one resident (Resident #140), and failed to ensure lymphedema wraps and interventions were implemented as ordered for one resident (Resident #48). The deficient practices affected three residents (Residents #5, #48, and #140) of 18 reviewed for quality of care. The facility census was 84. Findings include: 1. Review of the medical record for Resident #5 revealed an initial admission date on 06/17/19 and a readmission date on 01/14/22. Medical diagnoses included acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease with exacerbation, schizophrenia, chronic kidney disease stage III, dementia, and chronic diastolic (congestive) heart failure. Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #5 had…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-06 · tag F0691 — failed to provide colostomy / ostomy care — isolated
  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident interview, staff interview, and review of facility policy and procedure, the facility failed to timely address Resident #143's leaking nephrostomy tube and accurately document the residents hospitalization and subsequent nephrostomy tube replacement. This affected one resident (#143) of one resident reviewed for nephrostomy tubes. The facility census was 84. Findings include: Review of the medical record for Resident #143 revealed an initial admission date of 02/18/25 with the diagnoses including but not limited to atrial fibrillation, diabetes mellitus (DM), panlobular emphysema, dementia, obstructive and reflux uropathy, artificial openings of urinary tract, hyperlipidemia, hypertension, constipation, acquired absence of other genital organs and urinary tract infection (UTI). Review of the resident's admission evaluation dated 02/18/25 revealed the resident was alert and oriented on admission. The assessment indicated the resident had an external catheter and was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-06 · 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 observation, record review, and staff interview, the facility failed to ensure respiratory equipment was stored in a sanitary manner. This affected one resident (#143) of two residents reviewed for respiratory care. The facility census was 84. Findings Include: Review of the medical record for Resident #143 revealed an initial admission date of 02/18/25 with diagnoses including atrial fibrillation, diabetes mellitus, panlobular emphysema, dementia, obstructive and reflux uropathy, artificial openings of urinary tract, hyperlipidemia, hypertension, constipation, acquired absence of other genital organs and urinary tract infection (UTI). Review of Resident #143's admission evaluation dated 02/18/25 revealed the resident was alert and oriented on admission. Review of Resident #143's monthly physician orders for February 2025 identified an order dated 02/18/25 for Ipratropium-Albuterol 0.5-2.5 (3) milligrams (mg)/3 milliliters (ml) with the special instruction to inhale 3 ml every six hours. Observation on 02/24/25 at 11:18 A.M., of Resident #143's nebulizer delivery system…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-06 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, staff interview, and facility policy review, the facility failed to administer medications as ordered, resulting in a medication administration error rate above 5 percent (%). Three errors out of 28 observed opportunities resulted in an error rate of 10.71%. This affected one (Resident #21) of three residents observed during the medication pass. The facility census was 84. Findings include: Review of the medical record for Resident #21 revealed an initial admission date of 01/31/23 with the diagnoses including but not limited to dementia, chronic kidney disease, diabetes mellitus, lymphedema, hypertension, obstructive sleep apnea, insomnia, hyperlipidemia and constipation. Review of the plan of care dated 02/08/23 revealed the resident was at risk for constipation related to decreased mobility, diagnoses of constipation, medication and age. Interventions included administer medications (stool softeners, laxatives, suppositories) as ordered, diet as ordered (monitor…

  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

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

Fines & penalties

$24,115 in federal fines across 1 penalty.

• $24,115 — penalty dated 2025-03-06

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

Part of a chain

This home belongs to 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 →

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

CMS files one row per role, so the 22 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $506K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in OH