Doylestown Health Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

50.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 43 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% 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 78 beds and averages 53.4 residents a day — about 68% occupied, or roughly 25 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.483 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.97 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.98 hrs/resident/day on weekends vs 3.69 on weekdays — 19% thinner on weekends. RN hours go from 0.58 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% 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

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

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

25 citations, most serious first. The 12 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · Gcited before2025-08-11 · 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 record review, interview, review of a facility Self-Reported Incident (SRI) and associated investigation, review of a corrective discipline record and policy review, the facility failed to ensure Resident #68 received timely comprehensive assessment and intervention following a fall with injury. Actual Harm occurred on [DATE] when Resident #68, who was assessed as severely cognitive impaired and at high risk of falls, sustained a fall and was not properly assessed after the fall. Following the fall, the resident experienced pain rated a 10 on a pain scale of 1 to 10 with 10 being the most severe pain and was assessed to have non-verbal indicator of pain including screaming, crying, agitation, combativeness and groaning. On [DATE] (five days after the fall) an x-ray revealed a right hip fracture which the facility correlated to the fall on [DATE]. This affected one resident (#68) of three residents reviewed for falls. The census was 66. Findings include: Review of the closed medical record for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-04-16 · 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 staff interview, medical record review, emergency department encounter report review, and facility policy and procedure review, the facility failed to ensure adequate supervision to prevent Resident #168, who was a high-risk for elopement, from exiting a fifteen second delayed and alarmed egress door resulting in a fall with injury. This affected one resident (Resident #168) of three residents reviewed for elopement. The facility census was 68. Actual harm occurred on 03/23/24 around 4:20 P.M. when Resident #168, who was severely cognitively impaired, exited the facility through a fifteen second delayed and alarmed egress door in a wheelchair. Resident #168 fell forward on a ramp leading to the parking lot and was found face down leaning to her left side with obvious facial injuries that were bleeding. Resident #168's wheelchair was behind her and her shoes had come off during the fall. Resident #168 sustained a six-centimeter laceration in the center of the scalp requiring sutures to close and acute…

  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 · D2026-03-30 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, policy review, and record review, the facility failed to ensure all residents were free from physical restraints. This affected one (#7) of three residents reviewed for abuse. The facility identified 18 residents resided on the memory care unit. The facility census was 48.Findings include:Review of the medical record for Resident #7 revealed an admission date of 01/30/25. Diagnoses included Alzheimer's Disease, diabetes mellitus, and anxiety disorder.Review of the comprehensive Minimum Data Set (MDS) assessment, dated 02/06/26, revealed Resident #7 was rarely understood. Resident #7 was dependent for activities of daily living (ADLs) except eating. Resident #7 ambulated and moved throughout unit without an ambulatory device. Resident #7 had verbal and other behaviors that occurred one to three days during the look back period.Review of the plan of care with a revision date of 03/16/26 revealed Resident #7 has potential to be physically aggressive, chase staff and throws objects at staff related to dementia. Resident can be combative 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-11 · 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 observation, record review, facility policy review and interview, the facility failed to implement fall interventions, as determined necessary by the comprehensive care plan for Resident #13. This affected one resident (#13) of three residents revealed for falls. The census was 66. Findings Include: Review of the medical record for Resident #13 revealed an admission date of 09/24/24 with diagnoses of history of falling, atrial fibrillation, anxiety disorder, moderate dementia with agitation, difficulty walking, lack of coordination, cognitive communication deficit, multiple fractures of ribs, intracapsular fracture of right femur, and fracture of facial bones. Resident #13 resided on the secured, memory care unit. Review of a health status note dated 06/23/25 timed 10:44 A.M. revealed Resident #13 was heard yelling for help, this time resident was sitting on floor with legs bent, knees bent in front of her, and back leaning against side of bed. Resident #13 had no injuries. Resident #13 denied any new…

  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 · F2024-09-12 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, interview, and the facility submitted Payroll Based Journal (PBJ) tracking information, the facility failed to ensure service of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 68 residents residing in the facility. Findings include: Review of the PBJ Staffing Data Report form submitted from 01/01/24 through 03/31/24 revealed the following dates submitted for the second quarter, the facility was low on registered nurse (RN) hours in the building on the following dates: 01/01/24 Monday (MO); 01/06/24 Saturday (SA); 01/14/24 Sunday (SU); 01/21/24 (SU); 01/28/24 (SU); 02/10/24 (SA); 02/11/24 (SU); 02/17/24 (SA); 02/18/24 (SU); 03/02/24 (SA); 03/10/24 (SU); 03/16/24 (SA); 03/17/24 (SU); 03/30/24 (SA); and 03/31/24 (SU). Review of schedules and assignment sheets from 01/01/24 through 08/11/24 with the DON on 09/11/24 at 8:44 A.M. revealed a RN was present…

  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.

  Nursing and Physician Services Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2024-09-12 · 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 observations, interview and policy review, the facility failed to ensure food was stored properly and the kitchen and food service areas were clean and sanitary. This had the potential to affect all 68 residents in the facility receiving meals from the kitchen. Findings include: 1. Initial tour of the kitchen on 09/09/24 from 7:37 A.M. through 8:05 A.M. revealed the dry storeroom had food residue and a dried black liquid on the floor, the bottom of the reach-in freezer had frozen liquid on the bottom, and in the walk-in refrigerator there was sliced cheese and sliced turkey that was not labeled or dated. This was verified by [NAME] # 257 on 09/09/24 at 8:06 A.M. 2. Observation of memory care unit's serving area on 09/09/24 at 12:06 P.M. revealed the microwave was dirty and the top inside of the microwave had rust spots. This was verified by Licensed Practical Nurse (LPN) #210 at time of observation. Interview on 09/11/24 10:53 A.M. with Registered Dietitian (RD) #508 revealed she inspects the kitchen monthly. RD revealed was shocked to see the microwave on memory care unit…

  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 · Dcited before2024-09-12 · 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 observation, interview, record review, and facility policy review the facility failed to ensure Resident #20 was knowledgeable of the facility smoking policies and safe vaping procedures and care planned interventions were implemented. This affected one resident (#20) of one resident reviewed for smoking hazards. Findings include: Review of Resident #20's medical record revealed an admission date of 12/24/15 with diagnoses including heart failure, mixed conductive and sensorineural hearing loss, cognitive communication deficit, and type 2 diabetes mellitus. Review of facility provided policy titled, No Smoking Policy dated March 2016, revealed the facility was smoke-free facility. Residents were not permitted to smoke in the residence or on the grounds. (Unless previously arranged on admission. Smoking will be done outside in designates area. No new admissions will be permitted to smoke). Effective March 1, 2016, new admissions were not permitted to use e-cigarettes or vapor cigarettes. Residents…

  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 · D2024-09-12 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of 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 observation, interview and record review, the facility failed to follow the menu and give residents the alternate menu items of choice. This affected three residents (Residents #10, #20, and #37) of three residents who had their meals and tickets reviewed. The facility census was 68. Findings include: 1. Review of Resident #10's medical record revealed an admission date of 08/18/22 and a readmission date of 06/13/23 with diagnoses included but not limited to atrial fibrillation, adjustment disorder, and peripheral vascular disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #10 was moderately cognitively impaired and required supervision for eating. Review of the physician's order for September 2024 revealed Resident #10 was ordered a regular diet, with regular texture and thin consistency liquids on 04/12/24. Observation and interview on 09/11/24 at 1:13 P.M. revealed Resident #10 ordered a sloppy joe melt on a bun, French fries, macaroni salad 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-12 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to maintain acceptable infection control practices during medication administration. This affected two residents (#16 and #120) of two residents reviewed for medication administration. Findings include: 1. Review of the medical record for Resident #120 revealed an admission date of 09/22/22 with diagnosis including but not limited to heart failure and type 2 diabetes mellitus with diabetic neuropathy. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had intact cognition. On 09/10/24 at 7:51 A.M. Licensed Practical Nurse (LPN) #400 was observed administering medications to Resident #120. Resident #120 was taking medications from medicine cup and dropped 6 pills from the medicine cup on the bed sheets. LPN #400 picked up the six pills with her bare hands and placed them in the medicine cup and proceeded to administer the six pills to the resident. Interview on 09/10/24 at 7:56 A.M. with LPN #400…

  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 · D2023-12-05 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, review of facility internal investigations, and interviews with staff, the facility failed to protect Resident #44 from verbal abuse. This affected one resident (Resident #44) of three reviewed for abuse. The census was 66. Findings include: Review of the medical record for Resident #44 revealed an admission date of 10/18/23. Diagnoses included nontraumatic intracerebral hemorrhage in hemisphere subcortical, restlessness and agitation, history of falling and neurocognitive disorder with Lewy bodies. Resident #44 was cognitively impaired. Interview on 12/05/23 at 11:10 AM with the Director of Nursing (DON) revealed they had an allegation of abuse on 11/06/23 between Licensed Practical Nurse (LPN) #208 and Resident #44. She stated LPN #200 reported an allegation of verbal abuse on 11/06/23 to the Assistant DON/Registered Nurse (RN) #203, who then reported it to the DON. Review of the internal investigation revealed a statement from the Administrator who interviewed Resident #44 saying he bantered with LPN #208 but that he felt safe. It also consisted of…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-12-05 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, review of of facility Self-Reported Incident (SRI) history, review of facility internal investigation and staff interview, the facility failed to report an allegation of verbal abuse towards Resident #44 to the State agency. This affected one resident (Resident #44)of three reviewed for abuse. The census was 66. Findings include: Review of the medical record for Resident #44 revealed an admission date of 10/18/23. Diagnoses included nontraumatic intracerebral hemorrhage in hemisphere subcortical, restlessness and agitation, history of falling and neurocognitive disorder with Lewy bodies. Resident #44 was cognitively impaired. Interview on 12/05/23 at 11:10 AM with the Director of Nursing (DON) revealed they had an allegation of abuse on 11/06/23 between Licensed Practical Nurse (LPN) #208 and Resident #44. The DON did not believe an SRI was completed. According to the DON, they did an investigation internally on 11/06/23 and 11/07/23 but did not submit an SRI because one of the witnesses said she did not believe it was abuse. Review of the State agency SRI…

  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
• Potential for harm · D2023-12-05 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, review of investigations and interviews with staff the facility failed to thoroughly investigate an allegation of abuse involving Resident #44. This affected one resident (Resident #44) of three residents reviewed for abuse. The census was 66. Findings include: Review of the medical record for Resident #44 revealed an admission date of 10/18/23. Diagnoses included nontraumatic intracerebral hemorrhage in hemisphere subcortical, restlessness and agitation, history of falling and neurocognitive disorder with Lewy bodies. Resident #44 was cognitively impaired. Interview on 12/05/23 at 11:10 AM with the Director of Nursing (DON) revealed they had an allegation of abuse on 11/06/23 between Licensed Practical Nurse (LPN) #208 and Resident #44. The DON stated they did an internal investigation on 11/06/23 and 11/07/23 but did not submit a Self-Reported Incident (SRI) because one of the witnesses said she did not believe it was abuse. Review of Resident #44's medical record and investigation revealed no evidence the wife was notified. The investigation consisted of…

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

  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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to WINDSOR HOUSE, INC. — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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 10 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in OH