Mill Run 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.

58.9% 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 203 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 89.3% 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 75 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 0.54 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 20% 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 66 beds and averages 58.4 residents a day — about 88% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.74 hrs/resident/day on weekends vs 4.32 on weekdays — 13% thinner on weekends. RN hours go from 0.87 to 0.75 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% 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.

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · G2025-09-10 · 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 resident record reviews, observations, interviews, review of service invoices, and review of facility policies, the facility failed to ensure residents received care and services in accordance with professional standards of practice and plans of care to meet each resident's individual identified needs. This resulted in Actual harm for one resident (#18) on 03/05/25 at 8:00 A.M. when a power outage occurred in the facility and the generator did not start. Resident #18, who was assessed to have chronic respiratory failure and was dependent on continuous oxygen, was not monitored for respiratory failure during the power outage. This resulted in a hospitalization for Resident #18 when on 03/05/25 at 9:18 A.M., a nurse was alerted that Resident #18 was confused and having a change in condition. Resident #18 was noted to have an oxygen saturation level of 45% oxygenation (A normal oxygen saturation level (SpO2), as measured by a pulse oximeter, is typically between 95% and 100%. Levels below 95% are generally…

  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 before2025-09-10 · 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 observation, record review, staff interview and review of the facility policy, the facility failed to identify and treat one (#40) resident's pressure ulcer on her left trochanter (hip) in a timely manner. This resulted in Actual Harm on 08/27/25 when the facility failed to identify and implement a treatment for Resident #40, who was at risk for pressure ulcer development and dependent on staff for activities of daily living, when the resident was identified to have developed an unstageable (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) pressure ulcer to the left trochanter (hip). On 08/28/25, Wound Physician #405 assessed the pressure ulcer to be an unstageable pressure injury. At the time of Wound Physician #405's evaluation, the pressure ulcer measured 3.9 centimeters (cm) length by 3.5 cm width by unable to determine (UTD) cm depth. The wound bed tissue composition was 100 % eschar.…

  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 before2025-03-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interviews, review of the guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), and facility policy and procedure review, the facility failed to comprehensively assess, provide timely interventions, and implement a treatment to an existing pressure ulcer. This resulted in Actual Harm to Resident #40 on 03/20/25 when the facility failed to assess a resident's wound and obtain physician orders for wound treatments resulting in Resident #40 developing an unstageable pressure ulcer (full thickness tissue loss in which the base of the ulcer is covered by slough and/or eschar in the wound bed) to the right gluteus. This affected one (#40) of three residents reviewed for pressure ulcers. The facility census was 63. Findings include: Review of the medical record for Resident #40 revealed an initial admission date of 03/20/25. Diagnoses included pulmonary embolism, diabetes mellitus, severe protein calorie malnutrition, peripheral venous insufficiency,…

  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 · D2026-06-11 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 resident and staff interview, the facility failed to ensure a resident received a discharge summary and medications necessary for a safe and effective transition following discharge. This affected one (#56) out of three residents reviewed for the discharge process. The facility census was 54. Findings include: Review of the medical record for Resident #56, revealed an admission date of 04/09/26 and discharge date of 05/14/26. Diagnoses included malignant neoplasm of lower lobe of left bronchus or lung, depression, intervertebral disc degeneration of lumbar region with discogenic back pain and lower extremity pain. Review of the Minimum Data Set assessment dated [DATE] revealed Resident #56 had a Brief Interview for Mental Status score of 15 indicating intact cognition and no behavioral concerns were identified. Review of discharge planning documentation dated 05/13/26 revealed Resident #56's discharge was planned for 05/14/26 with arrangements for transportation via Provide a Ride 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-10 · 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, interview and facility policy review the facility failed to safely store and prepare food in the kitchen. This had the potential to affect all 53 of 53 residents who receive meals from the kitchen. The census was 53.Findings Include:1. Observation of the kitchen on 09/02/25 at 8:43 A.M. revealed the internal part of the ice machine had a red substance that was removed when wiped with a glove.Interview with the Dietary Manager on 09/02/25 at 8:43 A.M. verified there was a red substance inside of the ice machine.2. Observation of the dry storage in the kitchen on 09/02/25 at 8:52 A.M. revealed greasy and dirty shelving above open boxes of plastic utensils.Interview on 09/02/25 at 8:52 A.M. with the Dietary Manager verified the shelving was dirty above the open boxes of plastic utensils.Review of the facility's Food Storage policy dated 04/01/22 verified all shelving in dry storage should be cleanable.3. Observation of the dry storage in the kitchen on 09/02/25 at 8:53 A.M. revealed two fifty- ounce tomato soup cans with the top lids smashed in.Observation 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-10 · tag F0567 — failed to protect residents' money held by the home — pattern
  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 interviews and policy and procedure review the facility failed to ensure a Resident Trust authorization Forms were not witnessed by facility staff. This affected six residents (#10, #38, #45, #52, #75 and #76) reviewed for personal care need accounts. The census was 53.Findings Include: 1.Review of Resident #38's Resident Fund Management Service Authorization and Agreement to Handle Resident Funds revealed Business Office Manager # 321 signed as a witness to allow the facility to handle Resident #38 personal care needs account on 07/07/25.2. Review of Resident #10's Resident Fund Management Service Authorization and Agreement to Handle Resident Funds revealed Business Office Manager # 321 signed as a witness to allow the facility to handle Resident #10 personal care needs account on 02/12/24.3. Review of Resident #52's Resident Fund Management Service Authorization and Agreement to Handle Resident Funds revealed Business Office Manager # 321 signed as a witness to allow the facility to handle Resident #52 personal care needs account dated for 03/31/25.4. 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-10 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  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 interview and record review the facility failed to identify, treat and monitor weight loss. This affected five residents (#42, #23, #29, #38 and #44) out of seven residents reviewed for weight changes. The facility census was 53. Findings Include: 1. Review of Resident #42's medical record revealed that she was admitted on [DATE]. Diagnoses for Resident #42 included Type II diabetes mellitus with diabetic chronic kidney disease, hypertensive heart and chronic kidney disease, and chronic respiratory failure with hypoxia. Review of Resident #42's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 15. Resident #42 functional ability assessment for eating as independent but was dependent for chair to bed transfers. Resident #42 was assessed weighing 222 pounds (lbs) having no significant weight change and on a therapeutic diet. Review of Resident #42's care plan revealed Resident #42 was on therapeutic diet to aide in fluid control related to CHF and blood glucose…

  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 · Ecited before2025-09-10 · tag F0880 — failed to prevent and control infections — pattern
  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, policy review, and interview the facility failed to implement infection control practices. This affected six residents (#38, #6, #9, #40, #23, and #77) of 53 residents residing in the facility.Findings Include:1.Review of Resident #38's medical record revealed diagnoses of Type II diabetes mellitus with chronic kidney disease and nonrheumatic aortic valve stenosis. Brief Interview for Mental Status (BIMS) score of 14. Review of Resident #6's medical record revealed diagnoses of Type II diabetes mellitus with diabetic neuropathy and dysphagia following cerebral infarction. Brief interview for Mental Status (BIMS) score of 10. Review of Resident #9's medical record revealed diagnoses of Type II diabetes with diabetic chronic kidney disease and chronic systolic heart failure. Brief Interview for Mental Status (BIMS) score of 07. Observation on 09/04/25 at 8:20 A.M. revealed Certified Nurse Aide (CNA) #291 passing meal trays in 100 hall. Observation on 09/04/25 at 8:27 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-10 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview and review of the facility policy the facility failed to ensure privacy was maintained while providing personal care for residents. This affected two residents (#16, #67) of 31 sampled residents. The census was 53. Findings Include: 1. Review of Resident #67's medical record revealed she was admitted to the facility on [DATE]. Diagnoses included CHF, cellulitis of the left lower limb, morbid obesity, atrial fib, diabetes, COPD, fibromyalgia, major depression, anxiety, restless leg syndrome and poly- osteoarthritis. Review of the minimum data set (MDS) assessment revealed it was in progress and not completed due to Resident #67 being a newer admission. On 09/04/25 at 10:59 A.M. observation of perineal care for Resident #67 revealed Certified Nurses Aide (CNA) #342 when completing perineal care left the blinds open while the resident's body was exposed. On 09/04/25 at 11:12 A.M. interview with CNA #342 verified she had not closed the blinds to provide…

  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 · D2025-09-10 · 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 interviews, medical record reviews, and policy and procedure review, the facility failed to ensure residents receiving skilled services were notified within 48 hours of their skilled services ending. This affected two residents (#71 and #72 ) of three residents reviewed for Beneficiary Notices. The census was 53.Findings Include: Review of Resident #71's SNF Beneficiary Protection Notification Review revealed her Medicare Part A Skilled Services started on 07/04/25 and her last covered day of Part A Services was on 07/24/25. Resident #71 signed her notification of Medicare Non-Coverage letter on 07/23/25.Review of Resident #72's SNF Beneficiary Protection Notification Review revealed her Medicare Part A Skilled Services started on 06/17/25 and his last covered day of Part A Services was on 07/29/25. Resident #72 signed his notification of Medicare Non-Coverage letter on 07/28/25.Interview on 09/04/25 at 7:18 A.M. with the Administrator confirmed Resident #71 and Resident #72 did not receive notification of skilled services ending within 48 hours.Review of facility policy…

  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 · D2025-09-10 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 Minimum Data Set (MDS) 3.0 assessments were coded correctly. This affected two residents (#62, #5) of three residents reviewed for minimum data set transmission. The facility census was 53. Findings Include:1. Review of Resident #5's medical record revealed an admission date of [DATE] and discharge date of [DATE]. Diagnoses included malignant neoplasm of the esophagus and type II diabetes mellitus with diabetic polyneuropathy. Review of Resident #5's progress notes revealed a note on [DATE] that stated Resident #5's belongings were collected by son. Resident #5 was to be admitted to [NAME] for chemotherapy treatment. Review of the MDS dated [DATE] revealed the MDS was coded as discharge assessment- return anticipated. Interview on [DATE] at 3:35 P.M. with MDS Nurse #400 verified the facility was not anticipating Resident #5 coming back to the facility and would modify the MDS to reflect this. 2. Review of the medical record for Resident #62…

  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 · D2025-09-10 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to develop and implement a plan of care upon the resident's admission in regard to a pressure ulcer that was present on admission. This affected one resident (#67) of three residents reviewed for pressure ulcers. The census was 53. Findings Include: Review of Resident #67's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included CHF, cellulitis of the left lower limb, morbid obesity, atrial fib, diabetes, COPD, fibromyalgia, major depression, anxiety, restless leg syndrome and poly- osteoarthritis. Review of the minimum data set (MDS) assessment revealed it was in progress and not completed due to Resident #67 being a newer admission to the facility. Further review of the plan of care revealed no evidence of a basic comprehensive plan of care for the pressure ulcer that was present upon the resident's admission to the facility. This was verified during interview with the Director of Nursing on 09/04/25…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-10 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 resident record reviews, staff interviews and review of facility policy, the facility failed to have quarterly care conferences as expected for two residents (#9, #18). Also, the facility failed to have a nutrition care plan in place for one resident (#29). This affected three residents (#9, #18, #29) out of three residents reviewed for care planning. The facility census was 53 residents. Findings Include:Findings include:1. Review of Resident #9's medical record revealed that the resident was admitted to the facility on [DATE] and had diagnoses that included cerebral infarction, dementia and schizoaffective disorder. Review of Resident #9's most recent comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed that she had a Brief Interview for Mental Status (BIMS) of 07, indicative of severe cognitive impairment. Resident #9 was assessed as requiring partial to moderate assistance with toileting hygiene, showering assistance and mobility. Review of Resident #9's care plan dated 05/12/23…

  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

“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

$91,350 in federal fines across 1 penalty.

• $91,350 — penalty dated 2025-09-10

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 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.

This home reported $392K 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

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