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Harbor Healthcare Of Ironton

1050 Clinton Street, Ironton, OH 45638 · For profit - Corporation · 125 certified beds · (740) 532-6096 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)1 immediate-jeopardy citation
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing rating is low (2/5)

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

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

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2727 S 3rd St · (740) 534-2100 · Call to confirm hours
Pharmacy
1848 Campbell Dr · (740) 533-9215 · Call to confirm hours
Grocery
702 High St · (740) 532-2381 · Call to confirm hours
Park
Coal Grove Softball Field, 222 Lane St · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.5%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight3.9%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms9.5%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.0%3.2%3.3%worse
Long-stay residents whose ability to walk worsened13.0%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication38.3%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers3.7%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control6.6%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table6.6%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine94.5%75.6%79.4%better
Short-stay residents rehospitalized after admission17.0%24.9%22.6%better
Short-stay residents with an outpatient ER visit13.8%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.951.731.67worse
Long-stay outpatient ER visits per 1,000 resident days1.641.801.80typical

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

45.7% 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 128 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

45.7%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
64.9%U.S. median 56.6%
Met the expected recovery
0.27U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 64.9% 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 77 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF45.7%CMS range 37.2–53.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 7.4–14.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge64.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge61.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge46.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.6%CMS range 6.2–13.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.411.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.55
RN hours/ resident / day
0.97
LPN hours/ resident / day
2.29
Aide hours/ resident / day
3.82
Total nurse hours/ resident / day
0.31
RN hoursweekends
43.8%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 125 beds and averages 114.7 residents a day — about 92% 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 3.82 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.552 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 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 3.42 hrs/resident/day on weekends vs 3.98 on weekdays — 14% thinner on weekends. RN hours go from 0.65 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% 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

2
deficiencies at the latest standard inspection (2025-01-30)
21
at the previous standard inspection (2023-04-10)

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.

Inspection deficiencies

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

ABCDEFGHIJKL

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

34 citations, most serious first. The 12 most serious are shown; the remaining 22 are one tap away and print in full.

  • Immediate jeopardy · J2023-04-10 · tag F0624 — isolated
    Prepare residents for a safe transfer or discharge from the nursing home.
    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, review of an Against Medical Advice (AMA) form, hospital record review, review of the policy and procedure titled Discharging a Resident without a Physician's Approval policy and interviews with facility staff, Physician #399, a Patriot Emergency Medical Service representative, and an Amedysis Home Health representative, the facility failed to ensure a safe and orderly discharge for Resident #94, who had diagnoses including respiratory failure, protein-calorie malnutrition, osteomyelitis, cerebral infarction, sepsis, COVID-19 and dementia when the resident was discharged to an unsafe home environment on [DATE]. This resulted in Immediate Jeopardy on [DATE] at approximately 1:32 P.M., after the facility originally initiated and then allowed Resident #94 to discharge to a documented unsafe environment indicating the discharge was Against Medical Advice (AMA). Resident #94 had multiple medical conditions that required continual care including multiple skin tears, a Stage IV…

    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
  • Actual harm · G2023-04-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, review of facilities fall investigation and facility policy review, the facility failed to ensure adequate assistance and safety interventions were in place to prevent falls during resident ambulation. This affected one resident (#27) of four residents reviewed for falls. Actual harm occurred on 02/20/23 when Resident #27, who required extensive assistance from one staff for ambulation sustained a fall resulting in a subarachnoid hemorrhage (bleeding in the space between the brain and the surrounding membrane), posterior head laceration and traumatic closed displaced fracture of shaft of right femur requiring surgical repair. At the time of the fall, State Tested Nursing Assistant (STNA) #560 failed to utilize a gait belt while ambulating the resident. Additionally, the facility failed to comprehensively investigate the fall and implement individualized interventions to prevent further falls for Resident #27. The facility census was 92. Findings Include: Review of the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 and staff interview, the facility failed to ensure the state Ombudsman's office was notified of resident discharge or transfer from the facility as required. This affected three (Resident #25, #76 and #99 ) of four residents reviewed. The facility census was 102. Findings include: 1. Review of the medical record for Resident #99, revealed an admission date of 09/12/24 and readmission date of 10/17/24. Diagnoses included but were not limited to infectious gastroenteritis and colitis, difficulty walking, abnormal posture, cerebral infarction and fracture of unspecified part of neck of left femur. Review of the nursing progress notes and resident census record revealed Resident #99 was transferred to the local hospital on [DATE] and 11/28/24. Review of the medical record revealed no evidence the state Ombudsman was notified of Resident #99's transfers to the hospital. Interview on 01/28/25 at 1:23 P.M. with the Administrator revealed the Ombudsman was not notified in writing of the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-30 · 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 medical record review and staff interview, the facility failed to develop a care plan that addressed dementia care and specific symptoms for depression care. This affected two (Resident #4 and #47) of five reviewed for dementia and depression. Facility census was 102. Findings include: 1. Review of the medical record for Resident #4, revealed an admission date of 10/22/21. Diagnoses included but were not limited to type 2 diabetes mellitus with diabetic polyneuropathy, bipolar disorder, major depressive disorder, dementia, and unspecified dementia. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 15 out of 15. The resident was assessed to require substantial/maximal assistance with toilet hygiene, shower/bathe self, bed mobility, and transfers. This resident was also assessed to have non-Alzheimer's dementia, depression and bipolar disorder. Review of medical record revealed no plan of care for dementia care for 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-04-10 · tag F0641 — pattern
    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 observation, record review and staff interviews, the facility failed to ensure five residents (#46, #52, #57, #85 and #195) Minimum Data Set (MDS) were accurate in the area of diagnoses, contracture's and psychotropic medications. This affected five of 26 sampled residents. The census was 92. Findings Include: 1. Review of the medical record for Resident #52 revealed an initial admission date of 08/16/21 with the latest readmission of 03/23/23. Diagnoses included quadriplegia, cervical disc disorder, acute transverse myelitis in demyelinating disease of central nervous system, polyosteoarthritis, hypothyroidism, anemia, chronic viral hepatitis C, stiffness of unspecified joint, resistance to multiple antibiotics, major depressive disorder, hereditary and idiopathic neuropathy, contracture of unspecified joint, osteoporosis, gastro-esophageal reflux disease, neuromuscular dysfunction of bladder and bipolar disorder. Review of the nursing admission screening/history dated 08/16/21 revealed the resident…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-04-10 · tag F0656 — failed to write and follow a full care plan — pattern
    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 3. Review of the medical record for Resident #52 revealed an initial admission date of 08/16/21 with the latest readmission of 03/23/23. Diagnoses included quadriplegia, cervical disc disorder, acute transverse myelitis in demyelinating disease of central nervous system, polyosteoarthritis, hypothyroidism, anemia, chronic viral hepatitis C, stiffness of unspecified joint, resistance to multiple antibiotics, major depressive disorder, hereditary and idiopathic neuropathy, contracture of unspecified joint, osteoporosis, gastro-esophageal reflux disease, neuromuscular dysfunction of bladder and bipolar disorder. Review of the nursing admission screening/history dated 08/16/21 revealed the resident had contracture's to the left hand, right hand, had foot drop and wears brace/boot for prevention and had foot drop to the left foot. Review of the MDS dated [DATE] revealed the resident had clear speech, understood others, makes herself understood and had a BIMS score of 15 out of 15 indicating the resident had no…

    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 · E2023-04-10 · tag F0881 — failed to use antibiotics responsibly — pattern
    Implement a program that monitors antibiotic use.
    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 reviews, staff interviews, and review of facility policy, the facility failed to ensure appropriate antibiotic therapy was prescribed for the treatment of residents urinary tract infections. This affected four residents (#1, #19, #28, and #67) who were reviewed for prescribed antibiotic therapy during the annual survey. The facility census 92. Findings include: 1. Record review for Resident #1 revealed this resident was admitted to the facility on [DATE] and had diagnoses including chronic kidney disease, hypertension, and dementia. Review of the results of urine culture, dated 03/19/23, revealed 10,000 - 100.000 colony formulating units per milliliter (cfu/ml) of the bacteria Escherichia coli (E-coli) was present. Review of the physicians order, dated 03/20/23 and discontinued on 03/21/23, revealed an order to administer 500 milligrams (mg) of Keflex (a broad spectrum antibiotic) three times a day for seven days for the treatment of a urinary tract infection. Review of the results 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · 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 review of Medicare Notice of Non-Coverage forms, medical record review, facility policy review, and staff interview, the facility failed to provide accurate and timely notification of Medicare non-coverage. This affected one (Resident #149) of three residents reviewed for Medicare non-coverage. The facility census was 92. Findings include: Review of the medical record for Resident #149 revealed an admission date of 11/25/22. Review of a physical therapy evaluation on 11/28/22 revealed the resident presented for therapy after hospitalization from 11/20/22 to 11/25/22 for pneumonia, hypotension, and septic shock. It stated she demonstrated unsteadiness on feet, gait impairments, and instability during standing. It stated she would be going to live with her daughter upon discharge. Review of a social history and discharge plan dated 11/28/22 revealed the resident lived with family prior to placement. A section for plans for length of stay stated short term with a question mark. It further stated her daughter wanted her to live with her upon discharge. A Minimum Data Set…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to complete a new Pre-admission Screening and Resident Review (PASRR) document after a significant change occurred. This affected one (Resident #57) of nine PASRR documents reviewed. The census was 92. Findings Include: Review of the medical record for Resident #57 revealed an initial date of 07/23/20 with the latest readmission of 02/05/22 with the admitting diagnoses including congestive heart failure, acute and chronic respiratory failure, sleep apnea, chronic obstructive pulmonary disease (COPD), cerebrovascular disease, diabetes mellitus, diverticulitis arthropathy, schizophrenia, dysphagia, history of COVID-19, benign prostatic hyperplasia, chronic embolism and thrombosis, anxiety disorder, hyperlipidemia, hypertension, constipation, unilateral inguinal hernia, adult failure to thrive and major depressive disorder. Review of Resident #57's PASRR document, dated 07/22/20, revealed under Section D: Indications of Serious Mental Health,…

    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 · D2023-04-10 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of Medicare Notice of Non-Coverage forms, medical record review, and staff interview, the facility failed to develop and implement an effective discharge plan for a resident who was notified their Medicare coverage ended. This affected one (Resident #149) of three residents reviewed for Medicare non-coverage. The facility census was 92. Findings include: Review of the medical record for Resident #149 revealed an admission date of 11/25/22. Review of a physical therapy evaluation on 11/28/22 revealed the resident presented for therapy after hospitalization from 11/20/22 to 11/25/22 for pneumonia, hypotension, and septic shock. It stated she demonstrated unsteadiness on feet, gait impairments, and instability during standing. It stated she would be going to live with her daughter upon discharge. Review of a social history and discharge plan dated 11/28/22 revealed the resident lived with family prior to placement. A section for plans for length of stay stated short term with a question mark. It further stated her daughter wanted her to live with her upon discharge. A…

    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 · D2023-04-10 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of Medicare Notice of Non-Coverage forms, medical record review, and staff interview, the facility failed to have a discharge summary that included a recapitulation of the resident's stay, a final summary of the resident's status, a reconciliation of medications, and a post-discharge plan of care developed with the resident/resident representative for a resident who was notified their Medicare coverage ended and left the facility. This affected one (Resident #149) of three residents reviewed for Medicare non-coverage. The facility census was 92. Findings include: Review of the medical record for Resident #149 revealed an admission date of 11/25/22. Review of a physical therapy evaluation on 11/28/22 revealed the resident presented for therapy after hospitalization from 11/20/22 to 11/25/22 for pneumonia, hypotension, and septic shock. It stated she demonstrated unsteadiness on feet, gait impairments, and instability during standing. It stated she would be going to live with her daughter upon discharge. Review of a social history and discharge plan dated 11/28/22…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, medical record review, and staff interview, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming. This affected one ( Resident #41) of four residents reviewed for activities of daily living. The facility census was 92. Findings include: Review of the medical record for Resident #41 revealed an admission date of 06/21/19 and diagnoses including vascular dementia, chronic kidney disease, and chronic obstructive pulmonary disease. Review of Minimum Data Set assessment completed 01/05/23 indicated cognitive impairment. It further indicated the resident required extensive assistance from two staff for transfers and extensive assistance from one staff for personal hygiene, bathing, dressing, and locomotion. A plan of care dated 11/01/19 stated the resident had a self care deficit and will be dressed and groomed appropriately. It indicated the resident would receive assistance from staff. Observations on 03/27/23 at 4:52 P.M., 03/28/23 at 3:04 P.M., and 03/29/23 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 22 citations
  • Potential for harm · Dcited before2023-04-10 · 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 observation, record review, interview, the facility failed to identify, assess and monitor skin conditions for Resident #57 and failed to ensure Resident #85's physician ordered wound dressings were in place. This affected two residents ( #57 and #85) of five residents review for skin conditions. The facility census was 92. Findings Include: 1. Review of the medical record for Resident #57 revealed an initial date of 07/23/20 with the latest readmission of 02/05/22 with the admitting diagnoses including congestive heart failure, acute and chronic respiratory failure, sleep apnea, chronic obstructive pulmonary disease (COPD), cerebrovascular disease, diabetes mellitus, diverticulitis arthropathy, schizophrenia, dysphagia, history of COVID-19, benign prostatic hyperplasia, chronic embolism and thrombosis, anxiety disorder, hyperlipidemia, hypertension, constipation, unilateral inguinal hernia, adult failure to thrive and major depressive disorder. Review of the plan of care dated 07/22/20 revealed the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, review of medical records, and review of facility policy, the facility failed to ensure adequate care and services were provided to prevent worsening of contracture's. This affected two residents (#2 and #52) out of two residents reviewed for limited range of motion. The facility census was 92. Findings include: 1. Record review for Resident #2 revealed this resident was admitted to the facility on [DATE] and had diagnoses including hemiplegia, Bell's Palsy, and contracture. Review of the annual Minimum Data Set (MDS) assessment, dated 03/02/23, revealed this resident was rarely/never understood. This resident was assessed to be dependent upon two staff members for bed mobility, transfers, and toileting and to be dependent upon one staff member for eating. This resident was assessed to have functional limitation in range of motion to bilateral upper and lower extremities. This resident was assessed to not have any recorded minutes of physical therapy, occupational…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record reviews, and review of facility policy, the facility failed to ensure physician orders were in place for the administration of oxygen and failed to ensure oxygen was administered as ordered by the physician. This affected two residents (#1 and #345) out of the four residents reviewed for respiratory care. The facility census was 92. Findings include: 1. Record review for Resident #1 revealed this resident was admitted to the facility on [DATE] and had diagnoses including dementia, chronic kidney disease, and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment, dated 02/21/23, revealed this resident had mildly impaired cognition evidenced by a Brief Interview for Mental Status (BIMS) assessment score of 10 out of 15. This resident was assessed to require extensive assistance from two staff members for bed mobility, transfers, and toileting and to be independent with setup help only for eating. This resident was assessed to use oxygen while a…

    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 · D2023-04-10 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, medical record review, the facility failed to provide Resident #2 a prescribed medication. This affected one resident (#2) of four residents reviewed for medication administration. The facility census was 92. Findings include: Review of the medical record for Resident #2 revealed an admission date of 11/06/22 with diagnoses including hemiplegia, Bell's Palsy and contracture. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed this resident was rarely/never understood. This resident was assessed to be dependent upon two staff members for bed mobility, transfers, and toileting and to be dependent upon one staff member for eating. Review of the physician orders dated March 2023 revealed Resident #2 was ordered Reglan 5 milligram (mg) tablets, give two tablets to equal 10 mg, via gastrointestinal tube four time daily at 8:00 A.M., 12:00 P.M., 4:00 P.M. and 8:00 P.M. Review of the Medication Administration Record (MAR) dated March 2023 revealed 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to ensure irregularities identified by the pharmacist were reported to the physician and acted upon timely. This affected two (Residents #27 and #46) of five residents reviewed for unnecessary medications. The facility census was 92. Findings include: 1. Review of the medical record for Resident #46 revealed an admission date of 07/02/22 with diagnoses including Parkinson's disease, malignant neoplasm of the breast, lymphedema, hypertension, and [NAME] Body Dementia. The resident had received an antipsychotic medication (Quetiapine 50 milligrams at bedtime) since admission. Review of monthly pharmacy reviews since admission revealed the pharmacist indicated to see report for irregularities on 11/15/22, 12/30/22, and 02/24/23. Review of the pharmacy report for 11/15/22 revealed it stated the resident received an antipsychotic (Quetiapine) but did not have an A1C or fasting lipids documented as being done in the previous 12…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review, the facility failed to ensure Resident #57's medication regimen was free of unnecessary medications when they failed to obtain physician ordered blood pressure (BP) to monitor the effectiveness of antihypertensive medication. This affected one resident (#57) of five residents reviewed for unnecessary medication use. The facility census was 92. Findings include: Review of the medical record for Resident #57 revealed an initial date of 07/23/20 with the latest readmission of 02/05/22 with the admitting diagnoses including congestive heart failure (CHF), acute and chronic respiratory failure, sleep apnea, chronic obstructive pulmonary disease (COPD), cerebrovascular disease (CVD), diabetes mellitus, diverticulitis arthropathy, schizophrenia, dysphagia, history of COVID-19, benign prostatic hyperplasia, chronic embolism and thrombosis, anxiety disorder, hyperlipidemia (HLD), hypertension (HTN), constipation, unilateral inguinal hernia, adult…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and facility policy review, the facility failed to provide an appropriate diagnosis for the use of an antipsychotic medication and failed to provide a Gradual Dose Reduction (GDR) for a resident without behaviors. This affected two residents (Resident #26 and Resident #46) out of five residents reviewed for unnecessary medications. The facility census was 92. Findings include: 1. Record Review of Resident #26 revealed this resident was admitted to the facility on [DATE] with the following medical diagnoses: cerebrovascular disease, morbid obesity, asthma, hemiplegia and hemiparesis, expressive-receptive language disorder, anxiety, pseudobulbar affect, low back pain, intervertebral disc degeneration, dementia, abnormalities of gait and movement, dysphagia, abnormal posture, depression, COVID-19, depression, chronic kidney disease stage 3, muscle weakness, arthropathy, and gastro-esophageal reflux disease. Review of the admission Minimum Data Set (MDS) assessment completed…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and facility policy review, the facility failed to ensure significant medication errors did not occur. This affected one resident (#27) of five residents reviewed for unnecessary medications. The facility census was 92. Findings Include: Review of the medical record for Resident #27 revealed an initial admission date of 01/24/22 with the latest readmission of 03/09/23 with the admitting diagnoses including traumatic subarachnoid hemorrhage, fracture of shaft of right femur, respiratory failure with hypoxia, chronic obstructive pulmonary disease (COPD), end stage renal disease (ESRD), asthma, diabetes mellitus, obesity, atrial fibrillation, depression, sleep apnea, heart failure, dysphagia, hypertension, generalized muscle weakness, difficulty, constipation, hypothyroidism, gastro-esophageal reflux disease, hyperlipidemia, chronic pain syndrome, benign prostatic hyperplasia with lower urinary tract symptoms, folate deficiency anemia and dependence on renal dialysis. Review…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, medical record review and facility policy review the facility failed to ensure Resident #85's medication was properly stored. This had the potential to affect 21 cognitively impaired, ambulatory residents. The facility census was 92. Findings include: Review of the medical record for Resident #85 revealed an admission date of 02/03/23 with diagnoses including sepsis, cellulitis of bilateral lower extremities, moderate protein calorie malnutrition, peripheral vascular disease, Methicillin resistant Staphylococcus aureus (MRSA) of nasal passage, colonized. Review of the comprehensive Medicare five day Minimum Data Set (MDS) dated [DATE] indicated Resident #85 was cognitively intact as evidenced by a Brief Mental Status (BIMS) score of 15 out of 15. Resident #85 was coded as receiving an antibiotic. Review of the physician orders for March 2023 revealed Resident #85 was ordered Juven oral packet (nutritional supplement) give one packet by mouth mixed with six…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility failed to ensure dental services were provided for a resident with dental concerns. This affected one resident (#9) who was reviewed for dental concerns. The facility census was 92. Findings include: Record review for Resident #9 revealed this resident was admitted to the facility on [DATE] and had diagnoses including hemiplegia affecting the right dominant side, aphasia, morbid obesity, dysphagia, and dementia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/25/23, revealed this resident had moderately impaired cognition based off of staff interview. This resident was assessed to require extensive assistance from two staff members for bed mobility, extensive assistance from one staff member for eating, and to be dependent upon two staff members for transfers and toileting. Review of the dental visit note, dated 08/29/19, revealed this resident refused dental services during the visit. Review of the care plan, dated…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-10 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record reviews, and facility policy review, the facility failed to ensure accurate and complete physicians orders for the administration of medication and wound care treatments. This affected two residents (#2 and #195) who were reviewed for medication administration and wound care treatment. The facility census was 92. Findings include: 1. Record review for Resident #2 revealed this resident was admitted to the facility on [DATE] and had diagnoses including acute and chronic respiratory failure, contracture's, and Bell's Palsy. Review of the annual Minimum Data Set (MDS) assessment, dated 03/02/23, revealed this resident was rarely/never understood. This resident was assessed to be dependent upon two staff members for bed mobility, transfers, and toileting and to be dependent upon one staff member for eating. Review of the care plan, revised 03/08/22, revealed this resident had an Activities of Daily Living (ADL's) self care deficit. Interventions included geri-chair for…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2020-02-27 · 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 — the official record, unedited, may be distressing

    Based on observation, staff interview, and policy review the facility failed to store and prepare food under sanitary conditions. This had the potential to affect all but two residents' (Resident #14 and #66 did not receive nutrition from the kitchen). Findings include: An initial tour of the kitchen on 02/24/20 from 8:50 A.M. to 9:05 A.M. revealed at least 15 pans were stored wet/dirty and two dented cans were stored with the stock. This was confirmed with Dietary Manager (DM) #83. Observation on 02/25/20 at 10:00 AM revealed three fans in the kitchen had grease encrusted dust on them and they were blowing over work areas and food preparation areas. This observation was confirmed by DM #83. Further observation in the kitchen on 02/27/20 at 2:12 P.M. revealed two food scoops had no end caps. This observation was confirmed by Registered Dietitian #117. The facility identified Resident #14 and #66 as receiving no food from the kitchen. Review of the facility's sanitization policy (not dated) revealed the food service area would be maintained in a clean and sanitary manner.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-02-27 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, policy review, and staff interview the facility failed to ensure pureed food was properly prepared and did not have large pieces of meat in it. This had the potential to affect nine residents who received a pureed diet (Resident #2, #3, #18, #31, #79, #93, #106, #309, and #400). The faciity census was 120. Findings include: Observation of pureed diet preparation on 02/25/20 at 10:00 A.M. revealed 18 servings of creamed chipped beef was placed into a blender. The cream chipped beef was processed, however there were large pieces of the meat around the top of the blender. When [NAME] #42 put the cream chipped beef into the pan pieces that were not pureed mixed into the pureed food. This was confirmed by Registered Dietitian #117. The facility identified Resident #2, #3, #18, #31, #79, #93, #106, #309, and #400 as receiving pureed foods. Review of the Resident nutrition services policy (not dated) revealed each resident would be provided with a diet that met the resident's special dietary needs.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews the facility failed to notify the physician and hospice services after a resident was found with copious amounts of sanguineous fluid visible in a tracheostomy mask and the tracheostomy tube. This affected one resident (Resident #2) out of three residents reviewed with tracheostomy care. The facility census was 120. Findings include: Record Review of Resident #2 revealed this resident was admitted to the facility on [DATE] with the following medical diagnoses: malignant neoplasm of the larynx, chronic obstructive pulmonary disease, acute bronchitis, hypoxia, mood disorder, tracheostomy, obstructive sleep apnea, anemia, dyspnea, and diabetes mellitus type II. This resident is non-verbal, but is alert and oriented to person, place, and time with a current BIMS score of 10 on the most recent MDS quarterly assessment completed on 02/17/20, indicating minimal/moderate cognitive impairments. This resident has no known drug allergies. Review of physician orders…

    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 · D2020-02-27 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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, and staff interview the facility failed to assess a resident's activity interests and provide on-going activities. This affected one of one sampled resident reviewed for activities (Resident #14). Findings include: Review of Resident #14's medical record revealed she was admitted on [DATE] with diagnoses that included: chronic respiratory failure, fever, chronic obstructive pyelonephritis, major depressive disorder, and anoxic brain. Review of Resident #14's significant change Minimum Data Set (MDS) dated [DATE] revealed no speech, rarely never understands, was rarely understood, and her cognition was severely impaired. Resident # 14 had no behavior and did not reject care. Staff assessment for activities revealed she did not read, liked listening to music, liked being around animals, did not keep up on the news, did not like to do things with groups of people, did not like participating in favorite activities, did not like spending time away from the nursing home,…

    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 before2020-02-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and interview, the facility failed to ensure a resident did not receive an antibiotic that was listed as an allergy. This affected one (Resident #361) of one resident sampled for antibiotic use. The facility census was 120. Findings include: Review of Resident #361's medical record revealed an initial admission date of 12/31/19 and a re-entry date of 02/15/20. Diagnoses include, respiratory failure, acute bronchitis, and upper respiratory infection. Resident #361 was noted to have allergies to Ciprofloxacin (an antibiotic), Diflucan ( an antifungal), Cephalexin (an antibiotic), Omnicef (an antibiotic), Paxil ( an selective serotonin reuptake inhibitor for depression and anxiety), and Zithromax ( an antibiotic). Reactions to all of these allergies were noted as unknown. Review of Resident #361's medicare 5 day Minimum Data Set (MDS) 3.0 dated for 02/20/20 revealed an intact cognition with a Brief Interview for Mental Status (BIMS) of 15. Resident #361 required extensive assistance from one staff member for bed mobility, transfers, and toilet use 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 · D2020-02-27 · 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, medical record review, and staff interview the facility failed to ensure devices were in place to protect the resident's palm from breakdown. This affected one of four sampled residents reviewed for impaired skin integrity (Resident #14). Findings include: Review of Resident #14's medical record revealed she was admitted on [DATE] with diagnoses that included: chronic respiratory failure, fever, chronic obstructive pyelonephritis, major depressive disorder, and anoxic brain. Review of Resident #14 significant change Minimum Data Set (MDS) dated [DATE] revealed no speech, rarely never understands, was rarely understood, and her cognition was severely impaired. Resident #14 had no behavior and did not reject care. Resident #14 was dependent on two staff for bed mobility and did not transfer in the previous seven days. Resident #14 had limited range of motion of both side of upper and lower extremities. The resident's hands were contracted. Review of telephone orders revealed on 01/30/20…

    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 before2020-02-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, and interviews the facility failed to provide appropriate respiratory related services to residents. This affected three residents (Residents #2, #14, and #316) of three residents reviewed who were receiving respiratory services in the facility. The facility census was 120. Findings include: 1. Record review of Resident #2 revealed this resident was admitted to the facility on [DATE] with the following medical diagnoses: malignant neoplasm of the larynx, chronic obstructive pulmonary disease, acute bronchitis, hypoxia, mood disorder, tracheostomy, obstructive sleep apnea, anemia, dyspnea, and diabetes mellitus type II. This resident is non-verbal, but is alert and oriented to person, place, and time with a current BIMS score of 10 on the most recent MDS quarterly assessment completed on 02/17/20, indicating minimal/moderate cognitive impairments. This resident has no known drug allergies. Review of physician orders revealed this resident was to receive tracheostomy care each…

    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 · D2020-02-27 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis 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 interview and record review, the facility failed to ensure timely communication from the dialysis center to ensure continuity of care. This affected one resident (Resident #108) of two residents reviewed for dialysis. Findings Include: Record review revealed Resident # 108 was admitted to the facility on [DATE] and readmitted after acute care hospitalization on 02/04/20 with diagnoses including atherosclerosis and gangrene bilateral legs, congestive heart failure, end stage renal disease, diabetes mellitus Type II, and peripheral vascular disease. Review of the quarterly Minimum Data Set completed on 02/11/20 indicated no cognitive delay. The physician orders for 02/2020 included low concentrated sweet diet, dialysis every Tuesday, Thursday and Saturday; evaluate shunt site in right upper arm for thrill or bruit each shift and as needed; no blood pressure or needle sticks in right arm; ensure right upper arm shunt site is free from signs/symptoms of infection and document any positive finding in…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on resident interview, a test tray, and staff interview the facility failed to ensure residents food was palatable. This affected one of one sampled resident reviewed for food (Resident #160) and one randomly observed resident (Resident #108). Findings include: Interview of Resident #160 on 02/24/20 at 3:03 P.M. revealed the food just did not taste good and the meat was tough. Interview of Resident #108 on 02/26/20 at 5:25 P.M. revealed he was unable to cut up his piece of chicken by himself. He stated that the chicken was too tough to cut up with a fork and butter knife. A test tray was requested for the evening meal on 02/26/20. At 5:35 P.M. the test tray revealed the apple juice was 58 degrees Fahrenheit and warm to taste. The fried chicken sandwich was overcooked, dry, and not palatable. This was verified by two surveyors whom agreed with each other's taste and confirmed by Registered Dietitian #117.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · 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, staff interview, medical record review, and policy review the facility failed to maintain an infection prevention program that was followed by facility staff. This affected one of three residents reviewed for respiratory care (Resident #14). Findings include: Review of Resident #14's medical record revealed she was admitted on [DATE] with diagnoses that included: chronic respiratory failure, fever, chronic obstructive pyelonephritis, major depressive disorder, and anoxic brain. Review of Resident #14's significant change Minimum Data Set (MDS) dated [DATE] revealed no speech, rarely never understands, was rarely understood, and her cognition was severely impaired. Resident # 14 had no behavior and did not reject care. Resident #14 was dependent on two staff for bed mobility and did not transfer in the previous seven days. Resident #14 had a tracheotomy and received oxygen therapy. Observation on 02/27/20 at 2:10 P.M. of tracheostomy (trach) care completed for Resident #14 by Licensed…

    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 · D2020-02-27 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation and record review, the facility failed to ensure residents were provided with a secured lock box. This affected one resident (Resident #105) of two residents reviewed for personal property. Findings Include: Record review revealed Resident #105 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus Type II, atherosclerotic heart disease, neuropathy, weakness, difficulty walking, depression, hypertension, right foot drop and repeated falls. Review of the quarterly minimum data set completed on 02/11/20 indicated Resident #105 had no cognitive delay. During an interview with Resident #105 on 02/24/20 at 11:18 A.M. he stated he had a locked drawer on his night stand, however, the door did not lock. He stated he had two sets of keys, however, anyone could just open the drawer. Resident #105 stated this had been reported to nursing staff, however, nothing had been done to correct the problem. On 02/26/20 at 11:08 A.M. observation of the locked drawer 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.

    Environmental Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ECC TRUST — 3 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.7+0.3 vs chain
Health inspection 3 of 53.3-0.3 vs chain
Staffing 2 of 53.0-1.0 vs chain
Quality measures 5 of 54.3+0.7 vs chain
The other 2 homes this chain runs (chain average 3.7★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
ECC TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 01/01/2023
BROWN, ERVINIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2023
COX, GRETCHENIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/01/2023
BROWN, JODYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/23/2023
SHELTON, JASONIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/21/2025
STEWART, HANNAHIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/09/2024
STOCKTON, EDDYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/31/2023
TICHENOR, HOLLYIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 05/01/2023
MITCHELL, GREGORYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2017
COX, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2023
COX, DOUGLASIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 09/26/2025
FIRST SOUTHERN BANCORP, INC.OrganizationADP OF THE SNFsince 02/01/2017
HARGIS & ASSOCIATES, LLCOrganizationADP OF THE SNFsince 02/01/2017
IRONTON REALCO, LLCOrganizationADP OF THE SNFsince 05/31/2017
PROVIDENCE HEALTH, LLCOrganizationADP OF THE SNFsince 04/08/2021
THE PROVIDENCE GROUPS, LLCOrganizationADP OF THE SNFsince 02/01/2017
ARNOLD, JEFFREYIndividualADP OF THE SNFsince 05/31/2017
CARIAS, KATHERINEIndividualADP OF THE SNFsince 05/24/2023
HARGIS, FORWOODIndividualADP OF THE SNFsince 02/01/2017
MCINTOSH, SARAHIndividualADP OF THE SNFsince 02/01/2017
YOUNG, CARMENIndividualADP OF THE SNFsince 04/08/2021

CMS files one row per role, so the 33 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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.

$10.9M
Net patient revenuemost recent cost report
-6.8%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 73%Medicare 10%Other / private 16%

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. 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

$318per resident / day
operating cost
$9,675per month
≈ monthly operating cost
$298per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365564. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-30, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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