Arbors At Mifflin
1600 Crider Rd, Mansfield, OH 44903 · For profit - Limited Liability company · 99 certified beds · (419) 589-7611 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0569)
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $15,593 in federal fines (most recent 2023-12-18)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 2 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 1.4% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 5.9% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.4% | 0.2% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 13.7% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.6% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.2% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 29.0% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 93.8% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.2% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 21.9% | 21.4% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 7.2% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.3% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 56.4% | 75.6% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 22.3% | 24.9% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.8% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.61 | 1.73 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.15 | 1.80 | 1.80 | worse |
‡ 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.
41.8% 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 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 57.9% 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 38 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 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 35% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 41.8%CMS range 31.7–56.2 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 7.4–15.1 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 57.9% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 42.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 39.5% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.2% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.9%CMS range 4.7–13.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.01 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 99 beds and averages 90.8 residents a day — about 92% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.99 hrs/resident/day on weekends vs 3.87 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.75 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · J2023-12-18 · tag F0678 — failed to provide CPR when needed — isolatedProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, staff interview, and review of the facility policy, the facility failed to initiate Cardiopulmonary Resuscitation (CPR) or call 911 for Emergency Medical Services (EMS) for Resident #69, who was found unresponsive, without a pulse/heartbeat and was identified as a full code status. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, negative health outcomes, and/or death when Resident #69 did not receive CPR and EMS was not contacted for medical services assistance. Resident #69 subsequently expired. This affected one resident (Resident #69) of three (#69, #70, and #71) residents reviewed for death in the facility. The facility census was 68 residents. On [DATE] at 2:26 P.M., the Administrator and Regional Director of Operations (RDO) #181 were notified Immediate Jeopardy began on [DATE] at approximately 5:30 A.M.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-23 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 medical record review, interview, and facility policy review the facility failed to ensure antibiotics were administered as ordered and the physician was notified when the antibiotics were not available for administration. This deficient practice affected one resident (Resident #25) out of two residents reviewed for antibiotic medication orders. The facility's census was 87. Findings Include: A review of Resident #25's medical record revealed admission date 10/03/24 with diagnoses including but not limited to urinary tract infection (UTI), infection of prosthetic hip joint, osteoarthritis, and major depression disorder. Resident #25 required assistance from staff to complete Activities of Daily (ADL) tasks including transfers by a mechanical lift. Resident #25 had intact cognition with a Brief Interview of Mental Status (BIMS) score of 15 out of 15 dated 10/10/24. A review of Resident #25's physician orders revealed an ordered dated 11/13/24 for an antibiotic Doxycycline Hyclate capsule 100 milligrams…
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.
- Potential for harm · F2024-05-22 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, and policy review, the facility failed to datemark potentially hazardous food items in the walk-in cooler and maintain kitchen utensils in a safe and sanitary condition. This had the potential to affect all residents who reside in the facility and receive food from the kitchen. The facility census was 85. Findings include: 1. Observations of the kitchen on 05/19/24 at 8:30 A.M. to 8:37 A.M. with Dietary Manager #113 revealed in the walk-in cooler, there were two blocks of sliced orange cheese stored undated, an open block of ham was stored undated, an open block of turkey breast was stored undated, an open pork loin was stored undated, and a large box of colored eggs with a label of activities was stored undated. Interview with Dietary Manager #113 confirmed the cheese, the ham, the turkey breast meat, the pork loin were not dated. Dietary Manager #113 stated the pork loin was was cut Friday night and the colored eggs were from Easter (03/31/24). Review of the facilities Food Storage: Cold Foods policy dated 02/2023 revealed all foods will be…
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.
- Potential for harm · D2024-05-22 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 reviews, review of facility admission packet, and staff interviews, the facility failed to ensure the resident's advance directives were clearly identified in their medical record. This affected two (Residents #36 and #129) of 24 residents reviewed for advance directives. The facility census was 85. Findings include: 1. Review of Resident #36's electronic medical record revealed an admission to the facility on [DATE]. Diagnoses included obstructive uropathy, malnutrition, and chronic kidney disease. The physician orders in the electronic record revealed Resident #36 was a Full code. Review of Resident #36's paper chart revealed there were two different advanced directive forms in a plastic sleeve in the front of the chart. There was a Full code document and also a Do Not Resuscitate (DNR) document, that were not dated. Interview with the Director of Nursing (DON) on [DATE] at 11:00 A.M. confirmed Resident #36's advanced directives were not clearly identified in the medical record.…
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.
- Potential for harm · D2024-05-22 · tag F0582 — isolatedGive 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and facility staff interview, the facility failed to provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) for Resident #48 and the SNFABN and Notice of Medicare Non-Coverage (NOMNC) was not filled out correctly for Resident #16. This affected two (Residents #16 and #48) of two residents reviewed for discharged from skilled therapy but remained in the facility. The facility census was 85. Findings include: 1. Review of Resident #16's medical record revealed the resident was admitted on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), and schizoaffective disorder. Resident #16 was receiving skilled services under Medicare part A from 01/11/24 to 02/10/24. Resident #16's record revealed Resident #16 remained in the facility. Review of Resident #16's SNFABN form/Form-CMS 10055, dated revealed the estimated cost category was monthly patient liability and did not include a dollar amount on the form. Review of Resident #16's NOMNC form/CMS-10123…
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.
- Potential for harm · D2024-05-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 observation, staff interview, record review, and facility policy review, the facility failed to ensure a resident had physician orders for oxygen use and failed to safely store the resident's oxygen. This affected three (Residents #17, #41, and #69) of five residents reviewed for respiratory care. The facility identified 23 resident who utilized supplemental oxygen. The facility census was 85. Findings include: 1. Review of the medical record for Resident #17 revealed an admission date of 06/15/23. Diagnoses included chronic obstructive pulmonary disease (COPD), congestive heart failure, and anxiety. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 04/30/24, revealed Resident #17 had moderately impaired cognition. Resident #17 required the use of supplemental oxygen and had shortness of breath while lying flat. Review of Resident #17's physician's orders revealed an order dated 02/08/24 for continuous supplemental oxygen at two to eight liters per minute (LPM) per nasal cannula. An…
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.
- Potential for harm · D2024-05-22 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, record review, and policy review, the facility failed to ensure Resident #16 was free from a significant medication error. This affected one (Resident #16) of six residents reviewed for medication administration. The facility census was 85. Findings include: Review of the medical record for Resident #16 revealed an admission date of 04/11/14. Diagnoses included schizoaffective disorder, bipolar disorder, depression, and muscle weakness. Review of Resident #16's Minimum Data Set (MDS) 3.0 quarterly assessment, dated 03/01/24, revealed the resident had intact cognition. Resident #16 was noted to have hallucinations and delusions and was not noted to reject any care or treatment. Resident #16 was noted to receive antipsychotic medications on a daily basis and a gradual dose reduction had been documented as clinically contraindicated. Review of Resident #16's physician's orders revealed an order dated 01/11/24 for Loxapine (an antipsychotic medication) 50 milligrams (mg) give three capsules daily at bedtime. Resident #16 also had an order 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.
- Potential for harm · D2024-05-22 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interviews, record review, and policy review, the facility failed to follow the menu and give residents the appropriate food. This affected three (Residents #28, #39, and #134) of six residents who had their meals and meal tickets reviewed. The facility census was 85. Findings include: 1. Review of Resident #28's medical record revealed the resident was admitted on [DATE] with diagnoses including Alzheimer's disease with late onset, dementia, and type II diabetes mellitus. Review of Resident #28's physician orders revealed an order dated 09/06/22 for a regular diet with regular texture and regular fluid with thin consistency. Review of Resident #28's lunch meal ticket dated 05/19/24 Sunday lunch, indicated the meal included a half cup of marinated cucumber salad. Observation on 05/19/24 at 11:45 A.M. revealed Resident #28's lunch was missing the marinated cucumber salad. Interview on 05/19/24 at 11:51 A.M. with State Tested Nursing Aide (STNA) #67 confirmed Resident #28…
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.
- Potential for harm · Dcited before2024-05-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, record review, and policy review, the facility failed to ensure appropriate transmission based precautions (TBP) were implemented for Resident #36. This affected one (Resident #36) of one resident reviewed for transmission based precautions. The facility identified only one resident on transmission based precautions. The facility census was 85. Findings include: Review of the medical record for Resident #36 revealed an admission date of 12/02/21. Medical diagnoses included enterocolitis due to clostridium difficile and severe protein-calorie malnutrition. Review of Resident #36's quarterly Minimum Data Set (MDS) 3.0 assessment, dated 03/15/24, revealed the resident's cognition was not assessed. Resident #36 was not recorded as having any behaviors or rejection of care. The resident was noted to be dependent on staff for toileting hygiene, had an indwelling urinary catheter and was always incontinent of bowel. Review of Resident #36's physician's orders revealed an order dated 03/19/24 for contact precautions related to clostridium difficile…
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.
- Potential for harm · D2023-03-30 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff and resident interview, and policy review, the facility failed to ensure residents were free from physical restraint. This affected one resident (#68) of one resident reviewed for a physical restraint. The facility census was 79. Findings include: Review of Resident #68's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, hypertensive chronic kidney disease, malignant neoplasm of the colon, personal history of transient ischemic attack, peripheral vascular disease, chronic pain, and anorexia. Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed Resident #68 was severely cognitively impaired, had physical behaviors, verbal behaviors and rejection of care one to three days of the review period. The resident required extensive assist with bed mobility, transfers, dressing, toilet use and personal hygiene. Resident #68 utilized a walker and a wheelchair 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.
- Potential for harm · D2023-03-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record, observation, and staff and resident interview, the facility failed to ensure a resident who required assistance was provided with nail care. This affected one resident (#57) of two residents reviewed for activities of daily living care. The facility census was 79. Findings include: Review of the medical record for Resident #57 revealed admission date of 10/01/19. Diagnoses included traumatic subarachnoid hemorrhage with loss of consciousness, left sided hemiplegia, contractures of right knee and hip, contractures of left hand, elbow, wrist, forearm, shoulder, hip, and knee, unsteadiness on feet, and muscle weakness. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #57 had intact cognition and required extensive two staff assistance with personal hygiene and dependent on two staff assistance for bathing. Review of the plan of care dated 07/26/22 revealed Resident #57 refused care at times and preferred certain staff to care for him. Interventions…
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.
Show the remaining 10 citations
- Potential for harm · D2023-03-30 · tag F0698 — failed to provide proper dialysis care — isolatedProvide 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 medical record review, staff interview, review of the dialysis communication record, and policy review, the facility failed to ensure residents who received dialysis treatments were monitored per physician orders. This affected one resident (#239) of one resident reviewed for dialysis. The facility census was 79. Findings include: Review of the medical record for Resident #239 revealed an admission date of 03/07/23. Diagnoses included stage III chronic renal disease, dependence upon renal dialysis, pneumonia, type II diabetes mellitus with hyperglycemia, chronic obstructive pulmonary disease, morbid obesity, atherosclerotic heart disease and depression. Review of the physician's order dated 03/08/23 revealed Resident #239 had an order for pre and post dialysis assessments to be completed two times a day every Monday, Wednesday, and Friday for dialysis treatments. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] for Resident #239 revealed he was on dialysis treatments. 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.
- Potential for harm · D2023-03-30 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure 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 medical record review, physician and staff interview, and policy review, the facility failed to ensure residents prescribed antibiotics had an adequate indication for use. This affected two residents (#10 and #80) out of eight residents reviewed. The facility census was 79. Findings include: 1. Review of Resident #10's medical record identified admission to the facility occurred on 12/31/15. Diagnoses included right femur fractures, anxiety, constipation, neuromuscular dysfunction of the bladder with urinary catheter and contracture's. Review of the minimum data set (MDS) assessment dated [DATE] revealed Resident #10 cognitively intact and required the use of an indwelling urinary catheter. Review of the physician orders dated 03/25/23 revealed Resident #10 was ordered Amoxicillin 500 milligram (mg) three times a day for seven days. Review of Resident #10's progress notes and vital signs were completed from 03/15/23 through 03/21/23. The notes identified no evidence of any changes in Resident #10's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-03-30 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, interview, and policy review, the facility failed to maintain appropriate infection control measures during resident personal care. This affected one resident (#22) of two residents observed for personal care. The facility census was 79. Findings include: Resident #22 was admitted to the facility on [DATE] with diagnoses including atrial fibrillation, Schizophrenia, hypertension, depression, dissection of unspecified site of aorta, diabetes type II, neuromuscular bladder, acquired absence of left leg below knee, sacral stage three pressure ulcer, stage two left buttock pressure ulcer; and congestive heart failure. Review of the Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #22 had mild cognitive impairment. Resident #22 required extensive assistance with bed mobility, dressing, toilet use, personal hygiene, and bathing with assistance from one to two staff persons. Review of the care plan for Resident #22 dated 02/10/23 revealed a need for assistance with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-03-30 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff and resident interview, and policy review, the facility failed to ensure call lights within resident's reach. This affected one resident (#42) of two residents reviewed for the accessibility of call lights. The facility census was 79. Findings include: Review of the medical record revealed Resident #42 was admitted to the facility on [DATE]. Diagnoses included hypertension, diabetes type II, Post-Traumatic Stress Disorder, major depressive disorder, pain disorder with psychological factors, repeated falls, and unsteadiness on feet. Diagnoses after admission included vascular dementia, transient ischemic attack, cerebral infarct, hemiplegia and hemiparesis affecting left side, and dysphagia. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #42 had moderate cognitive impairment. The assessment also revealed the resident required extensive assistance with bed mobility, transfers, dressing, personal hygiene, and bathing with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-01-09 · tag F0569 — isolatedNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of resident personal funds statement, staff interview, and review of facility policy, the facility failed to ensure a resident's legal Guardian was notified when her account exceeded her Social Security Income (SSI) resource limit. This affected one Resident (#74) of eight reviewed for management of funds. The facility census was 80. Findings include: Review of Resident #74's medical record revealed she was admitted to the facility on [DATE] and the payor source was Medicaid. An attorney had been appointed her legal Guardian. Review of Resident #74's personal funds statement titled, Resident Statement Landscape, revealed the following balances: 11/12/19-$2,833.67 11/20/19-$2,154.67 12/05/19-$2,925.85 12/05/19-$2,225.85 12/30/19-$2,217.85 01/02/20-$2,218.06 01/08/20-$3,001.06 01/08/20-$2,289.06 Further review of Resident #74's financial records revealed no evidence a spend-down notification had been sent to her legal Guardian when her account reached $200 less than her SSI…
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.
- Potential for harm · D2020-01-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and staff interview, the facility failed to ensure a resident's bathroom had adequate lighting and was maintained in good repair. This affected one (#74) of one resident reviewed for environment. The facility census was 80. Findings include Medical record review revealed Resident #74 had an admission date of 11/04/16. Diagnoses included chronic respiratory failure with hypoxia, anorexia, end stage renal disease, dementia, anxiety, and difficulty walking. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had impaired cognition. The resident was noted with highly impaired vision. Review of the care plan revised 05/21/19 revealed the resident had altered vision status and legal blindness. Review of the interventions revealed staff should identify environmental conditions affecting visual function including poor lighting. Interview on 01/06/20 at 12:23 P.M. with Resident #74 revealed the lights in her bathroom had been out for 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.
- Potential for harm · D2020-01-09 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident interview, staff interview, and review of facility policy, the facility failed to complete a concern form and provide evidence of follow up regarding missing items. This affected one Resident (#34) of one resident reviewed for personal property. The facility census was 80. Findings include: Review of Resident #34's medical record revealed he admitted to the facility 09/10/13 with diagnoses including chronic respiratory failure. Review of Resident #34's Minimum Data Set (MDS) assessment dated [DATE] revealed he was cognitively intact. Interview on 01/07/20 at 8:45 A.M. with Resident #34 revealed he was missing a pair of black gym shorts and a white tee shirt and reported it to everyone on 01/03/20. Interview on 01/07/20 at 11:44 A.M. with Housekeeping Manager (HM) #110 confirmed on 01/03/20, she had been notified by Resident #34 he was missing a white shirt and black shorts. She revealed on 01/04/20 one of her housekeepers brought Resident #34 all of his clean clothes. HM…
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.
- Potential for harm · D2020-01-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and policy review, the facility failed to implement physician ordered preventative pressure ulcer interventions. This affected one (#48) of three residents reviewed for pressure ulcers. The facility census was 80. Findings include Medical record review revealed Resident #48 had an admission date of 02/21/17 with diagnoses including myelodysplastic syndrome, diabetes mellitus type two, anemia in chronic kidney disease, and protein-calorie malnutrition. Review of a physician order dated 08/27/19 revealed to keep the resident's heels off the bed as the resident allowed. Review of a pressure ulcer risk assessment dated [DATE] revealed Resident #48 was at high risk for developing pressure ulcers. Observation on 01/06/20 at 1:41 P.M. revealed Resident #48 was in bed and her heels were not elevated off the bed. Observation on 01/07/20 at 2:50 P.M. revealed Resident #48's heels were not elevated off the bed. Interview on 01/07/20 at 2:55 P.M. with State…
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.
- Potential for harm · D2020-01-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and staff interview, the facility failed to ensure appropriate monitoring was completed for a resident with a indwelling foley catheter. This affected one Resident (#63) of one reviewed for catheter care. The facility census was 80. Findings include: Review of the medical record revealed Resident #63 was initially admitted to the facility in 2013 with the most recent readmission on [DATE]. Diagnoses included multiple sclerosis, Methicillin Staphylococcus Aureus (MRSA/infection), and obstructive uropathy (obstructive urine flow). Review of the comprehensive assessment, dated 12/11/19, revealed Resident #63 had moderate cognitive impairment and had an indwelling urinary catheter. Review of Resident #63's care plan related to the indwelling catheter revealed the resident was at risk for infection of the urinary tract related to Foley catheter and history of urinary tract infections. Review of Resident #63's Treatment Administration Record (TAR) revealed there was 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.
- Potential for harm · D2020-01-09 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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
Based on medical record review, resident interview, staff interview, and facility policy review, the facility failed to ensure medications were timely acquired for a newly admitted resident. This affected one (#235) of three new admissions reviewed. The facility census was 80. Findings include: Medical record review revealed Resident #235 had an admission date of 01/04/20, with diagnoses including anorexia nervosa (eating disorder), severe protein-calorie malnutrition, post traumatic stress disorder, depressive disorder, and anxiety. Review of the admission physician orders dated 01/04/20 revealed Resident #235 was ordered Fluoxetine 40 milligrams (mg) by mouth, daily in the morning for depression, and Potassium Phosphate Monobasic 250 mg by mouth, three times per day for anorexia nervosa. Review of the Medication Administration Record (MAR) dated 01/04/20 through 01/08/20 revealed the Fluoxetine was not available to administer to the resident until 01/07/20, and the Potassium Phosphate Monobasic 250 mg was not available for administration until 01/08/20. Interview on 01/06/20 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.
“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.
- 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.
Fines & penalties
$15,593 in federal fines across 1 penalty.
- $15,593 — penalty dated 2023-12-18
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to ARBORS AT OHIO — 16 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.6 | +0.4 vs chain |
| Health inspection | 3 of 5 | 2.3 | +0.7 vs chain |
| Staffing | 3 of 5 | 2.9 | +0.1 vs chain |
| Quality measures | 4 of 5 | 4.2 | -0.2 vs chain |
The other 15 homes this chain runs (chain average 2.6★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ARK OPCO GROUP, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 07/01/2015 |
| B&Y HEALTHCARE S CORP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2015 |
| B&Y TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2015 |
| CODY HEALTHCARE S CORP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2015 |
| CRAIG FLASHNER 2007 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/01/2015 |
| NORCROSS, ROBERT | Individual | CONTRACTED MANAGING EMPLOYEE | — | since 07/01/2015 |
| ROGERS, STACEY | Individual | CONTRACTED MANAGING EMPLOYEE | — | since 07/01/2015 |
| KIRK, KRISTINE | Individual | W-2 MANAGING EMPLOYEE | — | since 09/01/2016 |
| FLASHNER, CRAIG | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2015 |
| PERLSTEIN, YITZCHOK | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2015 |
| NOBLE HEALTHCARE MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 07/01/2015 |
| PRESTIGE ADMINISTRATIVE SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2016 |
CMS files one row per role, so the 14 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.
7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $604K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
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.
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 365763. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-05-22, 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.