Liberty Nursing Center Of Mansfield

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

47.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 19.4% 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 31 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 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 68 beds and averages 55.9 residents a day — about 82% occupied, or roughly 12 beds typically open. It usually has some room. 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.93 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.26 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 3.08 hrs/resident/day on weekends vs 3.87 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.08 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

35 citations, most serious first. The 14 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · Gcited before2025-05-13 · 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 2. Review of Resident #18's medical records revealed an admission date of 10/22/24. Diagnoses included constipation. Review of care plan dated 02/02/25 revealed Resident #18 had constipation related to decreased mobility. Interventions included following the facility bowel protocol and recording bowel movement patterns each day. Review of current physician orders for May 2025 included bowel protocol, if no bowel movement in three days give 30 ml of Milk of Magnesia. If no result, give a Bisacodyl suppository on the fourth day. If there is no result on the shift after the suppository, administer Fleet enema. Notify the doctor if there were no results and/or severe abdominal pain, rectal bleeding, or vomiting noted during this regimen. Resident #18's physician orders also included Miralax 17 grams every 24 hours as needed for constipation and Docusate (a stool softener) 100 mg one time a day. Review of bowel movement tracking for April 2025 revealed Resident #18 had a bowel movement on 04/30/25. Review of bowel…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-09-07 · 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 medical record review, observation, interview, and review of the National Pressure Injury Advisory Panel (NPIAP) staging, the facility failed to ensure early identification and ensure treatments of skin injuries were completed. This resulted in Actual Harm when Resident #50 acquired a pressure ulcer to the coccyx and the wound was not assessed or treated until the wound progressed into a stage three pressure ulcer (full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through underlying fascia). This affected one resident (#50) out of three residents reviewed for pressure ulcers. The facility census was 49. Findings include: Review of the medical record for Resident #50 revealed an admission date of 12/22/21. Diagnoses included hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side, muscle wasting and atrophy. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #50 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
• Actual harm · Gcited before2019-09-12 · 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, review of facility policy, resident interview, and staff interviews, the facility failed to monitor daily bowel movements, failed to hold antidiarrheal medication in the absence of any bowel movements, and failed to have a care plan in place to address a resident's bowel needs. This resulted in actual harm when Resident #49 was not having her bowel movements monitored, did not have a bowel movement documented for five consecutive days, and continued to receive an antidiarrheal medication three times a day which resulted in the resident being hospitalized for a fecal impaction. This affected one (#49) of five residents sampled for medication reviews. The facility census was 78. Findings include: Review of Resident #49's medical record identified admission to the facility occurred on 06/14/18. Diagnoses included chronic kidney disease, stroke, irritable bowel syndrome (IBS) and high blood pressure. Review of the quarterly Minimum Data Set assessment, dated 06/30/19, revealed Resident #49 had intact cognition. Resident #49 was incontinent of bowel and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2019-09-12 · 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

  Based on medical record review, staff interview, responsible party interview, observation, review of skin sweeps, and policy review, the facility failed to provide appropriate pressure ulcer prevention and treatment for a resident identified at risk. This resulted in actual harm when Resident #279 was admitted without a pressure ulcer, was assessed to be at risk for the development of a pressure ulcer, and was not provided pressure reduction prior to or immediately after the development of reddened areas on the buttocks. The reddened areas worsened into a stage 3 pressure ulcer on the right buttock and a stage 2 pressure ulcer on the left buttocks. This affected one (#279) out of four residents reviewed for pressure ulcers. The facility identified six residents with pressure ulcers. The facility census was 78. Findings included: Review of Resident #279's medical record revealed an admission date of 08/29/19. Diagnoses included dementia without behavioral disturbances, Alzheimer's disease, anxiety disorder, macular degeneration, hypertension, and chronic obstructive pulmonary…

  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 · F2025-05-13 · 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 and staff interview, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect all 57 residents who received food from the kitchen. The facility identified one resident (#313) as receiving nothing by mouth. The facility census was 58. Findings include: Observation on 05/05/25 beginning at approximately 8:15 A.M. of the dishwashing area located in the kitchen revealed there was a pipe which ran along the lower part of the wall, near the floor. There was a black, white, and grey substance built up along the lower part of the wall and a dark puddle of water in the corner on the floor where the walls met. There was also a rubber mat in the dishwashing area which had circular holes for draining. There was an excessive amount of dirt, buildup, and debris which could be seen through the holes and underneath of the mat. An interview at the time of observation with Dietary [NAME] #752 confirmed the aforementioned concerns.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-13 · tag F0887 — widespread
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of an all-staff roster, review of staff COVID-19 declination forms, staff interview, and policy review, the facility failed to ensure all staff received education and vaccine information sheets regarding the COVID-19 vaccine. This affected 54 of 79 staff and had the potential to affect all residents. The facility census was 58. Findings include: Review of the all-staff roster provided by the facility revealed there were 79 staff currently employed by the facility. Review of facility documentation revealed no documentation 54 staff had been offered the annual COVID-19 vaccine and received education regarding the risks and benefits of the annual COVID-19 vaccine. Further review revealed 25 new staff hired since 09/01/24 had received some education regarding the COVID-19 vaccine and had declined the annual vaccine. The facility had no documentation any staff were provided the vaccine information sheet for the COVID-19 vaccine. Interview on 05/06/25 at 11:02 A.M., Registered Nurse (RN) #701 revealed the facility had not provided the annual COVID-19 vaccine for staff. RN…

  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 · E2025-05-13 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 5. Review of the medical record for Resident #45 revealed an admission date of 12/21/22 with a diagnoses of Parkinson's disease, peripheral vascular disease, and dementia. Review of the MDS quarterly assessment dated [DATE] revealed Resident #45 was severely cognitively impaired. Review of Resident #45's physician orders dated 06/01/23 revealed an order for Citalopram 20 mg daily for depression and an order dated 02/11/25 for trazodone HCL (an antidepressant) 150 mg, one half tablet by mouth at bedtime related to adjustment disorder with mixed anxiety and depressed mood. Review of Resident #45's care plan revised 05/05/25 revealed the resident used psychotropic medications related to behavior management. Interventions included monitoring side effects and effectiveness every shift. Further review of the care plan revealed the resident used antidepressant medication related to depression. Interventions included to monitor and document side effects and effectiveness every shift. Review of Resident #45's nurse'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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-13 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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, review of the facility shower log, and facility policy review, the facility failed to honor a resident's preference for showers. This affected one resident (#19) of three residents reviewed for activities of daily living. The facility census was 58. Findings include: Review of Resident #19's medical record revealed an admission date of 03/07/23. Diagnoses include schizoaffective disorder, hemiplegia, asthma, acute respiratory failure with hypoxia, chronic obstructive pulmonary disease, dementia, generalized anxiety disorder, bilateral myopia, and altered mental status. Review of Resident #19's Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed the resident had intact cognition. Resident #19 required supervision for showering. Review of the facility's shower schedule for the memory care unit last updated on 03/25/25 revealed Resident #19 was scheduled for showers on second shift (3:00 P.M. to 11:00 P.M.) on Tuesdays and Fridays.…

  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 before2025-05-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and review of facilities Self Reported Incident (SRI) the facility failed to report an allegation of sexual abuse to local law enforcement. This affected one resident (#4) of three residents reviewed for abuse and had the potential to affect all residents residing in the facility. The facility census was 58. Findings include: Review of Resident #4's medical records revealed an admission date of 05/19/29. Diagnoses included Hodgkin's lymphona and malnutrition. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 had intact cognition. Resident #4 required moderate assistance with toileting and personal hygiene and was recorded to be incontinent of bowel and bladder. Review of the care plan dated 04/17/25 revealed Resident #4 had self care deficits. Interventions included assist with activities of daily living by staff. Resident #4 was incontinent of bowel and bladder. Interventions included to check for incontinence frequently and assist as needed. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-13 · 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, staff interview, and review of the facility policy, the facility failed to ensure the Pre-admission Screening and Resident Review evaluation (PASARR) was complete after receiving a new psychiatric diagnosis. This affected one (Resident #45) of two residents reviewed for PASARR. The facility census was 58. Findings include: Review of the medical record for Resident #45 revealed and admission date of 12/21/22 with a diagnosis of Parkinson's Disease, peripheral vascular disease, and dementia. Further review of Resident #45 medical diagnosis revealed a diagnosis of psychotic disorder with hallucinations due to known psychological condition dated 07/20/23. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #45 was severely cognitively impaired. Review of Resident #45's Preadmission Screening and Resident Review evaluation (PASARR) revealed a PASARR was completed on 10/26/22. Further review of Resident #45's medical record 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-13 · 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 2. Review of the medical record revealed Resident #56 was admitted to the facility on [DATE]. Diagnoses included severe obesity, shortness of breath, and edema. Review of the Minimum Data Set (MDS) five-day assessment dated [DATE], revealed Resident #56 was cognitively intact. The resident required substantial/maximal assistance from staff for transfers. Review of Resident #56's active physician orders for May 2025 identified an order dated 04/02/25 for Hoyer (mechanical) lift for all transfers with the assistance of two staff. Interview on 05/05/25 at 12:17 P.M. with Resident #56 revealed the resident required use of a mechanical lift for transfers. Resident #56 reported they had gotten stuck in the air while being transferred in the Hoyer lift on several occasions. Resident #58 reported staff had to use the emergency release several times during transfers due to the mechanical lift and/or battery no longer functioning. Interview on 05/06/25 at 1:59 P.M. with Certified Nursing Assistant (CNA) #719 revealed they…

  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 · D2025-05-13 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a 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, resident interview, and staff interview, the facility failed to ensure recommended specialized rehabilitative services were implemented. This affected one (Resident #13) of one resident reviewed for rehabilitation services. The facility census was 58. Findings include: Review of the medical record revealed Resident #13 was admitted to the facility on [DATE]. Diagnoses included muscle wasting and atrophy, heart disease, heart failure, anxiety, osteoarthritis, unsteadiness on feet, weakness, abnormal posture, and postural kyphosis. Review of the nursing progress notes dated 02/06/25 and timed 4:23 P.M. revealed Resident #13 sustained a fall from their wheelchair. Review of Resident #13's physician orders for February 2025 identified an order dated 02/10/25 for physical therapy to evaluate and treat the resident. Review of the physical therapy evaluation dated 02/10/25 revealed Resident #13 was referred to therapy due to a recent fall from their wheelchair. The resident had…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-13 · 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

  Based on medical record review, interview, and review of facility policy, the facility failed to ensure appropriate and accurate documentation was recorded in the electronic medical records. This affected one resident (#18) of three residents reviewed for documentation. The facility census was 58. Findings include: Review of Resident #18's medical records revealed an admission date of 10/22/24. Resident #18's medical diagnoses included type two diabetes mellitus and atherosclerotic heart disease. Review of the care plan dated 02/02/25 revealed Resident #18 had diabetes. Interventions included to administer medications as ordered and monitor and document for side effects and effectiveness. Review of physician orders for April 2025 revealed Resident #18 had an order dated 01/23/25 for Lantus (a long-acting insulin used to lower blood sugars) 10 units to be administered subcutaneously once daily at noon for diabetes. The order was discontinued on 04/22/25. Resident #18 additionally had an order dated 04/23/25 for Lantus 16 units subcutaneously once daily at noon for diabetes. 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 · D2025-05-13 · tag F0848 — isolated
  Provide a neutral and fair arbitration process and agree to arbitrator and venue.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of the medical record, review of resident arbitration agreements, and staff interview, the facility failed to ensure the inclusion of all required components of an arbitration agreement. This affected five (#21. #47, #11, #41, #39) of seven residents reviewed for arbitration agreements. The facility identified 33 residents who had entered into arbitration agreements. The facility census was 58. Findings include 1.Review of the medical record for Resident #21 revealed an admission date of 08/06/24. Review of Resident #21's signed arbitration agreement dated 08/06/24 revealed the agreement had not provided for the selection of a venue convenient to both parties. Interview on 05/08/25 at 2:19 P.M., the Administrator verified the selection of a venue convenient to both parties was not contained in the arbitration agreement. 2. Review of the medical record for Resident #47 revealed an admission date of 06/12/23. Review of Resident #47's signed arbitration agreement dated 06/12/23 revealed the agreement had not provided for the selection of a venue convenient to both…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$41,243 in federal fines across 1 penalty.

• $41,243 — penalty dated 2025-05-13

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.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

About 79% 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. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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