O'brien Memorial Health Care C

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

38.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 93 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 87 beds and averages 71.0 residents a day — about 82% occupied, or roughly 16 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 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.97 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.96 hrs/resident/day on weekends vs 3.72 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.47 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-02-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of the facility self-reported incident (SRI), review of associated investigations, interview with facility staff, and review of the facility's policy on abuse, the facility failed to provide appropriate supervision for Resident #55 to prevent sexual abuse of Resident #84. This resulted in Immediate Jeopardy on 02/16/24 at approximately 8:30 A.M. when Resident #55 was observed in Resident #84's room with his hand on Resident #84's vaginal area while Resident #84 said no, stop. This affected one resident (#84) reviewed for sexual abuse. The facility census was 83. On 02/26/24 at 2:16 P.M., the Administrator and Corporate Quality Assurance (QA) Nurse were notified Immediate Jeopardy began on 02/16/24 when Resident #84 was observed against the wall in her room between two beds and with Resident #55 in his wheelchair in front of her. Resident #84's pants and brief were observed around her ankles and Resident #55 was observed with his hand on Resident #84's vaginal area. State Tested Nurse Aide (STNA) #207 responded to hearing Resident #84 saying no, stop…

  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
• Actual harm · G2025-05-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed medical record review, review of the acute care hospital paperwork, facility policy review and interview, the facility failed to provide care per physician's orders and failed to timely identify and address a change in condition for Resident #71 resulting in hospitalization.Actual Harm occurred on 03/16/25 when Resident #71 began displaying changes in his baseline mentation, eating patterns, and activity level and staff failed to document, notify the physician and/or timely address the change in condition resulting in Resident #71 continuing to decline without physician notification through 03/22/25 when Resident #71 was transferred to an acute care hospital at the insistence of his family and was diagnosed with sepsis related to aspiration pneumonia and acute metabolic encephalopathy.Findings include: Review of the closed medical record for Resident #71 revealed an admission date of 02/12/25 and a discharge date of 03/22/25. Resident #71 had diagnoses including Alzheimer's disease, chronic…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-02 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, interview, and review of medication manufacturer guidelines and facility policy, the facility failed to ensure Resident #25 was free of a significant medication error. This affected one resident (Resident #25) out of seven residents observed for medication administration. The facility census was 73.Findings include:Review of medical record for Resident #25 revealed an admission date of 10/18/18 and his diagnoses included dementia, prostatic hyperplasia (enlarged prostate) without lower urinary tract symptoms, and overactive bladder. Review of care plan dated 01/10/19 revealed Resident #25 had mixed and functional incontinence related to dementia with confusion, decreased mobility and seizures. Interventions included checking and changing every two hours, using incontinence briefs, and cleaning peri-area after each incontinent episode. There was nothing in the care plan regarding his enlarged prostate and/or medication use for it. Review of Quarterly Minimum Data Set…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-12 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review, the facility failed to have documented evidence that nonpharmacological interventions were attempted prior to administering opioid pain medication for Resident #12. This affected one resident (#12) of five reviewed for unnecessary medications. The facility census was 68.Findings include:Review of the medical record for Resident #12 revealed an admission date of 08/28/25. Diagnoses included alcohol dependence, dementia, kidney failure, obesity, high cholesterol, bipolar disorder, chronic pain, vertebral compression fractures and anxiety.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #12 was severely cognitively impaired. She required supervision for toileting, set up assistance for eating and personal hygiene and partial to moderate assistance for showering.Review of the physician's orders for March 2026 revealed an order for Tramadol (a prescription opiate used to treat moderate to severe pain) 50 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-14 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, documentation of Registered Nurse (RN) coverage review, Payroll Based Journal (PBJ) review and Facility Annual Assessment review, the facility failed to ensure there was adequate RN coverage for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 68 residents residing in the facility. Findings include: Review of the Facility Annual Assessment, dated 05/31/24, revealed under licensed nurses the facility would have one full-time Director of Nursing (DON), one full time Clinical Director (not specifying if this was an RN or Licensed Practical Nurse (LPN), and under the area of RN, they would have one full time Minimum Data Set (MDS) RN, one full time Restorative RN plus 100-136 hours of a RN per two weeks. The facility assessment did not reference that they would have at least eight consecutive hours a day, seven days a week as required. Review of the PBJ Staffing Data Report Certification and Survey Provider Enhanced Reports (CASPER) Report 1705D 07/10/24 through 09/30/24 revealed the facility had four or more…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-08-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and policy review the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to effect 75 of the 77 residents who ate food prepared in the kitchen. Residents #13 and #18 did not take any nourishment by mouth. Findings include: Observations on 08/07/24 at 8:14 A.M., during a tour of the kitchen with the administrator, revealed multiple concerns with kitchen cleanliness. Of the two hand washing stations, both were unclean and there were water stains and soap scum on the sink and back splash and grime around the faucets and handles. The hand washing station located next to the rear exit door did not have paper towels. The [NAME] shelf located beneath a workstation near the entrance to the kitchen had dried food debris on the bottom shelf and employee personal items including keys and a beverage cup with a lid and straw were sitting on top of the workstation. The bottom shelf of the workstation located next to the two-compartment…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-06-13 · 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 — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review the facility failed to ensure foods were stored in a manner to prevent contamination and foodborne illness. This had the potential to affect all residents who received food from the kitchen. The facility identified two residents (#27 and #36) who received no food by mouth. The facility census was 81. Findings include: Observation on 06/10/24 at 8:04 A.M. of the kitchen revealed the following items open and undated in the dry storage area: one bag of potatoes, one bag of cornflakes, one bag of Cheerios, one box of pancake batter, three bags of pasta, and one jar of syrup. There were also three bags of hoagie buns that expired on 05/28/24. The cooler contained the following open and undated items: nine packs of strawberries, two bags of lettuce, one container of salad mix, one tomato, half of an onion, one bag of cucumbers, and 13 prepared cups of juice. The refrigerator contained the following items open and undated: three hard boiled eggs, two boxes of chicken breasts, three packs of lunch meat, two bags of shredded cheese,…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-06-13 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. Review of medical record for Resident #15 revealed an admission date of 05/30/24 with diagnoses including non-pressure chronic ulcer of the right foot, cellulitis (skin infection) of the left lower limb, diabetes mellitus, and peripheral vascular disease. Observation on 06/12/24 at 11:30 A.M. with RN #1275 of intravenous (IV) medication administration to Resident #15 revealed he had a central line venous catheter (a line that is inserted into a vein that leads to the heart). On Resident #15's door leading into the room there was a sign that stated he was on EBP that instructed staff to wear gown and gloves if there was device care including the use of central lines. During observation, RN #1275 performed hand hygiene, put gloves on, cleaned Resident #15's bedside table, removed her gloves, washed her hands, put gloves on, cleaned Resident #15's central line venous catheter tubing end and then flushed the central with 10 milliliters (mL) of normal saline. RN #1275 then hooked the central line venous catheter…

  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 · E2024-06-13 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review the facility failed to ensure medications were disposed of when they had expired. This affected 12 residents (#15, #32, #53, #72, #78, #177, #178, #180, #226, #227, #228, and #276) who had received expired tuberculin tests (medication to test for tuberculosis) with the potential to affect all residents in the facility. The facility census was 81. Findings include: Observation on [DATE] at 7:44 A.M. of the medication storage room located on the 600-hall with Registered Nurse (RN) #1293 revealed a bottle of Tuberculin, Purified Protein Derivative, Diluted Aplisol five milliliters (mL) that contained 50 tests, lot #68154. The date opened on the bottle stated [DATE]. Interview with RN #1293 at the time of the observation verified the medication was expired, and she discarded the medication. Review of the list provided by the facility of residents that were given tuberculosis (TB) tests for lot #68154 after the medication had expired on [DATE]…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-13 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, review of facility self-reported incidents (SRIs), and facility policy review the facility failed to ensure physician's orders were followed to prevent potential resident-to-resident abuse. This affected three residents (#7, #21, and #37) of 18 residents reviewed for abuse. This had the potential to affect three other residents (#18, #19, and #67) on the 400-Unit. The facility census was 81. Findings include: Review of the medical record for Resident #37 revealed an admission date of 12/15/23 with diagnoses including schizoaffective disorder bipolar type, mild cognitive impairment, and anxiety. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #37 was able to understand staff and was able to be understood. She refused to answer questions on the cognitive assessment; however, staff stated she had impaired memory. Resident #37 knew she was in a nursing home, where her room was, staff names and faces, and the season. Staff…

  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 · D2024-06-13 · 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 Based on observation, interview, record review, and facility policy review the facility failed to maintain a functioning alarm for Resident #38 as ordered by the physician. This affected one resident (#38) out of four residents reviewed for alarms. The facility census was 81. Findings include: Review of the medical record for Resident #38 revealed an admission date of 03/16/22 with diagnosis of dementia. Review of the physician's order dated 03/20/24 revealed Resident #38 had an order for a door alarm to the bathroom door that exited into room [ROOM NUMBER] to alert staff if he attempted to enter room [ROOM NUMBER]. Every shift was to check the function of this alarm. Review of the medication administration record (MAR) and treatment administration record (TAR) for March 2024 through June 2024 revealed staff had not documented they had ensured the alarm was functioning on afternoons on 03/23/24, 03/24/24, 03/26/24, 03/29/24, 04/18/24, 04/20/24, 04/24/24, 05/23/24, 05/28/24, and on nights on 03/22/24 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
• Potential for harm · Dcited before2024-06-13 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interviews, and facility policy review the facility failed to ensure Resident #2 was free of significant medication errors. This affected one resident (#2) of 33 residents reviewed during the annual survey. The facility census was 81. Findings include: Review of medical record for Resident #2 revealed an admission date of 01/25/24 with diagnosis including leukemia (blood cancer that affects the production and function of blood cells) not having achieved remission. Review of the discharge instructions from the hospital on [DATE] revealed Resident #2 was ordered Bosutinib (medication used to treat types of blood cancers such as leukemia) 500 milligrams (mg) one tablet a day for leukemia and Nilotinib HCl (medication used to treat leukemia) 200 mg one capsule two times a day related to leukemia. Both of these medications were considered oral chemotherapy drugs. Review of the care plan dated 01/26/24 for Resident #2 revealed she had leukemia and was on an oral chemotherapy drug. 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.

  Pharmacy Service 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

$68,952 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $68,952 — penalty dated 2024-02-29
• Medicare payment denial — starting 2024-03-29 for 42 days

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

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

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 27% 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