Hopkins Rehabilitation and Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

49.1% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 90 beds and averages 64.7 residents a day — about 72% occupied, or roughly 25 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 3.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 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 3.98 hrs/resident/day on weekends vs 3.79 on weekdays — about the same on weekends as weekdays. RN hours go from 0.58 to 0.78 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 80% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

30 citations, most serious first. The 14 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2024-12-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, hospital record review, review of the facility's fall investigation, resident interview, staff interview, and policy review, the facility failed to ensure Resident #34, who fell during staff care, was provided timely, adequate and necessary assessment/monitoring and care to treat a fracture and prevent discomfort and potentially additional injury. In addition, the facility failed to adequately and timely assess and report to the physician a change in Resident #41's eye condition to ensure timely and proper care was provided. Actual harm occurred on 10/17/24, when Resident #34 sustained a fall with injury during a physical therapy treatment that was not reported or immediately treated. At the time of the fall, Physical Therapy Assistant (PTA) #420 assisted Resident #34 back to a standing position, assured Resident #34 there was no serious injury, then assisted Resident #34 back to his chair. PTA #420 then obtained and placed an ice pack on the resident's injured left…

  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 before2024-12-04 · 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, medical record review, hospital record review, review of the facility's fall investigation, review of witness statements, resident interview, staff interview, and policy review, the facility failed to ensure a Resident #34, who was at risk for falls, was provided necessary assistance to prevent an avoidable fall from occurring that resulted in major injury to the resident. Actual harm occurred on 10/17/24, during a physical therapy treatment, when Resident #34, sustained a fall with injury while ambulating with Physical Therapy Assistant (PTA) #420. At the time of the incident, PTA #420 let go of Resident #34's gait belt, (a safety belt used to prevent falls, by providing a handle for caregivers to hold onto to help residents regain balance if they start to fall) during the therapy session and turned away from Resident #34. The resident fell sustaining a fracture to the left leg. This affected one resident (#34) of four residents reviewed for falls/accidents. The facility census was 65.…

  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 · G2024-02-01 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, facility policy review and interview, the facility failed to develop and implement a comprehensive pressure ulcer program to prevent the development of pressure ulcers and to ensure pressure ulcers were comprehensively assessed, properly treated, and interventions were initiated to promote healing. Actual Harm occurred on 12/19/23 when Resident #6, who had moderate cognitive impairment, was at risk for skin breakdown and required extensive assistive from two staff for bed mobility developed a new in-house acquired unstageable (dry, leathery, brown or black necrotic (dead avascular) tissue - Eschar, full-thickness pressure injuries in which the base is obscured by slough and/or eschar due to damage of underlying soft tissue from pressure and/or shear) pressure ulcer to the left heel without evidence the area was identified prior to being unstageable and without evidence of effective and individualized interventions to prevent the development of the ulcer. This affected one…

  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 before2023-10-31 · 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, medical record review, review of an incident report, review of witness statements, review of the mechanical lift user manual, facility policy review, review of the nursing staff schedule, review of a disciplinary form and interview, the facility failed to properly operate a mechanical lift during a transfer of Resident #48. Actual harm occurred on 09/22/23 at approximately 4:00 P.M. when a mechanical lift was used by one-staff member instead of two-staff members, as care planned and per the facility policy, resulting in Resident #48 sustaining a left tibia and left fibula fracture and visit to the emergency room. Subsequently, Resident #48 suffered from severe pain to the left leg resulting in an interference of physical activity. This affected one (Resident #48) of three residents reviewed for mechanical lift transfers. The census was 57. Findings include: Review of the medical record for Resident #48 revealed an admission date of 12/29/22 with diagnoses of 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-12-04 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, staff interviews, and review of the facility assessment and staff schedules, the facility failed to ensure adequate and sufficient staff levels to meet the needs of the residents. This had the potential to affect all residents residing in the facility. The facility census was 64. Findings include: Observation on 11/24/24 from 8:00 A.M. to 9:00 A.M. during tour of the facility, revealed a daily staffing sheet dated 11/23/24 for the 11:00 P.M. to 7:00 A.M. shift that indicated there were three nurses and five Certified Nursing Assistant (CNAs) to cover the night shift. Observation during the tour of the facility revealed there were only two CNAs in the facility for a census of 64. Interview on 11/24/24 at 8:25 A.M. with Licensed Practical Nurse (LPN) #325 stated she had one CNA to assist her for the first shift. Interview on 11/24/24 at 8:27 A.M. with LPN #343 stated there were only two CNAs in the facility, and it was not enough to meet the needs of the residents.…

  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 before2024-12-04 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview, the facility to ensure a clean, safe and well-maintained environment for the residents. This had the potential to affect all 64 residents residing in the facility. Findings include: 1. Environmental tour of the facility with Maintenance Director (MD) #344 on 11/25/24 between 7:30 A.M. and 8:00 A.M. revealed the following that was verified at the time of discovery. 1a. The cover to the baseboard heater in Resident #220's room was bent. 1b. The wall behind the bed in Resident #34's room was significantly scuffed with noticeable areas of paint chipping off the wall. 1c. The privacy curtains in Residents #9, #27, #38, and #55's room had noticeable stains on them. 1d. The fall mats utilized by Residents #13 and #268 were significantly torn, tattered and dirty. 1e. The room occupied by Residents #37 and #41 had a large crack in the toilet seat. 1f. The activities room had a two-foot-long crack in the flooring. 1g. The room occupied by Resident #11 had caulking around the toilet that was coming up and the toilet was not secured to the floor. 1h.…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-12-04 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, record review, staff interview, and review of Self-Reported Incidents (SRI) and witness statements, the facility failed to maintain accurate account of all controlled drugs. This affected five residents (Resident #27, #29, #47, #48 and #60) reviewed for reconciliation of narcotics. The facility census was 65. Findings include: Review of the SRI control number 253924 dated 11/11/24 revealed Licensed Practical Nurse (LPN) #322 told management that when she was signing out narcotics, she noticed her signature had been forged by sign out of Resident #47 and #48 narcotics that she did not give, and her signature was also used as the second signature for wasting medications with LPN #323. The investigation revealed the dates surrounding these allegations ranged from 11/06/24 through 11/11/24. Throughout the investigation of these allegations, additional allegations were reported. LPN #333 reported that someone had forged his signature on a narcotic sheet, falsely indicating that he…

  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 · E2024-12-04 · tag F0835 — failed to run the facility competently — pattern
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, resident interviews, review of the job descriptions for the Administrator and Director of Nursing (DON), review of facility policy, and review of the employee handbook, the facility failed to ensure staff did not have personal conversations, which included being on their phones, playing loud music from their phones, wearing ear buds or other Bluetooth accessories while in resident rooms or in resident care areas of the facility, This affected ten residents (#168, #169 and the eight residents who attended the resident council meeting) reviewed for administration. Findings include: Observation on 11/24/24 at 8:24 A.M. of the 400 hallways near the dialysis room revealed a cellular phone lying on the desk at the nurses' station playing loud music. Interview with Resident #168 on 11/24/24 at 9:01 A.M. revealed that agency staff was no help, doesn't answer call light timely, always on their phones, and will have you waiting for hours to only come into the room and turn the call light off. Interview with Resident #169 on 11/24/24 at 10:16 A.M. revealed it was hard to…

  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
• Potential for harm · D2024-12-04 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, resident interviews, staff interviews, and facility policy review, the facility failed to ensure residents were treated with dignity. This affected two (#20 and #55) of three residents reviewed for resident rights. The facility census was 64. Findings include: 1. Review of the medical record for Resident #20 revealed she admitted to the facility on [DATE] with diagnoses including orthopedic aftercare following surgical amputation and type II diabetes mellitus. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #20 was alert and oriented with cognition impairment. Resident #20 was dependent on staff for activities of daily living (ADLs). Observation and interview on 11/24/24 at 8:35 A.M. revealed Resident #20's call light was activated and Resident #20 was lying in bed wearing a gown with a foul odor coming from the room noticeably from the hallway. Resident #20 was observed covered in a brown-colored muddy consistency substance located…

  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 · D2024-12-04 · 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 record review, observations, resident interview, staff interview, and facility policy review, the facility failed to ensure residents were able to make choices pertaining to their personal preferences. This affected one (#268) of one resident reviewed for choices. The facility census was 64. Findings include: Review of the medical record for Resident #268 revealed he was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease with acute exacerbation, dementia, and type II diabetes mellitus. Review of the Brief Interview for Mental Status (BIMS) assessment dated [DATE] revealed Resident #268 had a BIMS score of five which indicated he had severe cognition impairment. Review of the care plan dated 11/20/24 revealed Resident #268 had an activities of daily living (ADL) self-care performance deficit. Interventions included assisting the resident with ADLs. Observation and interview on 11/24/24 at 10:08 A.M. revealed Resident #268 was sitting in his wheelchair…

  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 · D2024-12-04 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure resident funds were conveyed timely upon resident discharge from the facility. This affected one (Resident #118) of one residents reviewed for funds conveyance. The facility census was 65. Findings include: Resident #118 was admitted to the facility on [DATE]. Resident #118 expired at the facility on [DATE]. Review of the business records for Resident #118 revealed a check for Resident #118's personal funds balance remaining at the facility in the amount $1,134.54 was dispensed on [DATE] to Resident #118's family. Interview on [DATE] at 3:15 P.M. with Business Manager #304 verified Resident #118's funds were conveyed outside of required timeframe (30 days).

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-04 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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 review, staff interview, and facility policy review, the facility failed to ensure advanced directives were accurate and recorded in the resident's medical record. This affected one (Resident #169) of one resident reviewed for advanced directives. The facility census was 64. Findings include: Medical record review revealed Resident #169 was admitted to the facility on [DATE]. Diagnoses included end stage renal disease, peripheral vascular disease, and type II diabetes mellitus. His Brief Interview for Mental Status (BIMS) score was 15 dated 10/22/24 revealed Resident #169 was cognitively intact. Review of Resident #169's medical record revealed no advanced directives noted in his care plan or located on the physicians' orders. In his electronic medical records, there were no advanced directives noted which would indicate he was to be a full code, which meant all life safety measures would be used to keep him alive, even in the event of cardiac arrest. Interview with Licensed Practical…

  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 · D2024-12-04 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of the facility policy, the facility failed to ensure a baseline care plan was completed upon admission for a resident. This affected one (Resident #55) of six residents reviewed for baseline care plans. The facility census was 65. Findings include: Record review for Resident #55 revealed an admission date of 06/28/24. Diagnoses included chronic obstructive pulmonary disease and muscle weakness. Review of the quarterly Minimum Dat Set (MDS) assessment dated [DATE] revealed Resident #55 was cognitively intact. There was no baseline care plan in Resident #55's medical record. Interview on 11/26/24 at 1:00 P.M. with Regional Clinical Service Director (RCSD) #427 verified Resident #55 did not have a baseline care plan completed in his medical record. Review of the facility policy titled Care Plan - Baseline dated 08/25/23 revealed it is the policy of the facility to develop a baseline plan of care to meet the resident's immediate health and safety needs for each…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-04 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, volunteer interview, resident and family interview, and staff interview, the facility failed to provide the appropriate therapeutic activities as documented in the resident's care plan. This affected one (Resident #31) of one resident reviewed for activities. The facility census was 65. Findings include: Record review revealed Resident #31 was admitted to the facility on [DATE]. Her diagnoses included chronic kidney disease, major depression, anxiety, type II diabetes, and peripheral vascular disease. Her Brief Interview for Mental Status (BIMS) score was 15, dated 10/17/24, revealed Resident #31 was cognitively intact. Review of the care plan dated 12/12/23 revealed Resident #31 had an alteration in communication related to language barrier as she speaks no English, only Spanish. Her needs will be met by utilizing facility provided interpretation line, will be encouraged to engage in leisure preferences to promote socialization and provide physical and mental stimulation by…

  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

“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

$76,040 in federal fines across 2 penalties.

• $43,865 — penalty dated 2024-12-04
• $32,175 — penalty dated 2024-02-01

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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $263K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in OH