North Royalton Post Acute

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.

48.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 93 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.0% 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 50 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 130 beds and averages 108.9 residents a day — about 84% occupied, or roughly 21 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 2.94 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.56 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 2.91 hrs/resident/day on weekends vs 2.95 on weekdays — 1% thinner on weekends. RN hours go from 0.47 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%.

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

Inspection trend

Deficiencies are 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

24 citations, most serious first. The 13 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · Lcited before2023-12-06 · 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 Based on observations, review of facility policy and procedures, interviews with the Communicable Disease Investigator and facility staff and review of the Centers for Disease Control and Prevention guidelines, the facility failed to implement effective infection control practices including a system to ensure the availability and appropriate use of personal protective equipment (PPE) by staff, a system to ensure staff were donning and doffing PPE when required. This resulted in Immediate Jeopardy and the potential for serious negative health outcomes and/or life-threatening harm when 43 residents (#97, #67, #80, #88, #31, #75, #93, #16, #10, #95, #43, #38, #87, #17, #34, #36, #25, #78, #44, #81, #47, #83, #49, #51, #30, #33, #82, #69, #01, #79, #74, #21, #24, #62, #14, #58, #37, #77, #06, #11, #45, #65 and #61) and 12 staff (State Tested Nursing Assistant (STNA) #362, #364, #429, #384, Nurse Aid in Training #311, Registered Nurse (RN) #436 and RN #388, Admissions #386 and #312, Licensed Practical Nurse (LPN)…

  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
• Immediate jeopardy · Jcited before2019-05-14 · 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 observations, staff interviews, review of the medical record, police report, emergency room documentation, accuweather.com, timeanddate.com, and the facility's Wandering And Exit Seeking policy and procedure, the facility failed to provide adequate supervision to prevent the elopement of one resident (Resident #204) who was assessed with severe cognitive impairment and exit seeking behaviors. This resulted in Immediate Jeopardy on 05/09/19 at approximately 5:45 A.M. when Resident #204 exited the facility without staff knowledge. The likelihood of actual harm that was Immediate Jeopardy occurred when Resident #204 was found on his knees in his bare feet at the bottom of a ravine with an incline of approximately 70 degrees next to a creek. The ravine contained heavy brush, weeds, downed trees, rocks, and large tree branches. When found, Resident #204 was cold and had cuts, bruises and abrasions to his face, arms and feet. This affected one of nine residents reviewed for elopement risk and wandering…

  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 before2026-05-21 · 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 closed record review, hospital record review, review of facility fall investigations, facility policy review and interview, the facility failed to develop and implement a comprehensive, individualized and effective fall/safety plan of care to prevent repeated falls including falls with injury for Resident #97. This affected one resident (#97) of three residents reviewed for falls. The facility census was 96.Actual Harm occurred on 12/23/25 when Resident #97, who was at high risk for falls (with four falls between 12/17/25 and 12/22/25) and who had behaviors (agitation/restlessness) sustained a fall from bed resulting in a hematoma and visible injury to her right temple without evidence of comprehensive, individualized and effective interventions being in place to prevent the fall. Actual Harm continued on 01/11/26, when the facility failed to provide adequate and necessary supervision/intervention to prevent Resident #97 from sustaining an unwitnessed fall from her wheelchair resulting in an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review, staff interviews, and facility policy review, the facility failed to provide a timely response to resident concerns. This affected one resident (#33) of three reviewed for resident's rights. The facility census was 96.Findings include: Review of the medical record for Resident #33 revealed she was admitted to the facility on [DATE] with diagnoses that included osteoarthritis of the left shoulder, type two diabetes mellitus, and dementia. Review of the care plan dated 03/21/25 revealed Resident #33 had a self-cere performance deficit with interventions to assist with ADLs.Review of the facility concern document dated 03/11/26 revealed Resident #33's representative reported Resident #33 was missing two pairs of pants, one black and whites stripped pair and one all white pair. Review of the document revealed Resident #33's missing items were not located in the laundry department, lost and found, and her room after a full sweep of the facility. Review of the concern document revealed…

  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 · D2026-05-21 · tag F0691 — failed to provide colostomy / ostomy care — isolated
  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, observation, and facility policy review, the facility failed to ensure urinary catheter care was provided according to professional standards of practice, and failed to ensure urinary catheter and colostomy care were provided and in a timely manner to Resident #49. This affected one resident (#49) of three residents reviewed for bowel and bladder care. The facility census was 96. Findings include: Review of the medical record revealed Resident #49 was admitted to the facility on [DATE] with diagnoses including cerebral infarction, epilepsy, type 2 diabetes, chronic kidney disease, dysfunction of the bladder and Bell's Palsy.Review of Resident of the care plan dated 03/16/26 revealed the resident was at risk for complications with urinary system related to neurogenic bladder and a suprapubic catheter. The Resident was at risk of complication with gastrointestinal system due to a colotomy. The resident was care planned for enhanced barrier precaution (EBP) during high contact…

  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 · D2026-05-21 · 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 observation, record review, interview, and facility policy review, the facility failed to ensure Resident #33 was free from significant medications errors. This affected one Resident (#33) of three reviewed for medication administration. The facility census was 96. Findings include: Record review revealed Resident#33 was admitted to the facility on [DATE] with diagnoses including osteoarthritis, dementia, type two diabetes mellitus, dysphagia, and peripheral vascular disease. Review of Resident #33's active physician orders revealed the resident had orders for Lantus Solostar (a long acting insulin) inject five units subcutaneously twice day, Zyrtec (an antihistamine commonly used to treat allergy symptoms) 10 milligram (mg) daily, Gabapentin (an anticonvulsant commonly used to treat neuropathy pain) 100 mg twice daily, Miralax (a laxative) 17 grams once daily, Metoprolol Tartrate (an antihypertensive) 25 mg twice daily, Pepcid (an antacid) 20 mg twice daily, Simethicone 80 mg, give 1.5 tablets three…

  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 before2026-05-21 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and facility policy review, the facility failed to properly disinfect glucometers after resident use. This affected one Resident (#33) of three residents reviewed for infection control and had the potential to affect six additional residents (#2, #20, #33, #51, #61, and #90) on the nurse's assignment that received blood glucose checks. The facility census was 96.Findings include: Record review revealed Resident#33 was admitted to the facility on [DATE] with diagnoses including osteoarthritis, dementia, type 2 diabetes, dysphagia, peripheral and vascular disease. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively impaired and was dependent on activities of daily living. The resident received insulin.Review of the physician orders for May 2026 revealed an order for Lantus Solostar pen injector inject 5 units subcutaneously two times a day. If Libre (a blood glucose sensor) was unavailable a blood glucose device could be…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-25 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to timely assist Resident #91 to get out of bed per his request and failed to provide foot pedals per request for Resident #83. This affected two residents (Resident #91 and #83) of three residents observed for timely accommodation of needs/requests. The facility census was 119.Findings include:1. Record review for Resident #91 revealed an admission date of 03/02/23. Diagnosis included dysphagia, polyneuropathy, and encounter for attention to gastrostomy. Review of the significant change Minimum Data Set (MDS) dated [DATE] revealed Resident #91 was moderately cognitively impaired. Resident #91 used a wheelchair for mobility, required substantial/maximal assistants for bed mobility, dependent for chair/bed to chair transfer, and personal hygiene. Review of the care plan dated 05/14/25 revealed Resident #91 had an activity of daily living self-care mobility functional ability performance deficit related to physical limitations, cognitive…

  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 before2025-11-25 · 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 record review, interview and review of the facility policy, the facility failed to notify the physician timely and monitor the resident for adverse effects after a medication error occurred. This affected one resident (Resident #44) of three residents reviewed for medication errors. The facility census was 119.Findings include:Record review for Resident #44 revealed an admission date of 11/03/21. Diagnosis included type two diabetes mellitus (DM) with diabetic neuropathy, long term use of insulin and Alzheimer's disease. Review of the Annual Minimum Data Set (MDS) dated [DATE] revealed Resident #44 was unable to complete the Brief Interview for Mental Status, had short- and long-term memory problems and had severely impaired cognitive skills. Resident #44 had diabetes mellitus and received insulin injections daily. Review of the physician orders for Resident #44 revealed on 02/14/25 Resident #44 was to receive Lantus Solostar subcutaneous solution pen injector 100 units per milliliter (ml), inject 20…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of the facility policy, the facility failed to ensure Resident #14 received timely assistance to maintain continence. This affected one resident (Resident #14) of three residents observed for incontinence care. The facility census was 119.Findings include:Record review for Resident #14 revealed an admission date of 02/25/22. Diagnosis included Parkinson's disease and muscle wasting.Review of the quarterly Minimum Data Set (MDS) dated [DATE] for Resident #14 revealed a Brief Interview of Mental Status (BIMS) score of 12 (moderately cognitively impaired). Resident #14 was frequently incontinent of bowel and bladder, used a wheelchair for mobility, required partial/moderate assistants for toileting transfer and toileting hygiene. Review of the care plan dated 04/07/25 revealed Resident #14 had an activity of daily living (ADL) self-care performance deficit related to physical limitations. Interventions included Resident #14 required extensive assistance of…

  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 · D2025-11-25 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 record review, the facility failed to ensure #78 received the ordered amount of tube feeding daily. This affected one resident (Resident #78) of three residents reviewed for tube feeding management. The facility census was 119.Findings include:Record review for Resident #78 revealed an admission date of 08/01/25. Diagnosis included dysphagia following cerebral infarction, hemiplegia and hemiparesis, and aphasia. Review of the admission MDS dated [DATE] revealed Resident #78 was severely cognitively impaired. Resident #78 was dependent for activities of daily living including bed mobility and transfers. Resident #78 had no or unknown weight loss and weight was 188. Review of the physician orders dated 08/01/25 revealed Resident #78 was NPO. Additional orders dated 08/28/25 for Resident #78 revealed an order for enteral feed order every shift for nutrition Peptamen 1.5 continuous: Give formula at 75 cc an hour flush 300 cc every six hours ok to use Jevity 1.5 if Peptamen…

  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 · D2025-11-25 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure a medication error rate of less than 5%. A total of 31 medications were administered with two errors for a medication error rate of 6.45%. This affected two residents (Resident #26 and Resident #79) of five residents observed for medication administration. 1.Record review for Resident #26 revealed an admission date of 02/09/23. Diagnosis included Type one diabetes mellitus (DM) with diabetic neuropathy and hypertensive chronic kidney disease with stage one through stage four chronic kidney disease. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #26 was cognitively intact. Resident #26 had DM and required insulin injections. Review of the care plan dated 03/13/25 revealed Resident #26 had a diagnosis of diabetes and was at risk for complications manifested by hyperglycemia (high blood sugar), hypoglycemia (low blood sugar), skin breakdown and neuropathy. Interventions included administering medications…

  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 before2025-11-25 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of the facility policy, the facility failed to maintain infection control practices for one Resident #91 during incontinence care and wound care. This affected one resident (Resident #91) of three residents observed for infection control. The facility census was 119. Findings include: Record review for Resident #91 revealed an admission date of 03/02/23. Diagnosis included dysphagia, polyneuropathy, and encounter for attention to gastrostomy. Review of the significant change Minimum Data Set (MDS) dated [DATE] revealed Resident #91 was moderately cognitively impaired. Resident #91 used a wheelchair for mobility, required substantial/maximal assistants for bed mobility, dependent for chair/bed to chair transfer, and personal hygiene. Resident #91 had a feeding tube and received an antibiotic. Review of the care plan dated 11/03/25 revealed Resident #91 was at risk for complications related to peg site infection. Interventions included infection control…

  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

“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

$24,007 in federal fines across 1 penalty.

• $24,007 — penalty dated 2023-12-06

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 PACS GROUP — 274 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 14 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $396K 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