Adams Lane Healthcare and Rehabilitation 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.

51.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 24.0% 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 25 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 0.17 therapist hours per resident per day in 2026Q1 — more than 16% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 114 beds and averages 105.1 residents a day — about 92% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.80 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.45 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 2.35 hrs/resident/day on weekends vs 2.98 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.32 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 46% is about the same as the national median of 45%.

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

Inspection trend

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

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.

34 citations, most serious first. The 14 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · J2025-07-23 · 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 THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on record review, review of a facility self-reporting incident (SRI), review of the facility's related investigation, staff interview, resident interview, family interview, and review of the facility's Abuse Policy, the facility failed to protect Resident #14's right to be free from sexual abuse by Resident #97. This resulted in Immediate Jeopardy and actual harm beginning on 07/08/25 at 7:20 P.M. when Certified Nursing Assistant (CNA) #119 observed Resident #97, who had a history of sexually inappropriate behaviors engaged in non-consensual sexual intercourse with Resident #14, a cognitively impaired and non-interviewable female resident, who lacked the cognitive ability to provide consent to sexual activity. CNA #119 observed Resident #97 lying on top of Resident #14 with his shorts pulled down to his ankles and Resident #14 was noted to be completely naked. Resident #14 was…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2023-09-06 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, review of an emergency medical services (EMS) report, interviews with facility staff and review of facility Code Status policy the facility failed to immediately initiate cardiopulmonary resuscitation (CPR) for Resident #94. This resulted in Immediate Jeopardy and the actual serious life-threatening harm and death on [DATE] beginning at 5:22 A.M. when Resident #94, who had advance directives for cardiopulmonary resuscitation/full code status, was found unresponsive, without a pulse, and was not provided CPR. The facility notified EMS for hospital transport without completing a comprehensive assessment of the resident ' s status. Resident #94 was assessed to be deceased by EMS without evidence of having received life saving measures. This affected one resident (#94) of two residents reviewed for an emergent change in condition and death. The facility…

  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 · Past Non-Compliance
• Actual harm · G2021-09-27 · 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, facility policy and procedure review and interview the facility failed to provide timely and adequate treatment for Resident #75 following a fall with injury. Actual harm occurred on 07/02/21 when Resident #75, who was severely cognitively impaired and required staff assistance for bed mobility and transfers, sustained a fall which resulted in bruising and swelling to her hip but was not immediately sent to the hospital for evaluation/treatment. From 07/02/21 to 07/09/21 the resident exhibited increased pain and agitation, yelling out for help and rated her pain up to a nine on a scale of one to 10 (with 10 being the worst pain). The resident was transferred to the hospital on [DATE] (seven days after the fall) and diagnosed with an acute closed communicated displaced right femoral interochanteric fracture requiring surgical repair and a severe displaced subacute fracture of left hemipelvis. The resident was hospitalized from [DATE] to 07/12/21. This affected one resident (#75) of four…

  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 · G2021-09-27 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of Resident #63's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including type two diabetes mellitus, morbid obesity, history of COVID-19, essential hypertension, anxiety disorder, depressive episodes, schizophrenia, dysphagia, psychosis, hyperlipidemia, osteoarthritis and mild intellectual disabilities. Review of Resident #63's monthly physician orders revealed an order for consistent carbohydrate no added salt diet, with two oranges daily and a house pudding supplement in the evening. Review of Resident #63's annual MDS 3.0 assessment, dated 01/05/2021 revealed the resident's speech was clear, she made herself understood, understands others, her vision was adequate with corrective lens and her cognition was intact. Resident #63 had minimal depression, no indicators of psychosis or behaviors and did not reject care. Resident #63 was assessed to require supervision with set up assistance from staff for meals. The assessment revealed the resident was 63…

  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 · Ecited before2026-06-10 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and facility policy and procedure review, the facility failed to maintain a clean and homelike environment. This was observed in four units (100, 200, 300 and 700) of seven units in the facility and affected five residents (#26, #33, #85, #97, and #107) of 107 residents reviewed for their environment. The census was 107. Findings include: 1. Observation on 06/03/26 at 12:50 P.M. revealed in room [ROOM NUMBER] the baseboard by the closet was coming loose, and area on the ceiling by the closet patched and stained a light colored brown. This was verified during interview with Maintenance Director #228 on 06/03/26 at 12:55 P.M. 2. Observation on 06/03/26 at 12:56 P.M. revealed in room [ROOM NUMBER] paint scuffed off the wall in multiple places. This was verified during interview with Maintenance Director #228 on 06/03/26 at 12:56 P.M. 3. Observation on 06/03/26 at 12:57 P.M. revealed in room [ROOM NUMBER] paint was scuffed off the walls in multiple…

  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 plan of correction
• Potential for harm · Ecited before2025-07-23 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to ensure a safe homelike environment for the 22 (Residents #58, #59, #60, #61, #62, #62, #63, #64, #65, #68, #69, #70, #71, #72, #73, #74, #75, #76, #77, #78, #79, and #80) in the memory care unit when the unit was left with a black moldlike substance in the hallway, and there was a strong odor of urine noted throughout the unit. This affected 22 residents in memory care unit of 94 residents reviewed for environment. The facility census was 94.Findings include: Observations on 07/15/25 from 3:22 P.M.- to 4:05 P.M., a tour of the facility was completed. The facility had an East Unit that was comprised of 100 and 200 halls. They had a North Unit that included the 500, 600, and 700 halls. They had a secure memory care unit that included the 300 and 400 halls. No odors or evidence of residents not receiving proper incontinence care was noted when touring the East and the North Units. Those areas of the facility were free of any odors and none of the residents observed showed signs of incontinence as evidenced by saturated…

  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 before2025-07-23 · 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, record review, interview, and review of the facility policies, the facility failed to maintain appropriate infection control and enhanced barrier precautions (EBP) for one (Resident # 87) out of 41 residents in EBP. The facility census was 94. Findings include: Review of the medical record for Resident #87 revealed an admission date of 06/26/25. Diagnoses included metabolic encephalopathy, hypertension, peripheral vascular disease, major depressive disorder, cirrhosis of liver, type two diabetes mellitus, bipolar disorder, and chronic pain syndrome. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of three out of 15, indicating Resident #87 had severe cognitive impairment. The resident was assessed to require partial/moderate assistance for meals/eating, and oral hygiene. Resident #87 was dependent on staff for toileting, shower/bathing, dressing, and personal hygiene. Resident #87 was admitted with one Stage…

  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 · Dcited before2025-05-21 · tag F0745 — failed to provide medically-related social services — isolated
  Provide medically-related social services to help each resident achieve the highest possible quality of life.
  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, resident interview, vendor staff interview, and facility policy review, the facility failed to provide medically necessary social services regarding discharge processes. This affected one (Resident #11) of three residents reviewed for discharge. The census was 108. Findings Include: Resident #11 was admitted to the facility on [DATE]. Her diagnoses were congestive heart failure, chronic respiratory failure with hypoxia, hypo-osmolality and hyponatremia, atrial fibrillation, gout, anemia, hypertension, anxiety disorder, glaucoma, bipolar disorder, fibromyalgia, COPD, and depression. Review of her minimum data set (MDS) assessment, dated 03/14/25, revealed she was cognitively intact. Review of Resident #11's quarterly care conference notes, dated 11/04/24, 01/27/25, and 04/21/25 revealed the facility addressed on-going discharge questions. It stated, she was undecided as to whether she wanted to discharge, but she wanted to be asked at each care conference if she…

  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 · D2025-02-19 · 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

  Based on observation, staff and resident interviews, and record review the facility failed to provide reasonable accommodation of needs and preferences when a bedside chair, a bedside nightstand, and a call light were not within reach. This affected one of 108 residents (#26). The facility census was 108. Findings Include: Record review revealed Resident #26 had an admission date of 05/19/23 with diagnoses including: Type two diabetes, displaced intertrochanteric fracture of left femur, cervical disc degeneration, coronary artery bypass graft without angina, chronic atrial fibrillation, systolic congestive heart failure, muscle wasting multiple sites, posthemorrhagic anemia, Alzheimer's disease, major depressive disorder, dementia without behavioral disturbance, unsteadiness on feet, abnormalities of gait and mobility, hyperlipidemia, hypertension, venous insufficiency, cognitive communication deficit, wrist drop left wrist, lymphedema, hypertension, urinary tract infection, full incontinence of feces, urinary incontinence, retention of urine, cardiac pacemaker, and history 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff and resident interviews, the facility failed to provide a safe, clean, comfortable and homelike environment for two residents which allowed them to use their personal belongings to the extent possible This affected three residents (#33, #40, #75) of 108 residents residing in the facility. The census was 108. Findings Include: 1. Record review revealed Resident #40 had an admission date of 03/30/18 with diagnoses including: Cerebral infarction, dysphagia, influenza, chronic obstructive pulmonary disease, morbid obesity, diverticulosis, muscle wasting and atrophy, intervertebral disc degeneration of the lumbar region, type two diabetes mellitus, chronic respiratory failure with hypoxia, major depressive disorder, cardiac pacemaker, voice and resonance disorder, low back pain, abnormalities of gait and mobility, anemia, hyperlipidemia, anxiety disorder, left bundle branch block, constipation, gastroesophageal reflux disease, difficulty in walking, history of covid-19, urge…

  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 · D2025-02-19 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure pre-admission screening and resident reviews (PASSAR) were accurately completed. This affected one resident (#43) of two review for PASSAR accuracy. The census was 108. Findings include: Review of Resident #43's medical record revealed he was admitted to the facility on [DATE]. Diagnoses included Ogilvie syndrome ( acute colonic pseudo-obstruction, is the acute dilatation of the colon in the absence of any mechanical obstruction), colostomy, gastrostomy, nausea and vomiting, schizoaffective disorder , depression and anxiety. Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed his cognition was intact. He required partial/moderate assistance for oral hygiene, personal hygiene, and turning and repositioning, dependent for toileting and substantial/maximal assist for showers/bathing, lower body dressing and application of footwear. Resident #43 had an indwelling catheter and a colostomy. Receives…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-19 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to develop and implement a comprehensive person centered care plan for diuretic medication for Resident #60. This affected one resident (#60) of five residents sampled for unnecessary medications. The facility census was 108. Findings include: Review of Resident #60's medical record revealed an admission date of 10/03/20 and a reentry date of 01/13/22. Further review revealed diagnoses including malignant neoplasm of overlapping sites of rectum, anus and anal canal, secondary malignant neoplasm of large intestine and rectum, diabetes, chronic respiratory failure, morbid obesity, heart failure, and hypertension. Review of Resident #60's quarterly minimum data set (MDS) dated [DATE] revealed the resident had a brief interview for mental status (BIMS) score of 15 indicating that she is cognitively intact. Further review of the MDS revealed Resident #60 was receiving diuretic medication. Review of Resident #60's physician's orders revealed an order with a…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-19 · tag F0761 — failed to label and store drugs safely — isolated
  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, staff interview and review of facility policy and procedure, the facility failed to ensure medications were locked against unauthorized access. This had the potential to affect one resident (#97) of 10 residents on the 200 hallway identified as cognitively impaired and independently mobile. The census was 108. Findings include: Observation on 02/12/25 at 10:39 A.M. revealed the medication cart in the hallway unlocked outside of room [ROOM NUMBER]-A with the door closed and no nurse in attendance of the cart. At 10:41 A.M. Registered Nurse #251 came out from the room and verified during interview she had left the medication cart unlocked and unattended in the hallway. Review of the facility Medication Storage policy and procedure (dated 04/18 and updated 01/03/25) revealed compartment (including, but not limited to, drawers, cabinets, rooms, refrigerators, carts and boxes) containing drugs and biological's shall be locked when not in use, and trays or carts used to transport such items shall…

  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 before2025-02-19 · 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, medical record review, and staff interview the facility failed to maintain infection control with urinary catheters. This affected one resident (#3) of four residents reviewed for urinary catheters. The census was 108. Findings include Review of Resident #3's medical record revealed she was admitted to the facility on [DATE]. Diagnoses included metabolic encephalopathy, morbid obesity, heart failure, diabetes, atrial fibrillation, major depression, chronic kidney disease and anxiety. Review of the admission minimum data set (MDS) dated [DATE] revealed her cognition was intact. She required set up or clean-up assistance for eating, oral hygiene, is dependent for toileting, and substantial/maximal assistance with shower/bathing, partial/moderate assistance for personal hygiene, dressing and turning and repositioning. The resident had a urinary catheter and was frequently incontinent of bowel. On 02/11/25 at 11:47 A.M. observation revealed the urinary catheter tubing was observed on the floor.…

  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

$33,203 in federal fines across 2 penalties.

• $17,610 — penalty dated 2025-07-23
• $15,593 — penalty dated 2023-09-06

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 CERTUS HEALTHCARE — 14 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 10 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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. 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