Oaks At Bethesda The

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.

72.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 180 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.5% 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 107 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 0.48 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 55 beds and averages 50.7 residents a day — about 92% occupied, or roughly 4 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 3.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 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 3.40 hrs/resident/day on weekends vs 3.85 on weekdays — 12% thinner on weekends. RN hours go from 0.95 to 0.75 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% 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.

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.

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · G2026-05-28 · 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 record review, interview, facility investigation review and policy review, the facility failed to ensure a resident was not left in the shower alone, resulting in a fall with fracture. This affected one (Resident #2) of four residents reviewed for falls. The facility census was 49. Actual harm occurred on 04/04/26 when Resident #2, who required supervision and touching assistance with showering and bathing, was assisted into the bathroom to shower. Certified Resident Care Assistant (CRCA) exited the shower room leaving Resident #2 to shower herself. Resident #2 suffered a fall which resulted in a comminuted, intra-articular distal radius fracture on the right arm. Findings Include:Record review revealed Resident #2 was admitted on [DATE] with diagnoses includingType II Diabetes Mellitus with hyperglycemia, overactive bladder, pain, cognitivecommunication deficit, muscle weakness (generalized), difficulty in walking and Colles'fracture of right radius. Review of Resident #2's care plan, dated 10/14/24,…

  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 before2024-01-22 · 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, resident and staff interviews, review of skin assessments, and facility policy review, the facility failed to prevent, comprehensively assess and timely treat a pressure ulcer and failed to prevent the pressure ulcer from worsening for Resident #298. This affected one resident (#298) of three residents reviewed for skin impairments. The facility census was 51. Actual Harm occurred on 01/05/24 when a new, facility-acquired, skin area was identified on Resident #298's left heel that developed within 30 days of the resident's admission. The area was assessed as a purple-black bruise without swelling and measured 3.5 centimeters (cm) long by 2.5 cm wide. The facility failed to notify the physician or implement any treatment to the left heel until 01/09/24 (five days after the skin injury was identified) resulting in the wound worsening to an unstageable (full thickness tissue loss in which actual depth of the ulcer is completely obscured by slough and/or eschar in the wound bed)…

  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 · G2024-01-22 · 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 Based on observation, record review, resident and staff interviews, and facility policy review, the facility failed to timely address or implement effective nutritional interventions for Resident #298 who experienced a significant weight loss. This affected one resident (#298) of three residents reviewed for nutrition. The facility census was 51. Actual Harm occurred on 01/05/24 when Resident #298's weight revealed a significant weight loss of 5% in less than 30 days. The Registered Dietitian (RD) was not notified and did not address the significant weight loss until 01/10/24 (five days later) to make nutritional recommendations. The facility did not implement the nutritional recommendations from the RD that were made on 01/10/24 until 01/12/24 (seven days after the significant weight loss was identified). The nutritional interventions were not properly monitored by the facility staff for effectiveness. Resident #298 was weighed again on 01/15/24 (ten days following the initial identification of a significant…

  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 · E2026-05-28 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview and review of facility policy, the facility failed to ensure medications were dated when opened and expired medications were disposed of timely. This affected three residents (Resident #48, #51 and #71) of three residents reviewed for medication storage. Facility census was 49.Findings include:1. Review of the medical record for Resident # 48 revealed an admission date of 05/08/26 with diagnoses including encounter for surgical aftercare following surgery on the digestive system status post (s/p) colostomy, sepsis, chronic obstructive pulmonary disease (COPD) and asthma.Review of the physician's orders for Resident # 48 revealed an order dated 05/08/26 for Ipratropium Bromide/Albuterol Sulfate 0.5mg/3mg per milliliter (ml) twice a day for COPD. Review of the Medication Administration Record (MAR) for Resident # 48 dated May 2026 revealed the resident received Ipratropium Bromide/Albuterol Sulfate twice daily from 05/08/26 to 05/27/26.Observation and interview on 05/27/26 at 4:56 P.M. with RN # 140 of the medication cart on 100 hall revealed 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-28 · 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 medical record review, staff interview, physician interview, and facility policy review, the facility failed to complete laboratory orders to ensure residents were able to attend medical appointments. This affected one (Resident #1) of four residents reviewed for condition change. Also, the facility failed to provide timely comfort care during a change in condition. This affected one (Resident #52) of four residents reviewed for a change of condition. The census was 49. Findings Include: 1.Resident #1 was admitted to the facility on [DATE]. Her diagnoses were osteomyelitis, sepsis, cellulitis of right/left lower limb, fibromyalgia, acute kidney failure, bacteremia, rheumatoid arthritis, nonrheumatic aortic valve stenosis, hypothyroidism, hyperlipidemia, atrial fibrillation, and hypertension. Review of her minimum data set (MDS) assessment, dated [DATE], revealed she was cognitively intact.Review of Resident #1's After Visit Summary (AVS), dated [DATE], revealed she had a nephrology consultation…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-28 · 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

  Based on observation, medical record review, staff interview and review of facility policy, the facility failed to ensure staff donned personal protective equipment (PPE) prior to entering Resident # 66 room, who was on contact precautions. This had the potential to affect all residents on the long 200-hall. (Resident #2, #6, #7, #11, #15, #22, #23, #24, #46, #51 and #58). The facility census was 49.Findings include: Review of Resident #66 medical record revealed an admission date of 05/21/26 with diagnoses including sepsis due to Clostridioides difficile (C-diff). Review of Resident #66's physician orders revealed an order dated 05/21/26 for contact precautions. Review of the care plan dated 05/26/26 revealed resident had a need for contact isolation related to active infectious disease related to C-diff. Interventions included use principles of infection control and universal/standard precautions. Observation on 05/26/26 at 11:24 A.M. revealed Environmental Services Worker #154 entering contact isolation room for Resident #66 without donning proper PPE prior to entrance. A sign…

  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 before2025-07-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the medical record and interview with staff, the facility failed to ensure wound treatment orders were in place for Resident #56. This affected one resident (Resident #56) of three reviewed for wounds.Findings included:Review of the medial record revealed Resident #56 was admitted to the facility on [DATE]. Diagnoses included surgical aftercare, presence of an aortocoronary bypass graft, cardiogenic shock, atherosclerotic heart disease, respiratory failure, pulmonary fibrosis, chronic kidney disease, diabetes, tremor, macular degeneration, obstructive sleep apnea, chest pain, bipolar disorder, depression, diverticulosis, atelectasis and thrombocytopenia. He was discharged to the hospital on [DATE].Review of the progress note dated 04/17/25 at 5:41 P.M. revealed Resident #56 had a deep tissue injury to his bilateral buttocks. The right buttock measured 4.0 centimeters (cm) by 3.5 cm and was a dark reddish purple in color and hard. The left buttock measured 4.9 cm by 5.1 cm, was dark reddish…

  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 · Fcited before2025-01-09 · 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

  Based on review of the infection control logs, review Center of Disease Control and Prevention (CDC) guidelines, observation, interview, and policy review, the facility failed to ensure policy and procedures were in place for laundering isolation linens and clothing and failed to ensure staff were knowledgeable on the process to prevent infection transmission throughout the facility. This had the potential to affect all 52 resident residing in the facility. Findings include: Review of the infection control log dated 11/2024 to 01/09/24 revealed in November 2024 there were three cases of Clostridium difficile (C-diff, a highly contagious bacterium that causes diarrhea and colitis). In December 2024 there were four cases of C-diff, and in January 2025 (through 01/09/25) there was one case of C-diff recorded. Observation and interview on 01/08/24 at 11:30 A.M., with the Director of Environmental Service (DES) #149 revealed if a resident had C-diff infection, the floor staff would take the laundry from the resident's room to the soiled linen rooms on the hallway. The facility treats all…

  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 before2025-01-09 · 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, interview, medical record review, and review of policies, the facility failed to notify the physician and address a change in Resident #11's ability to chew and swallow and failed to implement compression stockings or unna boot dressings per order for Resident #9. This affected two residents (#9 and #11) of 15 residents reviewed for quality of care and treatment. The facility census was 52. Findings include: 1. Review of Resident #11's medical record revealed an admission date of 10/08/24 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, pulmonary fibrosis, heart failure, depression, anxiety disorder, hypotension, benign neoplasm of parotid gland, altered mental status, and age-related physical debility. Review of Resident #11's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed she was cognitively intact. She had no chewing or swallowing concerns. Review of Resident #11's diet orders from 12/04/24 to 01/06/25…

  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 · D2025-01-09 · 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, and medical record review, the facility failed to ensure an order was in place and care was documented for Resident #154 who had a catheter. This affected one resident (#154) of two residents reviewed for catheters. The facility identified four residents with indwelling urinary catheters. The facility census was 52. Findings include: Review of Resident #154's medical record revealed an admission date of 12/20/24 with diagnoses including cerebral infarction due to embolism of cerebellar arteries, dysphagia, adult failure to thrive, severe protein-calorie malnutrition, depression, and gastro-esophageal reflux disease. Review of Resident #154's comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed he had moderately impaired cognition. Review of Resident #154's progress note dated 12/24/24 at 4:45 A.M. revealed the resident's abdomen was distended and a bladder scan showed urine present. He was unable to be straight cathed and he was sent to the emergency room 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-09 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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, pharmacy recommendations, and staff interview, the facility failed to implement pharmacy recommendations in a timely manner for Resident #15. This affected one (Resident #15) out of five residents reviewed for unnecessary medications. The facility census was 52. Findings include: Review of the medical record revealed Resident #15 was admitted on [DATE] with diagnoses that included bipolar II, type 2 diabetes, anxiety disorder, and major depressive disorder. The quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #15 was cognitively intact. The MDS also revealed Resident #15 received antipsychotic and anticonvulsant medication. A pharmacy recommendation dated 10/10/24 revealed Resident #15 had an order for Estring (vaginal ring that reduces the symptoms of menopause) to be replaced every three months at the doctors office. A recommendation was made to add the month the Estring was to be replaced for better monitoring. The recommendation was marked as accepted. Review of the…

  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 · D2025-01-09 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to monitor pain severity, location, and nonpharmacological interventions for Resident #37 who received as-needed pain medication. This affected one resident (#37) of two residents reviewed for pain management. The facility census was 52. Findings include: Review of Resident #37's medical record revealed an admission date of 06/04/24 with diagnoses including unspecified dementia, chronic obstructive pulmonary disease, anxiety disorder, esophageal obstruction, depression, anxiety, dysphagia,and mixed receptive expressive language disorder. Review of Resident #37's comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had moderately impaired cognition. Review of Resident #37's plan of care dated 11/13/24 revealed she was at risk for pain related to diagnoses and impaired mobility. Interventions included observing and recording verbal and nonverbal signs of pain, notifying the physician of increased pain, administering…

  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 · D2025-01-09 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff interview, and review of facility policy, the facility failed to have justification for prophylactic antibiotics for Resident #38. This affected one resident (#38) of two residents reviewed for antibiotic stewardship. The facility census was 52. Findings included: Review of the medical record for Resident #38 revealed an admission date of 12/22/23. Diagnoses included sepsis, acute cystitis with hematuria, polyneuropathy, and history of prostate cancer. Review of the physicians' orders dated 07/15/24 for Resident #38 revealed orders from a urologist for levofloxacin (an antibiotic) 500 milligrams (mg) by mouth daily for three days, prophylactic due to cystoscopy. On 07/15/24, macrobid (an antibiotic) 100 mg by mouth once daily was ordered prophylactic starting on 07/18/24, continuously for a year's duration. Review of the Plan of Care dated 08/22/24 revealed Resident #38 received long-term prophylactic antibiotic medication related to recurrent urinary tract infections. A listed goal included the resident will not exhibit signs of complications…

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 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

6 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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