Brookwood Skilled Nursing and Therapy

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.

52.6% 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 240 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 113 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% 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 137 beds and averages 116.6 residents a day — about 85% occupied, or roughly 20 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 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 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 3.24 hrs/resident/day on weekends vs 3.66 on weekdays — 12% thinner on weekends. RN hours go from 0.42 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-01-07 · 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 On 01/02/25 an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Resident #2 who had insulin dependent type 2 diabetes mellitus with hypoglycemia was assessed, monitored, and provided medication for hypoglycemia as ordered by the physician and outlined in their care plan. Resident #2 was admitted to the facility on [DATE] with orders for routine insulin administration and insulin to be administered per sliding scale. Resident #2 also had orders for blood sugar to be checked via fingerstick twice a day and as needed for signs or symptoms of hypoglycemia and to give Glucagon (oral gel or IM) (glycogenolytic agent) if blood sugar was less than 70. On 12/26/24 at 6:09 a.m., Resident #2 had a blood sugar reading of 68 and the nurse did not administer the Glucagon gel as ordered. On 12/26/24, at change of shift, the night nurse provided the oncoming dayshift nurse Resident #2's status and low blood sugar level. The oncoming nurse failed to provide any assessment,…

  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
• Immediate jeopardy · J2025-01-07 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY On [DATE] an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to promptly notify the physician of Resident #2's laboratory results which fell outside of clinical reference ranges and showed a deterioration in their condition. Resident #2 was admitted to the facility on [DATE] with diagnoses which included urinary tract infection (ESBL) and pneumonia and was receiving antibiotic therapy. Resident #2's admission lab results, dated [DATE], documented WBC 11.3 (Ref range 3.98-10.04) and Neutrophil # 7.7 (Ref range 1.56-6.13). The report was signed by the physician. Resident #2's follow-up lab results, dated [DATE], documented WBC 26.2 (Ref range 3.98-10.04) and Neutrophil # 19.7 (Ref range 1.56-6.13). There was no documentation the results were reported to the physician. On [DATE], Resident #2 was transferred to the emergency room. They were admitted to the hospital on [DATE] with admitting diagnoses of severe sepsis with septic shock, pyelonephritis, and C-difficile…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-09-17 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management 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 observation, record review and interview, the facility failed to ensurea. residents received pain medication in a timely manner for 1 (#122) of 2 sampled residents reviewed for pain management. The prolonged wait time despite verbalizing increased pain to multiple staff resulted in harm for Resident #122 as evidenced by not wanting to complete ADL's due to pain; and,b. residents were consistently evaluated for the effectiveness of regularly scheduled pain medication for 1 (#101) of 2 sampled residents reviewed for pain management assessment and monitoring.The regional nurse consultant identified 42 residents received pain medication.Findings:1.On 09/16/25 at 5:55 a.m., Resident #122 was observed telling CNA #3 somebody get me some pain pills, my back is killing me. Any movement about kills me and it has been that way all night. Resident #122 would not allow CNA #3 to provide incontinent care due to the severity of the pain. On 09/16/25 at 5:57 a.m., CNA #3 was observed telling LPN #1, who was charting…

  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 before2025-11-21 · 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, record review, and interview, the facility failed to ensure PICC line dressings were changed, and mid-arm circumference measurements were completed and documented every 7 days for 2 (#2 and #5) of 3 sampled residents reviewed for PICC line care and maintenance. The DON identified six residents with PICC lines.Findings: 1. On 09/29/25 at 9:40 a.m., Res #2 was observed lying in bed. A PICC line was observed to the upper right arm. No redness or drainage was observed underneath the transparent dressing. The dressing covering the PICC line was dated 09/19/25. A policy titled Care and Removal of Peripherally Inserted Central Catheters (PICC) and Midline Catheters, revised 06/01/11, read in part, Mid-arm circumference will be measured in centimeters and recorded weekly.Sterile dressing changes will be performed every 7 days and immediately if the integrity of the dressing is compromised.Responsibility: Registered Nurse and IV Trained LPN.An undated medical diagnosis list showed Res #2 had…

  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 · F2025-09-17 · tag F0847 — widespread
  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  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 ensure residents were provided with an option to not sign the arbitration agreement for 6 (#24, 31, 38, 46, 53, and #96) of 6 sampled residents reviewed for arbitration agreements.The administrator identified 114 residents had entered into a binding arbitration agreement.Findings:An undated document titled An Explanation to the Resident/Family, read in part, By signing our admission contract your electronic signature will be placed on the following forms, which you will receive copies of after signing. admission Agreement/Consent to Treat/Medical Records Release Form: This agreement allows for admission into the facility, gives the facility consent to provide medical care/treatment, consent to have your medical records, and bill for your medical care. Dispute Resolution/Arbitration agreement.An admission packet, revised 11/29/22, showed DocuSign (signature) was set up in which the resident/resident's legal representative agreed to everything inside 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-17 · tag F0880 — failed to prevent and control infections — pattern
  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, record review, and interview, the facility failed to ensure:a. EBP was followed during an incontinent care observation for 1 (#122) of 6 sampled residents reviewed for incontinent care; andb. ensure nasal cannulas were bagged when not in use and oxygen tubing was labeled with the date administered in order to prevent infections for 1 (#53) of 3 sampled residents reviewed for oxygen services.The regional nurse consultant identified 11 residents had O2 orders and 32 were on EBP. Findings: 1. On 09/16/25 at 8:08 a.m., CNA #1 and CNA #2 were observed to provide incontinent care for Resident #122. CNA #1 and #2 did not have on gowns during the provision of care. Resident #122 was observed with a PICC line in their upper right arm. A facility policy titled Infection Control and Isolation Guideline, dated 07/2025, read in part, Enhanced Barrier Precautions (EBP) apply to residents with: .wounds and/or indwelling medical devices. Gloves and gown during high-contact care. Continue for the duration of the stay or until wound heals/device is removed.high-contact care…

  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 · D2025-09-17 · 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

  Based on record review and interview, the facility failed to implement a comprehensive care plan intervention regarding pain monitoring for 1 (#101) of 18 sampled residents reviewed for care plan implementation.Findings:An undated Care Plan, read in part, [Resident #101] is at risk for pain due to diagnosis of chronic pain, muscle spasm, and right below the knee amputation. [They] have medication in place. Assess and record pain characteristic. Evaluate the effectiveness of pain interventions. Review for compliance, alleviating symptoms, and resident satisfaction with results.A Physician's Order, dated 07/19/25, read in part, Oxycodone (an opioid) 5mg Give 1 every 6 hours for pain.A Physician's Order, dated 07/19/25, read in part, Baclofen (a muscle relaxant) 10mg Give 1 tablet by mouth 1 time daily.A Physician's Order, dated 07/21/25, read in part, Pregablin (an anticonvulsant prescribed for neuropathic pain) 75mg Give 150mg by mouth one time a day every Monday, Wednesday, Friday for neuropathy.A review of Resident #101's MAR for July, August, and September 2025, showed Resident…

  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 · D2025-09-17 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure;a. oxygen tubing was dated with the administration date, andb. a nasal cannula was bagged when not in use for 1 (#53) of 3 sampled residents reviewed for oxygen services.The corporate nurse identified 11 residents had physician orders for oxygen therapy.Findings:On 09/15/25 at 9:06 a.m., Resident #53 was observed in bed wearing a nasal cannula attached to an oxygen concentrator. There was no date observed on the oxygen tubing or nasal cannula. On 09/17/25 at 8:34 a.m., Resident #53's nasal cannula was observed hanging on the bed rail attached to an oxygen concentrator. The oxygen tubing and nasal cannula were not labeled with the date it was administered. The nasal cannula was not in a bag. The facility's' policy titled Respiratory Therapy Policies and Procedures, revised 11/23/99, read in part, It will be the policy of this department to select disposable items that allow us to utilize our resources responsibly and still offer the highest quality care and treatment to our residents.When this equipment…

  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 before2025-01-07 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the physician was notified for blood sugars outside of parameters as ordered for two (#1 and #3) of three sampled residents whose clinical records were reviewed for notification of changes. The administrator identified 111 residents resided in the facility. Findings: A Blood Glucose Monitoring Guideline, revised 08/24, read in parts, Follow physician orders based on finger stick result .notify physician of noted signs/symptoms of hypo/hyperglycemia. 1. Resident #1 had diagnoses which included type 2 diabetes mellitus. Resident #1's physician's order, dated 12/13/24, documented for the resident to receive insulin aspart (insulin) per sliding scale 10 units if blood sugar 301-999, then call provider and recheck in two hours. The December 2024 MAR documented the following blood sugars for Resident #1, a. 12/14/24 at 8 a.m. FSBS 307, b. 12/14/24 at 4 p.m. FSBS 400, c. 12/15/24 at 11 a.m. FSBS 385, d. 12/15/24 at 4 p.m. FSBS 339, e. 12/15/24 at 9 p.m. FSBS 328, f. 12/16/24 at 8 a.m. FSBS 301, g. 12/16/24 at 4 p.m. FSBS…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-13 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident was free from verbal and willful physical abuse from another resident with uncontrolled abusive behavior for one (#1) of three sampled residents reviewed for abuse. The administrator identified 104 residents resided in the facility. Findings: A Resident Abuse, Neglect and Misappropriation of Property policy, dated 11/2022, read in part, The resident has the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, and involuntary seclusion. The policy also read, Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. The policy also read, Willful means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. The policy also read, Mental abuse is the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation, or degradation. 1. Resident #1 had…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report an allegation of resident to resident abuse to OSDH for two (#1 and #2) of three sampled residents reviewed for abuse. The administrator identified 104 residents resided in the facility. Findings: A Resident Abuse, Neglect and Misappropriation of Property policy, dated 11/2022, read in part, The resident has the right to be free fro verbal, sexual, physical, and mental abuse, corporal punishment, and involuntary seclusion. The policy also read, Protection All employees of a nursing facility are mandated reporters of resident abuse, to appropriate personnel, neglect or misappropriation and must report any and all incidents. All employees shall report any reasonable suspicion of a crime against any individual who is a resident of the facility without fear of retaliation. The policy also read, Procedure for Investigating Facility Incidents All allegations and incidents of abuse, neglect or misappropriation of resident's property be reported to QAPI…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-07 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, and the facility failed to consult/notify the physician of missed antibiotic therapy for a resident with possible osteomyelitis for one (#59) of one sampled resident reviewed for antibiotic use. The Administrator identified 106 residents resided in the facility. The DON identified 13 residents received antibiotics. Findings: A Notification of Change Guideline policy, dated 12/01/09, read in part The facility will consult with the resident's physician of the following events .A need to alter treatment significantly . Resident #59 had diagnoses which included, right BKA, diabetic ulcer, diabetes mellitus and high cholesterol. Resident #59 had dialysis on Mondays and Fridays. An x-ray report, dated 03/20/24, read in part .Impression .Question osteomyelitis vs severe osteopenia of the fifth metatarsal head . A quarterly assessment, dated 03/30/24, documented Resident #59 had no cognitive impairment. A MAR, dated 04/11/24 through 04/17/24 documented the resident had not been administered Cipro 500 mg morning dose ordered twice a day for…

  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 · E2024-05-07 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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 MDS assessments were accurate for four (#59, 6, 34, and #61) of 22 sampled residents reviewed for MDS accurate assessments. The Administrator identified 106 residents resided in the facility. The DON identified four residents with diabetic ulcers. Findings: 1. Resident #59 had diagnoses which included, right BKA, diabetic ulcer, diabetes mellitus and high cholesterol. A skin/wound note, dated 12/27/23, documented an open area to left medial foot/left medial fifth toe area the wound bed was noted to have a a hard brown colored area. A skin/wound note, dated 01/03/24, documented the wound was to the left lateral side of the foot. A skin/wound note, dated 01/18/24, documented the resident was on antibiotics for a diabetic wound. A quarterly assessment, dated 03/30/24, documented Resident #59 had no cognitive impairment and one unstageable pressure injury as a deep tissue injury. The MDS did not document Resident #59 had a diagnosis 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 Assessment and Care Planning 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

$39,328 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $11,190 — penalty dated 2025-09-17
• $14,069 — penalty dated 2025-01-07
• $14,069 — penalty dated 2025-01-07
• Medicare payment denial — starting 2025-12-17 for 5 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to BRIDGES HEALTH — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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 $1.3M 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 OK