Fairmont 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.

47.5% 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 73 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.8% 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 24 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 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 125 beds and averages 93.9 residents a day — about 75% occupied, or roughly 31 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.06 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.49 is at or above 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 3.44 hrs/resident/day on weekends vs 4.31 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.69 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above 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.

24 citations, most serious first. The 12 most serious are shown; the remaining 12 are one tap away and print in full.

• Actual harm · Hcited before2025-08-01 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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 Based on observation, record review and interview, the facility failed to:a. failed to prevent verbal and physical abuse for 2(#10 and #11) of 5 sampled residents for verbal and physical abuse andb. prevent sexual abuse for 1 (#3) of 2 sampled residents for sexual abuse.The administrator identified 89 residents resided in the facility.Findings:An undated facility policy titled Resident Abuse, Neglect, and Misappropriation of Property, read in part, The resident has the right to be free from verbal, sexual, physical, and mental abuse,. Ongoing abuse training will be provided to all employees throughout the year, which include: a. Appropriate interventions to deal with aggressive and/ or catastrophic reactions of residents. report the incident to the highest-ranking person working in the facility at the immediate time of the allegation. The licensed nurse in charge should then assess the resident for evidence of harm related to the allegation. The licensed nurse should report his/her findings to the administrator…

  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
• Actual harm · Gcited before2024-10-03 · 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 residents were free from abuse for one (#1) of four sampled residents reviewed for abuse. The administrator identified 105 residents resided in the facility. Findings: An undated Resident Abuse, Neglect, and Misappropriation of Property policy, read in part, The resident has the right to be free from verbal, sexual, physical, and mental abuse. It also read, If the alleged perpetrator is facility staff, removal of the alleged perpetrator's access to the alleged victim and other residents and assurance that ongoing safety and protection is provided for the alleged victim and other residents. Resident #1 had diagnoses which included major depression, respiratory failure, chronic kidney disease, and chronic obstructive pulmonary disease. Resident #1's care plan, initiated 07/03/23, documented the resident had behaviors of being combative towards staff, disruptive outbursts that affect the living environment, and an impatient nature. An Notification of Nurse Aide/Nontechnical Service Worker form, dated 08/31/24,…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2025-12-11 · tag F0580 — failed to tell family and doctor about changes — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure the physician was notified of a change in weight for 1 (#75) of 19 sampled residents reviewed for change in weight.The DON identified 88 residents resided in the facility.Findings:On 12/08/25 at 1:15 p.m., Resident #75 was observed to have a continuous feeding pump connected to their feeding tube with formula running through the tube.A policy titled Weight List, revision date 10/21/09, read in part, Residents' weights are routinely and systematically monitored. All residents must be weighed weekly for four weeks upon admission.The resident's physician should be notified of any significant weight changes.A policy titled, Notification of Change, dated 06/2025, read in part, The facility will notify the resident, the resident's physician, and the resident's representative (if applicable) promptly when there is: A significant change in the resident's physical, mental, or psychosocial status. All notifications should be documented in…

  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 before2025-12-11 · 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 observation, record review, and interview, the facility failed to implement comprehensive care plan interventions for:a. physician notification of weight loss for 1 (#75) of 19 sampled residents reviewed for care plans, andb. trauma informed care for 1 (#7) of 1 sampled resident reviewed for diagnosis of post-traumatic stress disorder. The DON identified 88 residents resided in the facility.Findings:1. Monthly physician's orders, dated December 2025, showed Resident #7 was admitted to the facility on [DATE] with diagnoses which included Alzheimer's disease late onset, bipolar disorder with current episode manic severe with psychotic features, post-traumatic stress disorder, hallucinations and depression, feeding tube status, and dysphagia. A significant change assessment, dated 11/25/25, showed a BIMS score of 8 which indicated moderately impaired cognition, dependence on staff for ADL completion, and received nutrition through feeding tube due to refusing meals. A care plan for Resident #7, updated…

  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 · D2025-12-11 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 trauma informed care for 1 (#7) of 1 sampled resident reviewed with diagnosis of post-traumatic stress disorder. The DON identified 88 residents resided in the facility. Findings:Resident #7's December 2025 physician orders showed they were admitted on [DATE] with diagnoses of post-traumatic stress disorder, hallucinations, and depression. A care plan for Resident #7, updated on 12/06/25, did not address trauma informed care for post-traumatic stress disorder. On 12/10/25 at 8:35 a.m., CMA #1 was asked why Resident #7 had diagnosis of post-traumatic stress disorder. They were unable to state why. On 12/10/25 at 8:40 a.m. the activity director was asked why Resident #7 had diagnosis of post-traumatic stress disorder. They were unable to answer. On 12/10/25 at 9:10 a.m., the activity director stated they had learned Resident #7 had diagnosis of post-traumatic stress disorder due to while…

  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 · D2025-12-11 · 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, and interview, the facility failed to ensure enhanced barrier precautions were used during wound care for 1 (#44) of 3 sampled residents reviewed for enhanced barrier precautions practices. The administrator identified eight residents who required enhanced barrier precautions during the provision of care. Findings:On 12/10/25 at 9:20 a.m., LPN #2 was observed performing wound care on Resident #44's right lower leg. LPN #2 was observed to don gloves and then performed the wound care. LPN #2 performed wound care without a gown. A facility policy titled Infection Control and Isolation Guideline, dated 07/2025, read in part, Enhanced barrier precautions apply to residents with: MDRO, wounds and/or indwelling medical devices, and refer to the use of gowns and gloves during high-contact care. High-contact resident care activities requiring gown and glove use, include dressing, providing hygiene, changing briefs, device care, urinary catheter care, feeding tube, wound care with any…

  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 · Ecited before2025-08-01 · 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, the facility failed to ensure family representatives and physicians were notified after an abuse allegation for 2 (#11 and #12) of 5 sampled residents reviewed for notification of family representatives and physician.The administrator identified 89 residents resided in the facility.An undated facility policy titled Resident Abuse, Neglect, and Misappropriation of Property, read in part, The resident has the right to be free from verbal, sexual, physical, and mental abuse.The licensed nurse in charge should then assess the resident for evidence of harm related to the allegation. The licensed nurse should report his/her findings to the administrator and or physician as soon as possible after the assessment and receive instructions for notification of the residents' responsible party. On 07/25/25 at 9:40 a.m., Resident #11 was observed in their bed, lying on their side, and had a neck contracture. Resident #11's admission health record, dated 02/19/24, showed they were admitted with diagnoses which included Huntington's disease, major…

  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 · E2025-08-01 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 interviews, the facility failed to implement their abuse policy by not:a. conducting a complete and thorough investigation for 3 of 4 incidents reports reviewed for a complete and thorough investigation,b. add appropriate interventions to involved residents care plan after an abuse allegation for 1 (#6) of 5 residents reviewed for interventions after an abuse allegation,c. reporting to the OSDH within two hours of the allegation of abuse for 2 of 4 incidents reports reviewed for reporting to OSDH within two hours,d. notifying family and physician after an abuse allegation for 2 (#11 and #12) reviewed for notification after an abuse allegation, ande. assessing residents for signs of injury for 2 (#11 and #12) residents reviewed for assessment after an abuse allegation.The administrator identified 89 residents resided in the facility. Findings:An undated facility policy titled Resident Abuse, Neglect, and Misappropriation of Property, read in part, The resident has the right to be free…

  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 · E2025-08-01 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  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 conduct a thorough investigation after an allegation of abuse for 4 (#6,10,11, and #12) of 5 residents reviewed for abuse allegations.The administrator identified 89 residents resided in the facility.Findings:An undated facility policy titled Resident Abuse, Neglect, and Misappropriation of Property, read in part, The resident has the right to be free from verbal, sexual, physical, and mental abuse,. A member of the administrative staff will then conduct a thorough investigation of the incident/ allegation to obtain information about the incident and complete the ODH-283.1.On 07/23/25 at 10:40 a.m., Resident #6 was observed in bed and was pretending to be sleeping. Resident #6 would open their eyes and then close them and not speak or respond.Resident #6's admission health record, dated 02/16/22, showed they were admitted with diagnoses which included Alzheimer's disease with late onset, dementia, psychotic disturbance, mood disturbance,…

  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 · E2025-08-01 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 a resident's care plan was updated after 3 incidents of Resident- Resident abuse allegations for #6 of 5 residents reviewed care plan interventions to prevent abuse. The administrator identified 89 residents resided in the facility.Findings:1.Resident #6's health record upon admission showed they were admitted on [DATE] with diagnoses which included Alzheimer's disease with late onset, dementia, psychotic disturbance, mood disturbance, and anxiety. Resident #6's quarterly assessment, dated 05/28/25, showed their cognition was moderately impaired with a BIMS score of 12. The assessment did not show any rejection of care or behaviors directed at others. The assessment showed Resident #6 had lower extremity range of motion impairments, used a wheelchair to ambulate, was independent for ADL's, and required supervision for tub/shower transfers.Resident #6's care plan, last reviewed 07/16/25, showed Resident #6 had a focus for Mood. The care plan…

  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 before2025-01-17 · 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 abuse for one (#2) of four sampled residents reviewed for abuse. The administrator identified 24 residents resided in the ACU. Findings: An undated facility abuse policy, documented all employees would be in-serviced on abuse/reporting abuse during the orientation process following employment. The policy documented on-going abuse training would be provided to all employees throughout the year which include: appropriate interventions to deal with aggressive and/or catastrophic reactions of residents. 1. Resident #1 had diagnoses which included Alzheimer's disease, dementia with other behavioral disturbance, and psychosis. Resident #1's care plan, revised on 12/06/24, documented the resident's cognition was moderately impaired. 2. Resident #2 had diagnoses which included dementia with other behavioral disturbance, psychosis, and anxiety. Resident #2's care plan, revised on 10/30/24, documented the resident's cognition was severely impaired. An Initial Incident Report OSDH form, received on…

  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
• Potential for harm · Dcited before2024-10-03 · 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 implement a care plan for one (#5) of 7 sampled residents reviewed for care plans. The administrator identified 105 residents resided in the facility. Findings: Resident #5 was admitted on [DATE] with diagnoses which included encephalopathy, liver cell carcinoma, fusion of spine, and intracerbral hemorrhage. A care plan, initiated on 8/12/24, documented only that the resident was admitted . The care plan was not comprehensive. An admission MDS assessment, dated 08/15/24, documented Resident #5 had a BIMS score of 12 indicating moderate cognitive impairment. It was documented they were dependent upon staff for activities of daily living and were always incontinent of both bowel and bladder. On 10/03/24 at 11:17 a.m., MDS Coordinator #1 agreed the comprehensive care plan was not completed. They stated it should have been completed within 21 days of admission to facility. On 10/03/24 at 12:49 p.m., Corporate Nurse #1 stated they followed the RAI…

  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

$70,695 in federal fines across 2 penalties.

• $57,960 — penalty dated 2025-08-01
• $12,735 — penalty dated 2024-10-03

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 6 rows in the source record cover these 5 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.

This home reported $682K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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