Elmwood Manor Nursing Home

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

Therapy staffing: this home’s payroll records show <0.01 therapist hours per resident per day in 2026Q1 — more than 0% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 46 beds and averages 36.4 residents a day — about 79% occupied, or roughly 10 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 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.64 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 3.30 hrs/resident/day on weekends vs 4.00 on weekdays — 17% thinner on weekends. RN hours go from 0.32 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

34 citations, most serious first. The 13 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-11-06 · 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

  On 10/29/25, an immediate jeopardy (IJ) situation was determined to exist the facility failed to ensure Resident #1 was free from sexual abuse and psychosocial harm from Resident #2. The incident resulted in Resident #2 raising Resident #1 shirt up and inappropriately grabbing their breast in the front lobby.On 10/29/25 at 4:45 p.m., OSDH was notified and verified the existence of the IJ situation.On 10/29/25 at 5:25 p.m., the administrator was notified of the IJ situation and was provided the IJ template. On 10/30/25 at 10:56 a.m., an acceptable plan of removal was approved by the OSDH. The plan of removal, read in part, Plan of Removal of IJ 10/29/202510/29/2025 [staff name withheld], General Manager completed the Process for Completion of a State Reportable given by [name withheld], [staff name withheld], Administrator has also completed training from [business name withheld] on Abuse and Neglect and from [business name withheld] on Conducting an Abuse Investigation.In-service was provided to [staff name withheld], Administrator and [staff name withheld], Corporate Nurse on Abuse…

  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
• Immediate jeopardy · Jcited before2025-11-06 · 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 On [DATE], an IJ situation was determined to exist when the facility failed to ensure Resident #8 was monitored and received assistance while eating in their room. The incident resulted in the death of Resident #8. Resident #8 had a care plan intervention which included assist to dine.On [DATE] at 1:00 p.m., the OSDH was notified and verified the existence of the IJ situation.On [DATE] at 1:30 p.m., the administrator was notified of the IJ situation and was provided the IJ template.On [DATE] at 10:55 a.m., an acceptable plan of removal was approved by the OSDH. The plan of removal, read in part, POR [DATE] for IJ cited on [DATE] @ [at] 1:30pmSummarized Statement of Deficiency (Problem Identified):Staff failed to provide required meal supervision for a resident with two prior choking incidents and an established care plan requiring Immediate Removal Actions Taken:All residents nutritional care plans and diets were reviewed for choking risk, non-compliance with diets, therapeutic diets, and assisted feeding needs…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-01-23 · 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

  Based on record review and interview, the facility failed to ensure a resident did not fall from a mechanical lift during a transfer for 1 (#2) of 5 sampled residents reviewed for dependent transfers using a mechanical lift.The administrator identified 19 residents were dependent for transfers using a mechanical liftFindings:A Safe Lifting & Mechanical Lift Policy, dated 01/01/25, read in part, General Safety Rules .Use proper sling and equipment .Two trained staff required .Follow manufactures instructions.Resident #2's care plan for activities of daily living, dated 10/30/25, showed the resident required a mechanical lift for transfers.A hospital imaging report, dated 11/13/25 at 11:57 a.m., showed Resident #2 had an x-ray exam of the right knee with two views. The report showed Resident #2 had a nondisplaced fracture deformity of the distal femur.A late entry nursing progress note, dated 11/13/25 at 4:12 p.m., showed on 11/13/25 licensed practical nurse #2 observed Resident #2 on the floor under the mechanical lift. The note showed Resident #2 complained of pain all over and was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-06 · 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, record review and interview, the facility failed to ensure 1 of 1 treatment cart was locked when not in use.The corporate nurse identified 39 residents resided in the facility and had one treatment cart.Findings:On 11/03/25 at 2:39 p.m., the treatment cart was observed [NAME] of the nurse's station unlocked and unsupervised with insulin pens and vials in the top drawer.On 11/03/25 at 2:40 p.m., LPN #1 was observed walking to the South end of the hallway and away from the treatment cart.On 11/06/25 at 1:29 p.m., the treatment cart was observed [NAME] of the nurse's station unlocked and unsupervised.On 11/06/25 at 1:30 p.m., LPN #2 was observed standing in dining hall out sight of the treatment cart, which was unlocked and unsupervised.A policy titled Security of Medication Cart, revised April 2007, read in part, 1. The nurse must secure the medication cart during the medication pass to prevent unauthorized entry. 4. Medication carts must be securely locked at all times when out of the nurse's view.On 11/04/25 at 2:41 p.m. LPN #1 stated the treatment cart was…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-06 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and interview, the facility failed to thoroughly investigate allegations of abuse for 1 (#1) of 8 residents sampled for abuse.The corporate nurse identified 39 residents resided in the facility.Findings: A facility policy titled, Abuse Investigations, revised October 2009, read in part, All reports of resident abuse, neglect and injuries of unknown source shall be promptly and thoroughly investigated by facility management. The individual conducting the investigation will, as a minimum: Interview any witnesses to the incident; .Interview staff members (on all shifts) who have had contact with the resident during the period of the alleged incident; . Interview the resident's roommate, family members, and visitors; .Review all events leading up to the alleged incident.5. Witness reports will be obtained in writing. Witness will be required to sign and date such reports.An incident report dated of 10/14/25, showed [Resident #2] was inappropriately touching [Resident #1] and had [Resident #1's] shirt up and touching their breast.On 10/29/25 at 1:35 p.m., 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-06 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to track and monitor choking incidents for 1 (#8) of 3 sampled residents reviewed for choking incidents for quality assurance.The corporate nurse identified 39 residents resided in the facility.Findings:A policy titled Safety and Supervision of Residents, revised December 2007, read in part, QA & A reviews of safety and incident/accident reports; and a facility-wide commitment to safety at all levels of the organization.A nursing note for Resident #8, dated 01/18/24, read in part, called to residents room D/T [due to] resident choaking [sic], . At 5:50 p.m. Paramedic staff pronounced time of death.The quality assurance notes, dated 02/29/24, did not show any documentation for monitoring and tracking related to Resident #8's choking incident on 01/18/24 which resulted in Resident #8's death in the facility.On 11/04/25 at 1:07 p.m., the corporate nurse stated they did not QA or document the 01/18/24 incident involving Resident #8.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-24 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to administer medication as ordered for one (#3) of six sampled residents whose medication records were reviewed. The BOM identified 38 residents who resided in the facility. Findings: Res #3 had diagnoses which included schizophrenia, auditory hallucinations, and bipolar disorder. A Release of Responsibility for Medication record, dated 12/11/23, documented the facility received 125 tablets of clozapine (antipsychotic medication) 100 mg upon Res #3's admission. A physician order, dated 12/11/23, documented to administer two tablets of clozapine 100 mg at bedtime for schizophrenia. A physician order, dated 12/11/23, documented to administer one tablet of clozapine 100 mg twice daily for schizophrenia. A care plan, dated 12/14/23, documented Res #3 received psychotropic medication for schizophrenia and to administer clozapine 100 mg at 8:00 a.m. and 4:00 p.m. The care plan documented to administer clozapine 200 mg at bedtime. A December 2023 MAR documented Res #3 received a total of 83 tablets of clozapine 100 mg. A pharmacy…

  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 · Ecited before2024-10-24 · tag F0756 — failed to review each resident's drug regimen — pattern
  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

  Based on record review and interview, the facility failed to ensure the physician responded to a pharmacist MRR and failed to ensure physician rationale was documented related to a declination of a GDR for two (#6 and #26) of five sampled residents reviewed for unnecessary medications. The BOM identified 38 residents who resided in the facility. Findings: A Drug Regimen Review policy, dated 2020, read in parts, .The consultant pharmacist drug regimen reviews are processed as follows: The physician provides a written response of the report to the facility within one month after the report is sent . 1. Res #6 had diagnoses which included dementia, schizophrenia, unspecified psychosis, and insomnia. A physician order, dated 06/08/23, documented to administer ramelteon (hypnotic medication) 8 mg at bedtime for insomnia. A physician order, dated 06/21/23, documented to administer Trintellix (antidepressant medication) 20 mg in the morning for depressive disorders. A physician order, dated 06/21/23, documented to administer desvenlafaxine (antidepressant medication) 100 mg in the morning…

  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 · Ecited before2024-10-24 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  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 who received psychotropic medications had an acceptable diagnosis/indication for the use of an antipsychotic medication for one (#26) of five sampled residents reviewed for unnecessary medications. The corporate nurse consultant identified 16 residents who received antipsychotic medications. Findings: Res #26 was admitted with diagnoses which included dementia and depression. A physician order, dated 06/20/23, documented to administer cariprazine (antipsychotic medication) 3 mg once daily for unspecified dementia without psychotic or behavioral disturbance. A physician order, dated 08/08/23, documented to administer Invega (antipsychotic medication) 234 mg intramuscularly every 21 days for unspecified dementia. An annual assessment, dated 01/11/24, documented the resident was severely cognitively impaired, had no depression symptoms, had no behaviors, and received antipsychotic medication. On 10/24/24 at 9:30 a.m., the MDS coordinator stated Res #26 should not have antipsychotic medications ordered for a…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-24 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure food was stored in accordance with professional standards for food service safety. The BOM identified 38 residents resided in the facility. Findings: On 10/21/24 at 8:12 a.m., the initial tour of the kitchen was conducted. The following was observed: a. in the two door silver refrigerator a clear gallon bag containing six raw, pre-formed, hamburger patties was observed in a white plastic tote on top of a clear gallon bag containing pre-cooked and sliced sandwich meat labeled Ranch Packs dated 10/03/24, b. in the two door silver refrigerator a clear gallon bag labeled deli-sliced ham was on top of the bag containing raw hamburger patties, c. in the two door silver refrigerator a gallon pour top jug containing a brown liquid was not dated or labeled, d. in the two door silver refrigerator a gallon pour top jug containing an orange liquid was not dated or labeled, e. in the dry storage area an undated and unlabeled blue bag was observed with the top tied in a knot, the staff identified the contents as raisins, f. in 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-24 · tag F0909 — failed to maintain a comfortable temperature — pattern
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  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 conduct regular inspections of all bed frames, mattresses, and bed rails as part of a regular maintenance program to identify areas of possible entrapment for one (#32) of one sampled resident reviewed for bed rails. The corporate nurse consultant identified four residents whose beds were equipped with a bed rail of any type. Findings: An undated Maintenance policy, read in part, .This facility will conduct preventative maintenance checks periodically and as needed for facility equipment and facility property. This facility will maintain preventative maintenance records pertaining to equipment and facility property . Res #32 had diagnoses which included fusion of the cervical spine, central cord syndrome, and muscle weakness. An admission assessment, dated 09/26/22, documented the resident was cognitively intact, required extensive assistance with bed mobility, and had one fall without injury. A physician order, dated 06/28/23, documented the resident could have half rails to their bed for repositioning…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-24 · tag F0657 — failed to keep the care plan current — isolated
  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 — the official record, unedited, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure a care plan was updated to include an order for oxygen for one (#5) of one sampled residents reviewed for oxygen. The corporate nurse consultant identified two residents required oxygen. Findings: 1. Res #5 had diagnoses which included COPD. A physician order, dated 08/15/24, documented Res #5 was to receive oxygen at two to three liters per minute via nasal cannula to maintain oxygen saturation above 90%. On 10/21/24 at 9:57 a.m., Res #5 was observed in bed in their room. The oxygen concentrator was observed at bedside delivering oxygen at two liters per minute via nasal cannula. Res #5's care plan did not document they received oxygen. On 10/24/24 at 10:40 a.m., the MDS coordinator stated oxygen should be on the care plan. Upon review of Res #5's care plan they stated the oxygen was not documented, but should have been.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-24 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 informed consent was obtained prior to the utilization of bed rails for one (#32) of one sampled resident reviewed for bed rails. The administrator identified four residents whose beds were equipped with a bed rail of any type. Findings: A Proper Use of Side Rails policy, revised December 2016, read in part, .Consent for side rail use will be obtained from the resident . Res #32 had diagnoses which included fusion of the cervical spine, central cord syndrome, and muscle weakness. An admission assessment, dated 09/26/22, documented the resident was cognitively intact, required extensive assistance with bed mobility, and had one fall without injury. A physician order, dated 06/28/23, documented the resident could have half rails to their bed for repositioning purposes. A care plan, dated 09/28/23, documented the resident was able to use side rails for repositioning and rolling in bed. On 10/21/24 at 9:56 a.m., Res #32 was observed lying in bed. Bilateral half bed rails were observed on the upper half of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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

$34,125 in federal fines across 2 penalties.

• $17,215 — penalty dated 2026-01-23
• $16,910 — penalty dated 2025-11-06

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

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 95% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

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