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Mennonite Home

5353 Columbus Street SE, Albany, OR 97321 · Non profit - Corporation · 95 certified beds · (541) 928-7232 Medicare & Medicaid certified

Call the home — (541) 928-7232 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
2 actual-harm citations$17,934 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $17,934 in federal fines (most recent 2025-03-04)
  • nursing-staff turnover (62%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3388 Pacific Blvd SW
Pharmacy
1700 Geary St SE · (541) 812-5544 · Call to confirm hours
Grocery
2805 Geary St SE · (541) 928-3429 · Call to confirm hours
Park
2627 Del Rio Ave SE · (541) 917-7777 · Typically dawn to dusk
Place of worship
5775 Columbus St SE · (541) 791-9356

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

Overall quality measures 3 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased36.8%14.9%15.4%worse
Long-stay residents who lose too much weight2.5%4.7%5.4%better
Long-stay residents with a catheter left in their bladder5.1%1.4%0.9%worse
Long-stay residents with a urinary tract infection3.3%2.0%2.0%worse
Long-stay residents with depressive symptoms4.9%4.9%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.4%2.4%3.3%better
Long-stay residents whose ability to walk worsened37.3%20.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication7.4%12.4%18.9%better
Long-stay residents given the seasonal flu vaccine94.4%95.2%95.3%typical
Long-stay residents with pressure ulcers3.3%5.8%4.7%better
Long-stay residents with worsening bladder/bowel control16.3%21.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table12.5%13.9%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine67.7%81.2%79.4%worse
Short-stay residents rehospitalized after admission18.7%21.4%22.6%better
Short-stay residents with an outpatient ER visit22.5%16.1%12.0%worse

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

54.5% 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 43 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.5%U.S. median 51.5%
Got home and stayed home
11.7%U.S. median 10.7%
Went back to hospital
70.0%U.S. median 56.6%
Met the expected recovery
0.11U.S. median 0.31
Therapy hours / resident / day
0.02hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Met the expected recovery: 70.0% 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 20 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.5%CMS range 43.0–66.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.7%CMS range 7.7–17.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge70.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge65.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge45.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified90.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened9.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.1%CMS range 3.4–9.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.831.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.56
RN hours/ resident / day
0.67
LPN hours/ resident / day
3.53
Aide hours/ resident / day
4.76
Total nurse hours/ resident / day
0.32
RN hoursweekends
62.5%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 95 beds and averages 37.7 residents a day — about 40% occupied, or roughly 57 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.53 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 4.28 hrs/resident/day on weekends vs 4.95 on weekdays — 13% thinner on weekends. RN hours go from 0.66 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% 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

5
deficiencies at the latest standard inspection (2026-03-27)
6
at the previous standard inspection (2024-11-21)

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.

ABCDEFGHIJKL

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.

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · Gcited before2025-03-04 · 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 observation, interview, and record review, it was determined the facility failed to ensure an environment free from accident hazards for 1 of 3 (#10) sampled residents reviewed for accidents. The facility failed to properly attach the sling with the lower leg straps to the Hoyer (a mechanical lift device used to transfer residents) during a transfer. As a result, Resident 10 sustained a left leg femoral (largest leg bone) fracture and an avulsion injury to the left foot (occurs when an injury causes a ligament or tendon to break off a small piece of a bone that is attached to it). Findings include: Resident 10 was admitted to the facility in 8/2015, with diagnoses including Alzheimer's and restless leg syndrome. The resident was was not able to be observed or interviewed as she/he had passed away. The 1/1998 Mennonite Village Policy and Procedure on Mechanical Lifts stated to follow the manufacturer's instructions when using any type of mechanical lift. The undated Invacare Owner's Operator and Maintenance Manual for Electric Portable Patient Lift included the following…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-07-24 · 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 interview and record review it was determined the facility failed to timely evaluate and analyze repeated falls to ensure fall interventions were effective for 1 of 3 sampled residents (#4) and failed to ensure fall interventions were followed for 1 of 3 sampled residents (#1) reviewed for accidents. As a result, Resident 1 fell and sustained a fracture. Findings include: 1. Resident 1 was admitted to the facility in 2018, with a diagnosis of Parkinson's disease. A 11/2/23 Significant Change MDS revealed Resident 1 had dementia and did not ask staff for ADL assistance. Resident 1 was assessed to be at risk for falls and interventions included a motion sensor (device placed near the resident and alerts staff when the resident moves) was to be used when she/he sat in a recliner. The assessment indicated Resident 1 liked to sit in a recliner near the dining room. An Investigation revealed Resident 1 fell on 3/13/24 at 6:19 PM. The investigation indicated Resident 1 had a history of falls and staff were to place a motion sensor near her/him to detect movement. The motion sensor…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-27 · 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, interview, and record review it was determined the facility failed to ensure appropriate medication storage temperatures were logged and maintained for 2 of 2 medication rooms reviewed for medication storage. This placed residents at risk for reduced efficacy of medication. Findings include:1. On 3/25/26 at 8:24 AM the third floor medication refrigerator temperature logs were observed to be blank on the following dates: 3/1/26; 3/4/26; 3/7/26; 3/8/26; 3/13/26; 3/14/26; 3/15/26; 3/16/26; 3/17/26; 3/18/26; 3/19/26; 3/21/26; 3/22/26; 3/23/26 and 3/24/26. The medication refrigerator contained insulin and other medications. On 3/25/26 at 8:24 AM Staff 3 (LPN) acknowledged the temperature logs were blank on the identified dates and acknowledged the refrigerator contained insulin and other medications. On 3/25/26 at 9:04 AM Staff 2 (DNS) acknowledged the identified dates with blank temperature logs and provided no additional information.2. On 3/25/26 at 8:55 AM the second floor medication refrigerator temperature logs were observed to be blank on the following dates:…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-03-27 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined the facility failed to ensure residents the right to a dignified dining experience for 1 of 1 sampled resident (#32) reviewed for dignity. This placed residents at risk for lack of dignity. Findings include:Resident 32 was admitted to the facility in 1/2026 with diagnoses including hospice care and Alzheimer's disease. The 1/28/26 Care Plan revealed Resident 32 needed limited to one-on-one assistance with all food and fluids, to assist as needed with meals, and required two-person assistance with mobility. The 2/3/26 admission MDS revealed Resident 32 was severely cognitively impaired and required substantial to maximum assistance with eating.On 3/23/26 at 12:00 PM Resident 32 was observed in a wheelchair in the dining room while staff served meals to other residents. At 12:31 PM Resident 32 received her/his meal and a CNA assisted with one bite. The CNA then walked away from the resident and did not return until 12:46 PM, 15 minutes later. During that time Resident 32 did not independently feed herself/himself and…

    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 before2026-03-27 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review it was determined the facility failed to inform residents and the resident's responsible party of the risks and benefits, and to ensure consent was obtained, for the use of psychotropic medications for 1 of 5 sampled residents (#4) reviewed for unnecessary medications. This placed residents at risk for lack of informed consent of psychotropic medications. Findings include:Resident 4 admitted to the facility in 2025 with diagnoses including mild episode of depressive disorder.A 12/13/25 physician order indicated the following medications to be administered to Resident 4:- Duloxetine (antidepressant) for depression and pain.A review of the clinical record revealed no indication the risks and benefits of the antidepressant medication were reviewed, or consent was obtained for the use of Duloxetine for Resident 4.On 3/25/26 at 1:54 PM Staff 1 (Administrator) stated he was unable to locate any information to indicate the risks and benefits were reviewed, or a consent was obtained for Resident 4's use of the antidepressant.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined the facility failed to provide hygiene and grooming care to 1 of 1 sampled resident (#32) reviewed for ADLs. This placed residents at risk for unmet hygiene and grooming needs. Findings include: Resident 32 was admitted to the facility in 1/2026 with diagnoses including hospice care and Alzheimer's disease. The 1/28/26 Care Plan revealed Resident 32 needed one-person assistance for hygiene and bathing. The 2/3/26 admission MDS for Resident 32 revealed she/he needed substantial to maximum assistance with hygiene tasks, was dependent for mobility, and received a BIMS score of 1 indicating severe cognitive impairment.The daily care documentation for 3/2026 revealed Resident received no bathing or nail care from 3/1/26 to 3/19/26. On 3/26/26 at 12:45 PM Witness 2 (Family Member) expressed concern for Resident 32's cleanliness and hygiene, as well as the length and cleanliness of her/his fingernails and toenails. Witness 2 removed the resident's blanket and socks and prompted her/him to open her/his mouth. There 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 · D2026-03-27 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to ensure residents received seizure medications for 1 of 1 sampled resident (#25) reviewed for medications. This placed residents at risk for seizures. Findings include:Resident 25 was admitted to the facility in 10/2025 with diagnoses including stroke and hemiplegia (paralysis affecting one side of the body). A 1/22/26 Physician Order revealed prescriptions for two anti-seizure medications: Briviact 50 mg given twice daily, and Clobazam 10 mg given at bedtime. The 2/2026 MAR revealed Resident 25 missed her/his dose of Clobazam on 2/3/26, 2/4/26, and 2/5/26, as well as a dose of Briviact on 2/5/26. Each missed dose was documented as med not available by Staff 10 (Certified Medication Assistant). On 3/26/26 at 3:10 PM Staff 10 (Certified Medication Assistant) acknowledged he was able to order medications but did not order Resident 25's anti-seizure medication when he saw it was out. Staff 10 stated nursing staff, not him, was responsible for contacting a physician regarding missed medications but was unable…

    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 · F2024-11-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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, interview, and record review it was determined the facility failed to serve food in a sanitary manner for 2 of 2 dining rooms. This placed residents at risk for foodborne illness. Findings include: On 11/18/24 at 12:14 PM the lunch meal service was observed on the third floor dining room. Staff 7 (CNA) donned gloves and touched multiple surfaces including cupboards, clean cups, clean plates, a refrigerator and serving utensils multiple times throughout the meal and did not change her gloves. On 11/18/24 Staff 7 stated gloves were to be worn in the kitchen, and staff should change gloves after touching multiple surfaces in the kitchen before touching clean plates, cups, or food items. On 11/19/24 at 8:42 AM the breakfast meal service was observed in the second floor dining room. Staff 11 (Cook) served multiple food item and touched plates and serving utensils, but did not wear gloves throughout the meal service. On 11/19/24 at 11:58 AM the lunch meal service was observed on the third floor dining room. Staff 6 (RNCM) donned gloves and touched multiple surfaces…

    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 · Dcited before2024-11-21 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined the facility failed to ensure residents were treated with dignity for 1 of 10 sampled residents (#29) reviewed for dining. This placed residents at risk for lack of dignity. Finding include: Resident 29 admitted to the facility in 11/2023 with diagnoses including kidney disease. On 11/18/24 at 12:24 PM during the lunch meal on the third floor Resident 29 and Resident 7 were observed seated at a dining table together. Staff delivered Resident 7's lunch but not Resident 29's. Staff then proceeded to deliver lunch to other residents in the dining room. Resident 7 was observed to stop and ask multiple staff multiple times where Resident 29's lunch was. Staff acknowledged Resident 29 waited for a long time for lunch since Resident 7's lunch was served. Staff's response to Resident 7 was Resident 29's meal was getting dished up. Resident 29 began asking staff were her/his meal was and staff stated her/his lunch was being dished up. Staff 7 stopped eating and stated she/he did not want to eat in front of Resident 29, so…

    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 before2024-11-21 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review it was determined the facility failed to timely inform the resident representative of the risks and benefits of psychotropic medication use for 1 of 5 sampled residents (#18) reviewed for medications. This placed residents at risk for the lack of informed consent. Findings include: Resident 18 admitted to the facility in 10/2024 with diagnoses including dementia. An 10/24/24 admission MDS revealed Resident 18's cognition was severely impaired. A review of Resident 18's 11/2024 MAR revealed she/he had an 10/18/24 order to for lorazapam (an anti-anxiety medication) as needed, and received the medication on 11/1/24, 11/3/24, and 11/10/24. A Consent for Treatment for Anti-Anxiety to administer lorazapam was completed on 11/12/24 by Resident 18's representative. In an interview on 11/20/24 at 10:42 AM Staff 3 (LPN Resident Care Manager) stated Resident 18 did not have a consent for lorazapam, so she completed one on 11/12/24 after the medication was administered.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review it was determined the facility failed to complete a comprehensive assessment within the required timeframe for 1 of 2 sampled residents (#2) reviewed for resident assessment. This placed residents at risk for unassessed needs. Findings include: Resident 2 admitted to the facility in 6/2018 with diagnoses including respiratory failure. The Assessment Lookup for Resident 2 revealed the following MDS assessments were completed: 9/7/23 Annual MDS, 12/8/23 Quarterly MDS, 3/9/24 Quarterly MDS, and 6/10/24 Quarterly MDS. A 11/15/24 Annual MDS was open and in progress. On 11/18/24 at 10:50 AM Staff 1 (Administrator) confirmed the facility did not complete the Annual MDS due in 9/2024 for Resident 2 within the required timeframe.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-21 · tag F0641 — isolated
    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, interview, and record review it was determined the facility failed to ensure accurate assessments for 1 of 1 sampled resident (#31) reviewed for limited range of motion. This placed residents at risk for unassessed needs. Findings include: Resident 31 admitted to the facility in 10/2024 with diagnoses including Alzheimer's disease and Type 2 Diabetes The admission MDS dated [DATE] revealed Resident 31 had no limitations of her/his upper extremities (shoulder, elbow, wrist, hand). Review of Resident 31's Active Care Plan dated 10/3/24 revealed the resident had impaired functional status in bed mobility, transfers, walking, toileting, dressing, locomotion, eating, grooming, hygiene, and bathing. Interventions included to insert a rolled ace wrap or washcloth in her/his hands daily to prevent progression of her/his bilateral hand contractures (fingers bent toward the palm of the hand, the affected fingers could not straighten completely). On 11/18/24 Resident 31 was observed to have…

    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
Show the remaining 8 citations
  • Potential for harm · D2024-11-21 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review it was determined the facility failed to ensure a resident with limited ROM received appropriate treatment and services to prevent further decline for 1 of 1 sampled resident (#31) reviewed for ROM. This placed residents at risk for worsening contractures. Findings include: Resident 31 admitted to the facility in 10/2024 with diagnoses including Alzheimer's disease and Type 2 Diabetes. Review of Resident 31's Active Care Plan dated 10/3/2024 revealed the resident had impaired functional status in bed mobility, transfers, walking, toileting, dressing, locomotion, eating, grooming, hygiene, and bathing. Interventions included to insert a rolled ace wrap or washcloth into her/his hands daily to prevent progression of her/his bilateral hand contractures (fingers bent toward the palm of the hand, the affected fingers cannot straighten completely). On 11/18/24 Resident 31 was observed to have contractures to both hands. No contracture interventions were observed. On 11/21/24 at 7:27 AM Staff 15 CNA stated care of Resident 31's hands…

    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 · F2023-09-08 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview it was determined the facility failed to implement a water management program for 1 of 1 facility reviewed for infection control. This placed residents at risk for exposure to water-borne illnesses. Findings include: On 9/8/23 at 8:59 AM Staff 13 (IP) and Staff 14 (Environmental Services Director) confirmed the facility did not have a program and system in place for the prevention of the spread of water-borne pathogens, such as Legionella, in the facility's main water system.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-08 · tag F0553 — failed to let residents help plan their care — isolated
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to ensure residents were able to participate in care conferences for 1 of 1 sampled resident (#7) reviewed for care planning. This placed residents at risk for lack of participation in the care planning process. Findings include: Resident 7 was admitted to the facility in 2022 with diagnoses including hip fracture. Resident 7's Care Conference Sheet revealed she/he had a care conference on 2/15/23. The 2/15/23 care conference notes indicated the resident attended and participated in the meeting. The sheet had additional notes indicating care conferences were scheduled for 5/11/23 and 8/2/23, and the resident and family were invited. There were no notes associated with the 5/11/23 and 8/2/23 conferences indicating they occurred, and the resident was provided the opportunity to participate in her/his care decisions. An 8/2/23 Quarterly MDS indicated the resident was cognitively intact. On 9/6/23 at 8:10 AM Resident 7 stated she/he was not recently involved with care planning. On 9/7/23 at 9:21 AM Staff 12 (LPN…

    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 · D2023-09-08 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to periodically follow-up on advanced directives for 1 of 2 sampled residents (#10) reviewed for advanced directives. This placed residents at risk for healthcare decisions not being honored. Findings include: Resident 10 was admitted to the facility in 2021 with diagnoses including osteoarthritis (pain in joints). The 11/2/18 facility Advanced (sic) Directive Policy and Procedure indicated staff would review a resident's existing care instructions quarterly referencing the advance directive or POLST (Physician Orders for Life Sustaining Treatment). A 9/2021 facility admission Agreement indicated Resident 10 did not have an advance directive. 9/28/22, 12/18/22, 4/12/23 and 6/28/23 Interdisciplinary Notes (care conference) and Care Conference Sheet revealed no indication of follow-up with Resident 10 regarding an advance directive. A 3/30/23 Annual MDS revealed Resident 10 was cognitively intact and able to make her/his own decisions. On 9/7/23 at 5:02 PM Staff 12 (LPN Resident Care Manager) stated during…

    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 · D2023-09-08 · tag F0642 — isolated
    Ensure a qualified health professional conducts resident assessments.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to complete and submit a discharge tracker for 1 of 1 sampled resident (#19) reviewed for assessments. This placed residents at risk for incomplete records. Findings include: Resident 19 was admitted to the facility in 2023 with diagnoses including stroke. An admission MDS dated [DATE] was completed and Resident 19 discharged from the facility in 7/2023. There were no other MDS assessments completed for Resident 19. On 9/8/23 at 8:41 AM Staff 17 (Medical Records) stated the discharge assessment was not completed and submitted as required.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-08 · 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 observation, interview and record review it was determined the facility failed to develop and implement a comprehensive care plan for 1 of 1 sampled resident (#17) reviewed for skin conditions. This placed resident at risk for unmet skin care needs. Findings include: Resident 17 was admitted to the facility in 2022 with diagnoses including Alzheimer's disease. Observations from 9/6/23 to 9/8/23 revealed Resident 17 had several light brown and dark red scab-like areas on her/his face and neck. Skin assessments completed in 1/2023 and 2/2023 indicated Resident 17 had a skin condition that caused small, raised scab-like areas to form on her/his skin that gradually fell off when care was provided. The 4/19/23 care plan did not address Resident 17's skin condition. On 9/7/23 at 9:27 AM Staff 5 (CNA) stated the scab-like areas on Resident 17's face often fell off and bled after showers or when caught on Resident 17's clothing. On 9/7/23 at 9:30 AM Staff 6 (LPN) stated Resident 17's raised scab-like areas on her/his nose and cheek did bleed. Staff 6 stated CNAs that care 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-09-08 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to honor activity preferences for 2 of 2 sampled residents (#s 10 and 30) reviewed for activities. This placed residents at risk for decline in psychosocial well-being. Findings include: 1. Resident 10 was admitted to the facility in 2021 with diagnoses including osteoarthritis (pain in joints). The 3/30/23 Annual MDS indicated it was very important for Resident 10 to go outside and get fresh air when the weather was good. The 6/30/23 Quarterly MDS revealed Resident 10 was cognitively intact and she/he required one-person assistance to transfer into her/his wheelchair. A 9/1/23 revised care plan for life enrichment revealed Resident 10 was independent for activities and to provide her/him with independent activities as needed. The psychosocial well-being care plan revealed Resident 10 was compromised due to occasional reports of feeling claustrophobic (fear of confined spaces) in her/his room and should be invited to life enrichment programs of interest including bingo, cooking and outings. The 8/1/23 through…

    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 · D2023-09-08 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review it was determined the facility failed to ensure pharmacy identified drug interactions were reviewed by a resident's physician for 1 of 5 sampled residents (#33) reviewed for medications. This placed residents at risk for adverse medication reactions. Findings include: Resident 33 was admitted to the facility in 2023 with diagnoses including irregular heart rate and depression. A 6/22/23 admission Orders revealed Resident 33 was to be administered medications including eliquis (blood thinner) and fluoxetine (antidepresant). A 6/22/23 pharmacy Potential Drug Interaction form revealed eliquis and fluoxetine should be used with caution. Resident 33 should be monitored for blood loss. The interaction was a level 3. On 9/7/23 at 9:33 AM Staff 12 (LPN Resident Care Manager) stated when the pharmacy sent a drug interaction form to the facility, the staff were to notify the physician. The physician would review the notification and make changes if indicated. Staff 12 stated the physician would usually initial the note as an acknowledgement if there were…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$17,934 in federal fines across 2 penalties.

  • $9,110 — penalty dated 2025-03-04
  • $8,824 — penalty dated 2024-07-24

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

Owner / managerTypeRoleSince
HANSELL, SHAUNAIndividualW-2 MANAGING EMPLOYEEsince 12/05/2012
RUMPEL, MAUREENIndividualW-2 MANAGING EMPLOYEEsince 09/28/2018
TRAHAN, ANGELAIndividualW-2 MANAGING EMPLOYEEsince 02/07/2011
WALLS, ELIZABETHIndividualW-2 MANAGING EMPLOYEE; OPERATIONAL/MANAGERIAL CONTROLsince 04/28/2015
BAKER, MICHAELIndividualCORPORATE DIRECTORsince 10/31/2013
DESOYZA, SHANILKAIndividualCORPORATE DIRECTORsince 05/31/2016
FERRIS, NANCYIndividualCORPORATE DIRECTORsince 05/18/2018
HISTAND, PHILLIPIndividualCORPORATE DIRECTORsince 05/06/2021
JACOBO, KRISTIIndividualCORPORATE DIRECTORsince 11/06/2018
MELERO, MARYIndividualCORPORATE DIRECTORsince 03/04/2021
PIMM, RICKIndividualCORPORATE DIRECTORsince 11/06/2018
ROPP, DENNISIndividualCORPORATE DIRECTORsince 02/28/2015
STUTZMAN, GENEIndividualCORPORATE DIRECTORsince 07/13/2021
TIESZEN, BRETTIndividualCORPORATE DIRECTORsince 05/08/2018
HOOD, DIANEIndividualCORPORATE OFFICERsince 01/30/2023
MARS, CLIFFORDIndividualCORPORATE OFFICERsince 08/06/2012

CMS files one row per role, so the 17 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$6.7M
Net patient revenuemost recent cost report
-57.6%
Operating marginrevenue minus expenses
$191K
Related-party expense2% of expenses
Who pays — share of resident-days
Medicaid 51%Medicare 3%Other / private 46%

This home reported $191K 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

$775per resident / day
operating cost
$23,561per month
≈ monthly operating cost
$492per day
avg. revenue, all payers

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 OR

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Oregon Medicaid page.

Typical monthly cost in Oregon
$16,760/mo
Nursing home (semi-private)
$18,448/mo
Nursing home (private)
$6,875/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 385206. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-27, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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