Avamere Rehabilitation Of Junction City

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 53 beds and averages 45.6 residents a day — about 86% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.34 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 4.42 hrs/resident/day on weekends vs 4.88 on weekdays — 9% thinner on weekends. RN hours go from 0.52 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-01-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure residents were free from physical, verbal and emotional abuse for 2 of 4 sampled residents (#s 12 and 25) reviewed for abuse. This deficient practice was determined to be an immediate jeopardy situation. Resident 25 was verbally and emotionally abused by Resident 30. Resident 25 experienced psychosocial harm as a result of Resident 30's targeted aggressive behavior toward Resident 25. Findings include: Resident 30 admitted to the facility in 7/2022 with diagnoses including bipolar disorder and stroke. An 8/26/22 revised care plan revealed Resident 30 was at risk of injury to self or others related to bipolar manic episodes and interventions included one to one provided support as needed. 1. Resident 25 admitted to the facility in 3/2022 with diagnoses including depression and PTSD (post-traumatic stress disorder). The 12/21/22 Quarterly MDS revealed Resident 25 was cognitively intact. The current care plan indicated Resident 25 had trauma related to a history of intimate partner…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-06-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to ensure residents were free from significant medication errors for 2 of 3 sampled residents (#s 1 and 5) reviewed for medication. This failure resulted in Resident 1 sustaining a gastrointestinal (GI) bleed which required hospitalization, and placed residents at risk for adverse medication side effects. Findings include: 1. Resident 1 readmitted to the facility on [DATE] with diagnoses including pulmonary embolism (blood clot in the lungs). The 3/4/24 physician orders indicated Resident 1 was to receive apixaban (anticoagulant medication) 10 mg BID for six days, then 5 mg BID. The 3/2024 MARS indicated Resident 1 received the following: -apixaban 10 mg one dose on the evening of 3/4/24. -apixaban 10 mg BID from 3/5/24 through 3/26/24. -apixaban 10 mg one dose on the morning of 3/27/24. The 3/27/24 medication incident report indicated Resident 1 readmitted to the facility with an order for apixaban and it was incorrectly entered into the…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-01-19 · tag F0745 — failed to provide medically-related social services — isolated
  Provide medically-related social services to help each resident achieve the highest possible quality of life.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determine the facility failed to provide counseling services, a revised care plan and interventions related to trauma care for 2 of 5 residents (#s 15 and 25) reviewed for abuse and care planning. Resident 25 experienced repeat traumatization and psychsocial harm associated with increased anxiety, fear and decreased socialization. Findings include: 1. Resident 25 was admitted to the facility in 3/2022 with diagnoses including depression and PTSD (post-traumatic stress disorder). The 3/2022 admission CAA for Psychosocial Well-Being revealed Resident 25 had past trauma related to her/his ex-spouse and a strained relationship with family. A referral for counseling was indicated and the resident was tearful during the admission interview. The 12/21/22 Quarterly MDS revealed Resident 25 was cognitively intact. The Behavior Monitors for 12/2022 and 1/2023 listed no behaviors for Resident 25 until 1/11/23 which indicated she/he was tearful and the environment was the trigger. A 1/10/23 Kardex (care staff's view of a resident's care…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-08 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, it was determined the facility failed to protect the resident's right to be free from verbal abuse by Resident 14 for 2 of 5 residents (#s 12 and 13) reviewed for abuse. This placed residents at risk for abuse. Findings include:1 Resident 12 was admitted to the facility in 7/2025 with diagnoses including chronic pain and muscle weakness.A 7/29/25 admission MDS indicated Resident 12's BIMS score was 14 (cognitively intact).A Verbal Aggression Received investigation revealed on 9/2/25 at 7:50 PM Resident 14 entered Resident 12's room and used profanity toward the resident. Staff 9 (CNA) reported Resident 12 called her to the room and said Resident 14 entered her/his room and called Resident 12 names.On 11/18/25 at 1:40 PM, Resident 12 stated on 9/2/25, Resident 14 was yelling at Resident 13 and Staff 8 (CMA). Resident 12 told Resident 14 to stop, and Resident 14 responded by saying he/she would come over there and would take care of it, attempting to start a fight. Resident…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-08 · 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 interview and record review it was determined the facility failed to thoroughly investigate a treatment-related injury for 1 of 3 sampled residents (#15) reviewed for catheter use. This placed residents at risk for abuse and neglect. Findings include:Resident 15 was admitted to the facility in 9/2024 with diagnoses including quadriplegia (paralysis of all four limbs) and neuropathic bladder (bladder dysfunction caused by nerve damage).A 12/18/24 Quarterly MDS indicated Resident 15's BIMS score was15 (cognitively intact).A Significant Concern investigation dated 3/18/25 revealed Resident 15 became nonresponsive on 3/15/25 and was sent to the hospital. Care notes documented septic shock (a life-threatening infection) and traumatic Foley catheter placement. The catheter was changed during the night shift on 3/14/25. At 9:30 AM on 3/15/25, Resident 15 complained of nausea and had an elevated temperature. By 6:30 PM, Resident 15 was nonresponsive, and 911 was called.The investigation did not include documentation identifying the staff member who completed the Foley catheter…

  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 · Dcited before2025-12-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to provide care and treatment as care planned for 1 of 5 residents (#10) reviewed for abuse. This placed residents at risk for delayed or unmet needs. Findings include:Resident 10 was admitted to the facility in 6/2025 with diagnoses including dementia and dysphagia (difficulty swallowing).A care plan dated 6/11/25 revealed Resident 10 was to eat in the [NAME] dining room, required total assistance to eat, and needed supervision for meals.A 6/19/25 Cognitive Loss and Dementia Care Area Assessment revealed Resident 10 had dementia with agitation. Resident 10 yelled to express her/his needs and redirection was effective.A Verbal Aggression Received investigation dated 8/20/25 revealed at 12:30 PM, Resident 10 and Resident 11 threatened to kick each other's asses. The residents were separated. Resident 10 was care planned to eat under supervision in the [NAME] dining room due to being on an easy-chew diet. Resident 10 had a history of behavioral issues and was on a behavior monitor for verbal aggression.On…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-07-28 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure infection control standards were implemented for facility laundry services. This placed residents at risk for exposure to and contraction of infectious diseases. Findings include: A 1/2014 facility Departmental (Environmental Services) Laundry and Linen policy indicated staff were to keep soiled and clean linen separated and follow standard precautions, which included the use of clean gowns and hand washing after glove use.A 2023 Rapid Multi Surface Disinfectant Cleaner data sheet revealed viruses and bacteria were killed with proper application as follows:-Influenza viruses after 30 seconds.-Methicillin-resistant Staphylococcus aureus (MRSA) bacteria after three to five minutes.-Soft surfaces were disinfected after 10 minutes.On 7/25/25 at 11:04 AM, a tour of the laundry facility was conducted with Staff 11 (Laundry). Empty laundry bins were observed (soiled area) outside the washer and dryer room (clean area). Staff 11 stated she allowed the Rapid Multi Surface Disinfectant Cleaner to…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-28 · 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 interview and record review it was determined the facility failed to accurately assess 1 of 1 sampled resident (#1) reviewed for skin conditions. This placed residents at risk for unmet needs and delayed treatment. Findings include: Resident 1 admitted to the facility on [DATE] with diagnoses including unstageable pressure ulcer to the buttocks and pain. The 6/24/25 admission MDS indicated Resident 1 was at risk for developing pressure ulcers and had one or more unhealed pressure ulcer injuries. The MDS did not include documentation indicating the number of unstageable pressure ulcers due to non-removable dressings or devices. The section addressing unstageable pressure ulcers present on admission or re-entry was left incomplete. The skin and ulcer treatment section indicated the resident used a pressure reducing device for the bed and received surgical wound care. No documentation reflected the resident was receiving care for a pressure ulcer.On 7/24/25 at 4:08 PM, Staff 2 (DNS) acknowledged Resident…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, it was determined the facility failed to notify the physician and act upon a change in condition timely resulting in increased avoidable pain and psychosocial harm for 1 of 1 sampled resident (#1) reviewed for skin conditions and behavioral health. Findings include: a. Resident 1 was admitted to the facility on [DATE] with diagnoses including adjustment disorder with depressed mood, anxiety, intentional poisoning by methamphetamine, self-harm, history of suicide attempts, accidental and intentional substance abuse overdose. Resident 1 was under the care of a neuropsychologist and received outpatient services prior to admission. A 6/3/25 Rehabilitation Neuropsychology Consult Note documented the resident expressed frustration regarding communication about wound care and pain management. The resident reported feeling unheard and unsupported when advocating for her/his needs. The 6/5/25 Rehabilitation Neuropsychology Consult Note documented the resident expressed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-28 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  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 a history of trauma received trauma-informed care for 1 of 1 sampled resident (#1) reviewed for mood and behavior this placed residents at risk for unmet needs and a decrease in their quality of life. Findings include:On 6/17/25 Resident 1 admitted to the facility with diagnoses including adjustment disorder with depressed mood, anxiety, intentional poisoning by methamphetamine, self-harm, history of suicide attempts, accidental and intentional substance abuse overdose.Prior to admission Resident 1 received care from a neuropsychologist. A 5/29/25 Rehabilitation Neuropsychology Consult Note documented during the interview, the resident expressed mixed emotions, reported hopelessness about achieving sobriety, reconnecting with family, and managing psychosocial stressors. The resident reported feeling overwhelmed, lacked non-substance related coping strategies, and disclosed a long history of depression and suicidal ideation. A 6/3/25 Rehabilitation Neuropsychology…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-28 · tag F0740 — failed to provide behavioral / mental-health care — isolated
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  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 with behavioral health needs, including substance use disorder received appropriate services for 2 of 2 sampled residents (#s 1 and 8) reviewed for behavioral health. This placed residents at risk for unmet behavioral health needs and increased risk of substance misuse or overdose. Findings include:The facility's 11/2022 Substance Use Disorder policy and procedure revealed the following:The behavioral health care needs of residents with a substance use disorder (SUD) or other serious mental health conditions are evaluated as part of the facility assessment. All residents are screened prior to admission for serious mental health disorders, intellectual disabilities, and related conditions to determine if specialized services are required under the Preadmission Screening and Resident Review (PASRR) process. If a resident does not qualify for pass are related specialized services but requires more intensive behavioral health care, the facility will provide or arrange for those…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-28 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 medication error rate of less than 5 percent. There were two errors out of 25 medication administration opportunities resulting in an eight percent error rate. This placed residents at risk for an ineffective medication regimen. Findings include:1.Resident 44 was admitted to the facility in 8/2024, with diagnoses including diabetes and obesity.An 8/22/24 physician order indicated Resident 44 received Jardiance (antidiabetic medication) once daily.On 7/23/25 at 9:20 AM, Staff 6 (CMA) stated she was not able to administer Resident 44 her/his scheduled Jardiance because it was not available. Staff 6 stated it had been ordered from the pharmacy but had not arrived. 2. Resident 51 was admitted to the facility in 7/2025 with diagnoses including muscle weakness. A 7/14/25 physician order indicated Resident 51 received Ingrezza (for movement disorder) once daily. On 7/23/25 at 9:32 AM, Staff 6 (CMA) stated she was not able to give Resident 51 her/his scheduled Ingrezza because it was not…

  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 · D2024-06-07 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 free from misappropriation of financial resources for 1 of 1 sampled resident (#4) reviewed for misappropriation. This placed residents at risk for financial loss. Findings include: Resident 4 admitted to the facility in 2022 with diagnoses including congestive heart failure. A 4/29/24 FRI indicated Staff 5 (LPN) informed Staff 2 (DNS) and Staff 1 (Administrator) of Resident 4 giving $1200 to Staff 3 (CNA). Resident 4 indicated $1000 was a loan and $200 was a gift. Interviews indicated the following: - Staff 5 indicated she was in Resident 4's room providing a treatment and the resident talked about helping others over the years and felt obligated to help others in time of need. Resident 4 told Staff 5 that two weeks ago she/he heard about a CNA at the facility who was struggling to pay rent and she/he gave the CNA $1200 to help pay the rent. Resident 4 indicated the CNA she/he gave the money to was Staff 3. - Resident 4 stated she/he was speaking with Staff 3 about finances and Staff…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance

“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

$8,678 in federal fines across 1 penalty.

• $8,678 — penalty dated 2024-06-07

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

Part of a chain

This home belongs to AVAMERE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 70 rows in the source record cover these 41 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.

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

Follow the money — this home’s finances

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

About 74% 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. This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OR