Avamere At Three Fountains

Location & what’s nearby

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

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

Quality measures — how residents actually fare

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

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

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

66.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 263 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 47.4% 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 114 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 0.72 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% 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 117 beds and averages 75.1 residents a day — about 64% occupied, or roughly 42 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 5.06 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.61 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 4.53 hrs/resident/day on weekends vs 5.28 on weekdays — 14% thinner on weekends. RN hours go from 0.69 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Actual harm · G2024-04-01 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 Staff 6 (LPN) adhered to professional standards for 1 of 7 sampled residents (#101) reviewed for significant medication error. As a result, Resident 101 experienced a decline in condition and required hospitalization for a drug overdose. Findings include: On 8/30/23 the Past Noncompliance was corrected when the facility completed a root cause analysis of the incident and determined Staff 6 failed to adhere to professional standards of practice for medication administration. An interview on 3/28/24, with Staff 1 (Administrator) and Staff 2 (DNS) revealed the facility's plan of correction included the following: -Staff education completed for all CMAs and LPNs on: Administering Medications Policy, 7 Rights of Medication Administration, 5 Ways to Identify Residents and medication pass audit. -DNS completed education with the responsible nurse. -DNS or designee will conduct random audits of CMAs or LNs weekly for completing the seven rights of medication administration and how to identify residents 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 · Past Non-Compliance
• Actual harm · G2024-04-01 · 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 the resident was free from a significant medication error for 1 of 3 sampled residents (#101) reviewed for medications. As a result, Resident 101 was hospitalized for a drug overdose. Findings include: On 8/30/23 the Past Noncompliance was corrected when the facility completed a root cause analysis of the incident and determined significant medication errors were found. An interview on 3/28/24, with Staff 1 (Administrator) and Staff 2 (DNS) revealed the facility's plan of correction included the following: -Staff education completed for all CMAs and LPNs on Administering Medications Policy, 7 Rights of Medication Administration, 5 Ways to Identify Residents and medication pass audit. -DNS completed Education with the responsible nurse. -DNS or designee will conduct random audits of CMAs or LNs weekly for completing seven rights of medication administration and how to identify residents for four weeks, then at least monthly 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.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · Ecited before2026-07-09 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review it was determined the facility failed to ensure a community use glucometer was cleaned with EPA (Environmental Protective Agency) approved disinfectant for 1 of 4 Halls, (Hall 2) reviewed for infection control. This placed residents at risk for cross contamination. Findings include: The facility's 10/2025 Glucometer Cleaning policy revealed staff were to clean glucometers with a bleach germicidal wipe or equivalent. On 7/7/26 at 7:46 AM Staff 3 (LPN) was observed to clean a community used glucometer with an alcohol pad. Staff 3 was stopped prior to entering another resident's room. Staff 3 stated he always used the alcohol pads to clean the glucometers. Staff 3 identified the following residents who had CBG checks for Hall 2: Residents 7, 13, 63, 68, 71, and 99. a. Resident 7 was admitted to the facility in 6/2026 with a diagnosis of diabetes. Resident 7's clinical record did not indicate she/he had a BBP (bloodborne pathogen). b. Resident 13 was admitted to the facility in 6/2026 with a diagnosis of diabetes. Resident 13's clinical…

  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 plan of correction
• Potential for harm · D2026-07-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview it was determined the facility failed to ensure furniture was in good repair for 1 of 1 facility reviewed for physical environment. This placed residents at risk for an unhomelike environment. Findings include: During an observation on 7/9/26 at 2:03 PM with Staff 19 (Maintenance Director) the armchairs in rooms 10, 16, 18, 42, and 44 were observed to have torn fabric with exposed cloth material on the armrests. The torn material on the chairs was at least one inch in diameter. The general sitting area by the front entrance had two chairs with multiple cracks in the synthetic leather on the seat covering exposing the cloth material and one armchair with missing synthetic leather exposing cloth material. Staff 19 stated the furniture was not in good repair. Staff 18 stated staff were to notify maintenance when furniture was ripped. Staff 19 stated he was not notified of the torn furniture. On 7/9/26at 12:56 PM Staff 1 (Administrator) stated if there were tears in the furniture staff were to remove the furniture.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-07-09 · 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 ensure a resident was assisted with oral hygiene for 1 of 2 sampled residents (#81) reviewed for ADLs. This placed residents at risk for lack of oral care. Findings include: Resident 81 was admitted to the facility in 6/2026 with a diagnosis of a fracture. Resident 81's 6/29/26 admission MDS revealed she/he was cognitively intact and required assistance with ADLs including oral hygiene. Resident 81's 6/25/26 Care Plan indicated she/he required the assistance of one person for personal hygiene and mobility. On 7/6/26 at 3:02 PM Resident 81 stated since admission to the facility, staff did not provide her/him a toothbrush for oral care or offer to assist her/him with oral hygiene. During an observation on 7/7/26 at 4:08 PM with Staff 7 (CNA) Resident 81's toothbrush was observed in its original plastic wrapper in a basin by her/his sink. Resident 81 stated she/he had a bed bath today, but no one offered to help her/him brush her/his teeth. On 7/7/26 at 4:36 PM Staff 8 (CNA) stated she 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 plan of correction
• Potential for harm · Dcited before2026-07-09 · 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 observation, interview, and record review it was determined the facility failed to ensure a resident was provided accommodations for activities for 1 of 1 sampled resident (#81) reviewed for activities. This placed residents at risk for lack of meaningful engagement. Findings include: Resident 81 was admitted to the facility in 6/2026 with a diagnosis of a fracture. Resident 81's 6/29/26 admission MDS revealed she/he was cognitively intact, and her/his hearing was Highly impaired. Resident 81 was assessed to not use hearing aids. Resident 81's 6/29/26 Activity Profile revealed she/he liked to watch older television shows. Resident 81's 6/25/26 through 7/7/26 Self Directed Activity form revealed she/he watched television on 7/2/26. During observations on 7/7/26 at 10:38 AM, 7/7/26 at 1:42 PM, 7/7/26 at 3:37 PM, 7/8/26 at 8:13 AM, and 7/8/26 at 11:32 AM Resident 81 was observed in bed with her/his eyes shut and her/his television was not on. On 7/6/26 at 2:16 PM Resident 81 stated she/he could not hear the television when she/he wanted to watch it. On 7/8/26 at 8:48 AM 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2026-07-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to obtain physician orders for use and maintenance of a CPAP (Continuous Positive Airway Pressure) for 1 of 3 sampled residents (#76) reviewed for hospice and respiratory care. This placed residents at risk for improper air support. Findings include:Resident 76 was admitted to the facility in 6/2026 with diagnoses including sleep apnea (temporary cessation of breathing during sleep) and stroke.There was no documentation in the admission MDS, or the care plan to indicate plan Resident 76 utilized a CPAP (Continuous Positive Airway Pressure; a machine that uses mild air pressure to keep breathing airways open).Random observations from 7/6/26 through 7/10/26 on day and evening shifts revealed Resident 76 had a CPAP in her/his room on her/his nightstand.On 7/6/26 at 12:50 PM, Resident 76 stated she/he had a friend bring the CPAP to the facility a day after admission on [DATE], but staff did not clean the mask or tubing daily 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Fcited before2025-01-16 · 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

  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 transmission-based precautions were followed, surfaces were sanitized and linen was properly transported for 3 of 5 halls reviewed for infection control precautions. This placed residents and staff at risk for cross-contamination. Findings include: The 12/29/21 facility Categories of Transmission-Based Precautions instructed staff: -to wear an isolation gown that was securely tied around the staff's neck and back when entering a COVID-19 positive room on special droplet precautions. -to use dedicated, non-critical resident equipment (stethoscopes) when possible to prevent cross-contamination. The 1/2025 Resident Line Listing Report, COVID-19 indicated 19 residents tested positive during the month including 9 residents who tested positive on 1/13/25. The 1/9/25 Attention Staff: PPE (Personal Protective Equipment) Donning and Doffing Education and Reminders instructed staff to remove their N-95 (droplet protection…

  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 · Dcited before2025-01-16 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 was assessed for self-administration of medications and physician orders were in place for 1 of 5 sampled residents (#13) reviewed for medications. This placed residents at risk for adverse medication-related consequences. Findings include: The 2001 Self-Administration of Medications facility policy indicated, as part of the comprehensive assessment, the interdisciplinary team was to assess each resident's cognitive and physical abilities to determine whether self-administration was safe and appropriate. Resident 13 was admitted to the facility in 9/2024 with diagnoses including cellulitis (bacterial infection) of right lower limb and peripheral vascular disease (reduced circulation of blood in veins). The 12/11/24 Quarterly MDS indicated Resident 13 was cognitively intact, had chronic pain and her/his pain occasionally interfered with her/his sleep and daily activity. The 12/11/24 Vitals and Pain Only Evaluation indicated Resident 13 received PRN pain medications and 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · 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 was provided restorative services for 2 of 2 sampled residents (#s 13 and 30) reviewed mobility. This placed residents at risk for decrease in range of motion. Findings include: A 7/2017 Restorative Nursing Services facility policy Interpretation and Implementation indicated restorative goals and objectives were to be individualized and outlined in the resident's plan of care to maintain dignity and self-esteem. 1. Resident 13 was admitted to the facility in 9/2024 with diagnoses including cellulitis (bacterial infection) of right lower limb and peripheral vascular disease (reduced circulation of blood in veins). The 12/11/24 Quarterly MDS indicated Resident 13 was cognitively intact, had chronic pain, weakness, deconditioning and was at risk for related declines. A 12/6/24 Restorative Program Referral indicated Resident 13 was to maintain her/his current level of functioning with the use of exercise bands as tolerated, stand tolerances in parallel bars and assistance 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 an antibiotic was indicated for use for 1 of 5 sampled residents (#24) reviewed for unnecessary medications. This placed residents at risk for developing drug resident organisms. Findings include: Resident 24 was admitted to the facility in 2018 with a diagnosis of anxiety. Progress Notes revealed the following: -12/31/24 Resident 24 reported painful urination and Staff 6 (NP) was notified. Staff 6 provided orders for nursing staff to obtain a urine sample and a culture and sensitivity from Resident 24. -1/1/25 nursing staff obtained Resident 24's urine sample, sent it to the lab, and the results were pending. Resident 24's UA resulted on 1/2/25 and was reviewed by Staff 6 on 1/3/25. A hand written note on the lab form indicated Cipro (antibiotic) was ordered. A 1/3/25 Order Details revealed Staff 6 ordered Ciprofloxacin (generic name for Cipro) two times a day for six days. A 1/6/25 Antibiotic Time Out form revealed Resident 24 was administered Ciprofloxacin for a UTI for initial symptoms of…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-16 · tag F0947 — failed to train nurse aides adequately — isolated
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  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 CNA staff had 12 hours of annual in-service training for 2 of 5 sampled CNAs (#s 17 and 18) reviewed for staffing. This placed residents at risk for a lack of quality care. Findings include: 1. Staff 17's (CNA) training and in-service logs revealed he received 6.75 of 12 required training hours. The 6.75 hours did not include dementia training. On 1/15/25 at 10:48 AM staff 17 acknowledged he did not get the 12 hours of training completed, including dementia training. On 1/15/25 at 10:45 AM and 11:04 AM Staff 2 (DNS) verified Staff 17 worked more than one year in the facility and Staff 3 (Assistant DNS) acknowledged Staff 17 did not have his 12 hours of training in the last one year. Staff 3 sated she and the resident care managers were to monitor the in-service training hours. 2. Staff 18's (CNA) training and in-service logs revealed she received 10.25 of 12 training hours in the last one year. On 1/15/25 at 10:45 AM and 11:04 AM Staff 2 (DNS) verified Staff 18 worked more than one year in the…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

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 77 rows in the source record cover these 44 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.

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

Follow the money — this home’s finances

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

This home reported $1.8M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in OR