Woodside Post Acute

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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 92 beds and averages 78.3 residents a day — about 85% occupied, or roughly 14 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 4.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.47 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 4.34 hrs/resident/day on weekends vs 4.87 on weekdays — 11% thinner on weekends. RN hours go from 0.41 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above 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.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · J2026-03-18 · 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 investigate allegations of sexual abuse for 3 of 3 sampled residents (#s 102, 103, and 108) reviewed for allegations of sexual abuse. This placed all residents at risk for sexual abuse and constituted substandard quality of care. A determination was made that the facility's noncompliance placed Residents 102, 103, and 108 in immediate jeopardy, beginning on 3/17/26.On 3/17/26 at 2:12 PM, Staff 14, Staff 15 (Regional Directors of Clinical Service), and Staff 2 (DNS) were notified of the immediate jeopardy (IJ) situation and provided a copy of the IJ template related to the facility's failure to investigate allegations of sexual abuse. Findings include: Resident 105 was admitted to the facility in 2025 with diagnoses including stroke affecting the non-dominant side, and depression. Resident 105's 11/2025 MDS indicated the resident was cognitively intact and used a wheelchair for mobility.1. Resident 102 was admitted to the facility in 2025 with diagnoses including cognitive loss related to pathological…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-07-24 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 timely administer CPR for 1 of 3 sampled residents (#1) reviewed for CPR. This failure, determined to be an immediate jeopardy situation, resulted in Resident 1 receiving emergency CPR 13 to 20 minutes after Resident 1 was found unresponsive. This placed all residents at risk for not receiving timely CPR and constituted substandard quality of care. Findings include: The facility's [DATE] Policy and Procedure on Code Status and CPR stated in the event of a medical emergency where a resident is observed not breathing a staff member should initiate the following steps: - Call for help and bring crash cart to the area;- First CPR responder will verify code status of the resident in the EHR;- If the resident is full code, CPR will be initiated and 911 will be called. CPR will be continued until EMTs arrive to take over CPR.Resident 1 was admitted to the facility in 7/2025, with diagnoses including hemiparesis and tracheostomy. Resident 1's…

  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 · Past Non-Compliance
• Immediate jeopardy · Jcited before2024-11-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review it was determined the facility failed to ensure a resident was safe from elopement for 1 of 1 sampled resident (#9) reviewed for elopement. This failure, determined to be an immediate jeopardy situation, resulted in Resident 9 leaving the facility without appropriate supervision and placed the resident at risk for serious injury or death. Findings include: Resident 9 admitted to the facility on [DATE] with diagnoses including stroke and dementia. The 7/30/24 hospital referral records indicated Resident 9 was withdrawn, and answered most questions with, I don't know. The record indicated, disorientation noted overnight and patient trying to leave, though was redirectable. The record also indicated, At this time the resident does not have the capacity to make decisions regarding leaving the hospital so [she/he] would be placed on elopement precautions. Resident 9's Elopement Risk Evaluations indicated the following: -8/20/24: the resident had poor impulse control and was at…

  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 · D2026-06-17 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to protect the residents' right to be free from physical abuse by a resident for 1 of 4 sampled residents (# 7) reviewed for abuse. This placed residents at risk for physical abuse. Findings include:1. Resident 7 admitted to the facility in 11/2025 with diagnoses including anxiety and depression. Resident 11 admitted to the facility in 1/2026 with diagnoses including left knee dislocation and cannabis dependence. Resident 7's 6/3/26 Quarterly MDS indicated a BIMs (cognitive assessment) score of 15 out of 15, which indicated Resident 7 was cognitively intact. Resident 7's 5/12/26 Progress Note indicated Resident 7 was visualized on the outside patio being aggressive toward Resident 11. Resident 7 blew smoke into Resident 11's face and attempted to ram her/his wheelchair foot pedals in Resident 11's left leg. When staff arrived on the patio Resident 7 was on the ground and stated Resident 11 punched her/him on the right side of her/his head and knocked her/him out of the wheelchair. Resident 7's 5/13/26…

  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 before2026-03-18 · 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 the facility failed to ensure care plan interventions were followed for transfers for 1 of 3 sampled residents (#107) reviewed for falls. This placed residents at risk for injury and falls. Findings include:Resident 107 admitted to the facility in 2/2026 with diagnoses including multiple sclerosis. Resident 107's 2/25/26 ADL Care Plan indicated Resident 7 was dependent on two staff members for transfer and to utilize a Hoyer (mechanical) lift. A 3/9/26 Facility Reported Incident indicated Resident 107 reported she/he was transferred by Staff 3 (CNA) on 2/28/26 without the use of the Hoyer lift. Resident 107 reported right flank pain and was assessed to have no visible injury. Resident 107's 3/10/26 x-ray indicated no rib fractures or dislocation was noted. On 3/10/26 at 10:40 AM, Resident 107 stated Staff 3 gave her/him a giant bear hug and made several attempts to transfer the resident from the chair to the bed. Resident 107 stated the transfer caused three broken ribs. On 3/10/26 at 11:21 AM, Staff 3 stated she completed a stand-pivot transfer…

  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 · D2026-03-18 · tag F0826 — isolated
  Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
  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 ensure rehabilitative services were provided for 1 of 3 sampled residents (#107) reviewed for rehabilitation services. This placed residents at risk for a decline in range of motion. Findings include:Resident 107 admitted to the facility in 2/2026 with diagnoses including multiple sclerosis. Resident 107's 2/24/26 admission Orders included an order for physical therapy and occupational therapy.Review of Resident 107's clinical record found no documented evidence Resident 107 received therapy as ordered.On 3/11/26 at 10:58 AM, Resident 107 stated she/he had not received therapy since her/his admission.On 3/11/26 at 10:40 AM, Staff 2 (Director of Rehabilitation) stated Resident 107 had not received any therapy services from her/his date of admission through 3/11/26. Staff 2 verified Resident 107's admission Orders included orders for physical therapy and occupational therapy.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-09 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to implement policies and procedures for screening potential employees to prevent abuse for 3 of 3 sampled new employees (#s 16, 17, and 18) reviewed for employee screening. This placed residents at risk for abuse. Findings include: The facility's Abuse Screening, Training, Identification, Investigation, Reporting, and Protection policy, dated 8/2024, indicated the screening process for potential employees included: - Contact previous employers requesting employment history to include but not limited to: dates of service, position held, performance history, history of abuse, neglect, misappropriation of resident property, exploitation, or mistreating residents. - Obtain criminal background information. 1. On 5/8/25 at 11:00 AM a random sample of newly hired staff members was reviewed for reference checks with Staff 14 (Human Resources) and Staff 15 (Human Resources Business Partner). Staff 15 stated reference checks were not completed for Staff 16 (CNA), Staff 17 (CNA), and Staff 18 (RN). On 5/8/25 at 3:33 PM…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-09 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  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 notify the physician of blood sugar measurements outside of parameters for 1 of 5 sampled residents (#4) reviewed for medications. This placed residents at risk for diabetic complications. Findings include: Resident 4 was admitted to the facility in 2020 with diagnoses including diabetes and dementia. A 4/11/25 physician order indicated staff were to check Resident 4's CBG (blood sugar measurement) level three times a day and to notify the physician for a CBG level less than 70 or greater than 350. A review of the 4/2025 Diabetic Administration Record revealed the following occurrences of a CBG greater than 350: -4/16/25 at 12:00 PM, CBG was 379. -4/29/25 at 12:00 PM, CBG was 442. -4/29/25 at 5:30 PM, CBG was 427. -4/30/25 at 12:00 PM, CBG was 368. No documentation was found in Resident 4's clinical record to indicate the physician was notified of the elevated CBGs. On 5/9/25 at 12:26 PM Staff 18 (RN) stated she did not notify the physician as Resident 4's CBG was not over 450. On 5/9/25 at 12:29 PM 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-04 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to provide care and assistance to prevent accidents for 1 of 5 sampled residents (#1) reviewed for accidents. This placed residents at risk for unmet care needs. Findings include: Resident 1 was admitted to the facility in 10/2024 with diagnoses including traumatic brain injury and anxiety disorder. Resident 1's MDS 5-Day assessment dated [DATE] revealed a BIMS score of 11, indicating moderate cognitive impairment. Resident 1's revised Care Plan dated 11/11/24 revealed she/he was at risk for falls related to her/his immobility. Care plan interventions were to anticipate and meet needs, educate and remind the resident to call for assistance with all transfers and to provide verbal cues for assistance. On 1/31/25 the facility submitted a report to the State Agency which revealed Resident 1 was found with her/his legs hanging off the bed. Resident 1's left leg was observed lying on the baseboard heater and Staff 4 (CNA)…

  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 · E2024-01-17 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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 — 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 maintain a comfortable and homelike environment for 3 of 3 halls reviewed for environment. This placed residents at risk for living in an uncomfortable and unhomelike environment. Findings include: 1. Observations on 1/8/24 at 12:53 PM and on 1/11/24 at 9:48 AM revealed eight ceiling tiles on the South Hall, two ceiling tiles on the East Hall, and two ceiling tiles on the North Hall all had brown or gray stains. On 1/11/24 at 9:48 AM Staff 15 (Maintenance Director) acknowledged the stains and stated the gray stains on the ceiling tiles were from tape used when separating the hall during COVID isolation. Staff 15 stated the brown stains were from an unknown source and were there for some time. Staff 15 stated the facility had no current plans to change the tiles. On 1/17/24 at 12:48 PM Staff 1 (Administrator) stated she was not aware of the stains on the ceiling tiles. 2. Observations on 1/8/24 at 12:53 PM and on 1/11/24 at…

  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 · E2024-01-17 · tag F0636 — pattern
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  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 comprehensively assess 5 of 9 sampled residents (#s 2, 5, 11, 13 and 21) reviewed for medications and ADLs. This placed residents at risk for lack of timely assessment care needs. Findings include: 1. Resident 2 was admitted to the facility in 2008 with diagnoses including dementia and a communication deficit. A review of the 1/1/24 Psychotropic Drug Use CAA revealed referred to provider notes and H & P (History and Physical). The CAA did not include information regarding Resident 2's potential problems, risk factors and rationale for the care plan. The assessments or documentation referred to did not include any specific dates or time frames to refer to. On 1/17/24 at 12:30 PM Staff 1 (Administrator) and Staff 2 (Interim DNS) were presented with the lack of comprehensive information in Resident 2's Psychotropic Drug Use CAA. Staff 1 and Staff 2 stated CAAs were completed by an outside provider, and they were not aware of the process, but indicated the CAAs were utilized to initiate the care plan for all…

  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 · E2024-01-17 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 the facility failed to provide sufficient nursing staff to ensure residents attained or maintained their highest practicable mental, physical, and psychosocial well-being for 6 of 7 sampled residents (#s 3, 15, 30, 33, 88 and 237) and 2 of 3 halls reviewed for call light wait times and staffing. This placed residents at risk for delayed ADL care needs. Findings include: 1. On 1/8/23 the facility provided lists of residents who: -Required assistance with eating: 2 -Required a mechanical lift: 9 -Required two-person assistance with ADL care: 15 -Required interventions for behaviors: 22 -Required supervision for smoking: 7 -Required bariatric care: 5 Interviews with residents revealed the following concerns: On 1/8/24 at 11:18 AM Resident 15 stated the facility was short staffed all the time and had pissed herself/himself because no one answered the call lights. Resident 15 stated call light response times were at least 30 minutes long. On 1/8/24 at 11:36 AM…

  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
• Potential for harm · Ecited before2024-01-17 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  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 CNAs received annual performance reviews for 4 of 5 randomly selected CNA staff (#s 5, 6, 7 and 8) reviewed for staffing. This placed residents at risk for lessened quality of care. Findings include: The Facility's 1/2024 Team Member Handbook indicated the following about performance evaluations: - The performance evaluation process was designed to provide a dialogue between the supervisor and the team member on job performance, competencies, and goals. - Performance evaluations were conducted annually. - Annual performance evaluations for non-exempt team members were scheduled to be completed on the anniversary of the date of hire. A review of personnel records on 1/12/24 indicated Staff 5 (CNA), Staff 6 (CNA), Staff 7 (CNA), and Staff 8 (CNA) had annual performance reviews in 2023 which lacked the following documentation: - Date of the appraisal. - Three of four did not contain the supervisor/reviewer's name. - Staff self-assessment. - Development plan and/or goals. - Competency review. -…

  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

$115,888 in federal fines across 5 penalties.

• $55,607 — penalty dated 2026-03-18
• $16,985 — penalty dated 2025-07-24
• $15,961 — penalty dated 2025-06-10
• $5,294 — penalty dated 2024-11-14
• $22,041 — penalty dated 2024-01-10

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 PACS GROUP — 274 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 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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 77% 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 $660K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in OR