Rose Haven Nursing Center

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.

59.4% 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 138 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.3% 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 91 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 193 beds and averages 81.1 residents a day — about 42% occupied, or roughly 112 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.07 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 4.09 hrs/resident/day on weekends vs 4.79 on weekdays — 15% thinner on weekends. RN hours go from 0.89 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% 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 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.

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · G2025-02-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure residents remained free from accident hazards for 2 of 3 sampled residents (#s 25 and 283) reviewed for accidents. Due to Staff 42 (CNA) not following the care plan, Resident 25 fell and broke her/his hip which required surgery. Findings include: 1. Resident 25 was admitted to the facility on 10/2019 with acute embolism of the right lower extremity and difficulty walking. A 10/2019 Annual MDS revealed Resident 25 had a BIMS score of 7. She/he was not able to provide an interview due to impaired cognition. A review of the comprehensive care plan revised 2/3/25, indicated the resident's bed was to be in a lowered position due to her/his documented fall risk. A 7/26/24 incident investigation revealed: -Resident 25 had a fall with injury. -Resident 25 required an x-ray of her/his spine due the fall. -Resident 25 was crying out in pain complaining of her/his right buttock/hip hurting. No visible signs of bruising were noted. Resident 25 was unable to tolerate any range of motion of her/his…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-20 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 resident's pain was managed appropriately for 2 of 6 sampled residents (#s 212 and 262) reviewed for pain management. Resident 212 experienced severe pain. Findings include: 1. Resident 212 admitted to the facility in 2021 with diagnoses including anxiety and osteoarthritis of the knee. An 8/17/21 care plan indicated Resident 212 had pain due to impaired mobility, osteoarthritis and chronic conditions with interventions which included to monitor, record and report to the nurse Resident 212's complaints of pain or requests of pain treatment. A 7/23/22 Pain evaluation indicated Resident 212 was able to verbalize her/his pain and took pain medications. Resident 212 had pain during the evaluation, during the previous five days and had a history of chronic pain. Resident 212's pain was full body pain. The current pain level numeric pain scale, what made the pain better, what made pain worse and all methods of alleviating pain and their effectiveness were blank with no documentation. On 9/26/22 a public complaint was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-06-05 · tag F0658 — failed to meet professional standards of care — pattern
  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

  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 staff adhered to professional standards related to medication administration and non-pressure wound care for 4 of 4 licensed nurses Staff 6 (RN), Staff 7 (RN), Staff 21 (LPN), and Staff 22 (RN) reviewed for medication administration and non-pressure wound care. This placed residents at risk for cross contamination. Findings include: Per OAR [PHONE NUMBER] Scope of Practice Standards for All Licensed Nurses(1) Standards related to the licensee's responsibility for safe nursing practice. The licensee shall:(A) Adhere to professional practice and performance standards;Per OAR [PHONE NUMBER] Conduct Derogatory to the Standards of Nursing Defined:Conduct that adversely affects the health, safety, and welfare of the public, fails to conform to legal nursing standards, or fails to conform to accepted standards of the nursing profession, is conduct derogatory to the standards of nursing. Such conduct includes, but is 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-05 · 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 follow proper infection control techniques for urinary catheter bags containing bodily fluid for 2 of 2 sampled residents (#s 2 and 54), failed to perform proper use of PPE when administering medications for 2 of 31 sampled residents (#s 17 and 27) reviewed for medication administration and ensure proper hand hygiene was completed during a dressing change for 1 of 2 sampled residents (#35). This placed residents at risk for cross-contamination and infection. Findings include: 1. Resident 2 was admitted to the facility in 4/2026 with diagnoses including flaccid bladder (a condition where the bladder cannot contract, leading to an inability to urinate) and ulcerative colitis (inflammatory bowel disease). A 10/9/25 Care Plan revealed Resident 2 had a catheter with interventions to include position catheter bag and tubing below the level of the bladder and away from the door entrance. Resident 2 also had a rectal tube bag with interventions to include ensure patency (preventing obstruction) 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 · Dcited before2026-06-05 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review it was determined the facility failed to ensure catheter bags and rectal tube bags were covered for 1 of 2 sampled residents (# 2) reviewed for dignity. This placed residents at risk for a loss of dignity. Findings include:Resident 2 was admitted to the facility in 4/2026 with diagnoses including flaccid bladder (a condition where the bladder cannot contract, leading to an inability to urinate) and ulcerative colitis (inflammatory bowel disease). A 10/9/25 care plan revealed Resident 2 had a urinary catheter with interventions including position catheter bag and tubing below the level of the bladder and away from the door entrance. Resident 2 also had a rectal tube bag with interventions including ensuring patency (preventing obstruction) of the tube by repositioning her/him. Random observations from 6/1/26 at 11:44 AM through 6/2/26 at 11:49 AM on day and evening shifts revealed Resident 2's urinary catheter bag and rectal tube bag were hanging off the side of the bed uncovered. On 6/4/26 at 12:35 PM, Staff 14 (CNA) and Staff 15…

  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 · D2026-06-05 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review it was determined the facility failed to accurately complete a comprehensive admission assessment to include dentures for 1 of 1 sampled resident (#34) reviewed for dental. This placed residents at risk for unmet dental needs. Findings include:Resident 34 was admitted to the facility in 2/2025 with diagnoses including stroke and dysphagia (swallowing difficulty).The 2/19/25 Nursing admission Evaluation and Inventory of Resident Personal Items revealed Resident 34 had no dental appliances.The 2/25/26 Annual MDS revealed Resident 34 had a BIMS score of 12 (moderately cognitively impaired). No concerns related to dentures were identified. A 3/30/26 progress note revealed an appointment was scheduled for Resident 34 to obtain dentures. The revised Care Plan dated 5/11/26 revealed Resident 34 was at risk for alterations in dentition, one staff member was to assist with the set-up of the resident's oral hygiene and provide supplies for tooth brushing.On 6/1/26 at 3:41 PM, Resident 34 stated her/his dentures were lost. No dentures were…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review it was determined the facility failed to accurately assess 3 of 5 sampled residents (#s 6, 34, and 103) reviewed for unnecessary medications. This placed residents at risk for unassessed needs. Findings include:1. Resident 6 was admitted to the facility in 3/2026 with diagnoses including Cerebrovascular Accident with hemiplegia and hemiparesis (stroke with weakness and paralysis). Resident 6's MDS Section C (BIMS assessment) dated 5/1/26 indicated the resident was rarely or never understood with a score of 99 (unable to assess). On 6/3/26 at 5:35 PM, Staff 15 (CNA) stated she understood Resident 6 when she/he expressed her/his needs. On 6/3/26 at 5:49 PM, Staff 16 (LPN) stated she understood Resident 6 when she/he told her what her/his needs were. On 6/5/26 at 1:45 PM, Staff 13 (MDS Coordinator) stated if a resident was able to make herself/himself understood at least 50% of the time, Section C should be completed. Staff 13 stated if the resident refused 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-05 · 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 observation, interview, and record review it was determined the facility failed to thoroughly assess a resident after an unwitnessed fall for 1 of 2 sampled residents (#34) reviewed for accidents. This placed residents at risk for unassessed injuries. Findings include:Resident 34 was admitted to the facility in 2/2025 with diagnoses including cardiovascular accident with hemiplegia and hemiparesis. Resident 34's clinical record revealed the resident had a BIMS of 12 (moderate impairment).Resident 34's clinical record revealed an unwitnessed fall with no injuries was reported on 5/27/26. On 6/1/26 at 3:45 PM, Resident 34 stated she/he fell in her/his room and skinned her/his knees. Resident 34 was observed to have healing scabs below her/his right knee. On 6/4/26 at 6:34 PM, Staff 16 (LPN) stated on 5/27/26 she found Resident 34 after the fall. Staff 16 stated she did not remove Resident 34's clothing to assess for injuries after the resident's fall. On 6/4/26 at 7:07 PM, Staff 6 (RN) stated he completed a skin check on 6/3/26 for Resident 34. Staff 6 stated he did not know…

  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 · D2026-06-05 · 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 address behavioral health needs timely for 1 of 1 sampled resident (#69) reviewed for mood and behavior. This placed residents at risk for lack of behavioral health care. Findings include: Resident 69 was admitted to the facility in 10/2019 with diagnoses including chronic pain and major depressive disorder. The 10/29/25 Annual MDS revealed Resident 69 had minimal depressive symptoms. The 4/28/26 IDT (Interdisciplinary Team) Care Plan Conference Evaluation revealed Witness 1 (Family Member) was not present. The 5/1/26 Quarterly MDS revealed Resident 69 had a PHQ-9 (Patient Health Questionnaire) assessment score of 13 (moderate depression) and a BIMS score of 15 (cognitively intact). The 5/1/26 Social Services Quarterly and Annual Evaluation revealed an increased PHQ-9 score from minimal to moderate and psychological services were needed. A 5/20/26 revised Care Plan directed staff to arrange for psychological consultations for Resident 69 when indicated, provide opportunities for the 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-27 · 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 follow infection control standards for 4 of 4 halls observed and 2 of 4 sampled residents (#77 and 43) reviewed for pressure ulcers. This placed residents at risk for exposure and contraction of infectious diseases. Findings include: 1. Resident 77 was admitted to the facility in 2/2025 with diagnoses including necrotizing fasciitis (flesh eating disease), utilized a wound vac (vacuum assisted closure for healing of wounds) and a colostomy ( a surgical opening in the abdominal wall to divert stool). The CDC indicated EBP (enhanced barrier precautions) involve gown, and gloves during high contact resident care. Resident 77 was not on EBP. On 2/24/25 at 8:30 AM Staff 41 (RN/Unit Manager) stated the resident should be on EBP due to the resident's wound and colostomy. Staff 41 observed the opened dressing packages in the resident's dresser drawer and stated the dressings have to be thrown away if they are all the way opened…

  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 · Ecited before2025-02-27 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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

  3. Resident 77 was admitted to the facility in 2/2025 with diagnoses including necrotizing fasciitis (flesh eating disease) and utilized a wound vac (vacuum assisted closure for healing of wounds). The 2/2025 MAR indicated for staff to premedicate the resident with diazepam (for anxiety) and percocet (narcotic pain medication) one hour prior to the resident's dressing change. On 2/23/25 Resident 77 was administered percocet and diazepam at 2:00 PM. Resident 77's dressing change was completed at 2:40 PM, less than an hour after the prescribed medication was administered. Resident 77 was observed moaning and making painful expressions during the dressing change. On 2/27/25 at 11:52 AM Staff 2 (DNS) acknowledged Resident 77 was not premedicated one hour prior to the 2/23/25 dressing change and should have been due to the large wound and pain. Based on observation, interview, and record review it was determined the facility failed to provide care and services for a fall, infection, and skin wound for 4 of 11 residents (#6, 35, 55, and 77) reviewed for skin, accidents, medications. This…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-27 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to ensure narcotic drug records were in order, accurate, and maintained for all controlled drugs for 5 of 5 medication carts reviewed for medication administration and failed to provide accurate and timely pharmaceutical services for 2 of 2 sampled residents (#s 77 and 131) reviewed for medications and pressure wounds. This placed residents at risk for drug diversion and unmet pharmaceutical needs. Findings include: The 3/2023 the Reconciliation and Destruction of Controlled Substances Policy Statement indicated The facility regularly reconciles controlled substances and conducts thorough investigation of identified irregularities. Controlled substances are disposed of in a manner that reduces the risk of exposure, ingestion, misuse, abuse, or diversion. 1. On 2/25/25 at 8:00 AM the 100 hall medication cart narcotic log book for 1/2025 through 2/2025 revealed the facility staff did not sign the log book to verify the narcotic count was accurate for 44 out of 336 counting opportunities. On 2/25/25 at 8:15 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$85,105 in federal fines across 2 penalties.

• $33,716 — penalty dated 2025-02-27
• $51,389 — penalty dated 2023-10-20

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 VOLARE HEALTH — 16 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 24 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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 $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 17% 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.

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