Spring Creek Rehabilitation And 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.

27.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 189 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.2% 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 236 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 404 beds and averages 355.9 residents a day — about 88% occupied, or roughly 48 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 3.23 hrs/resident/day is below 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 1.85 is below 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 2.86 hrs/resident/day on weekends vs 3.39 on weekdays — 16% thinner on weekends. RN hours go from 0.68 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

36 citations, most serious first. The 14 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-05-14 · 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 clinical record review, observations, facility document review, resident and staff interviews, and facility policy review, it was determined that the facility displayed past non-compliance by failing to implement interventions, supervision, and effective safety measures to prevent elopement of a resident identified as being at risk for elopement and exhibiting exit seeking behaviors (Resident 334). This failure resulted in an immediate jeopardy situation for Resident 334 as evidenced by an elopement from the facility to the airport. Findings include: Review of facility policy, titled Emergency Procedure - Missing Resident, revised March 21, 2025, read, in part; 1. Residents at risk for wandering and/or elopement will be monitored, and staff will take necessary precautions to ensure their safety. Review of Resident 334's clinical record revealed diagnoses that included aphasia (a neurological disorder caused by brain damage that impairs a person's ability to speak, write, and understand language, while…

  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
• Actual harm · Gcited before2026-04-09 · 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 clinical record reviews, review of facility investigation, and resident and staff interviews, it was determined that the facility displayed past non-compliance in its failure to provide adequate assistance devices during a transfer, which resulted in harm as evidenced by a dislocated shoulder requiring surgical repair for one of five residents reviewed (Resident 1).Findings include: Review of Resident 1's clinical record revealed diagnoses that included cerebral infarction (a stroke-damage to the brain from interruption of its blood supply) with hemiplegia (paralysis of one side of body) to left non-dominant side, muscle weakness, and need for assistance with personal care. Review of Resident 1's care plan revealed a care plan focus for self-care deficit related to physical limitations, with an initiated date of June 10, 2025. Interventions included, but were not limited to: transfers - dependent of two with Hoyer lift (a mechanical device designed to safely transfer individuals with limited mobility). Further review of Resident 1's care plan revealed that she had been a…

  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
• Actual harm · Gcited before2025-07-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of clinical records, hospital records, facility documents, and staff interviews, it was determined the facility failed to monitor residents and provide care and services during elevated temperatures in resident care areas, resulting in actual harm as evidenced by hyperthermia and respiratory distress for one of eight residents reviewed (Resident 1). Findings include: Hyperthermia is defined as a medical condition characterized by an abnormally high body temperature. Respiratory distress is defined as a condition where a person has difficulty breathing, characterized by increased effort or difficulty taking in enough oxygen. Review of facility provided documentation, dated June 23, 2025, revealed at midnight the rooftop HVAC (Heating, Ventilation, Air Conditioning) unit on the building had a bad compressor and condensing coil. The rooftop HVAC unit was not able to be provided sufficient air conditioning to the common areas, especially on M4 ([NAME] unit 4) and M3 units. Further review 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-10-15 · 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 clinical record review, review of facility investigation, observations and staff interviews, it was determined that the facility displayed past non-compliance in its failure to provide adequate supervision to prevent elopement, which resulted in harm, as evidenced by a fall and knee abrasion for one of four resident's reviewed (Resident 1). Findings include: Review of Resident 1's clinical record revealed diagnoses that included major depressive disorder (a mood disorder that causes a persistent feeling of sadness and loss of interest in things) and generalized muscle weakness. Review of select facility report detailing an elopement that occurred on October 6, 2024, stated, Resident 1 walked to the front door and asked the receptionist to let him out of the door. The receptionist thought he was a visitor, so she opened the door to let him exit and he left the facility at 3:45 AM. At 4:38 AM, a passerby heard him calling for help and noted him lying in the grass. He assisted him to his feet and brought him into the facility. Resident 1 stated he got confused and thought he…

  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
• Potential for harm · D2026-05-14 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure that a discharge summary was completed in a timely manner for one of three closed record charts reviewed (Resident 375). Findings include: Review of facility policy, titled Discharge Summary and Plan, last reviewed March 2026, it stated, When a resident's discharge is anticipated, a discharge summary and post-discharge plan is developed. Review of the facility check list for closed record, titled Discharge/Death Checklist, it stated for the Physician Planned/Unplanned D/C Summary Completed and Signed. Review of Resident 375's clinical record revealed a diagnoses that included End-Stage Renal Disease (ESRD-kidneys can no longer filter waste and excess fluid from the blood). Resident 375 required hemodialysis (a life-sustaining treatment for kidney failure that uses a machine to remove waste products and excess fluid from the blood). Review of Resident 375's clinical record revealed a transfer to the hospital on March 30, 2026. Review of Resident 375'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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, clinical record review, observations, and resident and staff interviews, it was determined that the facility failed to ensure that residents receive necessary treatment and services, consistent with professional standards of practice, for one of 35 residents reviewed (Resident 379).Findings include: Review of the facility policy, titled Wound Care last reviewed March 31, 2026, read, in part, Verify the physician's order for this procedure. The following information should be recorded in the resident's medical record: How the resident tolerated the procedure. If the resident refused the treatment and the reason why. Report other information in accordance with facility policy and professional standards of practice. Review of Resident 379's clinical record revealed diagnoses that included acquired absence of eye, schizophrenia (a chronic mental health condition characterized by disruptions in thought, perception, and behavior), and dysphagia (difficulty chewing and/or swallowing).…

  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 · D2025-12-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident received care, consistent with professional standards of practice, to treat pressure ulcers for one of five residents reviewed (Resident 1). Findings Include:Review of Resident 1's clinical record revealed diagnoses that included unstageable sacral pressure ulcer (localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. Unstageable-obscured full-thickness skin and tissue loss) and stroke. Review of Resident 1's wound assessment report, dated November 4, 2025, revealed treatment recommendations to cleanse the wound (pressure ulcer) with normal saline, apply medical grade honey to the base of the wound, and secure with silicone bordered super-absorb. Review of Resident 1's wound assessment report, dated November 11, 2025, revealed treatment recommendations to cleanse the wound with normal saline, apply Santyl (ointment that removes dead tissue from wounds for healing) to the base of 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-17 · 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 observations, facility policy review, clinical record review, Center for Disease Control (CDC) guidelines, and staff interviews, it was determined that the facility failed to ensure staff implemented infection control policies to prevent the spread of infection for three of six residents on transmission based precautions reviewed (Residents 212, 277, and 554) and one of five residents observed for medication administration (Resident 171). Findings Include: Facility policy, Isolation precautions, revised September 2022, read, in part, when a resident is placed on Transmission-Based Precautions (TBP), appropriate notification is placed on the room entrance door and on the front of the chart so that personnel and visitors are aware of the need for and type of precaution. The signage informs the staff of the type of Center for Disease Control (CDC) precaution, instructions for use of Personnel Protective Equipment (PPE) and/or instructions to see a nurse before entering the room. When TBP are in effect, non-critical resident-care equipment items such as a stethoscope will be…

  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 · D2025-04-17 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  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 review of facility policy, resident and staff interviews, and observations, it was determined that the facility failed to provide residents access to grievance forms for three of eight areas identified ([NAME] 2, [NAME] 3, and [NAME] 4). Findings Include: Review of the facility policy, titled Grievance Process Procedure with a last review date of March 2025, revealed 1. All concerns and questions may be presented to any staff member. Concern forms/boxes are available on South 1, South 2, South 3, South 4, [NAME] 1, [NAME] 2, [NAME] 3, [NAME] 4. During the resident group meeting conducted on April 15, 2025, at 11:00 AM, with eight residents (Residents 48, 59, 77, 94, 215, 230, 244, and 337) revealed that residents are not able to file grievances anonymously due to having to ask staff to get them a blank grievance form behind the nurse's station. Residents revealed the grievance forms are not within reach if they are wheelchair bound and have to ask for assistance retrieving one. Observation conducted on…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-17 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure that the comprehensive care plan was revised to include changes in the resident's status and plan of care for two of 38 residents reviewed (Residents 148 and 290). Findings include: Review of facility policy, titled Care Plans, Comprehensive Person Centered, with a last revised date of March 2022, and a last review date of March 2025, revealed, in part, 11. Assessments of resident's are ongoing, and care plans are revised as information about the residents and the residents' conditions change; and 12d. The interdisciplinary team reviews and updates the care plan at least quarterly, in conjunction with the required . assessments Review of the clinical record for Resident 148 revealed diagnoses that include dementia (a group of conditions characterized by impairment of at least two brain functions, such as memory loss and judgement) and type 2 diabetes mellitus (body has trouble…

  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 · D2025-04-17 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a group meeting with residents, observations, review of facility documentation, and staff interviews, it was determined that the facility failed to provide for an ongoing program of activities designed to meet the interests and physical, mental and psychosocial well-being of the residents for four of eight resident areas (South 2, 3, 4, and [NAME] 4). Findings include: During the resident group meeting conducted on April 15, 2025, at 11:00 AM, with eight residents (Residents 48, 59, 77, 94, 215, 230, 244, and 337) revealed that the facility is short staffed and that activities do not always occur as scheduled. Review of the facility's activity calendar for April 2025 revealed that there was an activity scheduled for 1:00 PM on April 16, 2025, with the activity being activity on unit. Observation conducted on April 16, 2025, at 1:17 PM, on South 2, revealed there were no activities occurring on the unit at that time. Observation conducted on April 16, 2025, at 1:19 PM, on South 3, revealed there were no…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-17 · 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 review of the clinical record and staff and resident interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards of practice that met each resident's physical, mental, and psychosocial needs for one of 38 residents reviewed (Resident 333). Findings include: Review of Resident 333's clinical record revealed diagnoses that included diabetes mellitus (the body's ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood and urine). Interview with Resident 333 on April 14, 2025, at 1:19 PM, revealed that he receives insulin and that his blood sugars (the amount of glucose in your blood) have been running high, although he is on a medication that does elevate blood sugar. Review of Resident 333's physician orders included: NovoLog (Insulin Aspart- rapid acting insulin) Flex-Pen (disposable dial a dose insulin pen) Inject as per sliding scale: if 0 - 200 = 0 units/ml; 201 - 250 = 2 units/ml; 251 - 300 =…

  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 · D2025-04-17 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  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 clinical record review and staff interviews, it was determined that the facility failed to ensure each resident receives proper treatment to maintain vision abilities for one of 38 residents reviewed (Resident 290). Findings include: Review of Resident 290's clinical record revealed that he was admitted to the facility on [DATE], with diagnoses that included dementia (a chronic disorder of the mental processes caused by brain disease, and marked by memory disorders, personality changes, and impaired reasoning), anxiety disorder (mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities), and glaucoma (a group of eye diseases that can lead to damage of the optic nerve which transmits visual information from the eye to the brain that may cause vision loss if left untreated). Review of Resident 290's clinical record progress notes revealed a note dated August 29, 2024, at 7:30 PM, written by the facility psychology…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-17 · 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 clinical record review, facility incident report review, and staff interviews, it was determined that the facility failed to ensure the resident receives adequate supervision to prevent accidents for one of 38 residents reviewed (Resident 339). Findings include: Review of Resident 339's clinical record revealed diagnoses that included repeated falls, dementia (a chronic disorder of the mental processes caused by brain disease, and marked by memory disorders, personality changes, and impaired reasoning), adjustment disorder with anxiety (a mental health condition characterized by emotional or behavioral responses to a significant life change or stressor), and urinary retention (incomplete emptying of the bladder or inability to urinate) with the use of an indwelling foley catheter. Review of Resident 339's care plan revealed a care plan focus for falls that included an intervention for 1:1 (one-to-one observation-one staff member to always be with resident). Review of Resident 339's clinical record progress notes revealed an occurrence note written by a nurse dated February…

  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

“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

$71,906 in federal fines across 4 penalties.

• $37,113 — penalty dated 2026-05-01
• $17,665 — penalty dated 2026-04-09
• $9,110 — penalty dated 2025-07-07
• $8,018 — penalty dated 2024-10-15

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

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

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 86% 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 $6.3M 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 PA