Rouse Warren County Home

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.

33.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 90 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 33.3% 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 42 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 176 beds and averages 118.1 residents a day — about 67% occupied, or roughly 58 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 4.18 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.44 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 3.81 hrs/resident/day on weekends vs 4.33 on weekdays — 12% thinner on weekends. RN hours go from 0.89 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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.

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · Gcited before2026-06-25 · 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 review of facility policy, review of facility documentation and clinical records, and staff interviews, it was determined that the facility failed to ensure that one resident was free of neglect during care which resulted in actual harm of an acute non-displaced fracture of the lateral malleolus and medial malleolus ( a recent break located on the outer side of the ankle at the end of the fibula and the inner side of the ankle at the end of the tibia with the bone fragments not shifting out of their normal position) for one of four residents reviewed (Resident R1).Findings include: The Abuse, Neglect, and Exploitation policy, dated 1/5/26, revealed It is the policy of the Rouse Home to prevent, report, and investigate all allegations of abuse, neglect, or misappropriation of property relative to all residents in our care. Resident R1's clinical record revealed an admission date of 11/1/25, with diagnoses that included dementia (a decline in mental abilities severe enough to interfere with daily life), depression, and weakness. Resident R1's Functional Self Performance…

  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 no plan of correction
• Actual harm · Gcited before2026-06-25 · 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 review of facility policy, review of facility documentation and clinical records, observations, and staff interviews, it was determined that the facility failed to provide necessary precautionary measures to maintain resident safety and prevent injury during transport in a wheelchair and/or Broda chair (a specialized chair used for residents who require pressure relief, advanced postural support, and long-term sitting) resulting in actual harm of an acute non-displaced fracture of the lateral malleolus and medial malleolus ( a recent break located on the outer side of the ankle at the end of the fibula and the inner side of the ankle at the end of the tibia with the bone fragments not shifting out of their normal position) for one of four residents reviewed (Resident R1). Findings include: Facility policy entitled Wheelchair Footrest Assessment, dated 1/5/26, states, No Resident is to be transported by staff or family members unless the wheelchair footrest are properly attached during transport. Resident R1's clinical record revealed an admission date of 11/1/25, with…

  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 no plan of correction
• Actual harm · Gcited before2023-10-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policies, clinical records, and facility investigation, and staff interviews, it was determined that the facility failed to implement adequate safeguards in the locked dementia care unit to protect residents from abuse and physical altercation for two of 17 residents (Residents R25 and R94) resulting in actual harm of a laceration to the thumb and transport to the emergency room for treatment of sutures (stitches) for one Resident R94. Findings include: Review of the facility policy entitled, Staffing - [NAME] Lane dated 1/6/23, indicated that there will always be a minimum of two nursing staff on the hall when at least one resident is there. Review of facility policy entitled Resident Abuse, Neglect and Misappropriation of Property dated 1/6/23, indicated that it is the facility policy to prevent, report and investigate any and all allegations of abuse and neglect relative to all residents in the facility's care. The policy also revealed, that the definition of abuse will be defined…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-20 · 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 review of facility policies, clinical records, and facility documentation, and staff interviews, it was determined that the facility failed to provide a safe environment by not providing adequate supervision to protect residents from injury during a resident to resident altercation between two of 17 residents (Residents R25 and R94), that resulted in actual harm of a laceration to the thumb and transport to the emergency room for treatment of sutures (stitches) for one resident (Resident R94). Findings include: Review of the facility policy entitled, Staffing - [NAME] Lane dated 1/6/23, indicated that there will always be a minimum of two nursing staff on the hall when at least one resident is there. Review of facility policy entitled Resident Abuse, Neglect and Misappropriation of Property dated 1/6/23, indicated that it is the facility policy to prevent, report and investigate any and all allegations of abuse and neglect relative to all residents in the facility's care. The policy also revealed, that…

  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 · E2025-08-21 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of clinical records and facility policy, observations, and staff interview, it was determined that the facility failed to appropriately maintain respiratory care equipment and promote cleanliness and help prevent the spread of infection regarding respiratory care equipment according to physician's orders for three of 25 residents reviewed (Resident R22, R55, and R120).Findings include: A facility policy entitled Oxygen dated 1/08/25, indicated that the humidifier (bottle of distilled water that adds moisture to the dry oxygen flow, preventing irritation and promoting comfort during inhalation) and tubing (tubing that connects the oxygen source (like a concentrator or tank), which then delivers the oxygen to the patient) will be changed and the concentrator (medical device that draws in room air, filters out nitrogen, and provides a concentrated stream of oxygen) filter will be cleaned every two weeks and as needed, and would be labeled with the date every time the humidifier/tubing is changed. Review of Resident R22's clinical record revealed an admission date 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
• Potential for harm · E2025-08-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of a facility policy, observations and staff interviews, it was determined that the facility failed to safely store food containers in the main kitchen and ensure that food was stored in accordance with standards for food safety in pantry refrigerators on two of three nursing units observed (100 Unit and 700 Unit).Findings include: A facility policy entitled Cleaning-Dishes with Dish Machine dated 1/08/25, indicated that staff are to allow dishes to dry on racks, do not dry with towels, and do not put any dishes away wet. A facility policy entitled Handling and Storage of Food brought in by Family or Friends dated 1/08/25, indicated that food should se stored with the name of the resident and date brought in, a refrigerator is available on B-side of the building for storage of Family/Friend delivered perishable food, perishable food or beverages brought in to residents from outside are not co-mingled with main facility refrigerators, and food handled safely will be held for 72 hours. Observation in the main kitchen on 8/18/25, at 11:05 a.m. revealed a moderate amount…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-21 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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, observations and staff interviews, it was determined that the facility failed to appropriately discard outdated medications for one of three medication carts reviewed (700 cart). Findings include: Review of facility policy entitled Medication Cart, Cleaning of dated [DATE], indicated the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) is to check expiration date and dispose of medications that are expired. Insulin expiration is 28 days after opening and is to be dated accordantly; this supersedes the manufacturer expiration date. Review of manufacturer's guidelines revealed that an open NovoLog (type of Insulin) FlexPen (pre-filled syringe) must be used within 28 days after opening or be discarded, even if the vial still contains insulin. Observation of drug storage on [DATE], at 1:46 p.m. of Unit 700 medication cart revealed an open NovoLog FlexPen with an open date of [DATE], which was beyond the 28 days after opening. During an interview at the time 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-03 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policies and grievances, observations, and staff interviews, it was determined that the facility failed to maintain a clean and sanitary environment on two of seven units observed (100 and 200 units). Findings include: A facility policy entitled, Daily Room Cleaning dated 1/8/25, revealed To maintain a clean environment that is odor free . Pull the garbage and replace the bag .Sweep the floor and clean up .Mop the floor . A facility policy entitled, Room Completes dated 1/8/25, revealed Room completes are to be done on each hall daily .Pull Trash clean trash can replace liner .Sweep floor from corner to corner .Mop entire room from corner to corner . Review of Grievances from June 2025 revealed concerns with the cleanliness of a resident room and bathroom on the 200 unit. Observations made at approximately 11:30 a.m. on 7/2/25, revealed resident room [ROOM NUMBER] and the 200-unit break/storage area behind the nurse's station had thick dry spots from what appeared to be a spilled…

  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 · E2024-09-27 · tag F0625 — pattern
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy and clinical records, and staff interview it was determined that the facility failed to provide the resident and/or resident representative with a written notice of the facility bed-hold policy (explanation of how long a bed can be held during a leave of absence and the cost per day) upon transfer for three of 24 residents reviewed (Residents R30, R88 and R114). Findings include: Review of the facility policy entitled Bed Hold Policy dated 1/06/24, indicated At the time of transfer, the Admissions office will send out the Notice of Involuntary Discharge, Transfer and Bed Hold letter. Review of Resident R30's clinical record revealed an admission date of 8/21/23, with diagnoses that included chronic obstructive pulmonary disease (condition when your lungs do not have adequate air flow), vascular dementia (a disease that affects short term memory and the ability to think logically), and hypotension (low blood pressure). Review of Resident R30's progress note dated 5/31/24, revealed the resident was transferred to the hospital. The clinical record…

  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 · Ecited before2024-09-27 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of clinical records, the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, it was determined that the facility failed to ensure that the Minimum Data Set (MDS - a federally mandated standardized assessment conducted at specific intervals to plan resident care) accurately reflected the status of three of 24 residents reviewed (Residents R78, R72, and R99). Findings include: Review of Section O0110 of the RAI User's Manual entitled Special Treatments, Procedures, and Programs directs staff to Check all of the following treatments, procedures, and programs that were performed (a) on admission- days one through three, (b) while a resident- within the last 14 days, (c) at discharge- last three days of the resident's stay. Review of Section I of the RAI User's Manual entitled Active Diagnoses in the Last 7 days directs staff to Check the following information sources in the medical record for the last 7 days to identify active diagnoses: transfer documents, physician progress notes, recent history and physical, recent…

  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 · D2024-09-27 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 and clinical record, and staff interview, it was determined that the facility failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for one of 24 residents reviewed (Resident R55). Findings include: A facility policy entitled, 48-Hour Care Plan dated 1/06/24, revealed It is the policy of Rouse [NAME] County Home to provide the resident and family with baseline care plan that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care. Procedure: RNAC (Registered Nurse Assessment Coordinator) 6. Reviews 48-hour care plan for completion and provides copy to resident/family in resident room. Document in record that resident was given copy. Review of Resident R55's clinical record revealed an admission date of 5/22/24, with diagnoses that included dementia (a disease that affects short term memory and the ability to think logically),…

  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 · D2024-09-27 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy and clinical record, and staff interview, it was determined that the facility failed to include reconciliation of all pre-discharge medications with the resident's post-discharge medications in the resident's discharge summary, for one of two closed records reviewed (Closed Record Resident CR122). Findings include: Review of a facility policy entitled, Discharge of Resident dated 1/06/24, revealed that discharge medications will be listed in the Discharge Planning & Instructions assessment section medications. This will include the name of medication, dose, directions for use and quantity. Review of Resident CR122's clinical record revealed an admission date of 10/09/23, with diagnoses that included, dementia (a disease that affects short term memory and the ability to think logically), high blood pressure, depression, anxiety, and weakness. Resident CR122's clinical record also revealed a discharge date of 8/03/24. Review of the discharge summary lacked evidence of reconciliation of discharge medications on discharge. Review of nursing…

  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 before2024-09-27 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policyand manufacturer's guidelines, observations, and staff interview, it was determined that the facility failed to ensure that medications were properly dated when opened and discarded in a timely manner in one of four medication rooms reviewed (central medication storage room). Findings include: Review of a facility policy entitled Medication Administration General Guidelines dated 1/06/24, revealed, When opening a new multi-dose bottle, the bottle must be dated and initialed. Manufacturer's guidelines for Tubersol PPD (solution used for tuberculosis testing upon admission and for employment), indicated that vials which are entered and in use for 30 days should be discarded. Observations of drug storage on 9/25/24, at approximately 9:26 a.m. in the central medication storage room refrigerator revealed two opened vials of Tubersol without an open date, therefore the staff were unable to determine the discard date. During an interview at that time Licensed Practical Nurse Employee E1 confirmed that the two opened Tubersol vials lacked an open date and…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-27 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy and clinical records, and staff interview, it was determined that the facility failed to maintain accurate clinical records for two of 24 residents reviewed (Residents R48 and R116). Findings include: A facility policy entitled, admission Policy dated 1/06/24, revealed that medical records from the referring agencies and discharge orders are given to the Medical Records office at the Rouse Home and uploaded to the resident chart. Review of Resident R48's clinical record revealed an admission date of 4/17/24, with diagnoses that included heart failure, diabetes, dysphagia (difficulty swallowing), depression and anxiety. Review of Resident R48's clinical record diagnoses list revealed that on 3/06/24, a diagnosis of Post Traumatic Stress Disorder (PTSD-a psychiatric disorder that may occur in people who have experienced or witnessed a traumatic event, series of events or set of circumstances) was added Further review of Resident R48's clinical record revealed psychiatric consult notes from 3/06/24, 5/22/24 and 8/22/24, all which lacked evidence of 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.

  Resident Assessment and Care Planning 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

$22,967 in federal fines across 1 penalty.

• $22,967 — 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.

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.

1 organizational owner 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in PA