Avantara Groton

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.

48.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 26 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 40.7% 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 27 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 0.22 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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

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 3.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.51 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 3.27 hrs/resident/day on weekends vs 3.91 on weekdays — 16% thinner on weekends. RN hours go from 0.72 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% 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 more than at the previous inspection — worsening. 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.

22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.

• Actual harm · Gcited before2024-11-26 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) review, interview, and document review, the provider failed to ensure one of one resident's (1) right to refuse a vaccination was honored. Failure to do so resulted in the resident receiving the vaccine and voicing feelings of frustration as she was not able to make her own decision. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident. Findings include: 1. Review of the provider's 10/22/24 SD DOH FRI and resident 1's electronic medical record revealed: *There was a COVID-19 vaccination clinic at the facility on 10/22/24. *Licensed practical nurse (LPN) D told resident 1 that you can't refuse it when she referenced the COVID-19 vaccine. *The resident was upset and asked, 'I can't even make my own decisions?' *The resident was given the vaccine after voicing that she did not want the vaccine. *Resident 1's power of attorney (POA) declined the COVID-19 vaccine on 9/11/24. *LPN D misread the vaccine…

  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 · Past Non-Compliance
• Potential for harm · Fcited before2025-12-11 · tag F0655 — widespread
  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 observation, interview, record review, and policy review, the provider failed to develop and implement a resident-centered baseline care plan within 48 hours of admission for four of five sampled residents (1, 3, 20, and 37) who were recently admitted .Findings include:1. Review of resident 3's electronic medical record (EMR) revealed: *He was admitted on [DATE]. *His 11/19/25 Brief Interview of Mental Status (BIMS) assessment score was 13, which indicated his cognition was intact. *A 3/31/25 progress note stated, A copy of his admission summary note was provided to [the] resident. Baseline care plan was reviewed with [the] resident. Resident agrees and understands the baseline care plan. -The baseline care plan was reviewed with resident 3 three days after his admission to the facility. Review of resident 3's baseline care plan revealed focus areas of: *The new admission initial/interim care plan was initiated on 3/31/25. *Advanced directive (a document that expresses a person's health care wishes if…

  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 · E2025-12-11 · tag F0641 — pattern
  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, record review, Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.20.1 October 2025 review, the provider failed to ensure five of five sampled residents' (4, 7, 8, 19, and 37) Minimum Data Set (MDS) (a tool used to evaluate a resident's health status and to develop an individualized care plan to manage the resident's care needs) assessments were accurately coded for the areas of weight loss, Pre-admission Screening and Resident Review (PASRR), insulin administration, and pneumococcal (pneumonia) vaccination status.Findings include:1. Interview on 12/9/25 at 4:10 p.m. with resident 8 revealed she had a history of trauma and was receiving counseling services. Review of resident 8's electronic medical record (EMR) revealed: *She was admitted on [DATE]. *Her diagnoses included delusional disorder (a mental illness where a person holds strong, false beliefs despite evidence to the contrary), anxiety…

  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 before2025-12-11 · tag F0761 — failed to label and store drugs safely — pattern
  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 observation, interview, record review, and policy review, the provider failed to ensure medications for four of four sampled residents (18, 20, 23, and 34) with physician's orders for antifungal powder were labeled and stored according to the provider's policy. Findings include:1. Observation in resident 23's bathroom on 12/9/25 at 10:20 a.m. revealed:*One open bottle of Miconazole 2% powder (a medicated powder used to prevent fungal growth on skin) on the shelf. The bottle had resident 23's first name and last initial handwritten on it. There was no pharmacy label on that bottle.*The bathroom is shared between four residents. 2. Observation and interview on 12/10/25 at 2:42 p.m. with resident 18 in her room revealed:*She had an open bottle of miconazole powder in the drawer of her nightstand. This did not have a resident name handwritten on it or a pharmacy label on it.*The CNAs put that powder on her when she used the bathroom. 3. Interview on 12/10/25 at 2:57 p.m. with CNA M revealed:*The nurses get creams and powders out of the medication room if a resident needed…

  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 · Ecited before2025-12-11 · 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 policy review, the provider failed to ensure standard infection control practices were followed by:*One of one certified nursing assistant (CNA) (L) performed hand hygiene while assisting residents during their dining experience.*One of one CNA (K) performed hand hygiene (handwashing) before putting on gloves and after removing his gloves.*One of one CNA (P) wore personal protective equipment (PPE) (such as a gown and gloves) while providing cares for a resident (4) on contact precautions (a gown and glove were to be worn anytime there was a risk of contact with a resident or objects he may have been in contact with).*Two of two CNAs (K and P) adequately cleaned and disinfected the shower room with a hospital grade disinfectant between residents' showers in two of two shower rooms. Findings include:1. Observation on 12/9/25 between 11:14 a.m. and 11:58 a.m. in the provider's dining room revealed: *Certified nurse assistant [CNA] L sat down at the dining table at 11:47 a.m. between residents 24 and 26. -She grabbed the front handrails of 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-11 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the provider failed to ensure the code status (emergent treatment a person wishes to receive if their heart or breathing would stop) for three of three sampled residents (1, 23, and 37) was currently and accurately documented in the residents' electronic medical records.Findings include:1. Interview on [DATE] at 2:54 p.m. with resident 37 revealed: *The staff had spoken with him when he was admitted about his wishes if his heart were to stop (advanced directives or code status). *He told them he wanted a do not resuscitate (DNR) (no cardiopulmonary resuscitation [CPR] or other heroic measures would be started if his heart or breathing stopped) code status. Review of resident 37's electronic medical record (EMR) revealed: *He was admitted on [DATE]. *His Brief Interview of Mental Status (BIMS) assessment score was 14, which indicated his cognition was intact. *The advanced directives area in the EMR banner (a resident information area on the EMR screen) 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-11 · 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 observation, interview, record review, and policy review, the provider failed to ensure their policy was followed for:*Medication administration documentation for four of four sampled residents (18, 20, 23, and 34) with physician's orders for antifungal powder according to the provider's policy.*Implemented for one of one resident (5) who had physician-ordered speech services. Findings include: 1. Observation in resident 23's bathroom on 12/9/25 at 10:20 a.m. revealed: *One open bottle of Miconazole 2% powder (a medicated powder used to prevent fungal growth on skin) on the shelf. The bottle had resident 23's first name and last initial handwritten on it. There was no pharmacy label on that bottle. *This bathroom was shared between 4 residents. 2. Observation and interview on 12/10/25 at 2:42 p.m. with resident 18 in her room revealed: *She had an open bottle of miconazole powder in the drawer of her nightstand. This did not have a resident name handwritten on it or a pharmacy label on it. *The CNA's…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-11 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the provider failed to ensure two of two sampled residents (1 and 17) who used side rails (bars attached to the bed) had documented alternatives attempted prior to the implementation of using those side rails and the risks and benefits of using those side rails were reviewed with the resident or the resident's representative.Findings include:1. Observation and interview on 12/09/25 at 9:35 a.m. of resident 17's room revealed:*There were two quarter-length side rails in the up position at the head of her bed.*She used the side rails to change position herself in bed and to help transfer herself in and out of bed.Review of resident 17's electronic medical record (EMR) revealed:*She was admitted on [DATE].*Her 10/21/25 Brief Interview of Mental Status (BIMS) assessment score of 15, indicated her cognition was intact.*A 10/15/25 physician's order for, Enabler bars [side rails] in [on] both sides of [her] bed to help [her] with repositioning.*Her 10/15/25 Side…

  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 · D2025-12-11 · tag F0803 — failed to meet residents' dietary needs — isolated
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the provider failed to ensure two of two sampled residents (19 and 35), who received an altered texture therapeutic diet of pureed food, received the required nutritional value and the required amount of pureed food served to them. Findings include: 1. Observation and interview on 12/9/25 at 11:10 a.m. with cook Q revealed that pureed broccoli was prepared with water. [NAME] Q stated the cooks were trained that pureeing broccoli with water was appropriate. She reported that she often used water to puree vegetables and used broth as the liquid to puree other foods. [NAME] Q agreed that using water to puree vegetables would reduce the nutritional value of the vegetables. Observation on 12/9/25 at 11:43 a.m. of cook R in the kitchen revealed cook R dished the pureed food items by pouring the food from a pan without using a scoop to measure the amounts of those foods. Review of resident 19's electronic medical record (EMR) revealed a physician-ordered diet of puree texture. Review of resident 35's EMR revealed a physician-ordered diet…

  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 · D2025-12-11 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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 observation, interview, and policy review, the provider failed to ensure food safety standards were followed by three of three employees (certified nursing assistant (L), guest services aide (GSA)/cook R, and cook Q), completed proper hand hygiene during one of one meal service. Findings include: Based on observation, interview, and policy review, the provider failed to ensure three of three employees (certified nursing assistant (L), guest services aide (GSA)/cook R, and cook Q), completed proper hand hygiene during one of one meal service. Findings include: 1. Observation on 12/9/25 between 11:14 a.m. and 11:58 a.m. in the provider's dining room revealed: *Resident 7 was one of the first to arrive in the dining room at 11:19 a.m. She was the second to last resident to be served lunch at 11:58 a.m. *Certified nurse assistant [CNA] L sat down at the dining table at 11:47 a.m. between residents 24 and 26. -She grabbed the front handrails of resident 24's wheelchair. She pulled the resident closer to the table. -She turned to resident 26 and pulled resident 26's wheelchair…

  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 · E2024-07-31 · tag F0657 — failed to keep the care plan current — pattern
  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 record review, interview, observation, and policy review, the provider failed to ensure resident care plans were revised to reflect the current enhanced barrier precautions (EBP) need for three of eight sampled residents (11, 15, and 32) who required EBP. Findings include: 1. Review of resident 11's Skin Alteration Evaluation completed on 7/22/24 revealed resident 11 had a pressure ulcer (damaged skin and tissue caused by sustained pressure) to her left calf. Review of resident 11's care plan revealed: *[Resident 11] has an actual impairment to skin integrity due to left calf hematoma and pressure ulcer. *It had not been revised to indicate the need for EBP. Interview on 7/31/24 at 2:58 p.m. with director of nursing (DON) B: revealed: *Resident 11 was re-admitted to the facility on [DATE] with a wound vacuum (a device that removes pressure and fluid from a wound) to her left lower leg. *She expected that all residents with a wound would be on EBP. *She would have updated a care plan at the resident care…

  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

$6,168 in federal fines across 1 penalty.

• $6,168 — penalty dated 2024-11-26

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 LEGACY HEALTHCARE — 89 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 19 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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 $345K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in SD