Highmore Health

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.

Met the expected recovery: 54.5% 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 22 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 9% 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 39 beds and averages 36.5 residents a day — about 94% occupied, or roughly 2 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 3.09 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 2.78 hrs/resident/day on weekends vs 3.22 on weekdays — 14% thinner on weekends. RN hours go from 0.82 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% 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.

24 citations, most serious first. The 14 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-03-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to investigate two incidents of resident-to-resident altercation involving two of two sampled residents (89 and 90). Findings include: 1. Observation and interview on 2/27/23 at 3:54 p.m. with resident 89 in his room revealed he: *Was sitting in his recliner. *Had been admitted earlier in the month because he had fallen at home and fractured his pelvis. *Had communicated during the interview that his roommate (resident 90) was in the room touching his belongings. He had asked him to stop and the roommate had continued to touched his personal items. *Then pushed the roommate. *Was able to slide up to the front of the recliner seat and displayed how he pushed his roommate back behind the privacy curtain by using a motion with his arm. *Stated the roommate had stumbled back, had fallen, and staff came into the room and picked him up off the floor. *Stated that if his roommate touched his belongings again he would 'lay him out'.…

  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 · G2023-03-02 · 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 observation, interview, record review and policy review, the provider failed to ensure one of one sampled resident (90) was protected from verbal and physical abuse by his roommate (resident 89). Findings include: 1. Observation and interview on 2/27/23 at 3:54 p.m. with resident 89 in his room revealed he: *Was sitting in his recliner. *Had been admitted earlier in the month because he had fallen at home and fractured his pelvis. *Had communicated during the interview that his roommate (resident 90) was in the room touching his belongings. He had asked him to stop and the roommate had continued to touched his personal items. *Then pushed the roommate. *Was able to slide up to the front of the recliner seat and displayed how he pushed his rommate back behind the privacy curtain by using a motion with his arm. *Stated the roommate had stumbled back, had fallen, and staff came into the room and picked him up off the floor. *Stated that if his roommate touched his belongings again he would 'lay him out'.…

  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 · G2023-03-02 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and policy review, the provider failed to investigate and report alleged abuse to the South Dakota Department of Health (SD DOH) for two of two sampled residents (89 and 90) who had inappropriate verbal and physical behavior between each other and one of the residents (90) was cognitively impaired. Findings include: 1. Observation and interview on 2/27/23 at 3:54 p.m. with resident 89 in his room revealed he had pushed his roommate (resident 90) causing his roommate to fall. Refer to F600 finding 1 and F610 finding 1. Review of resident 89's 2/22/23 nursing progress note revealed: *Resident 89 had been found to be shouting at resident 90 and threatening to hit and kick him when a nurse intervened. *There was no investigation related to that incident. -This incident had not been reported to the South Dakota Department of Health (SD DOH). Refer to F610 finding 1. Interview on 2/28/23 at 3:15 p.m. with director of nursing (DON) B and social services designee (SSD) G revealed: *They were not aware resident 89 had pushed resident 90 causing him to fall.…

  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 · G2023-03-02 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to assess and document timely, implement, monitor, and review and update care for three of four sampled residents (21, 28, and 89) who had multiple medical conditions and were at risk for pressure ulcer development. Findings include: 1. Review of resident 89's medical record revealed: *He was admitted on [DATE]. *His 2/15/23 Brief Interview for Mental Status (BIMS) score was 15, indicating his cognition was intact. *His diagnoses included the following: fracture of superior rim of right pubis, contusion right shoulder, fracture of unspecified parts of lumbosacral spine and pelvis, chronic kidney disease, pain, repeat falls, pressure-induced deep tissue damage of left heel, and obesity. *His Braden Scale score (used to predict risk of developing a pressure ulcer) on 2/15/23 was 20, indicating he was not at risk. Review of resident 89's nursing progress notes from 2/14/23 through 2/28/23 revealed: *On 2/14/23 he had 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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-21 · 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 South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, record review, observation, interview, and policy review, the provider failed to ensure the safety of one of one resident (1) identified at risk for elopement (leaving the facility without staff knowledge) who left the building from the east door on 1/17/26 and was found by a citizen. The east door was not alarmed or monitored at the time of the resident's elopement. This citation is considered past noncompliance based on review of the corrective actions the provider implemented immediately following the incident. Findings include:1. Review of the SD DOH FRI received on 1/17/26 revealed that on the evening of 1/17/26 at around 9:00 p.m., registered nurse (RN) G could not locate resident 1. After a preliminary search of the building, RN G contacted director of nursing (DON) B and administrator A. Administrator A came to the facility to help look for resident 1. They searched the facility including all rooms, closets,…

  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 · Fcited before2025-05-08 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to ensure proper infection control practices were followed regarding: *The cleaning and storage of nebulizer machines and equipment (a device that converts liquid medication into an inhalable mist) for three of three sampled residents (6, 10, 18) who used a nebulizer machine. *The cleaning and storage of a BiPAP machine (device that pushes pressurized air into your lungs) and equipment for one of one sampled resident (10) who used a BiPAP machine. *The maintenance of one of one whirlpool bath chairs in a safe and cleanable condition. *The cleaning, storage, and use of shared personal care items found in one of one whirlpool room. *The storage of items in two of two designated clean linen closets. *The assessment for the risk of Legionella, the implementation of measures to prevent the growth of Legionella, and the establishment of testing protocols for Legionella. Findings include: 1. Observation on 5/5/25 at 3:41 p.m. in…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-08 · 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 observation, interview, and policy review the provider failed to follow standard food safety practices for: *One of one cook (G) who had not changed her gloves or washed her hands while serving resident food items to prevent potential contamination. *Kitchen equipment that had not been cleaned to maintain a sanitary environment. Findings include: 1. Observation on 5/5/25 at 5:28 p.m. of cook G during a meal service revealed with her gloved hands she: *Removed the lids from the covered food items on the steam table. *Touched a ladle and then grabbed the handle of a cart. *Organized resident meal cards and opened the microwave door to heat up the pureed food. *Used a sanitizer wipe to clean the serving ledge of the steam table. *Used a thermometer to check the temperature of the sloppy joe meat. *Opened a drawer and retrieved a spoon to stir the microwaved pureed food. *Opened the microwave door and placed a bowl of potato soup in it. *Retrieved the bowl of potato soup from the microwave. *Retrieved a roast beef and cheese sandwich from a Ziplock bag and potato chips from 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-08 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and grievance review, the provider failed to ensure a private area was available for residents and families to meet. This concern was identified by four residents (6, 13, 17, and 22). Findings include: 1. Interview on 5/5/25 at 4:06 p.m. with resident 6 in his room revealed: *He resided in a shared room with another resident. *He had concerns about not having privacy when visitors were there. *He did not like his room full of visitors who visited his roommate. *He stated he had expressed his concerns about privacy to social services director (SSD) C and administrator A. *He stated, I guess I just have to live with it. 2. Interview on 5/5/25 at 4:19 p.m. with resident 22 and her family in her room revealed: *Resident 22 stated there was no private space for a family to meet in the facility. *Her family stated they would like to have a space where the family could gather when they visited the resident that was private. 3. Interview on 5/5/25 at 4:25 p.m. with resident 17 in her room revealed she wished there was a space in the facility where residents…

  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 before2025-05-08 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, interview, and policy review, the provider failed to ensure an investigation had been conducted and documented to rule out abuse and neglect for one of one sampled resident (26) who had sustained a skin laceration while being transferred to the bath chair by staff with the use of a total mechanical lift. Findings include: 1. Observation and interview on 5/6/25 at 8:53 a.m. of resident 26 in his room while he was seated in his Geri-chair (a high-backed padded wheelchair with reclining capabilities) revealed: *He had been reclined back in his Geri-chair. *He was non-verbal during the interview. *A total mechanical lift (lift and sling used to lift a person's full body) had been in his room. 2. Record review of resident 26's electronic medical record (EMR) revealed: *He had a diagnosis of Alzheimer's disease and dementia and had been receiving hospice services. *His 3/4/25 Brief Interview for Mental Status (BIMS) assessment score was 99 (which indicated the interview was not completed successfully). *On 3/8/25 at 3:58 p.m. a progress note entered by…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-28 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the Payroll Based Journal (PBJ) record review and interview, the provider failed to submit PBJ data accurately for three of four federal fiscal quarters (Quarter 1, 2023; Quarter 3, 2023; and Quarter 4, 2023). Findings include: 1. Review of PBJ records submitted to the Center for Medicaid and Medicare (CMS) services revealed the PBJ report for the provider for the three quarters listed above included: *The following items were triggered: -Failure to submit data for the quarter. -One-star staffing rating. *The following metrics were suppressed for invalid data: -Excessively low weekend staffing. -No registered nurse hours worked. -Failure to have licensed nursing coverage 24 hours per day. Interview on 2/25/24 at 3:45 p.m. with administrator A regarding the PBJ reporting information revealed: *She was aware there were issues with the correct reporting of staff member's hours worked. -She thought that was related to incomplete reporting of agency nursing staff member's hours worked. --Each agency staff member had their own number and would clock in and out using 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-28 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, resident council meeting minutes review, and policy review, the provider failed to ensure: *Resident council meetings were conducted on a monthly basis. *Residents were notified of the time and place of the resident council meetings. *There was an investigation, follow-up, and documented responses to resident council grievances brought forward by an undisclosed number of residents identified in three of five monthly meeting minutes sampled (September 2023, December 2023, and January 2024). Findings include: 1. Resident council interview on 2/27/24 at 10:30 a.m. revealed: *There were twelve residents in attendance. *Three anonymous residents stated that grievances were not followed up by staff and communicated with the residents. *Two anonymous residents stated they did not know how to file a grievance. *One anonymous resident stated they were not aware that there was a resident council and that the council met monthly. Review of resident council minutes from September 2023 through January 2024 revealed: *In September 2023 an undisclosed number of residents met…

  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 before2024-02-28 · 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 observation, interview, record review, and policy review, the provider failed to ensure resident care plans were updated to accurately reflect the current care needs of four of five sampled residents (2, 11, 31, and 189) including fall interventions, code status, and assist bars. Findings include: 1. Observation on [DATE] at 10:01 a.m. of resident 189's room revealed there were two fall mats on the floor and a twin-sized bed mattress up against a wall. Observation of resident 189 on the following dates and times revealed: *On [DATE] at 10:58 a.m. he had been standing with the right side of his body leaned up against the doorframe. *On [DATE] at 2:10 p.m. and again at 3:10 p.m. he was asleep in his bed that was in a low position with another bed mattress on the floor next to his bed. *On [DATE] at 11:20 a.m. he had been sitting on his bed with his back against the wall and his feet were rested on the fall mat that was on the floor next to his bed. *On [DATE] at 1:58 p.m. he had been resting in his bed 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the provider failed to ensure a safe environment, free from potential accident hazards in the room of one of one sampled resident (32) with a history of multiple falls. Findings Include: 1. Observation on 2/26/24 at 11:22 a.m. of resident 32 while in his room revealed: *He had been asleep, seated in his wheelchair, with his feet on the floor, next to his bed, facing his recliner. *There were four areas of flooring around and his recliner that had peeled up and had visible underflooring. -Those areas ranged in size from approximately three inches by four inches to approximately five inches by six inches. *He moved his feet and revealed another area of exposed underflooring and flooring with peeled edges. *He then moved his wheelchair back and the wheel caught on one of the exposed edges. 2. Observation on 2/27/24 at 11:19 a.m. of resident 32's room revealed additional areas of peeled flooring and exposed underflooring beside his bed, in front of his recliner. 3. Review of resident 32's electronic medical record revealed: *He had…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-28 · 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 controlled medications (drugs easily diverted by staff) were securely stored for one of one observed medication rooms. Findings include: 1. Observation and interview on 2/27/24 at 2:40 p.m. of the medication room with registered nurse (RN) K revealed: *The cupboard used to store controlled medications that were to have been destroyed was not locked and had several medications placed inside of it. *She stated the director of nursing (DON) B was the only one who had a key for that cupboard. *She immediately requested the DON B to the medication room. 2. Observation and interview on 2/27/24 at 2:44 p.m. with the DON B regarding the controlled medication cupboard revealed she: *Confirmed the cupboard was unlocked and had several controlled medications inside it. *Stated the last time she had accessed that cupboard was to put resident 195's bottle of morphine in it because it did not fit in the slot in the cupboard door. *A count of the medications inside that cupboard and it contained 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 3 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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