Tekakwitha Living Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Met the expected recovery: 56.5% 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 23 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 40 beds and averages 40.9 residents a day — about 102% occupied, or roughly -1 beds typically open. It runs essentially full — expect a waiting list. 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 2.67 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.55 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 2.21 hrs/resident/day on weekends vs 2.85 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.69 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

28 citations, most serious first. The 12 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · G2024-07-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the provider failed to prevent one of one sampled resident (23) from developing facility-acquired pressure ulcers. Findings include: 1. Interview on 7/17/24 at 8:00 a.m. with director of nursing (DON) B revealed resident 23 had on heel protectors but wasn't sure the thread in them had not caused his pressure ulcer. Observation on 7/17/24 at 10:15 a.m. of resident 23 revealed resident 23 was in bed lying on his back when licensed practical nurse (LPN) G went in to provide wound care. Interview on 7/17/24 at 10:41 a.m. with CNA H in regards to skin concerns revealed: *She stated, I think the skin issues are from the residents not being repositioned, and she had voiced her concerns to management. *Administrator A had started rounds and cares had improved. Interview on 7/17/24 at 12:45 p.m. with administrator A revealed: *She confirmed that resident 23's pressure ulcers on his sacrum and heel were avoidable, yes, they got to lay him down and get him off that area and he has boots on now. *She confirmed she had started…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-07-18 · 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 interview, observation, record review, and policy review, the provider failed to implement effective precautions and interventions to ensure the safety for one of one sampled resident (10) that contributed to multiple accidents involving woodworking equipment resulting in bodily injury. Specifically, the provider failed to either complete follow-up assessments, incident analysis, or review/revise/monitor interventions. Findings include: 1. Interview on 7/16/24 at 4:25 p.m. with resident 10 revealed he enjoyed woodworking and had a workshop in the facility's basement. Interview on 7/17/24 at 9:41 a.m. with activity director J regarding resident 10's woodworking interest revealed: *He used a room in the provider's basement as his workshop for his independent woodworking activity. *She stated that he carried a walkie-talkie with him while he worked in the basement workshop and garage to communicate with staff. Interview on 7/17/24 at 10:31 a.m. with director of nursing (DON) B regarding resident 10 revealed: *She stated he had been assessed by the provider's contracted therapy…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-01-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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 interview, observation, document review, and policy review, the provider failed to ensure the staff followed proper sanitation and food handling practices regarding:*Handwashing and glove use standards were followed by dietary aide/cook I, dietary aide J, cook O, restorative supervisor N, and certified nursing assistant (CNA) H during one of one evening meal service and one of one lunch time service.*The steam tables in the north kitchenette were clean.*Dishwasher temperatures and sanitization levels were monitored and documented after each meal. Findings include:1. Interview on 1/20/26 at 2:40 p.m. with dietary aide/cook I in the kitchen revealed:*They had a dispenser of multi-range sanitizer that was premixed with water.*They used that sanitizer solution to clean the counters in the kitchen and the tables.*They did not test and did not have sanitizer testing strips to test the sanitation level of the sanitation solution. 2. Observation on 1/20/26 at 5:07 p.m. with dietary aide J in the north kitchenette revealed:*Dietary aide J was in the kitchenette, put on gloves,…

  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 · F2026-01-22 · 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 Certification and Survey Provider Enhanced Reports (CASPER) data review, staff schedule review, timecard review, and interview, the provider failed to ensure Payroll Based Journal (PBJ) (information of the provider's daily staffing hours for the care of the residents) data was accurately completed before submission to the Center for Medicare and Medicaid Services (CMS) for four of four federal fiscal quarters (Quarter 1, 2025; Quarter 2, 2025; Quarter 3, 2025; and Quarter 4, 2025). Findings include:1. Review of the PBJ data submitted to CMS for the four quarters listed above revealed:*The following items were triggered:-Failed to submit data for the quarter.-One star staffing rating.*The following items were suppressed due to no nursing hours being reported:-Excessively low weekend staffing.-No RN hours.-Failed to have licensed nursing coverage 24 hours per day. 2. Review of the provider's October, November, and December 2025 employee staffing schedules and timecards revealed they had licensed nursing coverage 24 hours per day and eight continuous hours of RN coverage. 3.…

  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 · E2026-01-22 · tag F0576 — pattern
  Ensure residents have reasonable access to and privacy in their use of communication methods.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and policy review, the provider failed to deliver mail daily to ten of ten residents (10, 14, 15, 18, 24, 30, 31, 35, 37, and 38) within twenty-four hours after it was delivered to the nursing home by the local post office. Findings include: 1. Interview on 1/22/26 at 10:00 a.m. during the resident group meeting revealed:*Residents (10, 14, 15, 18, 24, 30, 31, 35, 37, and 38) stated they did not get their mail daily.*Mail was not delivered on Saturdays because there was no one to pass it out.*Activities director M usually delivered the mail to the residents during the weekdays. 2. Interview on 1/22/26 at 11:30 a.m. social services director C revealed she expected residents to be delivered mail on Saturdays. 3. Interview on 1/22/26 at 11:43 a.m. with activity director M revealed on Saturdays, the charge nurse would get the mail, and then she would pick it up on Mondays and deliver it to the residents because she did not work on Saturdays. 4. Review of the provider's May 2017 Mail and Electronic Communication policy revealed Mail and packages will be delivered to…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-22 · 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 observations, interviews, and policy review, the facility failed to ensure proper storage and disposal of expired medications in one of one medication room and one of one medication cart that had expired medications and treatments.*One of one medication room and One of One medication cart (north) had expired medications and treatments. Findings Include:1. Observations on 1/22/26 at 11:00 a.m. with Licensed Practical Nurse (LPN) G in the Medication Room revealed expired medications and treatments.* Tuberculin Purified Protein Derivative (PPD) solution vial was ordered from the pharmacy on 10/27/25. The vial cap was removed and open with no open date. With no open date marked on box or vial, the opened vial should be discarded.2. Observation on 1/22/26 at 11:25 a.m. of the North Medication Cart revealed expired medications.* Resident 3's Novolog expired on 1/15/26 and had 1/3 of the used medication vial remaining and per the open date and written expiration date on the vial was expired.* Stock bottle of Senna Plus expired in November 2025 with approximately half of the bottle…

  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 before2026-01-22 · 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 proper infection control practices were followed for:*Cleaning one of one ice maker located outside of the kitchen.*Cleaning the refrigerator in one of one family room. Findings include: 1. Observation on 1/20/26 at 1:00 p.m. of the ice machine outside of the kitchen revealed that it was not clean. There was a dirty light green powder like substance on the outside corners of the machine above the level of the ice dispenser that fell off the machine during ice dispensing. There was heavy water spotting on the splash guard and visible rust on the metal grate above the water drain.2. Observation on 1/21/26 at 9:35 a.m. of the mini refrigerator in the family room there was a four-ounce serving of ice cream on the refrigerator's top shelf that had melted and spilled onto all the shelves in the refrigerator.3. Interview on 1/22/26 at 11:00 a.m. with housekeeper K revealed that she had been employed at the facility for less than a year. When asked if cleaning the family room refrigerator or ice machine 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-22 · tag F0882 — pattern
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the provider failed to have a qualified infection preventionist for the facility.Findings include: 1. Interview on 1/22/26 at 12:25 p.m. with director of nursing (DON) B revealed that she was in charge of the facility's infection prevention program but had not completed an approved infection preventionist (IP) course. She reported that she had been working on the IP course but had not found the time to complete it. She confirmed that she oversaw the facility's infection prevention program during the last recertification survey and had not completed the IP course then either.2. Review of the provider's infection control program binder revealed that the provider did not have an infection preventionist.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · 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 observation, interview, document review, record review, and policy review, the provider failed to protect the resident's rights and ensure a resident's advance directive code status (an individual's desire to be resuscitated with cardiopulmonary resuscitation (CPR), specific limited interventions, or not resuscitated (DNR) if their heart stopped) wishes were identified accurately in the medical record for two of seventeen sampled residents (3 and 16). Findings include:1. Observation, interview, and document review on [DATE] at 4:18 p.m. with registered nurse (RN) E at the nurse's station revealed:*Resident paper charts that had a heart with a stethoscope logo on the outside of the chart indicated the resident's code status was a full code, so then CPR would have been performed. If a paper chart did not have that logo, it indicated the resident was a DNR, so CPR would not have been performed.*Resident 3's paper chart had the heart with the stethoscope logo on it.* Resident 3 had an advance directive 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-22 · 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 interview, document review, and record review, the provider failed to provide adequate supervision to a dental appointment for one of one sampled resident (4) who had severe cognitive impairment and was at high risk for falling. Findings include:1. Interview on 1/21/26 at 11:17 a.m. with resident 4's granddaughter/power of attorney revealed:*A few months ago, a nursing home staff member called her and told her that her grandmother had a dental appointment in fifteen minutes.*She was unaware of that appointment and was not going to be able to meet her there.*She asked the staff member to reschedule it instead.*She received a phone call from the dental clinic asking her why her grandmother was at the appointment by herself.*Resident 4 rode the community transportation by herself and was dropped off at the dental clinic, where she was by herself for 45 minutes.*She was very upset that resident 4 went by herself to that appointment because of resident 4's cognitive impairment.*She talked to the previous…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  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 observations, interviews, and policy review, the facility failed to complete a Trauma Informed Care assessment for one of one sampled resident (5) after they have experienced a loss of a loved one. Findings Include: 1. Interview on [DATE] at 3:55 p.m. with resident 5 noted that after each question asked during the interview, she would have discussed her husband passing away. The following statements were said:* I should have died before him* This is his shirt that he used to wear* I have to keep busy to not think about him.2. Observation on [DATE] at 11:10 a.m. of resident 5's wound care revealed she continued to reiterate sentiments for her husband passing away and how sad she was he was not here with her.3. Interview and chart review for resident 5 on [DATE] at 11:25 a.m. with director of nursing (DON) B confirmed she did not have a Trauma Informed Care completed and the Social Services Designee was responsible for completing the Trauma Informed Care assessments.4. Interview and chart review for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-22 · tag F0801 — isolated
  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, the provider failed to employ a full-time, qualified registered dietitian or dietary manager who met the requirements to serve as the director of food and nutritional services. Findings include:1. Interview on 1/20/26 at 1:23 p.m. with dietary aide/cook I and restorative supervisor N revealed:*The facility did not have a dietary manager.*Restorative supervisor N was working as the dietary cook, she had been a cook there prior to her current role.*The previous dietary manager worked there for a few years, and after she quit, a certified nursing assistant (CNA) took over for a few weeks, but did not want to do it anymore, and went back to working as a CNA. *The administrator ordered food for the kitchen; they just wrote down for him what was needed. 2. Interview on 1/21/26 at 8:30 a.m. with cook O revealed:*She confirmed there was no dietary manager to oversee the process of the kitchen.*She would go to administrator A if there were issues.*She was not a certified dietary manager (CDM).*She completed the ServSafe training.*The regular registered dietitian (RD) 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.

  Nutrition and Dietary 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

$37,079 in federal fines across 3 penalties.

• $30,729 — penalty dated 2024-07-18
• $2,117 — penalty dated 2023-11-13
• $4,233 — penalty dated 2023-10-23

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 14 rows in the source record cover these 12 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 SD