Dover Care 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.

50.6% 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 59 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 44 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 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 88 beds and averages 47.7 residents a day — about 54% occupied, or roughly 40 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 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 2.97 hrs/resident/day on weekends vs 3.81 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.06 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% 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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · E2025-07-23 · 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 policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when 1 of 3 (Cook A) staff members in the kitchen handled residents' food with no gloves on. The facility had a census of 47 with 47 of those residents receiving a tray from the kitchen. The findings include: Review of the undated facility policy titled, Handwashing Procedure for Dining Services, revealed .Hand hygiene continues to be the primary means of preventing the transmission of infection.some situations that require hand hygiene.Before and after eating or handling food.After handling soiled equipment or utensils.After removing gloves.In between glove changes.Between tasks. Observation in the kitchen on 7/21/2025 at 4:50 PM, revealed [NAME] A removed bread from the package without gloves. During an interview on 7/21/2025 at 4:59 PM, the Certified Dietary Manager confirmed that gloves should have been worn to remove the bread from the package. During an interview on 7/22/2025 at 3:00 PM, the Director of Nursing confirmed that staff should not use their…

  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 · Ecited before2025-07-23 · 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 policy review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 1 of 9 staff members Certified Nursing Assistant (CNA) B failed to handle and serve food under sanitary conditions for 2 of 20 (Resident #14 and #45) residents observed during dining, and when 1 of 2 Registered Nurses (RN) C failed to perform hand hygiene for 3 of 5 (Resident #17, #47, and #55) residents observed during medication administration. The findings include: 1. Review of the facility policy titled, .Handwashing/Hand Hygiene . dated October 2023, revealed .This facility considers hand hygiene the primary means to prevent the spread of healthcare-associated infections .Perform hand hygiene before applying non-sterile gloves .When removing gloves .Perform hand hygiene . Review of the facility policy titled, .Medication Administration, dated 6/21/2017, revealed .Preparing Medication for Administration .Never touch any of the medication with fingers . 2. Random observation during dining on 7/21/2025 at 12:21 PM, revealed CNA B assisted 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 · E2023-10-10 · tag F0609 — failed to report abuse allegations — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, facility documents, and facility policy review, the facility failed to report allegations of abuse to the state agency within the two hours for 2 (Residents #1 and #4) of 4 residents reviewed for allegations of abuse/neglect; and failed to report an allegation of neglect within 24 hours for 1 (Resident #2) of 3 residents reviewed for allegations of abuse/neglect. Findings included: 1. A review of an undated facility policy titled, Freedom from Abuse and Neglect Policy, revealed 1. Allegations will be reported to the Executive Director immediately. 2. The facility will report all alleged violations and substantiated incidents to the stage agency and to all other agencies as required and will take all necessary corrective actions depending on the results of the investigation. Further review of the policy revealed, Reports may be oral or written and must be made immediately upon knowledge of the occurrence of the suspected abuse, neglect, or exploitation of an adult. It may take…

  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 · E2023-10-10 · tag F0610 — failed to investigate and act on abuse reports — pattern
  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 observations, interviews, record review, facility policy, and facility document review, the facility failed to ensure allegations of abuse were thoroughly investigated for 3 (Residents #4, #3, and #2) of 4 residents reviewed for abuse. Findings included: 1. Review of the undated facility policy titled, Freedom from Abuse and Neglect Policy, indicated, Purpose: To prohibit and prevent abuse, neglect, exploitation of residents and misappropriation of property. In the section titled Investigation, the policy indicated: 1. The facility will conduct an internal investigation and report the results of the investigation to the enforcement agency in accordance with state law including the state survey and certification agency within five working days of the incident or according to state law. 2. The facility will thoroughly investigate all alleged violations and take appropriate actions. 3. Investigations will be prompt, comprehensive and responsive to the situation and contain founded conclusions. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-10-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, facility policy, and facility document review, the facility failed to protect the resident's right to be free of physical abuse by a contracted staff member, Licensed Practical Nurse (LPN) #1. This failure affected 1 (Resident #1) of 4 sampled residents. On 08/18/2023, Certified Nursing Assistant (CNA) #2 observed LPN #1 take a sandwich from Resident #1's hand despite the resident's objection, hold the resident's hands, and forcefully pushed a spoonful of crushed medications into the resident's mouth through the resident's closed lips. Findings included: 1. A review of an undated facility policy titled, Freedom from Abuse and Neglect Policy, indicated the purpose of the policy was To prohibit and prevent abuse, neglect, exploitation of residents and misappropriation of property. The policy indicated for protection 1. All residents will be protected from harm. 2. All allegation involving staff will necessitate suspension pending investigation. 2. A review of an admission Record revealed the facility readmitted Resident #1 on 06/06/2019. The 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-10-10 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, facility documents, and facility policy review, the facility failed to ensure 1 (Resident #1) of 4 abuse/neglect investigations was reported and addressed in the facility's Quality Assurance and Performance Improvement (QAPI) program. Specifically, the facility's abuse/neglect policy required all substantiated allegations of abuse be review by the facility's QAPI Committee; however, the facility failed to ensure a substantiated abuse allegation for Resident #1 was reported to the committee. Findings included : 1. A review of the facility's Freedom from Abuse and Neglect Policy, undated, revealed 3. Substantiated allegations of abuse will be reviewed by the Facility's Quality Assurance and Performance Improvement Committee to detect potential patterns or trends, and for consideration of further interventions or training opportunities. The medical director should be notified and involved. 2. A review of an admission Record revealed the facility readmitted Resident #1 on 06/06/2019. The resident had diagnoses that included palliative care, dysphagia,…

  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 · D2022-09-28 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 policy review, medical record review, observation, and interview, the facility failed to maintain or enhance residents' dignity and respect when an indwelling urinary catheter bag was not concealed in a privacy bag for 1 of 2 sampled resident (Resident #20) reviewed for an indwelling urinary catheter. The findings include: Review of the facility's policy titled, Resident's Rights and Quality of Life, dated May 1, 2012, revealed .It is the policy of .all residents have the right for a dignified existence . Review of the medical record, revealed Resident #20 was admitted to the facility on [DATE] with diagnoses of Alzheimer's Disease, Acute Kidney Failure, Urinary Retention, and Psychotic Disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #20 had severe cognitive impairment and required limited to extensive assistance for ADLs (activity of daily living). Review of the Care Plan dated 7/13/2022, revealed .has Indwelling Catheter . Observations on 9/25/2022…

  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 · D2022-09-28 · tag F0641 — isolated
  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 medical record review, and interview, the facility failed to accurately assess residents for Antibiotic, Opioid, and Diuretic use and tracheostomy care when 3 of 5 sampled residents (Resident #8, #47 and #51) reviewed for accuracy of Minimum Data Set (MDS) assessments. The findings included: Review of the policy titled, Minimum Data Set (MDS), dated September 2021, revealed .it is the policy of this center to use the MDS 3.0 RAI [Resident Assessment Instrument] Manual and associated documents to complete minimum data sets .Coding Instructions .Code medications according to the pharmacological classification .Record the number of days and .medication was received by the resident at any time during the 7-day look-back period ( .since admission/entry or reentry if less than 7 days) .Tracheostomy care .this item may be coded if the resident performs his .own tracheostomy care . Medical record review revealed Resident #8 was admitted to the facility on [DATE] with a readmission on [DATE] with a diagnoses of…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-09-28 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to develop a Baseline Care Plan within 48 hours of admission that included the initial goals and needs for 1 of 3 sampled residents (Resident #205) reviewed. The findings include: Review of the medical record, revealed Resident #205 was admitted on [DATE] with diagnoses of Malignant Neoplasm of Small Intestine, Depression, and Dysphagia. Review of the medical record, revealed Resident #205 did not have a Baseline Care Plan developed within 48 hours of admission that addressed the initial goals and needs of the resident. A Comprehensive Care plan was developed on 9/20/2022. Facility was unable to provide a 48 hour baseline care plan. During an interview on 9/27/2022 at 4:13 PM, the Director of Nursing Services (DNS) was asked if Resident #205 had a baseline Care Plan. The DNS stated, .We have the baseline put in within 24 hours .I do not see one.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-09-28 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview, the facility failed to conduct Care Plan meetings which included the Interdisciplinary Team (IDT) for 2 of 13 sample resident (Resident #41 and #47) reviewed for care plan meetings. The Finding include: Review of the facility's policy titled, Care Plans and Baseline Care Plans, dated June 2017, revealed .Care plan meetings are also per the RAI [Resident Assessment Instrument] manual guidelines . Review of the facility's policy titled, Resident's Rights and Quality of Life, dated May, 1, 2012, revealed .it is the policy .that all residents have the right to a dignified existence, self-determination, and communication with an access to people and services inside and outside the facility .Participated in care planning . Review of the medical record, revealed Resident #41 was admitted on [DATE] with diagnoses of Dementia, Depression, Anxiety, and Epilepsy. Review of the medical record revealed there were no quarterly Care Plan meetings held for 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.

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to EXCEPTIONAL LIVING CENTERS — 10 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 13 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $746K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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 TN