Orchardview Post-Acute And Rehabilitation 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: 42.9% 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 28 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 0.37 therapist hours per resident per day in 2026Q1 — more than 63% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% 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 180 beds and averages 72.7 residents a day — about 40% occupied, or roughly 107 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 3.39 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.38 hrs/resident/day on weekends vs 3.40 on weekdays — about the same on weekends as weekdays. RN hours go from 0.53 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above 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.

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2025-01-08 · 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 facility policy review, medical record review, facility investigation review, and interview, the facility failed to protect the residents' right to be free from physical abuse by another resident for 2 residents (Resident #30 and Resident #31) of 67 residents reviewed for abuse. The facility's failure to prevent resident to resident abuse resulted in actual HARM for Resident #31. The findings include: Review of the facility's policy titled, Abuse, Neglect, Misappropriation of Property, Exploitation, and Injuries of Unknown Source, revised 10/24/2022, revealed .organizations intention to prevent the occurrence of abuse .Abuse is the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish .stakeholder observes a resident exhibiting any form of abuse toward another resident the stake holder will intervene immediately and interrupt the incident and remove or separate the residents involved . Review of the medical record revealed…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-07-18 · 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 — the official record, unedited, may be distressing

  Deficiency Text Not Available

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-05-10 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, facility investigation documentation review, and interview, the facility failed to protect the residents' right to be free from sexual abuse for 1 resident (Resident #2) by Resident #3 and physical abuse for 2 residents (Residents #4 and #5) by Resident #1 of 7 residents reviewed for abuse. The abuse resulted in actual harm to residents #4 and #5 when Resident #1 threw a chair at Resident #4 and #5 resulting in Resident #4 receiving a scrape down his left shin and Resident #5 receiving a bruise and swelling on his right knee. The findings include : Review of the facility's policy titled, Abuse .Prevention Program, revised 4/2021, revealed .Residents have the right to be free from abuse .This includes .sexual or physical abuse .The resident abuse .prevention program consists of a facility-wide commitment .to support the following objectives .Protect residents from abuse .by anyone including .other residents . 1. Review of the medical records and facility…

  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 · G2024-05-10 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 facility policy review, medical record review, and interview, the facility failed to ensure 1 resident (Resident #1) of 5 residents reviewed for medication administration was free of a significant medication error after receiving another resident (Resident #2's) prescribed medication which resulted in actual harm to Resident #1. The findings include: Review of the facility's policy titled, Administering Medications, revised 4/2019, revealed .Medications are administered in a safe and timely manner .as prescribed .Medication errors are documented, reported, and reviewed by the QAPI [Quality Assurance Performance Improvement] committee to inform process changes and or need for additional staff training .The individual administering medications verifies the resident's identity before giving the resident his/her medications . Review of the facility's undated policy titled, Medication Error guidelines, revealed .The licensed nurses shall ensure medications will be administered .According to physician's…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-10 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 facility policy review, medical record review, and interviews, the facility failed to notify the physician of abnormal laboratory (lab) results for 1 resident (Resident #19) of 3 residents reviewed. The findings include: Review of the facility's undated policy titled, Notification of Changes, revealed .promptly informs .residents' physician .when there is a change requiring notification .significant change in the residents' condition .clinical complications . Review of the medical record revealed Resident #19 was admitted to the facility on [DATE] with diagnoses including Stroke, Anxiety, Depression, and Diabetes. Review of lab results for Resident #19 dated 4/24/2026, revealed .Glucose 822 (CH) [Critical High] .reference range 74-109 . Continued review revealed there was no documentation the Physician or Nurse Practitioner (NP) were notified of the laboratory results. Continued review revealed it was unclear the exact time the lab company had notified the facility on 4/24/2026 of the critical…

  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 · D2026-06-10 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure insulin medications were labeled appropriately to include an open date for 2 residents (Resident #62 and Resident #67) of 7 residents reviewed for insulin storage. The findings include: Review of the facility's undated policy titled, Labeled and Storage, revealed .Guidelines .all medications .used in the facility .will be labeled in accordance with current .federal regulations .the date .initial opened or accessed .should be discarded within 28 days . Review of the medical record revealed Resident #62 was admitted to the facility on [DATE] with diagnoses including Diabetes Mellitus (DM), Hypertension, and Chronic Obstructive Pulmonary Disease. Review of a Physician's Order for Resident #62 dated 1/27/2026, revealed .Insulin Glargine [long acting insulin medication used to lower blood glucose levels] Subcutaneous Solution .100 Unit/ML [milliliter] .Inject 12u [units] Subcutaneous .at Bedtime 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-10 · tag F0880 — failed to prevent and control infections — isolated
  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 facility policy review, medical record review, observations, and interviews, the facility staff failed to perform appropriate hand hygiene when serving residents' meal service for 2 residents (Residents #18 and #22) on 1 of 2 units observed for meal tray distribution. The Findings include: Review of the facility's undated policy titled, Hand Hygiene guidelines, revealed .All staff will perform proper hand hygiene .residents .before eating . Review of a facility's undated document titled, Tidy Hands Program, revealed .assist with residents handwashing .before meals . Review of the medical record revealed Resident #18 was admitted to the facility on [DATE] with diagnoses including Dementia, Dysphagia, and Need for Assistance with Personal Care. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #18 scored a 9 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident had moderate cognitive impairment. Further review revealed 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-08 · 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 facility policy review, observation, and interview, the facility failed to ensure dented cans (3 of 3) were discarded and not available for resident use, which had the potential to affect 67 of 67 residents. The findings include: Review of the facility's undated policy titled, Food Safety Requirements, revealed .when food arrives damaged or concerns are noted .remove these foods from use .dented cans are returned to the vendor upon delivery .if dented cans are identified after delivery, the staff will not use the canned goods for food preparation and will be separated (to be returned to the vendor or will be discarded) . During an observation and interview on 1/6/2025 at 11:37 AM, in the dry storage room, with the Certified Dietary Manager (CDM), revealed two 6.88-pound cans of pork and beans and one 7.312-pound can of cranberry sauce was dented on the side of each can. The CDM stated the kitchen staff if any dented cans were observed, they were to be discarded. The CDM confirmed the dented cans of pork and beans and cranberry sauce were available for resident use and…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 facility policy review, medical record review, and interview the facility failed to provide the required Notice of Medicare Non-Coverage (NOMNC) timely for 2 residents (Resident #5 and Resident #65) of 3 residents reviewed for beneficiary notification. The findings include: Review of the facility's undated policy titled, Medicare Eligibility, Coverage and Notices, revealed .Facility will provide the residents .[or] .representatives with timely notices regarding Medicare Eligibility and Coverage .(NOMNC) .shall be issued .when Medicare covered service(s) are ending . Review of the medical record revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including Kidney Disease, Difficulty Walking, Lack of Coordination, and Seizures. Review of a Physical Therapy note for Resident #5 dated 11/28/2024, revealed the resident was discharged from Physical Therapy services on 11/28/2024. Review of an Occupational Therapy note for Resident #5 dated 11/28/2024, revealed the resident was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 facility policy review, facility documentation review, medical record review, and interview the facility failed to protect 1 resident (Resident #421) from exploitation of 67 residents reviewed for exploitation. The finding include: Review of the facility's undated policy titled, Abuse, Neglect and Exploitation, revealed .Exploitation .taking advantage of a resident for personal gain .Employee Training .will include .Prohibiting .preventing all forms of .exploitation .Identifying what constitutes .exploitation . Review of the medical record revealed Resident #421 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease, Respiratory Failure, Chronic Pain Syndrome, Major Depressive Disorder, And Anxiety. Resident #421 was discharged from the facility 11/29/2024. Review of the Physician's Orders for Resident #421 dated 12/29/2023, revealed the resident was ordered Morphine ER (an extended-release pain medication) every 12 hours for chronic pain. The order 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-08 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, facility investigation documentation review, and interviews, the facility failed to report an allegation of abuse to the required state entities within 2 hours for 2 residents (Residents #52 and #30) of 67 residents reviewed for abuse. The findings include: Review of the facility's undated policy titled, Abuse, Neglect, Misappropriation, Exploitation, revealed .It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse .of resident .The facility will designate .in the facility who is responsible for reporting allegations or suspected abuse .to the state survey agency .in accordance with state law .facility will follow State and federal guidelines for .reporting . Review of the medical record revealed Resident #52 was admitted to the facility on [DATE] with diagnoses including Cellulitis, Diabetes, and Intellectual…

  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 · D2025-01-08 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  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 facility contract review, facility policy review, medical record review, and interview, the facility failed to ensure a coordinated plan of care with the hospice provider was available in the medical record for 1 residents (Resident #19) of 3 residents reviewed for hospice services. The findings include: Review of the facility's hospice contract titled, Hospice Care Guidelines, dated 2/2023, revealed .policy of this facility to provide and/or arrange .hospice services .obtain the following information from hospice .most recent plan of care . Review of the medical record revealed Resident #19 was admitted to the facility on [DATE] with diagnoses including Diabetes Mellitus, Chronic Obstructive Pulmonary Disease, and Adult Failure to Thrive. Review of a Physician's Order for Resident #19 dated 8/27/2024, revealed .Admit to Hospice. Review of the comprehensive care plan dated 8/27/2024, revealed Resident #19 .under hospice care . Review of the hospice communication binder (located at the nurses' station)…

  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 · Dcited before2025-01-08 · tag F0880 — failed to prevent and control infections — isolated
  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 policy review, medical record review, and interviews, the facility failed to ensure proper infection control practices were followed during a noon and a breakfast meal for 2 residents (Residents #67 and #17) and during housekeeping services for 2 residents (Residents #16 and #54) of 21 residents reviewed for COVID-19 Transmission-Based Precautions. The findings include: Review of the facility's undated policy titled, Covid 19 Management of Residents, revealed .appropriate isolation signage, and staff wearing N95 respirator, eye protection, gown, and gloves upon entry to the room .The door will be kept closed .Residents with Confirmed COVID-19 .Isolate using Transmission-Based Precautions . Review of the medical record revealed Resident #67 was admitted to the facility on [DATE] with diagnoses including Hemiplegia, Chronic Obstructive Pulmonary Disorder, Acute Respiratory Failure, and Stroke. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #67 was rarely/never…

  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 · D2024-05-10 · 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 facility policy review, medical record review, and interview the facility failed to revise a comprehensive person-centered care plan related to falls for 1 resident (Resident #12) of 16 residents reviewed for comprehensive care plans. The findings include: Review of the facility's undated policy titled, Fall Prevention & Management Program, revealed .When any resident experiences a fall, the facility will .review the resident's care plan and update as indicated . Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, revised 3/2022, revealed, .Care plan interventions are chosen .after data gathering, proper sequencing of events .careful consideration of .resident's problem areas and their causes .interventions address the underlying source(s) of the problem area(s) .not just symptoms or triggers .care plans are revised as .residents conditions change .The interdisciplinary team reviews and updates the care plan .when the desired outcome is not met . Medical record review…

  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

$94,905 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $44,702 — penalty dated 2025-01-08
• $12,529 — penalty dated 2024-05-10
• $37,674 — penalty dated 2024-05-10
• Medicare payment denial — starting 2025-01-30 for 7 days
• Medicare payment denial — starting 2024-06-04 for 69 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to PLAINVIEW HEALTHCARE PARTNERS — 9 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 8 rows in the source record cover these 6 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.

This home reported $371K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

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