Wellpark Health And Rehabilitation
7512 Middlebrook Pike, Knoxville, TN 37909 · For profit - Corporation · 32 certified beds · (865) 690-3411 Medicare only — no Medicaid
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0602), cited Jan 2025
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Short-stay residents who newly got an antipsychotic medication | 0.9% | 1.7% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 95.5% | 79.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.5% | 22.6% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 5.8% | 11.2% | 12.0% | better |
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
63.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 243 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 61.4% 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 158 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 1.43 therapist hours per resident per day in 2026Q1 — more than 99% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 63.0%CMS range 59.4–66.9 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.5%CMS range 8.2–15.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 61.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 44.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 72.2% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 99.3% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.0%CMS range 3.2–9.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.62 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 32 beds and averages 30.5 residents a day — about 95% occupied, or roughly 2 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 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 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 3.50 hrs/resident/day on weekends vs 3.97 on weekdays — 12% thinner on weekends. RN hours go from 0.80 to 0.46 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 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.
20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.
- Potential for harm · F2026-05-01 · tag F0851 — widespreadElectronically 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 interview and facility document review, the facility failed to electronically submit an accurate Payroll-Based Journal (PBJ) (staffing information for all employees in the nursing home based on payroll data submitted on a quarterly schedule) timely to the Centers for Medicare and Medicaid Services (CMS) for 1 (first quarter) 1 quarter reviewed for fiscal year 2026.Findings included: The facility's PBJ Staffing Data Report for the first quarter (October 1 through December 31) fiscal year 2026 indicated the facility failed to submit the PBJ report for the quarter. The CMS Submission Report PBJ Final File Validation Report, dated 02/14/2026 at 1:16 AM, regarding the first quarter of fiscal year 2026, indicated one file was processed and was rejected due to an employee's identification not matching an identification in the PBJ system. The report revealed, If a match cannot be found, the PBJ submission file will be rejected. During an interview on 04/30/2026 at 12:21 PM, the Executive Director (ED) stated the facility's PBJ report was submitted by a contracted service center.…
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.
- Potential for harm · E2026-05-01 · tag F0583 — failed to protect personal privacy — patternKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, facility document and policy review, the facility failed to protect residents' personal information for 2 (halls 100 and 400) of 4 halls. Findings included: A facility policy titled, HIPAA Compliance Policy and Procedure, last reviewed in 01/2026, indicated, All staff, volunteers, and vendors must not disclose any medical information about a resident, either, verbally, written, or electronically. An observation on 04/28/2026 at 4:32 AM revealed a phlebotomist approached the nurses' station, opened a laboratory binder, and obtained a piece of paper. The phlebotomist left the laboratory binder open on top of the nurses' station when he walked away to start to obtain the venipunctures (blood draws). The document titled, iPowerDoc Daily Log, dated 04/28/2026 to 04/28/2026, remained visible in the open binder on top of the nurses' station and revealed resident names, room numbers, and laboratory tests to be completed. An observation on 04/28/2026 at 4:36 AM, revealed a clipboard placed in the upright position on the ledge of the nurses' station that…
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.
- Potential for harm · Dcited before2026-05-01 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and facility policy review, the facility failed to develop a care plan to address the use of an anticoagulant for 1 (Resident #59) of 2 residents reviewed for care plan concerns. Findings included: A facility policy titled, Comprehensive Person-Centered Care Planning, reviewed in 01/2026, indicated, It is the policy of this facility that the interdisciplinary team (IDT) shall develop a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychological needs that are identified in the comprehensive assessment. The IDT will also develop and implement a baseline care plan for each resident, within 48 hours of admission, that includes minimum healthcare information necessary to properly care for each resident and instructions needed to provide effective and person-centered care that meet professional standards of quality care. A Face Sheet revealed the facility admitted Resident #59 on 08/06/2025. A 5-day Minimum Data Set (MDS), with an Assessment…
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.
- Potential for harm · D2026-05-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to ensure a physician order was in place for a non-invasive mechanical CPAP (Continuous Positive Airway Pressure) ventilator for 1 (Resident #66) of 2 residents reviewed for respiratory care. Findings included: A facility policy titled, Physician Orders, reviewed in 01/2026, indicated, It is the policy of this facility to accurately implement orders in addition to medication orders (treatment, procedures) only upon the order of a person duly licensed and authorized to do so in accordance with the resident's plan of care. A Face Sheet revealed the facility admitted Resident #66 to the facility on [DATE]. A 5-day Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 06/21/2025, revealed Resident #66 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. Obstructive sleep apnea was included as an active diagnosis on the resident's MDS. Resident #66's LN [Licensed…
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.
- Potential for harm · Dcited before2026-05-01 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and facility policy review, the facility failed to ensure the correct resident's name was used in a comprehensive care plan for 1 (Resident #59) of 18 residents reviewed for care plans. Findings included: A facility policy titled, Documentation and Charting, dated 01/2026, indicated, It is the policy of this facility to provide, and 5. Assistant in the development of a Plan of Care for each resident. A Face Sheet revealed the facility admitted Resident #59 on 08/06/2025. A 5-day Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 08/12/2025, revealed Resident #59 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident had intact cognition. The MDS revealed Resident #59 had an active diagnosis of a hip fracture. Resident #59's Care Plan Report included a focus area, initiated 08/07/2025, that indicated the resident had a potential for alteration in diversional activities related to a preference to initiate activities of choice independently. Interventions directed staff to: invite and encourage group…
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.
- Potential for harm · Dcited before2026-05-01 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review, and facility document and policy review, the facility failed to ensure staff donned the recommended personal protective equipment (PPE) when providing incontinence care for 1 (Resident #8) of 5 residents reviewed for infection control. Specifically, Certified Nursing Assistant (CNA) #1 failed to don a gown when providing incontinence care to Resident #8, who required Enhanced Barrier Precautions (EBP). Findings included: A facility policy titled, Process: Enhanced Barrier Precautions, reviewed 01/2026, indicated, Staff will follow CDC [Centers for Disease Control and Prevention] guidelines for PPE use. Facility signage, produced by the CDC and titled Enhanced Barrier Precautions indicated, Providers and staff must also: Wear gloves and a gown for the following High-Contact Resident Care Activities. Dressing Bathing/Showering Transferring Changing Linens Providing Hygiene Changing briefs or assisting with toileting Device care or use: central line, urinary catheter, feeding tube, tracheostomy Wound care: any skin opening requiring a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-24 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 facility policy review, medical record review, observations, and interviews, the facility failed to ensure the resident's right to dignity was protected for 1 resident (Resident #11) of 30 residents reviewed for dignity. The findings include: Review of the facility's policy titled, Dignity, revised 2/2021, revealed .Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of self-worth and self-esteem .Residents are treated with dignity and respect at all times .Staff protect confidential information. Examples include the following .Signs indicating the resident's clinical status or care needs are not openly posted in the resident's room unless specifically requested by the resident or family member. Discreet posting of important clinical information for safety reasons is permissible (e.g., taped to the inside of the door) . Review of the medical record revealed Resident #11 was admitted to the facility on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-24 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect 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, medical record review, facility documentation review, and interview the facility failed to protect 1 resident (Resident #84) of 16 residents reviewed for misappropriation of property. The findings include: Review of the facility's policy titled, Abuse Prohibition Plan, dated 11/2/2023, revealed .The facility has a zero-tolerance policy for abuse .The resident shall not be subjected to .misappropriation of property .'Misappropriation of Resident Property' means the deliberate misplacement .wrongful, temporary .permanent, use of a resident's belongings .money without the resident's consent .A thorough investigation of the history of all potential employees shall be completed prior to making an offer of employment . Review of the medical record revealed Resident #84 was admitted to the facility on [DATE] with diagnoses including Right Femur Fracture and Macular Degeneration. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #84 scored a 15 on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-01-24 · tag F0641 — isolatedEnsure 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 facility policy reivew, the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual review, medical record review and interview, the facility failed to accurately complete Minimum Data Set (MDS) assessments for 1 residents (Resident #22) for falls and for 1 resident (Resident #31) for discharge location of 11 residents reviewed for MDS assessments. The findings include: Review of the faiclity's policy titled, Certifying Accuracy of the Resident Assessment, dated 11/2019, revealed .Any person completeing a portion of the .MDS .must sign and certify the accuracy of that portion of the assessment .The information captured on the assessment reflects the status of the resident during the observation (look-back) period for that assessment . Review of the RAI Version 3.0 Manual dated 10/2024, revealed .documents the location to which the resident is being discharged at the time of discharge .Review the medical record including the discharge plan .discharge…
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.
- Potential for harm · Dcited before2025-01-24 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 develop a comprehensive care plan timely for pressure ulcers for 1 resident (Resident #11) of 2 residents reviewed for wounds of 4 residents sampled. The findings include: Review of the facility's policy titled, Skin and Wound Monitoring and Management, revised on 12/2023, revealed .Facility nursing staff will identify and document in the resident's clinical records, the condition and pressure injury risk factors .implementation of a plan of care will begin at admission with the initial care plan and be completed throughout assessment process for developing a comprehensive plan of care . Review of the facility's policy titled, Comprehensive Person-Centered Care Planning, revised on 12/2023, revealed .The facility IDT [interdisciplinary team] will develop and implement a comprehensive-person centered .care plan for each resident within seven (7) days of completion of the Resident Minimum Data Set (MDS) and will include…
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.
Show the remaining 10 citations
- Potential for harm · D2025-01-24 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 ensure a care plan was revised to include new interventions after a fall for 1 resident (Resident #22) of 3 residents reviewed for falls. The findings include: Review of the facility's policy titled, Falls and Fall Risk, Managing, revised 3/2018, revealed .staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling .Resident-Centered Approaches to Managing Falls and Fall Risk .staff .will implement a resident-centered fall prevention plan to reduce the specific risk factors of falls for each resident at risk or with a history of falls .If falling recurs despite initial interventions, staff will implement additional or different interventions . Review of the facility's policy titled, Comprehensive Person-Centered Care Planning, revised on 12/2023, revealed .It is the policy of this facility that the interdisciplinary team (IDT) shall develop a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-01-24 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 physician's orders for wound care were followed for 1 resident (Resident #11) of 2 residents reviewed for wounds of 4 residents sampled. The findings include: Review of the facility's policy titled, Skin and Wound Monitoring and Management, revised on 12/2023, revealed .It is the policy of this facility that .A resident having pressure injury(s) receives necessary treatment and services to promote healing, prevent infection . Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] with diagnoses including Fracture of the Right Femur, Encounter for Orthopedic Aftercare, Type 2 Diabetes Mellitus, and End Stage Renal Disease. Review of a Wound assessment dated [DATE], revealed Resident #11 had a Deep Tissue Injury (DTI) to the right heel that was present on admission to the facility. The wound measured 6 centimeters (cm) x (by) 5.5 cm. Review of an Order Summary Report 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.
- Potential for harm · D2025-01-24 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 a resident's weights were accurately recorded and monitored for 1 resident (Resident #28) of 4 residents reviewed for weight loss. The findings include: Review of the facility's policy titled, Weighing and Measuring the Resident, dated 3/2011, revealed .When weighing the resident the following guidelines will promote accurate weight assessment .weigh at the same time of day each time .use the same scale for weighing .weigh .with approximately the same amount of clothing .Be sure the weight scale is calibrated .Zero the scale .Weigh the wheelchair .record the resident's weight .Subtract the weight of the wheelchair .Report significant weight loss .to the nurse supervisor . Review of the medical record revealed Resident #28 was admitted to the facility 12/4/2024 with diagnoses including Sepsis, Severe Protein-Calorie Malnutrition, Dehydration, Anxiety, and Major Depressive Disorder. Review of the Physician's Orders…
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.
- Potential for harm · D2025-01-24 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such 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, medical record review, and interviews, the facility failed to ensure dialysis communications records were completed for 1 resident (Resident #11) of 1 resident reviewed for dialysis. The findings include: Review of the facility's dialysis contract dated 4/5/2013, revealed .facility will provide for the interchange of information useful or necessary for the care of the designated resident . Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] with diagnoses including End Stage Renal Disease (ESRD), Hypertensive Heart and Kidney Disease, and Diabetes. Review of the Physician's Orders for Resident #11 dated 12/13/2024, revealed .Dialysis: check site for bleeding and signs or symptoms of infection [to] R [right] chest every day and night shift .Dialysis: Appointment .Mon [Monday], Wed [Wednesday], Fri [Friday] . Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #11 scored a 13 on the Brief Interview 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.
- Potential for harm · D2025-01-24 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 facility policy review, observation, and interview, the facility failed to ensure medications were secured appropriately on 1 of 2 medication carts observed for medication storage. The findings include: Review of the facility's policy titled, Medication Labeling and Storage, dated 2001 (exact date unknown), revealed .the facility stores all medications and biologicals in locked compartments .only authorized personnel have access to [the] keys .compartments .including .carts .containing medications .are locked when not in use .and .carts used .are not left unattended if open or .available to others . During an observation on 1/23/2025 at 11:30 AM, revealed the 200/300 hall medication cart was stored at the nurses' station, locked, with the medication cart keys present in the outer lock located on the left upper drawer. Further observation revealed the nurse designated to the hall (Licensed Practical Nurse-LPN G) was not present at the nurses' station. There were staff members present on the hall, and no residents were present at the time of the observation. Continued…
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.
- Potential for harm · Dcited before2025-01-24 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 maintain an accurate medical record for 1 resident (Resident #11) of 2 residents reviewed for wounds of 4 residents sampled. The findings include: Review of the facility's policy titled, Charting and Documentation, dated 2001 revealed .All services provided to the resident .shall be documented in the resident's medical record .The following information is to be documented in the resident's medical record .Medications administered .Treatments or services performed . Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] with diagnoses including Fracture of the Right Femur, Encounter for Orthopedic Aftercare, Type 2 Diabetes Mellitus, and End Stage Renal Disease. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #11 scored a 13 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. 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.
- Potential for harm · Dcited before2025-01-24 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 failed to implement Enhanced Barrier Precautions (EBP) for 1 resident (Resident #10) and failed to identify the need for EBP for 1 resident (Resident #34) of 5 residents reviewed for EBPs. The facility failed to offer hand hygiene during meal service to 5 residents (Residents #22, #134, #135, #11, and #136) on 1 of 3 halls observed for meal service. The findings include: Review of the facility's policy titled, Preparing the Resident for a Meal, revised on 9/2010, revealed .Encourage the resident to wash his or her face and hands. Assist as needed . Review of the facility's policy titled, Enhanced Barrier Precautions, dated 8/2022, revealed .Enhanced barrier precautions .are utilized to prevent the spread of multi-drug resistant organisms (MDROs) to residents .EBP are used as an infection prevention and control intervention .gloves and gown are applied prior to performing high contacted resident care activity…
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.
- Potential for harm · D2025-01-24 · tag F0887 — isolatedEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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, Centers for Disease Control and Prevention (CDC) recommendations, medical record review, and interview, the facility failed to offer COVID-19 immunizations according to CDC recommendations and facility policy for 3 residents (Residents #10, #134, and #139) of 5 residents reviewed for immunizations. The findings include: Review of the facility's policy titled, Immunizations - Residents, reviewed/revised on 7/2023, revealed .It is the policy of this facility to offer and administer .COVID-19 immunization to eligible residents .Residents will be screened at the time of admission to determine vaccine status and eligibility using current CDC .guidelines, to receive the .COVID-19 vaccine(s) . Review of the Centers for Disease Control and Prevention (CDC) documentation titled, Staying Up to Date with COVID-19 Vaccines, dated 1/7/2025, revealed .Who needs a COVID-19 vaccine .Everyone ages 6 months and older should get the 2024-2025 COVID-19 vaccine. This includes people who have received…
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.
- Potential for harm · Dcited before2022-05-25 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 the Facility Assessment, facility policy, medical record review, hospital documentation review, and interviews, the facility failed to follow Physician's Orders and provide treatment for 3 Residents (#65, #110, and #112) of 9 residents reviewed for physician orders. The findings include: Review of the Facility Assessment, dated 4/2019, showed .services such as laboratory tests .are handled routinely .medications are administered by licensed nursing staff . Review of the facility policy titled, Medications Dispensed According to Prescriber's Orders, dated 8/1/2015, showed .the pharmacy dispenses medication according to the most recent order . Review of the medical record showed Resident #65 was admitted to the facility on [DATE] for rehabilitation following Posterior Lumbar Decompression with Fusion, L2 - L3 (lumbar) with diagnoses including Fusion of Spine, Lumbosacral Region, Encounter for Other Orthopedic Aftercare, Spinal Stenosis, Lumbar Region, Depression, and Type 2 Diabetes Mellitus. Continued…
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.
- Potential for harm · D2022-05-25 · tag F0727 — failed to provide required RN coverage — isolatedHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the facility's assessment, facility's nursing staff schedules, daily nursing staff posting sheets, time clock punches, and interviews, the facility failed to provide the services of a Registered Nurse (RN) for the minimum requirement of 8 consecutive hours a day for 7 days (between the period 5/7/2022-5/25/2022) of 18 days reviewed. The findings include: Review of the Facility assessment dated 4/2019 showed .staffing plan includes the RN nurse manager to oversee the clinical operations each day . Review of the facility's nursing staff schedule, daily staffing posting sheets, and time clock punches revealed: 5/7/2022- RN coverage from 12:00 AM-7:45 AM (7 hours 45 minutes). 5/8/2022- No RN coverage. 5/10/2022- RN coverage from 12:00 AM- 7:30 AM (7 hours 30 minutes). 5/11/2022- RN coverage from 12:00 AM-7:27 AM (7 hours 27 minutes). 5/13/2022- RN coverage from 12:00 AM-7:00 AM (7 hours). 5/21/2022- RN coverage from 12:00 AM- 7:00 AM (7 hours) 5/22/2022- No RN coverage During an interview on 5/24/2022 at 3:23 PM, the Director of Nursing (DON) stated the staffing…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| AMERICAN HEALTH COMPANIES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/21/2024 |
| AHP ORCHARDS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| FLP LIMITED PARTNERSHIP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| MFO AHP LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| MITCHELL FAMILY II IRREVOCABLE TRUST U/A DATED OCTOBER 26, 2016 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| MITCHELL FAMILY III IRREVOCABLE TRUST U/A DATED JULY 14, 2017 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| MITCHELL FAMILY IRREVOCABLE TRUST U/A DATED DECEMBER 28, 2012 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| ORCHARD HOLDINGS II LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| ORCHARD HOLDINGS III, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| ORCHARD HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/21/2024 |
| BAILEY, MICHAEL | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 06/21/2024 |
| BOGLE, JEFFREY | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 06/21/2024 |
| BRADLEY, ROBIN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 06/21/2024 |
| TENNESSEE HEALTH MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/18/2025 |
| HANCOCK, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/21/2024 |
| MCCORD, KEITH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/21/2024 |
CMS files one row per role, so the 22 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.
11 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.
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
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Tennessee Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 445523. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-01, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.