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Monroe Health And Rehabilitation Center

465 Isbill Rd, Madisonville, TN 37354 · For profit - Limited Liability company · 85 certified beds · (423) 442-3990 Medicare & Medicaid certified

Call the home — (423) 442-3990 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jun 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (16) — 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)
  • its payroll-based staffing 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 2 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

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4798 New Highway 68 · (423) 442-2622 · Call to confirm hours
Pharmacy
4515 Highway 411 · (423) 442-5211 · Call to confirm hours
Grocery
4629 Highway 411 · (423) 442-4944 · Call to confirm hours
Park
5260 US-411 · Typically dawn to dusk
Place of worship
446 Isbill Rd

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
Long-stay residentspeople who live here 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 improved from 1 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.6%14.0%15.4%better
Long-stay residents who lose too much weight5.7%6.1%5.4%typical
Long-stay residents with a catheter left in their bladder0.5%0.7%0.9%better
Long-stay residents with a urinary tract infection1.6%1.8%2.0%better
Long-stay residents with depressive symptoms2.9%13.8%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.9%3.4%3.3%worse
Long-stay residents whose ability to walk worsened9.8%17.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication33.3%31.7%18.9%worse
Long-stay residents given the seasonal flu vaccine96.2%94.5%95.3%typical
Long-stay residents with pressure ulcers2.0%5.0%4.7%better
Long-stay residents with worsening bladder/bowel control16.2%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table4.4%16.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.4%1.7%1.4%better
Short-stay residents given the seasonal flu vaccine87.8%79.8%79.4%better
Short-stay residents rehospitalized after admission14.0%22.6%22.6%better
Short-stay residents with an outpatient ER visit5.5%11.2%12.0%better
Long-stay hospitalizations per 1,000 resident days0.591.671.67better
Long-stay outpatient ER visits per 1,000 resident days1.531.561.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

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.

49.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 97 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.5%U.S. median 51.5%
Got home and stayed home
13.5%U.S. median 10.7%
Went back to hospital
43.1%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 43.1% 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 51 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF49.5%CMS range 41.2–58.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.5%CMS range 9.3–17.910.7%Oct 2022–Sep 2024no 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 discharge43.1%56.6%Oct 2024–Sep 2025CMS 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 discharge45.1%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge35.3%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.9%CMS range 4.5–13.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.901.02Oct 2022–Sep 2024CMS 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

0.63
RN hours/ resident / day
0.61
LPN hours/ resident / day
1.82
Aide hours/ resident / day
3.07
Total nurse hours/ resident / day
0.43
RN hoursweekends
43.5%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 85 beds and averages 62.4 residents a day — about 73% occupied, or roughly 23 beds typically open. It usually has some room. 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 3.07 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.57 hrs/resident/day on weekends vs 3.27 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.72 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

10
deficiencies at the latest standard inspection (2026-02-26)
4
at the previous standard inspection (2023-03-21)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

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.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · Fcited before2026-02-26 · 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, observations, and interviews, the facility failed to clean and store kitchen equipment in 1 of 1 kitchen and failed to maintain 1 of 1 walk in freezers in a sanitary condition which had the potential to affect 65 of 65 residents residing in the facility. The findings include: Review of the facility's policy titled, Sanitization, dated 12/2008, revealed .All equipment, food contact surfaces and utensils shall be washed to remove or completely loosen soils by using the manual or mechanical means . Review of the facility's policy titled, Food Safety Requirements, dated 3/26/2025, revealed .Food safety practices shall be followed throughout the facility's entire food handling process .all equipment used in the handling of food shall be cleaned and sanitized in a manner to prevent contamination . Review of the facility's undated policy titled, Sanitation Inspection, revealed It is the policy of this facility .part of the .sanitation program, to conduct inspections to ensure food service areas are clean, sanitary, and in compliance .Sanitation inspections…

    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 · D2026-02-26 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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, observations, and interviews, the facility failed to maintain a clean and sanitary environment for 5 resident rooms (room [ROOM NUMBER], #114, #116, #117 and #118) of 8 rooms observed on 1 of 2 hallways for a clean and sanitary environment.The findings include:Review of the facility policy titled, Routine Bathroom Cleaning, dated 6/2025, revealed .provide a clean and sanitary environment for residents .clean entire toilet including handle and underside of flush rim. Apply disinfectant and allow sufficient contact time .report areas of .damaged items in need of repair .Review of the facility policy titled, Routine Cleaning and Disinfection, dated 6/2025, revealed .it is the policy of this facility to ensure the provision of routine cleaning and disinfection in order to provide a safe, sanitary environment and to prevent the development and transmission of infections to the extent possible .During observations on 2/23/2026 at 10:56 AM, 2/24/2026 at 11:00 AM, and 2/25/2026 at 2:00…

    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 · D2026-02-26 · 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, and interviews, the facility failed to report an allegation of verbal abuse to the State Designated Authority (State Agency) for 1 resident (Resident #37) of 6 residents reviewed for abuse.The findings include:Review of the facility's policy titled, Compliance with Reporting Allegations of Abuse/Neglect/Exploitation, dated 7/2025, revealed .it is the guideline of this facility to report all allegations of abuse/neglect/exploitation or mistreatment .immediately to the Administrator of the facility and to other appropriate agencies .when suspicion of abuse .occur .the licensed nurse will notify the Administrator or designee .the Administrator or designee .will notify the appropriate agencies .obtain statements from direct care staff .suspend the accused employee .Review of the medical record revealed Resident #37 was admitted to the facility on [DATE] with diagnoses including Dementia, History of a Stroke with Right Hemiparesis (weakness), and Chronic…

    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 · D2026-02-26 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interviews, the facility failed to ensure an allegation of verbal abuse was investigated for 1 resident (Resident #37) of 6 residents reviewed for abuse.The findings include:Review of the facility's policy titled, Abuse, Neglect and Exploitation, dated 7/2025, revealed alleged violation is a situation or occurrence that is observed or reported by staff .but has not yet been investigated and, if verified, could be an indication of .abuse .An Immediate investigation is warranted when suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur . Identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses and others who might have knowledge of the allegations . providing complete and thorough documentation of the investigation .taking all necessary actions as a result of the investigation .Review of the medical record revealed Resident #37 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-26 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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, Lippincott Nursing Center website review, medical record review, observation, pharmacy documentation review, and interviews, the facility failed to ensure basic standards for the rights of medication administration were followed for 1 resident (Resident #25) of 3 residents reviewed for medication administration.The findings include:Review of the facility's undated policy titled, Medication Administration, revealed .ensure that the six rights of medication administration are followed .Right resident .Right drug .Right dosage .Right route .Right time .Right documentation .Review MAR [Medication Administration Record] to identify medication to be administered .Compare medication source (bubble pack, vial, etc.) with MAR to verify resident name, medication name, form, dose, route, time .Review of the Lippincott Nursing Center Website resource of the Nursing Drug Handbook dated 2025- 2026, revealed .Medication Errors in Nursing .As a final step in the administration process .and the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide 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 facility policy review, medical record review, observations, and interviews the facility failed to ensure an order was obtained for oxygen (O2) administration, failed to ensure O2 warning signs were placed on the resident's door, and failed to ensure tubing was changed timely for 1 resident (Resident #61), failed to ensure oxygen tubing (nasal cannula) was stored appropriately for 2 residents (Residents #61 and #41), and failed to administer O2 at the prescribed physician rate for 1 resident (Resident #5) of 6 residents reviewed for O2 administration. The findings include: Review of the facility's policy titled, Oxygen Administration, dated 1/8/2024, revealed .Oxygen is administered under orders of a physician .Staff shall document the initial and ongoing assessment of the resident's condition warranting oxygen and the response to oxygen therapy .Change oxygen tubing and mask/cannula weekly and as needed if it becomes soiled or contaminated .Keep delivery devices covered in plastic bag when not in use…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-26 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide 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 policy review, medical record review, observations, and interviews, the facility failed to ensure care needs related to dialysis were consistent with professional standards of practice and the comprehensive person-centered care plan for 1 resident (Resident #5) of 2 residents reviewed for dialysis. The findings include: Review of the facility's policy titled, Hemodialysis, dated 12/2024, revealed .The facility will provide the necessary care and treatment, consistent with professional standards of practice .the facility will coordinate and collaborate .to assure that the resident's needs related to dialysis treatments are met .the facility will ensure that the physician's orders for dialysis include .The type of access for dialysis (e.g. [for example] graft, arteriovenous shunt, external dialysis catheter) and location .the dialysis schedule .nephrologist name and phone number .dialysis facility name and phone number .transportation arrangements to and from the dialysis facility .any medication…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-26 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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, observation, and interviews, the facility failed to ensure the pharmacy provided an accurate physician prescribed medication for 1 resident (Resident #25) of 3 residents observed for medication administration. The findings include:Review of the Pharmacy Services Agreement, dated 2/2023 and continued as current agreement, revealed .Responsibilities of the Pharmacy .maintain accurate drug profiles, consistent with the information provided to the Pharmacy, on each facility resident served by pharmacy .Review of the medical record revealed Resident #25 was admitted to the facility on [DATE] with diagnoses including Hypertension (high blood pressure), Polyneuropathy (nerve damage), and Alcohol Use, Unspecified, With Withdrawal.Review of a comprehensive care plan for Resident #25 dated 1/19/2026, revealed .The resident has altered cardiovascular status r/t [related to] Hypertension .Review of an admission Minimum Data Set (MDS) assessment dated [DATE], 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-26 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each 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 accurately assess the dental status and assist in providing alternate funding sources or delivery systems to meet the dental needs of 1 resident (Resident #43) of 3 residents reviewed for dental services. The findings include:Review of the facility's policy titled, Dental Services, dated 11/2024, revealed .It is the policy of this facility to assist residents in obtaining routine .and emergency dental care .'Routine dental services' means .smoothing of broken teeth .'Emergency dental services' includes services needed to treat an episode of acute pain in teeth .broken, or otherwise damaged teeth .the dental needs of each resident are identified through the physical assessment and MDS [Minimum Data Set] assessment processes, and are addressed in each resident's plan of care .oral/dental status shall be documented according to assessment findings .Review of the medical record revealed Resident #43 was admitted to the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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, medical record review, and interviews, the facility failed to maintain an accurate and complete medical record for 3 residents (Resident's #77, #5, and #6) of 24 sampled residents.The findings include: Review of the facility policy titled Fall Prevention Program, revised 10/01/2025, revealed .When any resident experiences a fall, the facility will .document all evaluations/assessments and actions taken . Review of the facility's undated policy titled Medication Administration, revealed .Review MAR [Medication Administration Record] to identify medication to be administered .Remove medication from source .Administer medication as ordered .Sign MAR after administered . The findings include: Review of the facility policy Fall Prevention Program dated 10/08/2024, revised 10/01/2025, revealed .When any resident experiences a fall, the facility will .document all evaluations/assessments and actions taken . Review of the medical record revealed Resident #77 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · D2024-06-10 · 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 prevent abuse for 3 residents, (Residents #3, #4, and #5) of 7 residents reviewed for abuse or neglect. The facility failures resulted when the facility failed to protect Residents #3, #4, and #5 from abuse by Resident #2, who was involved in 3 separate altercations between 1/16/2024 and 1/20/2024 in which he slapped Resident #4 on 1/16/2024, slapped Resident #3 on 1/19/2024, and grabbed Resident #5's arm on 1/20/2024. The Findings Include: Review of the facility policy titled, Abuse, Neglect, and Exploitation, implemented 9/18/2023, revealed .Abuse .the willful infliction of injury .Physical abuse includes but is not limited to hitting, slapping, punching, biting, and kicking .The facility will make efforts to ensure all residents are protected from physical abuse . Review of the medial record revealed Resident #2 was admitted to the facility 2/8/2022 with diagnoses…

    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 · Fcited before2023-03-21 · tag F0727 — failed to provide required RN coverage — widespread
    Have 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 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 30 days (during the 4th quarter 10/1/2022-12/31/2022) of 92 days reviewed. The findings included: Review of the Facility assessment dated [DATE] showed .staffing plan .Facility Resources needed to provide competent support and care for our resident population every day and during emergencies .Nursing Services DON [Director of Nursing], RN [Registered Nurse] . Review of the facility's nursing staff schedule, facility's daily staffing posting sheets, and facility's time clock punches revealed no RN coverage on 10/3/2022, 10/4/2022, 10/5/2022, 10/7/2022, 10/8/2022, 10/11/2022, 10/17/2022, 10/18/2022, 10/21/2022, 10/22/2022, 10/23/2022, 10/26/2022, 10/27/2022, 11/4/2022, 11/5/2022, 11/10/2022, 11/15/2022, 11/19/2022, 11/23/2022,…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-03-21 · 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 reviews, observations, and interviews, the facility failed to maintain a safe and sanitary kitchen for 1 of 1 reach in cooler, in 1 of 1 walk-in freezers, in 1 of 1 milk cooler, and failed to ensure a beard covering was used for 1 of 4 employees working in the kitchen affecting 56 of 56 residents in the facility. The findings include: The facility policy titled, Refrigerators and Freezers, dated 12/2008 showed .Monthly tracking sheets for all refrigerators .will be posted to record temperatures .will include .temperature .'action taken' .if temperatures are not acceptable .The supervisor will take immediate action if temperatures are out of range .All food shall be appropriately dated to ensure proper rotation by expiration dates .'Use by' dates will be completed with expiration dates on all prepared food in refrigerators . The facility policy titled, Food Preparation and Service, dated 10/2017 showed .staff will adhere to proper hygiene and sanitary practices .staff shall wear hair restraints ( .beard restraint .) so that hair does not contact food . During…

    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 · D2023-03-21 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 act upon the consulting Pharmacist's recommendations for 2 residents (Residents #2 and #6) of 5 residents reviewed for unnecessary medications. The findings include: Review of the facility policy titled, Physician Services, revised 4/2013, showed .The attending physician will determine the relevance of any recommended interventions from any discipline .physician is not obligated to accept these recommendations if .clinically valid reasons for not doing so . Resident #2 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease and Hyperlipidemia (high blood cholesterol). Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #2 was cognitively intact and recieved hospice care. Review of the Consultant Pharmacist Communication for review period 7/2022 showed, .resident is currently Hospice Care .evaluate the following med(s) to determine if…

    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 · Fcited before2019-10-30 · tag F0727 — failed to provide required RN coverage — widespread
    Have 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 nursing staff schedules and interview, the facility failed to ensure a Registered Nurse (RN) worked 7 days a week for at least 8 hours a day for 14 days of 122 days reviewed. The findings include: Review of the facility's nursing staff schedules for July 2019, August 2019, September 2019, and October 2019 revealed no RN on duty for 7/7/2019, 7/20/2019, 7/21/2019, 8/3/2019, 8/4/2019, 8/10/2019, 8/17/2019, 8/18/2019, 9/28/2019, 9/29/2019, 10/12/2019, 10/13/2019, 10/19/2019, and 10/20/2019. Interview with the Director of Nursing (DON) on 10/29/19 at 12:20 PM, in the conference room, confirmed she was aware there was no RN on duty 7 days a week for at least 8 hours a day in the facility. Interview with Human Resource (HR) #1 on 10/29/19 at 3:10 PM, in the Human Resource Office, confirmed there was no RN coverage for the dates of 7/7/2019, 7/20/2019, 7/21/2019, 8/3/2019, 8/4/2019, 8/10/2019, 8/17/2019, 8/18/2019, 9/28/2019, 9/29/2019, 10/12/2019, 10/13/2019, 10/19/2019, and 10/20/2019. Interview with the Assistant Director of Nursing (ADON) on 10/30/19…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-03-21 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on facility policy review, observation, and interview, the facility failed to post daily staffing for 1 day of 3 days reviewed. The findings include: Review of the facility policy untitled and undated showed .The nurse staffing data needs to be posted on a daily basis at the beginning of each shift . Observation on 3/19/2023 at 9:40 AM, showed daily staffing sheet was dated Saturday 3/18/2023. During an interview on 3/19/2023 at 9:49 AM, the Therapy Director confirmed the daily staffing sheet was dated Saturday 3/18/2023. During an interview on 3/19/2023 at 11:00 AM, the Director of Nursing stated it was her expectation daily staffing would be posted daily. The nurse manger is responsible for posting the daily staffing sheet Monday through Friday, and the weekend manager is responsible for posting daily staffing Saturday and Sunday. She confirmed daily staffing had not been posted for 3/19/2023.

    Nursing and Physician Services 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CHAMPION CARE — 22 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 →

RatingThis homeChain avg
Overall 3 of 52.2+0.8 vs chain
Health inspection 2 of 52.1-0.1 vs chain
Staffing 2 of 52.3-0.3 vs chain
Quality measures 5 of 53.0+2.0 vs chain
The other 21 homes this chain runs (chain average 2.2★, per CMS)
1 of 5Burlington Health and Rehabilitation CenterBurlington, WI 1 of 5Lyonsview Health And Rehabilitation CenterKnoxville, TN 1 of 5Madison Health and Rehabilitation CenterMadison, WI 1 of 5Manahawkin Health And Rehabilitation CenterManahawkin, NJ 1 of 5Suring Health and Rehab CenterSuring, WI 1 of 5Waters Edge Health and Rehabilitation CenterKenosha, WI 2 of 5Avondale Health and Rehabilitation Center, LLCHumboldt, TN 2 of 5Beloit Health And Rehabilitation CenterBeloit, WI 2 of 5Eastview Health and Rehabilitation CenterAntigo, WI 2 of 5Highlands Health And Rehabilitation CenterMemphis, TN 2 of 5Muskego Health and Rehabilitation CenterMuskego, WI 2 of 5North Ridge Health and Rehabilitation CenterManitowoc, WI 2 of 5Oconto Health and Rehab CenterOconto, WI 2 of 5Riverside Health And Rehabilitation Center LLCTrenton, NJ 2 of 5Sheridan Health and Rehabilitation CenterKenosha, WI 3 of 5Patriot Health and Rehabilitation CenterParis, TN 4 of 5Dyersburg Health And Rehabilitation CenterDyersburg, TN 4 of 5Nu Roc Health and Rehabilitation CTRLaona, WI 4 of 5Okeena Health And Rehabilitation Center LLCDyersburg, TN 4 of 5St Ann Health and Rehabilitation CenterMilwaukee, WINot rated (Special Focus)Medical Suites at Oak Creek (The)Oak Creek, WI

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

Owner / managerTypeRoleShareSince
MONROE OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/01/2024
ALICIA F MACKIE ESTATEOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10%since 04/01/2024
FINK, EPHRAIMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST8%since 04/01/2024
RUVEL, MENACHEMIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 04/01/2024
WEINBERG, YISROELIndividualCORPORATE OFFICERsince 04/01/2024
CHAMPION CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 04/01/2024

CMS files one row per role, so the 7 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

$5.4M
Net patient revenuemost recent cost report
+23.1%
Operating marginrevenue minus expenses
$483K
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 43%Medicare 10%Other / private 47%

This home reported $483K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$238per resident / day
operating cost
$7,247per month
≈ monthly operating cost
$310per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Tennessee Medicaid page.

Typical monthly cost in Tennessee
$9,429/mo
Nursing home (semi-private)
$10,038/mo
Nursing home (private)
$5,845/mo
Assisted living

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 445457. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-26, 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.

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