Foothills Transitional Care And Rehabilitation

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

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

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

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

52.3% 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 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.7% 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 0.48 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 185 beds and averages 114.8 residents a day — about 62% occupied, or roughly 70 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.73 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 2.88 hrs/resident/day on weekends vs 3.51 on weekdays — 18% thinner on weekends. RN hours go from 0.52 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 51% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

25 citations, most serious first. The 12 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · Gcited before2025-02-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, satellite imagery and measurements from Google Earth review, Historic Weather Data from the National Weather Service (NWS) review, Fire Department (FD) record review, Emergency Medical Services (EMS) records review, facility investigation review, hospital documentation reivew, and interviews the facility failed to prevent an elopement of 1 resident, (Resident #7) of 6 residents reviewed. The facility's failure resulted in Harm to Resident #7 when on the evening of 5/26/2024, Resident #7 exited the facility unbeknownst to staff, walked 0.25 miles away from the facility, down the street, fell over the curb into the yard of a private residence, and was found by an off duty law enforcement officer who was passing by. Resident #7 sustained a fractured Humerus (upper long bone of the arm) in the fall, required transportation by EMS to a local hospital for emergent treatment, then later required outpatient surgical treatment to repair the fracture. The facility…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2023-08-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, record review, document review, observation, and interviews, the facility failed to ensure 1 resident (Resident #10) of 3 residents was safely transferred using a mechanical lift. Specifically, Resident #1 had paralysis and weakness to the left side of the body. The facility failed to assess Resident #10 for the appropriate type of mechanical sling/lift pad to prevent the resident from leaning to the left side. On 11/30/2022 and 01/14/2023, while utilizing a bariatric sized four-point sling, Resident #10 began to lean toward the left side and fell to the floor from the sling. This failure resulted in a left shoulder fracture as a result of the 11/30/2022 fall, a left elbow fracture as a result of the fall on 01/14/2023, and resulted in Resident #10 being fearful of getting out of bed with a mechanical lift. The facility's failure resulted in actual Harm to Resident #10. Findings included: A review of the [Name of the Mechanical Lift] User Manual with a copyright date of 2014…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, observation, and interview the facility failed to maintain a clean and sanitary Kitchen which had the potential to affect 105 of 105 residents of the facility. The findings include: Review of the facility's undated policy titled, Food Safety and Sanitation Policy, revealed .The food and nutrition services department will follow regulations as outlined by other official health agencies .with jurisdiction over the facility .Stored food is handled to prevent contamination and growth of pathogenic organisms .All time, temperature control for safety .foods including leftovers should be labeled, covered and dated when stored .when a food package is opened, the food item should be marked to indicate the open date .This date is used to determine when to discard food . During an observation in the kitchen and interview with the Dietary Manager (DM) on 2/12/2025 at 2:45 PM, during the evening meal preparation revealed the following: The range top was blackened with scattered food particles and residue beneath the burner eyes. The Deep Fryer revealed 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-18 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of resident council minutes and interviews, the facility failed to resolve resident concerns related to food quality for 5 consecutive months from 6/2024 through 11/2024 and were not corrected until 12/2024, 6 months after the initial concerns were lodged during the resident council meetings. The findings include: Review of Resident Council Minutes from 6/2024 revealed .Old Business .Food New Business .Food issues .Dietary .oatmeal needs to be in a bowl .fried potatoes need to be cooked and not hard .want heavier meal at supper time (6 to 2 vote) wanting bigger portions .wanting snacks available .have butter .syrup served with pancakes .hamburger buns .cold food and cold coffee, cold plates, cold eggs, wants snacks around 3:00 PM . Review of Resident Council Minutes for 7/2024 revealed .Dietary .Cold food .not having salad items, sugar for sweet tea, no hamburger buns for hamburgers .wanting whole milk .supply issue . Review of Resident Council Minutes dated 8/2024, revealed .New Business .Residents getting dislikes on their trays .Running out of different condiments…

  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 · E2025-02-18 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to maintain all kitchen equipment in a safe and operable condition. The findings include: During observations in the dietary department and interview with the Dietary Manager (DM) on 2/12/2025 at 2:45 PM, during evening meal preparation, revealed the following: 1. The ice maker was inoperable. The DM stated the ice maker had been out of service for 2 months and not repaired. The DM stated the kitchen staff were required to use an ice maker at an adjacent nursing station to obtain ice for kitchen several times daily. 2. The Convection Oven #1 was inoperable. The DM stated the Convection Oven replacement parts were not unavailable and had been inoperable for 5 months. 3. The plate warming system revealed 1 of 3 plate warmers inoperable. The DM stated the facility administrator was made 10/2024 and had not been repaired or replaced. 4. The 3-compartment sink revealed compartments #1 and #2 had clogged drains. Dirty dish water was pooled in both compartments. The DM stated the sink repeatedly had clogged floor drains which had…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-18 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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 resident council minutes review, medical record review, and interview the facility failed to provide palatable, temperature appropriate, and sufficient meals for 1 resident (Resident #2) of 5 residents reviewed for dietary services. The facility was cited as Past Non-Compliance at F-804 at a Scope and Severity of D. Non-compliance began on 6/1/2024 and ended on 12/10/2024. The facility is not required to submit a Plan of Correction. The findings include: Review of Resident Council Minutes dated 7/2024, revealed .Dietary .Cold food .not having salad items, sugar for sweet tea, no hamburger buns for hamburgers .wanting whole milk .supply issue . Medical record review revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including Atrial Fibrillation, Hypertension, Lumbosacral Spondylosis, Diabetes, Chronic Kidney Disease, Acute Kidney Failure, Chronic Back Pain, Muscle Wasting Multiple Sites, and Depression. Review of the admission Minimum Data Set (MDS) assessment dated [DATE]…

  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 · Past Non-Compliance
• Potential for harm · Fcited before2024-01-10 · 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 ensure kitchen cooking/ serving/ storage equipment was maintained in a sanitary condition, which had the potential to affect 95 of 95 residents, and failed to ensure expired thickened liquids were discarded. The findings include: Review of the facility's policy titled, Cleaning & Sanitation, dated 5/16/2023, showed .ensure that equipment and utensils are properly cleaned and sanitized .Keep all containers used to store utensils (drawers, shelves, bus/ utility bins) clean and free of all debris . Review of the facility's policy titled, Receiving and Storage Standards and Procedures dated 7/5/2019, showed .Discard out-of-date products .Keep all equipment .in good repair, free of defects, cracks, or breaks .clean and free of visible residue buildup . During an observation of the cooking and food preparation area with the Certified Dietary Manager (CDM) on 1/8/2024 at 9:40 AM, showed the following: 1. Eleven 8-inch plate warming bases had multiple pieces broken off, of various sizes, from the anterior…

  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 · D2024-01-10 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to provide privacy for 1 resident (Resident #8) of 95 residents reviewed for resident dignity. The findings include: Review of the facility policy titled, Resident Rights, revised 3/22/2022, showed .The resident has the right to a dignified existence, self-determination, and communication and access to persons and service inside and outside the facility . Resident #8 was admitted to the facility on [DATE] with diagnoses including Anoxic Brain Damage, Peripheral Vascular Disease, Restless Leg Syndrome, Major Depressive Disorder, Muscle Wasting and Atrophy with Physical Debility. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed the resident had a Brief Interview for Mental Status (BIMS) score of 15. Which indicated the resident was cognitively intact. Review of Resident #8's comprehensive care plan last revised 12/27/2023, showed the resident had vision loss and had mobility…

  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 · D2024-01-10 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, facility document review, medical record review and interview, the facility failed to ensure 1 resident (Resident #76) acknowledged having, was educated on or offered information regarding advance directives of 26 advanced directives reviewed. The findings include: Based on the facility policy titled, Residents' Rights Regarding Treatment and Advance Directives, dated 1/2023, showed .It is the policy of this facility to support and facilitate a resident's right to request .to formulate an advance directive .'Advance directive' is a written instruction, such as a living will or durable power of attorney for healthcare .relating to the provision of healthcare when the individual is incapacitated .The facility will provide the resident or resident representative information, in a manner that is easy to understand, about the right to refuse medical or surgical treatment and formulate an advance directive . Review of a facility document titled, Admissions Agreement, dated 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-10 · 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, medical record review, observation, and interviews, the facility failed to maintain a safe, clean, homelike environment in 3 resident (Residents #30, #3, and #8) rooms of 66 rooms observed. The findings include: Review of the facility's policy titled, Routine Cleaning and Disinfection, revised 3/23/2022, showed .It is the policy of this facility to ensure the provision of routine cleaning .in order to provide a safe, sanitary environment .'Cleaning' .refers to the removal of visible soil from objects and surfaces . Review of the facility's policy titled, Safe and Homelike Environment, undated, showed .In accordance with residents' rights, the facility will provide a safe, clean, comfortable and homelike environment .'Environment' refers to any environment in the facility that is frequented by residents, including .the residents' rooms .'Sanitary' includes .keeping resident .equipment clean .equipment includes .equipment used in the completion of the activities of daily living .…

  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 · D2024-01-10 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 3 residents (Residents #48, #42, and #30) of 29 residents reviewed for MDS assessments. The findings include: Review of the facility's policy titled, RAI [resident assessment instrument] Assessment - MDS 3.0 Completion, dated 3/23/2022, showed .Residents are assessed, using a comprehensive assessment process, in order to identify care needs and to develop an interdisciplinary care plan .According to federal regulations, the facility conducts initially and periodically a comprehensive, accurate and standardized assessment of each resident's functional capacity, using the RAI specified by the State . Resident #48 was admitted to the facility on [DATE] with diagnoses including Dementia, Difficulty in Walking, Lack of Coordination, and Muscle Weakness. Review of the medical record showed Resident #48 had a witnessed fall on 12/16/2023. Resident #48 sustained a skin…

  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 · D2024-01-10 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop 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, observation, and interviews the facility failed to implement the care plan for 1 resident (Resident #84) of 29 care plans reviewed. The findings include: Review of the facility policy titled, Comprehensive Care Plans, revised 8/30/2022, showed .It is the policy of this facility to .implement a comprehensive person-centered care plan for each resident .Qualified staff responsible for carrying out interventions specified in the care plan will be notified of their roles and responsibilities for carrying out the interventions . Resident #84 was admitted to the facility on [DATE] with diagnoses including Hypertension, Anxiety Disorder, Dementia, and Repeated Falls. Review of Resident #84's comprehensive care plan dated 6/16/2023, and revised 7/27/2023, showed .Bed alarm . as a fall intervention. Review of the recapitulation orders showed .Start Date .7/27/2023 .Bed alarm . During an observation on 1/10/2024 at 7:45 AM in Resident #84's room, showed the resident…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$9,982 in federal fines across 1 penalty.

• $9,982 — penalty dated 2025-02-18

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

Part of a chain

This home belongs to THE ENSIGN GROUP — 342 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 11 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.

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 26% 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 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