Christian Care Center Of Medina

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

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

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

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

72.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 133 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 17.3% 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 52 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 0.35 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 66 beds and averages 61.0 residents a day — about 92% occupied, or roughly 5 beds typically open. It runs fairly full. 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.96 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 2.93 hrs/resident/day on weekends vs 3.52 on weekdays — 17% thinner on weekends. RN hours go from 0.44 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

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

• Immediate jeopardy · J2024-01-02 · 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 policy review, facility investigation forms, medical record review, and interview, the facility failed to ensure residents' right to be free from abuse for 4 of 20 (Resident #20, #24, #40, and #307) sampled residents reviewed for abuse. The facility's failure to ensure residents' right to be free from abuse resulted in Immediate Jeopardy (IJ) when on 7/20/2023, Resident #307 who's a severely cognitively impaired resident was observed in the Day Room rubbing the exposed breast of Resident #24, on 7/21/2022, when Resident #24 who's a moderately cognitively impaired resident was observed in the Day Room with her hand in the front of Resident #307's pants where other residents were present, and on 8/27/2023, when Residents #307 and #24 were observed with their hands in each other's pants with this incident captured on camera. The facility failed to place either resident on one-on-one monitoring, or document increased monitoring of the residents to ensure no other incidents occurred between the residents,…

  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
• Immediate jeopardy · J2024-01-02 · 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 policy review, job description review, medical record review, and interview, the facility failed to report allegations of abuse to the appropriate agencies for 4 of 20 (Residents #307, #24, #40, and #20) sampled residents reviewed for abuse. The facility's failure to report incidents of abuse to the State Survey Agency resulted in Immediate Jeopardy (IJ) when the facility failed to report allegations of sexual abuse between Resident #24 and Resident #307, and between Resident #20 and Resident #40. Incidents of abuse between Resident #307, who's severely cognitively impaired, and Resident #24, who's moderately cognitively impaired, occurred on 7/20/2023, 7/21/2023 and 8/27/2023. Resident #40, who's severely cognitively impaired, had a history of sexual behaviors towards staff on 10/25/2023 and 10/30/2023. The facility failed to implement effective interventions to prevent abuse of residents following sexual behaviors toward facility staff. On 11/1/2023, Resident #40 was observed in Resident #20's room 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
• Immediate jeopardy · J2024-01-02 · 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 policy review, medical record review, facility investigation review, and interview, the facility failed to provide evidence that a thorough investigation was conducted related to abuse for 4 of 20 (Resident #24, #307, #40, and #20) sampled residents reviewed for abuse. The facility's failure to thoroughly investigate allegations of abuse resulted in Immediate Jeopardy (IJ) related to Residents #24, #307, #40, and #20. On 7/20/2023, the facility failed to investigate the report by staff that Resident #307, a severely cognitively impaired resident, was observed rubbing the exposed breast of Resident #24, on 7/21/2023, when Resident #24, a moderately cognitively impaired resident, was observed with her hand down in the front part of Resident #307's pants, and on 8/27/2023, when Residents #307 and #24 were observed with their hands in each other's pants with this incident captured on camera. On 10/25/2023 and 10/30/2023, Resident #40, a severely cognitively impaired resident, was touching staff members…

  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
• Immediate jeopardy · J2024-01-02 · tag F0835 — failed to run the facility competently — isolated
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, job description review, and interview, the facility Administration failed to provide oversight to ensure all residents were free of abuse, failed to conduct thorough investigations related to abuse incidents, failed to report abuse to appropriate state agencies, and failed to ensure the Quality Assurance Performance Improvement (QAPI) program included ongoing problems with resident safety to prevent, identify, report, and thoroughly investigate, allegations of abuse. The Administration's failure to ensure all residents were free of abuse resulted in Immediate Jeopardy for Residents ##307, #24, #20, and #40. On 7/20/2023, Resident #307, a severely cognitively impaired resident, was observed rubbing the exposed breast of Resident #24; on 7/21/2023, Resident #24, a moderately cognitively impaired resident, was observed with her hand down the front part of Resident #307's pants, and on 8/27/2023, Resident #307 and Resident #24 were observed with their hands in each other's pants and the incident was captured on camera. On 10/25/2023 and 10/30/2023, Resident #40,…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-14 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, observation and interview the facility failed to ensure medications were properly stored when medications were unsecure and unlabeled in 1 of 3 (200 Hall Cart) medication storage carts. The findings include: 1. Review of the facility policy titled, Storage of Medications, dated 4/2019, revealed .The facility stores all drugs and biologicals in a safe, secure, and orderly manner.The nursing staff is responsible for maintaining medication storage and preparation areas in a clean, safe, sanitary manner. Review of the facility policy titled, Administering Oral Medications, dated 10/2010, revealed .The purpose of this procedure is to provide guidelines for the safe administration of oral medications.Select the drug from the unit dose drawer or stock supply. Check the label on medication and confirm the medication name and dose with the MAR [Medication Administration Record]. Check the expiration dated.Check the medication dose.Prepare the correct dose of medication.Confirm the identity of the resident. Explain the procedure to the resident.Remain with 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.

  Pharmacy Service Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · E2026-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions when unlabeled, undated, and expired food items were stored. The facility had a census of 59 and 59 of the residents were served from the Kitchen. The findings include: 1. Review of the facility's policy titled, Food Receiving and Storage, dated October 2017, revealed .All foods stored in the refrigerator or freezer will be covered, labeled and dated ( use by date). Review of the facility's policy titled, Food Safety - Infection Control, dated 9/25/2023, revealed .All food items must be labeled and dated.must have a label identifying the contents with the type of food item, the date received, and the date opened. Open food items must also include a use-by date. 2. Observation in the kitchen in the reach in refrigerator on 1/12/2026 at 8:03 AM, revealed the following: a. 1 plastic container with 3 boiled eggs with use by date 1/11/2026. b. 1 metal canister with pureed sausage with use by date 1/11/2026. c. 1 metal canister with…

  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 plan of correction
• Potential for harm · D2025-03-12 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, and interview, the facility failed to develop an accurate baseline care plan within 48 hours for 2 of 17 (Resident #47 and #412) sampled residents reviewed for baseline care plans. The findings include: 1. Review of the medical record revealed Resident #47 was admitted to the facility on [DATE], with diagnoses including Extended Spectrum Beta Lactamase (ESBL), Urinary Tract Infection (UTI), Dementia, Fracture of Upper and Lower End of Left Fibula, and Depression. Review of the admission Minimum Date Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 3, which indicated Resident #47 was severely cognitively impaired without behaviors. Review of the Baseline Care Plan dated 1/2/2025, revealed risk for complications related to cognitive decline/impaired communication. Resident #47 was on Antidepressants and Psychotropic medication. Resident had an altered thought process related to short- and long-term memory problem. Review of the Baseline…

  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 · Dcited before2025-03-12 · 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 policy review, medical record review, and interview the facility failed to timely notify the physician and failed to reassess pain for a resident with a fall that resulted in a fracture for 1 of 4 (Resident #212) sampled residents reviewed for falls. The findings include: 1. Review of the facility policy titled, Fall Prevention Program, dated 2/2025, revealed .The Fall Prevention Program is designed to ensure a safe environment for all Residents .When fall occurs .Conduct a physical assessment .Notify MD [Medical Director] and transfer to ER [Emergency Room] for evaluation for obvious injury. Notify nursing supervisor, responsible party, and family . Review of the facility policy titled, Pain Management dated 3/2025, revealed The facility must ensure that pain management is provided to residents who require such services, consistent with professional standards of practice .Manage or prevent pain, consistent with comprehensive assessment and plan of care, current professional standards of practice .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 · D2025-03-12 · 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 policy review, medical record review, observation, and interview, the facility failed to follow physician orders and to monitor the oxygen flow rate for 2 of 2 (Resident #59 and #412) sampled residents reviewed for respiratory therapy. The findings include: 1. Review of the facility policy titled, Oxygen Therapy/Administration, dated 11/2018, revealed .The purpose of this procedure is to facilitate breathing by providing supplemental oxygen to Residents so that oxygen concentrations are increased to enhance tissue perfusion .Turn oxygen on the prescribed amount . 2. Review of the medical record revealed Resident #59 was admitted to the facility on [DATE], with diagnoses including Chronic Respiratory Failure with Hypoxia [inadequate supply of oxygen to the body's tissues], Pulmonary Hypertension, Pneumonia, and Interstitial Pulmonary Disease. Review of the Physician orders dated 2/21/2025, revealed .02 [oxygen] @ [at] 4LPM [liters per minute] by NC [nasal canula]- Every Shift .to decrease the risk for…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview, the facility failed to ensure a resident's medication regimen was free from unnecessary medications in excessive dosages for 1 of 6 residents (Resident #33) sampled for unnecessary medications. The findings include: 1. Review of the facility's policy titled, .Orders for Services . dated 10/2024, revealed .Products, service, treatment, and care are provided in accordance with the most current physician's order .When a written order is received, appropriate staff will verify it for accuracy, completeness, and appropriateness .Service, treatment and/or care will be provided based on the most current written order . 2. Review of the medical record revealed Resident #33 was admitted to the facility on [DATE], with diagnoses including Diabetes, Morbid Obesity, Chronic Obstructive Pulmonary Disease, and Hypertension. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #33 has a Brief Interview for Mental Status (BIMS)…

  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 · D2025-03-12 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview the facility failed to ensure residents' medication regimen was free of unnecessary medications when the facility failed to provide evaluation and rationale for continued orders for (PRN) as needed psychotropic medications for 2 of 6 (Resident #19 and Resident #412) sampled residents reviewed for unnecessary medications. The finding include: 1. Review of the facility policy titled, Psychotropic Medications, revised 11/2022, revealed .Residents are not given psychotropic drugs unless the medication is necessary to treat a specific condition .PRN orders for all psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that is documented in the clinical record, and for a limited duration (i.e. [that is] 14 days) .If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she shall document their rationale in 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 rosemontpharma.com, Medlineplus.gov, policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 6 (Licensed Practical Nurse (LPN) F and LPN C) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 28 opportunities, resulting in a medication error rate of 7.14%. The findings include: 1. Review of the rosemontpharma.com article titled, Information For Patients On The Dangers Of Tablet Crushing, dated 9/2023, revealed . The clinical consequences for the patient of crushing tablets or opening capsules can mean that the drug is less effective or more likely to cause side effects. When crushing disrupts a drug's sustained-release properties, the active ingredient is no longer released and absorbed gradually, resulting in overdose. When a gastro-resistant layer is destroyed by crushing, underdosing is likely . Enteric coatings .These stop the drug breaking down in the stomach, to…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-12 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of rosemontpharma.com, Medlineplus.gov, policy review, medical record review, observation, and interview, the facility failed to ensure 2 of 6 (Licensed Practical Nurse (LPN) F and LPN C) nurses administered medications with a medication error rate of less than 5 percent (%). A total of 2 errors were observed out of 28 opportunities, resulting in a medication error rate of 7.14%. The findings include: 1. Review of the rosemontpharma.com article titled, Information For Patients On The Dangers Of Tablet Crushing, dated 9/2023, revealed . The clinical consequences for the patient of crushing tablets or opening capsules can mean that the drug is less effective or more likely to cause side effects. When crushing disrupts a drug's sustained-release properties, the active ingredient is no longer released and absorbed gradually, resulting in overdose. When a gastro-resistant layer is destroyed by crushing, underdosing is likely . Enteric coatings .These stop the drug breaking down in the stomach, to…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-12 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview the facility failed to ensure medications were properly and securely stored when 2 medications were left unattended in a resident's room for 1 of 1 (Resident #22) sampled residents and when 1 of 4 nurses (License Practical Nurse (LPN) A left medications unsecured and unattended at the bedside of Resident #48 during medication administration. The findings include: 1. Review of the facility policy titled, Medication Administration - Self-Administration by Resident, dated 1/2025, revealed .Self-administered medication must be stored in a safe place, which is not accessible to other Residents .As part of their overall evaluation, the staff and practitioner will assess the Resident's mental and physical abilities, to determine whether the Resident is capable of self-administering medications . 2. Review of the medical record revealed Resident #22, was admitted to the facility on [DATE], with diagnoses including, Fracture Lower End Left Femur,…

  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

“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

$15,592 in federal fines across 3 penalties.

• $5,197 — penalty dated 2024-01-02
• $5,197 — penalty dated 2024-01-02
• $5,198 — penalty dated 2024-01-02

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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $961K paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in TN