Midtown Center For Health And Rehabilitation

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.

38.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 66 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 40.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 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 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 41% 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 180 beds and averages 161.4 residents a day — about 90% occupied, or roughly 19 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 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 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 3.09 hrs/resident/day on weekends vs 3.72 on weekdays — 17% thinner on weekends. RN hours go from 0.51 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 64% 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 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.

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.

18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.

• Immediate jeopardy · J2024-09-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 provide care and services consistent with professional standards of practice to appropriately identify pressure ulcers/pressure injuries (PU/PIs), to prevent pressure ulcers/injuries, and promote healing of existing PU/PIs, and failed to prevent the development of additional PU/PIs for 6 of 10 (Residents #27, #78, #151, #171, #478, and #479) sampled residents for pressure ulcers/injury. The facility's failure resulted in Immediate Jeopardy (IJ) when Resident #27 who was at risk of developing PU/PIs, had contractures to upper and lower extremities, and was dependent on staff for preventative interventions, repositioning and turning, developed an open pressure ulcer/injury to the palm of left hand from having long fingernails embedded into the skin and developed a stage 3 PU/PI to the right buttock that was identified as a stage 3, when Resident #78 with a Left Lateral Ankle Stage 4 PU/PI wound that was not consistent…

  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
• Actual harm · G2024-09-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 a resident who was unable to carry out activities of daily living (ADL) was provided nail care for 1 of 4 (Resident #105) sampled residents reviewed for activities of daily living. The facility's failure to ensure toenail care was provided resulted in Actual Harm when Resident #105's skin was adhered to a long toenail, causing the resident pain. The findings include: 1. Review of the facility policy titled, Activities of Daily Living (ADLs), dated 2/2024, revealed .Care and services will be provided for the following activities of daily living .grooming .A resident who is unable to carry out activities of daily living will receive the necessary services to maintain .grooming and personal hygiene . Review of the facility policy titled, Nailcare, dated 4/1/2024, revealed .Assessments of resident nails will be conducted on admission .to determine the resident's nail condition, needs .Routine cleaning and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-04 · 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 policy review, medical record review, and interview, the facility failed to ensure residents were accurately assessed for smoking for 2 of 2 (Resident #15 and #62) sampled residents reviewed. The findings include: 1.Review of the facility's policy titled, RAI (Resident Assessment Instrument) -MDS 3.0 Completion dated 1/1/2023, revealed .Residents are assessed using a comprehensive assessment process, in order to identify care needs . 2. Review of the medical record revealed Resident #15 was admitted to the facility on [DATE], with diagnoses including Encephalopathy, Atrial Fibrillation, Bronchopneumonia, Chronic Obstructive Pulmonary Disease, Hypertension, Wheezing, Dyspnea, and Nicotine Dependence. Review of the Care Plan dated 6/10/2025 confirmed Resident #15 was care planned for smoking. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #15 had a Brief Interview for Mental Status score of 9, which indicated the resident was moderately cognitively impaired and…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-04 · 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 medical record review and interview, the facility failed to ensure residents were free from accident hazards for 1 of 5 (Resident #15) reviewed. The findings include: 1. Review of the medical record revealed Resident #15 was admitted to the facility on [DATE], with diagnoses including Arial Fibrillation, Cerebrovascular Disease, Cognitive Communication Deficit, Bronchopneumonia, Congestive Heart Failure, Hypertension, and Seizures. Review of a quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident a Brief Interview for Mental Status score of 13, indicating the resident was cognitively intact, dependent on staff for Activities of Daily Living skills, and the use of oxygen therapy. Review of the Physician order dated 3/5/2025 revealed Resident #15 received oxygen 2 liters/minute, binasal cannula (tubing used to deliver oxygen through the nose). Observation in Resident #15's room on 9/3/2025 at 8:13 AM, revealed Resident #15 in bed with binasal cannula tubing intact in nose and connected to an…

  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 · D2025-09-04 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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, observation, and interview, the facility failed to ensure a safe, sanitary, and comfortable environment for 5 of 9 residents (Resident #4, #64, #65, #77, #161) receiving enteral tube feeding (nutrition provided through a tube inserted into the gastrointestinal tract). The findings include: 1. Review of the facility policy titled, Safe and Homelike Environment . revised 1/2025, revealed .the facility will provide a safe, clean, comfortable and homelike environment.services will be provided as necessary to maintain a sanitary, orderly and comfortable environment . Review of the facility policy titled, Cleaning and Disinfection of Resident-Care Equipment, dated 6/12/2025, revealed .Reusable resident-care equipment will be cleaned and disinfected in accordance with current CDC [Centers for Disease Control and Prevention] recommendations in order to break the chain of infection.Cleaning is the removal of visible soil from objects and surfaces and normally is accomplished manually or…

  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 · Dcited before2025-03-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation and interview, the facility failed to follow physician orders for 1 of 5 nurses (Licensed Practical Nurse (LPN) A) observed during medication administration. The findings include: 1. Review of the facility policy titled, Medication Administration, dated 2/20/2024, revealed .Compare medication source .with MAR [medication administration record] to verify resident name, medication name . 2. Review of the medical record revealed Resident #48 was admitted to the facility on [DATE], and with a readmit date of 2/14/2025, with diagnoses including Cerebral Infarction, Hemiplegia, Wheezing, Shortness of Breath and Pneumonia. Review of the of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed that Resident #48 was severely cognitively impaired. Review of the Medical Regimen Review Report dated 3/1/2025 - 3/20/2025, revealed .albuterol sulfate solution [for wheezing] for nebulization; 2.5 mg [milligrams]/3 ml [milliliters] .Every 6 Hours - PRN…

  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 · Dcited before2025-03-20 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, observation and interview, the facility failed to ensure infection control practices to prevent the spread of infection were used when 3 of 5 (Licensed Practical Nurses (LPN) A, B and C) nurses failed to do hand hygiene during medication administration. The findings include: 1. Review of the facility policy titled, Medication Administration, dated 2/20/2024, revealed .Wash hands prior to administering medications per facility protocol .Administer medication as ordered .Wash hands using facility protocol . Review of the facility policy titled, Hand Hygiene, dated 1/2024, revealed .If your task requires gloves, perform hand hygiene prior to donning gloves, and immediately after removing gloves . 2. Observation during medication administration on 3/19/2025 at 8:55 AM, revealed LPN B cleaned the blood pressure cuff with a Sani cloth and did not perform hand hygiene prior to preparing medications, administering medications or after administering medications to the Resident. 3. Observation during medication administration on 3/19/2025 at 9:32 AM, revealed LPN A did…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-05 · tag F0578 — failed to honor advance directives / code status — pattern
  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 policy review, medical record review, and interview, the facility failed to provide education for Advance Directives to residents or resident's responsible parties for 33 of 34 sample residents (Resident #12, #22, #23, #27, #29, #30, #43, #50, #51, #58, #71, #86, #91, #92, #95, #97, #98, #105, #107, #112, #123, #124, #127, #137, #150, #151, #153, #154, #156, #157, #171, #174, and #229) reviewed for Advanced Directives. The findings include: 1. Review of the facility's policy titled Advance Directives Policy, dated 2/20/2024, revealed .It is the policy of this facility to support and facilitate a resident's right to request, refuse and/or discontinue medical or surgical treatment and to formulate an advance directive. Advanced directive is a written instruction, such as a living will or durable power of attorney for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated .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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-05 · tag F0609 — failed to report abuse allegations — pattern
  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, medical record review, and interview, the facility failed to report allegations of abuse for 4 of 12 residents (Residents #35, #43, #107 and #157) sampled for abuse. The findings include: 1. Review of the facility policy titled, Abuse, Neglect and Exploitation, dated 4/3/2024, revealed .It is the policy of the facility to provide protections for the .welfare and rights of each resident .that prohibit and prevent abuse .Abuse .includes verbal abuse .willfully includes .derogatory terms to residents .within hearing distance .Reporting of all alleged violations to the Administrator, state agency .and to all other required agencies .within a specified timeframes .Not later than 24 hours if the events .do not result in serious bodily injury . 2. Review of the medical record revealed Resident #157 was admitted to the facility on [DATE], with diagnoses including Cerebral Infarction, Malignant Neoplasm of Esophagus, Anxiety, and Depression. Review of the admission 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-05 · tag F0610 — failed to investigate and act on abuse reports — pattern
  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, named Police Department Incident Report, and interview, the facility failed to thoroughly investigate alleged incidents of resident-to-resident abuse for 3 of 12 sampled residents (Resident #35, #43 and #107) reviewed for abuse and failed to submit a 5-day follow up report to the state in a timely matter for 2 of 5 sampled residents (Resident #58 and #98) reviewed for abuse. The findings include: 1.Review of the facility's policy titled, Abuse, Neglect and Exploitation, dated 4/3/2024, revealed .It is the policy of this facility to .An immediate investigation is warranted when suspicion of abuse, neglect, or exploitation, or reports of abuse, neglect, or exploitation occur .Provide complete and thorough documentation of the investigation .The facility will make efforts to ensure all residents are protected from physical and psychosocial harm, as well as additional abuse, during and after the investigation. Examples include .Responding…

  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 · E2024-09-05 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 job description, facility employee file, medical record review, and interview, the facility failed to ensure the licensed practical nurses (LPN) who performed wound care had the competencies and skill sets necessary to perform the care and services for pressure ulcers for 3 of 3 LPNs (LPN A, LPN B, and LPN C) who performed wound care for pressure ulcers for 7 of 10 sampled (Resident #27, #78, #123, #151, #171, #478, and #479) residents who received wound care for pressure ulcers. The findings include: 1. Review of the Treatment Nurse Job Description updated 12/2018, revealed .Provide nursing care to residents as prescribed by the physician and in accordance with standards of nursing practice and regulations .assess and document resident progress in the medial record. Perform all preventative skin care, dressing changes and wound care. Monitor turning and positioning of residents. Monitor the treatment of decubitus ulcers with appropriate documentation and communication to the physician .notify physician…

  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 · E2024-09-05 · 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 policy review, observation and interview, the facility failed to ensure medications were stored appropriately when Licensed Practical Nurse (LPN) I left one (1) of 9 medication storage areas (2nd floor Split Cart) unlocked, unattended, and out of line of site and when 3 of 7 nurses (LPN H, LPN L and Registered Nurse (RN)) F left medications unattended at the bedside. The findings include: 1. Review of the facility policy titled, Medication Storage dated 9/2023, revealed .All drugs .will be stored in locked compartments .medication carts, cabinets, drawers .During a medication pass, medications must be under the direct observation of the person administering the medications or locked in the mediation storage area/cart . 2. Observation on 8/21/2024 at 2:31 PM, revealed RN F in Resident #157's room. The RN placed a medication cup containing medications on the overbed table and went to the bathroom to wash their hands. The medication was left out of sight and unattended during this time. Observation on 8/22/2024 at 9:32 AM, revealed LPN H in Resident #45's room. The LPN placed…

  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

$188,379 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $188,379 — penalty dated 2024-09-05
• Medicare payment denial — starting 2024-09-08 for 16 days

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

Part of a chain

This home belongs to SIMCHA HYMAN & NAFTALI ZANZIPER — 79 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 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $4.5M 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