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Parkway Health And Rehabilitation Center

200 South Parkway West, Memphis, TN 38109 · For profit - Limited Liability company · 120 certified beds · (901) 942-7456 Medicare & Medicaid certified

Call the home — (901) 942-7456 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0602, F0610) — most recent Aug 2024Resident-funds citation (F0569)3 actual-harm citations$67,587 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0602, F0610) — most recent Aug 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0569)
  • it has 3 actual-harm citations
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $67,587 in federal fines (most recent 2024-08-21)
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4155 Elvis Presley Blvd · (901) 348-4642 · Call to confirm hours
Pharmacy
4155 S 3rd St · (901) 785-6851 · Call to confirm hours
Grocery
Lashanda 0.5 mi
3642 Hillbrook St · (901) 201-3260 · Call to confirm hours
Park
Ford Rd & Deerskin Dr · (901) 576-4200 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2026-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.0%14.0%15.4%better
Long-stay residents who lose too much weight11.0%6.1%5.4%worse
Long-stay residents with a catheter left in their bladder0.3%0.7%0.9%better
Long-stay residents with a urinary tract infection0.2%1.8%2.0%better
Long-stay residents with depressive symptoms2.0%13.8%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.2%3.4%3.3%better
Long-stay residents whose ability to walk worsened13.7%17.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication20.4%31.7%18.9%typical
Long-stay residents given the seasonal flu vaccine98.1%94.5%95.3%typical
Long-stay residents with pressure ulcers4.2%5.0%4.7%better
Long-stay residents with worsening bladder/bowel control14.8%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table7.7%16.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.2%1.7%1.4%better
Short-stay residents given the seasonal flu vaccine93.1%79.8%79.4%better
Short-stay residents rehospitalized after admission32.5%22.6%22.6%worse
Short-stay residents with an outpatient ER visit13.0%11.2%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.611.671.67worse
Long-stay outpatient ER visits per 1,000 resident days1.061.561.80better

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

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

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

63.0% 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 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

63.0%U.S. median 51.5%
Got home and stayed home
9.8%U.S. median 10.7%
Went back to hospital
42.4%U.S. median 56.6%
Met the expected recovery
0.37U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 42.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 33 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 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 34% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF63.0%CMS range 45.0–77.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 6.8–14.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge42.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge63.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge39.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.331.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
0.77
LPN hours/ resident / day
1.91
Aide hours/ resident / day
3.14
Total nurse hours/ resident / day
0.25
RN hoursweekends
38.9%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 112.0 residents a day — about 93% occupied, or roughly 8 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 3.14 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.91 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 2.64 hrs/resident/day on weekends vs 3.34 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.55 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

4
deficiencies at the latest standard inspection (2025-08-05)
4
at the previous standard inspection (2025-02-27)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

19 citations, most serious first. The 13 most serious are shown; the remaining 6 are one tap away and print in full.

  • Actual harm · G2024-08-21 · 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, medical record review, and interview, the facility failed to ensure residents' right to be free from neglect for 1 of 9 (Resident #10) sampled residents reviewed for allegations of abuse. Resident #10 was severely cognitively impaired, bedridden and totally dependent on staff for all needs. On 4/5/2024 staff noted Resident #10's left arm swollen with nonpitting edema. On 4/8/2024 the practitioner was notified and orders obtained for x-rays. On 4/9/2024 an x-ray revealed a comminuted (A broken bone that has shattered into 3 or more pieces. This type of fracture is usually caused by a serious trauma) humeral fracture to the left arm of unknown source. The facility's failure to provide timely services to address Resident #10's left arm swelling resulted in Actual Harm. The findings include: 1. Review of the facility's policy titled ABUSE Prevention Policy, dated 11/2021, revealed .Abuse means the willful infliction of injury, unreasonable confinement, intimidation, or punishment 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2024-08-21 · 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, and interview, the facility failed to thoroughly investigate an injury of unknown source/origin for 1 of 9 (Resident #10) residents reviewed for abuse. The facility failed to thoroughly investigate an injury of unknown origin when Resident #10, a severely cognitively impaired, bedridden resident sustained a comminuted (A broken bone that has shattered into 3 or more pieces. This type of fracture is usually caused by a serious trauma) humeral fracture. This resulted in Actual Harm for Resident #10. The findings include: 1. Review of the facility's policy titled, ABUSE PREVENTION POLICY, dated 11/1/2021, revealed .Injury of unknown source means source of injury was not observed by another person or injury could not be explained by the resident. Injury is suspicious because of the extent of the injury, location of injury .injury is located in an area not generally vulnerable to trauma such as facial injuries, bruising of inner thighs, wrap around bruises of arms, legs,…

    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
  • Actual harm · G2024-08-21 · 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, facility investigation, and interview, the facility failed to ensure a safe environment, adequate supervision/monitoring related to falls, illegal substance use, and elopement for 5 of 9 (Residents #44, #85, #89, #102, and #119) sampled residents reviewed for a safe environment. On 5/27/2024 Resident #44 had a fall, and the facility failed to monitor the resident post fall. On 5/31/2024, 4 days after the fall, Resident #44 complained of rib cage pain and an x-ray revealed a fractured rib, the facility failed to monitor the resident. The Nurse Practitioner was unaware of the resident's fall and fractured rib until 6/3/2024, the resident complained of chest pain on breathing. The facility's failures resulted in Actual Harm for Resident #44. The findings include: 1. Review of the facility's policy titled, Fall Risk-Fall Prevention ., dated 11/28/2017, revealed .Fall refers to unintentionally coming to a rest on the ground floor .when resident is found on the floor, a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-17 · 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 personnel file review, facility document review and interview, Administration failed to ensure that nursing services were provided by qualified personnel when the facility hired an imposter nurse (Imposter Nurse A) to function as a Registered Nurse (RN) using another RN's (RN C) Tennessee license. The findings include: Review of the background check dated 06/14/2024, revealed the Social Security (SSN) used was not the SSN submitted on the Social Security Card. The number used was the number listed on the I-9 (Employment Eligibility Verification) form and the Consumer Information Sheet. Review of the I-9 form used to verify the identity and legal authorization of individuals hired for employment in the United States dated 06/15/2024, revealed Imposter Nurse A's legal first and last name, along with a copy of her Social Security Card issued on 04/22/2022 and a valid Driver's license from the State of Tennessee. The SSN listed on the I-9 form was a different number than the SSN listed on the Social Security Card used as identification of Imposter Nurse A. The I-9 form was not…

    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 · D2025-08-05 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    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, quarterly statement review, and interview, the facility failed to notify residents and/or representatives of account balances over the eligibility limit for 5 of 56 (Residents #11, #57, #65, #94, and #113) sampled residents reviewed for personal funds. The findings include: 1. Review of the undated facility policy titled, Resident Trust Fund, revealed .Notification of Certain Balances .Residents or their legal representatives must be notified by a Trust Fund Balance Notification when their trust fund balances are within $200 of Medicaid eligibility limit . 2. Review of the medical record revealed Resident #11 was admitted to the facility on [DATE], with diagnoses including Dementia, Schizophrenia, and Traumatic Brain Injury. Review of Resident #11's Resident Fund Statement from 4/1/2025 through 6/30/2025, revealed the Resident's account balance was $3,489.10. 3. Review of the medical record revealed Resident #57 was admitted to the facility on [DATE], 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-05 · 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, and interview, the facility failed to follow physician orders when staff administered medications outside of ordered parameters and failed to report blood glucose levels for 1 of 5 (Resident #4) sampled residents reviewed for unnecessary medications. The findings include: Review of the facility policy titled, Administration of Drugs, dated 6/2025, revealed .Drugs will be administered in a timely manner and as prescribed by the resident's attending physician.Drugs must be administered in accordance with the written orders of the attending physician. Review of the medical record revealed Resident #4 was admitted to the facility on [DATE], with diagnoses including Chronic Kidney Disease, Diabetes, Heart Failure, and Chronic Obstructive Pulmonary Disease. Review of the annual Minimum Data Set assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 15, which indicated Resident #4 was cognitively intact. Resident #4 received a hypoglycemic…

    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 before2025-08-05 · 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, facility documentation review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 2 of 14 staff members (Certified Nursing Assistant (CNA) A and CNA E) touched food and flatware with their bare hands and failed to properly perform hand hygiene for 4 residents (Residents #9, #93, #94, and #103) reviewed for dining, and when the Infection Preventionist (IP) failed to track and monitor organisms being treated in the facility, which could potentially affect 114 out of 114 residents. The findings include: 1. Review of the facility policy titled, Hand Hygiene, dated 6/2025, revealed .Handwashing/hand hygiene shall be regarded by this Center as a means of preventing the spread of infections.All personnel shall follow our established handwashing procedures to prevent the spread of infection and disease to other personnel, patients, and visitors.Associates must perform appropriate handwashing procedures under the following conditions.Between passing out meal trays.Before and after eating.Hand hygiene (HH)…

    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 · D2025-08-05 · 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 provide and maintain a safe, functional, and sanitary environment for 2 of 60 (Resident #6, #44, #60, and #121) shared occupied bathrooms, when a toilet was clogged with feces and when the biohazard red bag (bag used for disposal of potentially infectious or hazardous materials) was overflowing with trash and Personal Protective Equipment (PPE), and when 1 of 60 (Resident #60 and #121) occupied resident rooms had floors dirty with trash and marks, the over bed tables had a spill of dried shiny substance, and the resident's bed would not adjust positions. The findings include: 1. Review of the facility policy titled, Safe Environment, dated 6/2022, revealed .It is the policy of the facility to provide a safe environment in accordance with State and Federal Regulations .The facility will maintain all essential mechanical, electrical and patient care equipment in safe operating condition .The facility will provide a safe, clean, comfortable,…

    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 · E2025-02-27 · 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 policy review, observation, and interview, the facility failed to ensure a safe and sanitary environment in the kitchen and failed to clean the East Hall ice machine. The findings include: 1. The facility policy titled, Food Safety and Sanitation, dated 2021, revealed .local, state, and federal standards and regulations will be followed in order to assure a safe and sanitary food and nutrition services department . The facility's undated Resident Rights Notice revealed .right to a safe, clean, comfortable and homelike environment . The facility policy titled Ice Machines and Ice Storage Chests dated 4/2024, revealed .Ice machines and ice storage/distribution containers will be used and maintained to assure a safe and sanitary supply of ice . 2. Observation in the kitchen bathroom on 2/24/25 at 9:50 AM, revealed a large rectangular hole, approximately 3-4 foot high, cut out of the drywall on the inner right wall. A sheet of black plastic covered the opening, and when pulled back revealed the wooden inner framing of the wall. Observation in the Storage Room on 2/25/2025 at…

    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 · D2025-02-27 · 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, medical record review, and interview the facility failed to ensure staff reported an allegation of resident-to-resident abuse to the facility Administrator in a timely manner for 1 of 4 (Resident #37) sampled residents for allegations of abuse. The findings include: 1. Review of the facility policy titled, Abuse Prevention Policy, dated 3/1/2018, revealed .The resident has the right to be free from verbal, sexual, physical and mental abuse .The abuse coordinator in the facility is the administrator. Reports of allegations or suspected abuse .will be reported immediately to [the] Facility Abuse Coordinator, Director of Nursing, State Agencies, local Ombudsman Office .Abuse means the willful infliction of injury .physical harm, pain, mental anguish .Abuse maybe resident to resident .When abuse .is suspected the Licensed Nurse should .Respond to the needs of the resident, and protect them from further abuse, Notify the Director of Nursing and Administrator, Complete an incident report 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-27 · 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, and interview, the facility failed to ensure Activities of Daily Living (ADL) assistance was provided related to showering for 2 of 2 (Resident #82 and #320) sampled residents reviewed for ADLs. The findings included: 1. Review of the undated policy titled, .Activities of Daily Living (ADL's) Abilities, revealed It is the policy of the facility to specify the responsibility to create and sustain an environment that humanizes and individualizes each resident's quality of life .A resident who is unable to carry out activities of daily living will receive the necessary services to maintain good .grooming, and personal and oral hygiene . 2. Review of the medical record review revealed Resident #82 was admitted to the facility on [DATE], with diagnoses including Heart Failure, Chronic Kidney Disease, Diabetes, Atrial Fibrillation, and Chronic Obstructive Pulmonary Disease. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview…

    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 before2025-02-27 · 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 medical record review and interview the facility failed to administer the prescribed medication for 1 of 5 (Resident #90) sampled residents reviewed for unnecessary medications. The findings include: 1. Review of the medical record revealed Resident #90 was admitted to the facility on [DATE], with diagnoses including Viral Hepatitis, Malnutrition, Bipolar Disorder, Depression, and Schizophrenia. Review of the quarterly Minimum Data Set assessment dated [DATE], revealed a Brief Interview of Mental Status score of 9, which indicated Resident #90 was moderately cognitively impaired. Review of Physician's Order dated 6/6/2023, revealed .Famotidine [used to treat heart burn or acid reflux] Oral Tablet 20 MG [milligram] .Give 1 tablet by mouth two times a day .Trazodone [used to treat depression] Oral Tablet 50 mg Give 1 tablet by mouth one time a day .Atorvastatin Calcium [used to treat high cholesterol] Oral Tablet 20 MG. Give 1 tablet by mouth one time a day . Review of Physician's Order dated 8/22/2024,…

    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 · D2024-08-21 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to ensure a resident's missing property was replaced timely after the Social Worker reported they would replace the missing item for 1 of 32 residents (Resident #38) sampled residents. The findings include: 1. Review of the facility's policy titled, Abuse-Investigation Incidents of Theft and/or Misappropriation of Resident Property Policy, dated 11/5/2022, revealed .All reports of theft or misappropriation of resident property shall be promptly and thoroughly investigated .Our facility will exercise reasonable care to protect the resident from property loss or theft, including .Promptly responding to and investigating complaints or misappropriation of property . 2. Review of the medical record revealed Resident #38 was admitted on [DATE], with diagnoses including Bipolar Disorder, Schizoaffective Disorder, and Hypertension. Review of the quarterly Minimum Data Set, dated [DATE], revealed Resident #38 had a Brief…

    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
Show the remaining 6 citations
  • Potential for harm · D2024-08-21 · 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 medical record review and interview, the facility failed to ensure assessments were accurately completed to reflect the resident's status related to Hospice services for 1 of 1 (Resident #61) residents reviewed or hospice. The findings include: Review of the medical record revealed Resident #61 was admitted to the facility on [DATE], with diagnoses including Epilepsy, Persistent Vegetative State, Gastrostomy, Hypertension, Dementia, Depression, and Anxiety. Review of the care plan dated 7/3/2020 revealed .The resident has a terminal prognosis r/t [related to] respiratory failure with [Named] Hospice. [Revised 2/27/2024] . Review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed Resident #61 was not coded for receiving Hospice services. Review of the quarterly MDS dated [DATE], revealed Resident #61 was not coded for receiving Hospice services. Review of the Physician's Orders dated 8/15/2024, revealed .Admit to [Named] Hospice .diagnosis Respiratory Failure .[Order Date] 2/5/2024 . During…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-21 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview, the facility failed to obtain weights in accordance with the facility's policy for 1 of 2 sampled resident (Resident #31) reviewed for nutrition. The findings include: 1.Review of the facility's policy titled, Weight Assessment and Intervention Policy dated 11/2022, revealed .The multidisciplinary team will strive to prevent, monitor, and intervene for undesirable weight loss for our residents .The nursing staff will measure residents on admission and weekly for (4) weeks thereafter .Weights will be recorded in each unit's Weight Record chart .any weight change of 5 % or more since the last weight assessment will be retaken the next day for confirmation. If the weight is verified, nursing will notify the Dietitian The Dietitian will review the unit Weight Record by the 15th of the month to follow individual weight trends over time. Negative trends will be evaluated by the treatment team whether or not the criteria for significant' weight change has…

    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 · D2024-08-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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, observation, and interview, the facility failed to provide care and services for residents with enteral feedings when staff failed to check residual as ordered, failed to follow physician orders for water flushes, and failed to administer medications with gravity through a percutaneous endoscopic gastrostomy (PEG) tube (plastic tube inserted into the stomach to administer medications, supplements and liquid food) syringe for 2 of 2 (Resident #8 and #10) residents reviewed for enteral feedings, and failed to ensure the enteral feedings and the flush solutions were properly labeled for 1 of 3 sampled residents (Resident #90) reviewed PEG tube feedings. The findings include: 1.Review of the Facility's policy titled, Gastrostomy Enteral Feeding and Nutrition Medication Administration Management dated 12/7/2017, revealed .Hang the prescribed feeding .Ensure resident's name, date, rate, and time hung is on the feeding solution . Review of the facility's policy titled, MEDICATION…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-21 · tag F0778 — isolated
    Help the resident make transportation arrangements to and from radiology services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, observation, and interview, the facility failed to ensure assistance was provided with grooming and dressing for a Resident with a scheduled physician's appointment in order to ensure the Resident was ready and available when transportation services arrived to take the Resident to the physician's appointment for 1 of 1 resident (Resident #67) sampled residents who missed a scheduled physician's appointment. The findings include: 1.Review of the facility's policy titled, Resident Rights Policy dated 10/20/2022, revealed .The resident has a right to a dignified existence, self determination and communication with and access to persons and services inside and outside the facility .The facility strives to protect the rights of residents, including .All activities and interacting with residents by staff .must focus an assisting the resident in maintaining and enhancing his or her self-esteem and self-worth and incorporating the resident's goals, preferences and choices…

    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 · Dcited before2024-08-21 · 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

    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 administered in a safe and sanitary manner during Percutaneous Endoscopic Gastrostomy (PEG) - a plastic tube inserted into the stomach for the administration of medications and feedings) administration for 2 of 2 (Resident #8 and #10) sampled residents observed during medication administration, and the facility failed to ensure hazardous, and infectious waste was properly stored for the prevention of infectious diseases in 2 of 2 soiled linen rooms (West End Hall Soiled Linen Room and East End Hall Soiled Linen Room). The findings include: 1.Review of the facility's policy titled, ADMINISTRATION OF MEDICATIONS dated 11/15/2022, revealed .Staff shall follow established facility infection procedures .handwashing .antiseptic technique, gloves, isolation precautions .when these apply to the administration of medications . Review of the Facility's policy titled, Infection Control/Medical Waste…

    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 · D2024-08-21 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 provide a functioning call light for 1 of 114 (Resident #108) sampled residents which had the potential to result in unmet care needs. The findings include: 1. Review of the facility's policy titled Call Light Policy, dated October 20, 2022, revealed .The purpose for the call light is to provide a system for the resident to call for assistance .STANDARD OF PRACTICE Equipment: Bedside call light in functioning order .Emergency call light in working order .Report any defective call lights to charge nurse and the maintenance department immediately . 2. Observation of the resident's room on 8/12/2024 at 11:44 AM, revealed Resident #108 had activated his call light, but the hall light above his door was not on to alert staff the call light was on. During an interview in the conference room, on 8/12/2024 at 1:46 PM, the Maintenance Director, was told that Resident #108's call light was not working. The Maintenance Director stated, I will check it out . Observation in the resident's room on 8/13/2024 at 9:48 AM 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.

    Environmental Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$67,587 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $67,587 — penalty dated 2024-08-21
  • Medicare payment denial — starting 2024-09-20 for 43 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 WELLINGTON HEALTH CARE SERVICES — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 51.9+1.1 vs chain
Health inspection 3 of 52.0+1.0 vs chain
Staffing 2 of 52.0≈ chain avg
Quality measures 4 of 52.1+1.9 vs chain
The other 13 homes this chain runs (chain average 1.9★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
WELLINGTON HEALTHCARE SERVICES LPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; LIMITED PARTNERSHIP INTEREST100%since 07/31/2007
ANDWELL INVESTMENTS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/10/2012
ANDREWS, JAMESIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLNO PERCENTAGE PROVIDEDsince 01/10/2012
BAILEY, TERESAIndividualW-2 MANAGING EMPLOYEEsince 07/01/2023
KELMAN, MOSHEIndividualCORPORATE OFFICERsince 07/01/2023
ELKINS ROAD ASSOCIATES LLCOrganizationGENERAL PARTNERSHIP INTERESTsince 07/31/2007

CMS files one row per role, so the 10 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$11.3M
Net patient revenuemost recent cost report
-2.2%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 0%Medicare 7%Other / private 93%

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

Cost & finances

$313per resident / day
operating cost
$9,516per month
≈ monthly operating cost
$306per day
avg. revenue, all payers

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

What families pay in TN

Paying with Medicaid

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

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

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 445387. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-05, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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