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The Heritage Center

1026 McFarland Street, Morristown, TN 37814 · For profit - Corporation · 197 certified beds · (423) 581-5100 Medicare & Medicaid certified

Call the home — (423) 581-5100 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 20 lower-level deficiencies on record (see below)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (2/5)
  • about 23% of its spending goes to commonly-owned related companies

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

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

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

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
709 McFarland St · (423) 587-2596 · Call to confirm hours
Pharmacy
808 W 4th North St · (423) 581-1118 · Call to confirm hours
Grocery
By Lo0.6 mi
1402 Cherokee Dr · (423) 587-3820 · Call to confirm hours
Park
350 W 9th N St · (423) 586-0260 · Typically dawn to dusk
Place of worship
803 McFarland St

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating 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 increased10.0%14.0%15.4%better
Long-stay residents who lose too much weight9.5%6.1%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection0.0%1.8%2.0%better
Long-stay residents with depressive symptoms3.4%13.8%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained2.6%0.1%0.1%worse
Long-stay residents with falls causing major injury2.0%3.4%3.3%better
Long-stay residents whose ability to walk worsened23.8%17.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication37.4%31.7%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers2.6%5.0%4.7%better
Long-stay residents with worsening bladder/bowel control18.4%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table11.0%16.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.9%1.7%1.4%better
Short-stay residents given the seasonal flu vaccine90.9%79.8%79.4%better
Short-stay residents rehospitalized after admission28.3%22.6%22.6%worse
Short-stay residents with an outpatient ER visit8.9%11.2%12.0%better
Long-stay hospitalizations per 1,000 resident days1.131.671.67better
Long-stay outpatient ER visits per 1,000 resident days0.351.561.80better

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.

59.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 267 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.2%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
85.7%U.S. median 56.6%
Met the expected recovery
0.57U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 85.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 77 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 0.57 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 SNF59.2%CMS range 53.3–65.351.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 8.1–13.010.7%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 discharge85.7%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 discharge79.2%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 discharge76.6%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 identified99.3%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 setting97.4%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 discharge98.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.7%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 worsened3.4%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 hospitalization9.3%CMS range 6.3–13.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.061.02Oct 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

0.65
RN hours/ resident / day
1.03
LPN hours/ resident / day
1.96
Aide hours/ resident / day
3.64
Total nurse hours/ resident / day
0.25
RN hoursweekends
37.4%
Total nursing turnover
17.6%
RN turnover

How full it usually is: this home is certified for 197 beds and averages 115.9 residents a day — about 59% occupied, or roughly 81 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above 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 3.08 hrs/resident/day on weekends vs 3.86 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.81 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 37% 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

8
deficiencies at the latest standard inspection (2025-06-04)
9
at the previous standard inspection (2024-02-28)

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

Inspection deficiencies

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

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.

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

  • Potential for harm · E2025-06-04 · tag F0698 — failed to provide proper dialysis care — pattern
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility contract review, medical record review, and interviews, the facility failed to ensure the dialysis communication records were completed for 2 residents (Resident #57 and Resident #94) of 3 residents reviewed for dialysis. The findings include: Review of the facility's dialysis contract dated 1/21/2009, revealed .facility shall .have primary responsibility for maintaining all resident records . Review of the facility's policy titled, Hemodialysis Offsite Policy, revised 9/6/2024, revealed .The facility assures that each resident receives care and services .consistent with professional standards of practice .care of the resident receiving dialysis services must reflect ongoing communication, coordination and collaboration between the facility and dialysis staff .Obtain vital signs of the resident upon return from dialysis and complete the Pre/Post Dialysis Communication Form . Review of the medical record revealed Resident #57 was admitted to the facility on [DATE] with diagnoses including…

    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 · D2025-06-04 · 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 Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #94) of 25 residents reviewed. The findings include: Review of the CMS Long-Term Care Facility RAI 3.0 User's Manual, dated 10/2024, revealed .Check all treatments, procedures, and programs that the resident received or performed after admission/entry .to the facility and within the last 14 days .Dialysis .Code .renal dialysis which occurs at the nursing home or at another facility . Review of the medical record revealed Resident #94 was admitted to facility on 2/26/2025 with diagnoses including End Stage Renal Disease (ESRD), Chronic Obstructive Pulmonary Disease, Diabetes, Vascular Dementia, and Other Abnormalities of Gait and Mobility. Review of the Medication Administration Record (MAR) for Resident #94 dated 2/1/2025 - 2/28/2025,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-04 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to develop a person-centered,comprehensive care plan for 1 resident (Resident #57 ) of 25 residents reviewed for care plans. The findings include: Review of the facility's policy titled Care Planning-Baseline, Comprehensive and Routine Updates dated 11/25/2024, revealed .facility to develop and implement a comprehensive person centered care plan for each resident .that includes measurable objectives .to meet a residents medical nursing .needs that are identified . Review of the facility's policy titled Enhanced Barrier Precautions (EBP), revealed .EBP are indicated for residents with .Indwelling medical device .EBP should be used for any residents who meet .criteria .wherever they reside in the facility . Review of the medical record revealed Resident #57 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes Mellitus, Chronic Respiratory Failure with Hypoxia, Congestive Heart Failure, End Stage…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-04 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, observation, and interviews, the facility failed to ensure expired intravenous (IV) medications were discarded and not available for resident use in 1 of 3 medication storage rooms observed. The findings include: Review of the facility's policy titled, Delivery & Storage of Medications and Supplies, revised [DATE], revealed .to be performed by licensed nurses .expiration dates will be checked . During an observation in the Unit 3 medication storage room on [DATE] at 9:18 AM, revealed twenty-one, 5-milliliter (ml) syringes of Heparin lock flush (IV medication used to prevent the formation of blood clots) with an expiration date of [DATE]. Further observation revealed ten syringes (5-ml) of Heparin lock flush with an expiration date of [DATE]. During an interview on [DATE] at 9:23 AM, the Staff Development Coordinator (SDC) confirmed the 31 syringes of Heparin flush was expired and available for resident use. The SDC stated expired IV medications should be discarded and not used.…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-04 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observations, and interviews, the facility failed to provide an assistive meal device (divided plate) for 1 resident (Resident #79) of 7 residents reviewed for nutrition. The findings include: Review of the facility's policy titled, Assistive Devices-Special Eating Equipment, revised 4/25/2023, revealed .The facility provides residents with special eating equipment and assistive devices as deemed necessary .the facility must provide appropriate assistive devices to residents who need them to maintain or improve their ability to eat or drink independently . Review of the medical record revealed Residents #79 was admitted to the facility on [DATE] with Metabolic Encephalopathy, Malnutrition, Dysphagia, and Cognitive Communication Deficit. Review of a Communication Order for Resident #79 dated 3/5/2025, revealed a new order for the resident to use a divided plate at every meal. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-04 · tag F0813 — isolated
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    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, observation, and interview, the facility failed to follow the facility's policy for food items stored in 1 residents' personal refrigerator (Resident #32) of 24 residents' personal refrigerators observed. The findings include: Review of the facility's policy titled, Resident Refrigerators, revised 4/30/2025, revealed .The facility will meet the safety and sanitation requirements for the residents .using personal refrigerators to store food for resident consumption .Facility staff will check individual food items weekly for expiration dates and discard outdated food promptly from the residents' refrigerator . Review of the medical record revealed Resident #32 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease, Chronic Respiratory Failure, Right Heart Failure, Alzheimer's Disease, and Dementia. Review of an annual Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #32 scored a 12 on the Brief Interview for Mental…

    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 · D2025-06-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interviews, the facility failed to ensure the medical record was complete and accurate related to dialysis access assessments for 1 resident (Resident #410) of 25 residents reviewed for medical records. The findings include: Review of the facility's policy titled, Correction of Medical Record Errors and Omissions, dated 2/21/2025, revealed .the facility maintains accurate records . Review of the medical record revealed Resident #410 was admitted to the facility on [DATE] with diagnoses including Dependence on Renal Dialysis, End Stage Renal Disease, and Muscle Weakness. Review of an admission Collection Assessment for Resident #410 dated 5/29/2025, revealed .Skin pink, warm and dry. Dialysis port .right upper chest . Review of the Baseline Care Plan for Resident #410 dated 5/29/2025, revealed .dialysis treatments as ordered .observe for bleeding at dialysis access site . Review of an Order Summary Report for Resident #410 dated 5/29/2025,…

    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 · D2025-06-04 · 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 facility policy review, medical record review, observations, and interviews, the facility failed to offer hand hygiene assistance prior to meals to 3 residents (Residents #263, #59, and #262) on 1 of 4 units observed for meal tray distribution, failed to ensure appropriate Personal Protective Equipment (PPE) was donned for 1 resident (Resident #261) of 8 residents observed on Enhanced Barrier Precautions (EBP), and failed to ensure resident drinks were served in a sanitary manner related to improper ice scoop storage on 1 of 4 units observed during meal service. The findings include: Review of the facility's policy titled, Hand Hygiene for Residents, Families, and Visitors, reviewed 6/3/2024, revealed .The facility should assist either physically or through reminders to residents to perform hand hygiene .before meals . Review of the facility's policy titled, Ice Chests, reviewed 6/3/2024, revealed .procedure .ice handlers .ice scoops used .should be kept .in a mounted holder when not in use .keep 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-02-28 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, observation, and interview, the facility failed to maintain sanitary kitchen equipment which had the potential to effect 118 of 120 residents in the facility. The findings include: Review of the facility policy titled, Cleaning Schedule, revised 12/17/2021, showed .The Director of Food and Nutrition Services develops a cleaning schedule .to ensure that the Food and Nutrition Services department remains clean and sanitary at all times .A potential cause of foodborne outbreaks is improper cleaning [washing and sanitizing] of equipment and protecting equipment from contamination via splash, dust, grease .The Director of Food and Nutrition Services monitors the cleaning schedule to ensure the tasks are completed timely and appropriately . During the initial kitchen observation on 2/26/2024 at 10:55 AM, with the Certified Dietary Manager (CDM) showed the facility's gas stove had a thin layer of dried brown/black food debris noted on top of both oven doors, and on top of the handle of the oven on the left side. The convection oven was observed with…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-28 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy reviews, observations, and interviews, the facility failed to provide a homelike environment during dining in 2 of 4 dining rooms observed. The findings include: Review of facility policy titled, Resident Dining Services, revised 4/26/23, showed .The facility has an established process to ensure food is served in accordance with professional standard for food service safety and in a safe, clean, homelike environment . During an observation of dining on 2/26/2024 at 12:17 PM, Certified Nursing Assistants (CNA) #2, CNA #3, and the Activities Director (AD) delivered the meal trays to the 10 residents in the main dining room. The dishes of food, beverages, and silverware remained on the brown plastic trays on the table for all 10 residents eating in the dining room. During an interview on 2/26/2024 at 12:26 PM, CNA #3 stated it was typical for meals to be left on the trays. During an interview on 2/26/2024 at 12:29 PM, CNA #2 stated the food had always been left on the trays when it was served. During an interview on 2/26/2024 at 12:32 PM, the AD stated she…

    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
Show the remaining 10 citations
  • Potential for harm · Dcited before2024-02-28 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 revise a comprehensive care plan for enteral feeding for 1 resident (Resident #79) of 32 residents reviewed for care plans. The findings include: Resident #79 was admitted to the facility on [DATE] with diagnoses including Personal History of Malignant Neoplasm of Larynx, Chronic Obstructive Pulmonary Disease and Dysphagia. Review of a care plan dated 4/11/2023 showed, .At risk for weight fluctuation r/t [related to] current health status Abnormal weight loss, Adult failure to thrive, Severe Malnutrition .every shift Jevity 1.5 at 65 ml/hour x 22 hours via pump. Flush with 100 ml water every 4 hours . Review of physician's order dated 11/27/2023 for Resident #79 showed, .Enteral Feed every shift Jevity 1.5 at 60 ml [milliliters]/[per] hour x 22 hours. Flush with 150 ml water every 4 hours . During an observation on 2/26/2024 at 11:02 AM, in Resident #79's room, showed the resident received tube feeding through a percutaneous…

    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 · D2024-02-28 · 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 review of the facility's policy, medical record review, observation and interview, the facility failed to provide facial hair removal and nail care during activities of daily living for 1 resident (Resident #62) of 32 residents reviewed for activities of daily living care. The findings include: Review of the facility's policy titled, Activities of Daily Living (ADLs), dated 2/12/2024, showed .The facility must provide care and services .for the following .bathing, dressing, grooming, and oral care .For Fingernail Care, the following procedure will be followed .Ensure fingernails are clean .to avoid injury and infection . Resident #62 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes Mellitus, Dementia, Muscle Weakness, and Generalized Arthritis. Review of an admission Minimum Data Set (MDS) assessment dated [DATE], showed Resident #62 had moderate cognitive impairment and required limited assistance of 1 staff member for dressing, toileting and personal hygiene. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-28 · 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 review of facility policy, medical record review, observation and interview, the facility failed to follow a physician's order for treatment of edema (swelling) for 1 resident (Resident #21) of 32 residents' physician orders reviewed. The findings include: Resident #21 was admitted to the facility on [DATE] with diagnoses including Unspecified Dementia, Chronic Atrial Fibrillation, Hypertension and Muscle Weakness. Review of a physician's order dated 4/9/2023 showed .Keep legs elevated when out of bed every shift . Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident #21 had severe cognitive impairment and used a wheelchair for ambulation. During an observation on 2/27/2024 at 9:45 AM, in Resident #21's room, the resident was sitting up straight in a specialized wheelchair with a high back watching TV with her legs hanging down and feet on the floor. During an observation and interview on 2/27/2024 at 9:46 AM, in Resident #21's room, Licensed Practical Nurse (LPN) #6…

    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 · D2024-02-28 · 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 facility policy review, medical record review, observation and interview, the facility failed to follow a physician's order for enteral feeding for 1 resident (Resident #79) of 3 residents reviewed for enteral feeding. The findings include: Review of the facility's policy titled, Administration of Medications, dated 8/24/2023, showed .facility will ensure medications are administered .appropriately per physician order .Staff who are responsible for medication administration will adhere to the 10 Rights of Medication Administration .Right Dose .Check the MAR [Medication Administration Record] and the doctor's order . Resident #79 was admitted to the facility on [DATE] with diagnoses including Personal History of Malignant Neoplasm of Larynx, Chronic Obstructive Pulmonary Disease and Dysphagia. Review of a care plan dated 4/11/2023 showed, .At risk for weight fluctuation r/t [related to] current health status Abnormal weight loss, Adult failure to thrive, Severe Malnutrition . Medical record review showed…

    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 · D2024-02-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure necessary emergency equipment was immediately available at the bedside for 1 resident with a tracheostomy (Resident #79) of 1 resident reviewed for tracheostomy care. The findings include: Review of the facility's policy titled, Tracheostomy Emergency Supplies/Kits, dated 9/26/2023, showed .The facility will ensure that each resident who presents with a tracheostomy that is actively being used to maintain an airway, will have emergency supplies/kit available at bedside .the following should be stocked at each tracheostomy patient's [resident] bedside .Manual resuscitator and mask [ambu bag] .Suction equipment and supplies . Resident #79 was admitted to the facility on [DATE] with diagnoses including Personal History of Malignant Neoplasm of Larynx, Chronic Obstructive Pulmonary Disease and Dysphagia. Review of a care plan dated 4/6/2023 showed the resident had a tracheostomy with a one-way valve that…

    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 before2024-02-28 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, observations, and interviews, record review, the facility failed to properly store medication in 1 of 6 medication carts. The findings include: Review of the facility policy titled, Long Term Care (LTC) Facility's Pharmacy Services and Procedure Manual, revised 7/21/2022, showed .external use medications and biologicals are stored separately from internal use medications and biologicals. During an observation and review of a medication storage cart on 2/27/2024 at 7:33 AM, Licensed Practical Nurse (LPN) #1 opened the top large drawer of the Unit 2 Front Hall medication cart. LPN#1 removed an insulin pen belonging to Resident #39. The pen was in a plastic bag with a prescription label on the bag. The insulin pen also had a prescription label to identify the pen belonged to Resident #39. Resident #39's insulin pen had a second label on the pen cap which was noted for Resident #105. LPN #1 removed the insulin pen prescribed for Resident #105 from the drawer. Resident #105's insulin pen did not have a label on it. LPN #1 was asked what the protocol was…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-28 · tag F0773 — isolated
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interviews, the facility failed to notify the physician in a timely manner regarding abnormal laboratory results for 1 resident (Resident #39) of 24 residents reviewed for labs. The findings include: Review of the facility policy titled, Laboratory Services, dated 9/15/2023, showed .Promptly notify the ordering physician; physician assistant; nurse practitioner; or clinical nurse specialist of laboratory results that fall outside the clinical reference ranges in accordance to the facility policies and procedures for notification of a practitioner or per the physician's order . Resident #39 was admitted to the facility on [DATE] with diagnoses including Chronic Obstructive Pulmonary Disease, Vascular Dementia, Type 2 Diabetes Mellitus, Hypertension, Hemiplegia and Hemiparesis, Repeated Falls, and Adult Failure to Thrive. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], showed Resident # 39 had a Brief Interview for…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-01-23 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy, medical record review, and interview, the facility failed to develop an individualized care plan for Bipolar Disorder [a mood disorder] and for the special services provided resulting from Level II PASAAR [preadmission screening and resident review] recommendations for 1 resident of 31 (#118) sampled residents. The findings include: Review of the facility policy, Care Planning and Interventions, revised 7/23/2009, showed .The interdisciplinary team .develops an individualized care plan .to provide the greatest benefit to the resident .The care plan addresses, to the extent possible, resident specific interventions . Resident #118 was admitted to the facility on [DATE] with diagnoses including Bipolar Disorder, Generalized Anxiety Disorder, and Major Depressive Disorder. Review of Resident #118's Level II PASAAR, dated 2/27/2018, showed .the (preadmission screening review) .decided that you need special services for your mental health .these special services can be provided…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-01-23 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, and interview, the facility failed to update the care plan for 2 residents (#25 and #155) of 31 residents reviewed for care planning. The findings include: Review of the facility policy titled, Care Planning and Interventions, revised [DATE], showed the interdisciplinary team was responsible to develop an individualized care plan with resident specific interventions and update the care plan as needed. Review of Resident #25's medical record showed she was admitted [DATE], following a hospital stay, with diagnoses including a Myocardial Infarction (heart attack), Atrial Fibrillation, and Chronic Kidney Disease Stage 4 (severe). Review of the admission Minimum Data Set (MDS) dated [DATE], showed the resident cognitively intact with a Brief Interview for Mental Status (BIMS) score of 15. Review of the resident's Care Plan, dated [DATE], showed the Focus (Problem) areas was not updated to include the need for oxygen supplementation, the recent history of 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation, and interview, the facility failed to assess for removal of an indwelling urinary catheter (a tube inserted in the bladder to drain urine into a bag outside of the body) and failed to document medical justification for the use of a urinary catheter for 1 resident (#126) of 3 residents reviewed for indwelling catheter of 31 sampled residents. The findings include: Review of the facility's policy titled Urinary Incontinence and Indwelling Catheter .Management, reviewed 4/22/2019, showed .A resident who enters the facility with an indwelling catheter or subsequently receives one is assessed for removal of that catheter as soon as possible . Review of the medical record showed Resident #126 was admitted to the facility on [DATE] with diagnoses including Displaced Fracture of Base of Neck of Left Femur, Left Artificial Hip Joint, Type 2 Diabetes Mellitus, and Chronic Kidney Disease. There was no documented diagnosis for the use of an indwelling…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIFE CARE CENTERS OF AMERICA — 194 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 53.4-0.4 vs chain
Health inspection 2 of 52.8-0.8 vs chain
Staffing 2 of 53.3-1.3 vs chain
Quality measures 5 of 54.5+0.5 vs chain
The other 193 homes this chain runs (chain average 3.4★, per CMS)
1 of 5Garden Terrace At Overland ParkOverland Park, KS 1 of 5Hammond-Whiting Care CenterWhiting, IN 1 of 5Life Care Center Of AndoverAndover, KS 1 of 5Life Care Center Of Cape GirardeauCape Girardeau, MO 1 of 5Life Care Center Of GrayGray, TN 1 of 5Life Care Center Of HixsonHixson, TN 1 of 5Life Care Center Of Mount VernonMount Vernon, WA 1 of 5Life Care Center Of RenoReno, NV 1 of 5Life Care Center Of Sierra VistaSierra Vista, AZ 1 of 5Life Care Center Of The WillowsValparaiso, IN 1 of 5Life Care Center Of TucsonTucson, AZ 1 of 5Life Care Center of Coeur d'AleneCoeur d'Alene, ID 1 of 5Life Care Center of ElkhornElkhorn, NE 1 of 5Life Care Center of Hilton HeadHilton Head Island, SC 1 of 5Life Care Center of OmahaOmaha, NE 1 of 5Life Care Center of PlainwellPlainwell, MI 1 of 5Life Care Ctr Of LawrencevilleLawrenceville, GA 1 of 5Rensselaer Care CenterRensselaer, IN 2 of 5Canon Lodge Care CenterCanon City, CO 2 of 5Darcy Hall Of Life CareWest Palm Beach, FL 2 of 5Desert Cove Nursing CenterChandler, AZ 2 of 5Evergreen Nursing HomeAlamosa, CO 2 of 5Garden Terrace Healthcare Center of HoustonHouston, TX 2 of 5Hallmark ManorFederal Way, WA 2 of 5Lane House, TheCrawfordsville, IN 2 of 5Life Care Center Of Altamonte SpringsAltamonte Springs, FL 2 of 5Life Care Center Of AthensAthens, TN 2 of 5Life Care Center Of BridgetonBridgeton, MO 2 of 5Life Care Center Of BrookfieldBrookfield, MO 2 of 5Life Care Center Of ClevelandCleveland, TN 2 of 5Life Care Center Of ColumbiaColumbia, SC 2 of 5Life Care Center Of Coos BayCoos Bay, OR 2 of 5Life Care Center Of Federal WayFederal Way, WA 2 of 5Life Care Center Of GrandviewGrandview, MO 2 of 5Life Care Center Of KirklandKirkland, WA 2 of 5Life Care Center Of Merrimack ValleyBillerica, MA 2 of 5Life Care Center Of Morgan CountyWartburg, TN 2 of 5Life Care Center Of PuyallupPuyallup, WA 2 of 5Life Care Center Of Red BankChattanooga, TN 2 of 5Life Care Center Of South Las VegasLas Vegas, NV

Showing 40 of 193; lowest-rated first.

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 / managerTypeRoleSince
PRESTON, FORRESTIndividualDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/06/1976
FARMER, ELIZABETHIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2025
PARTON, DARLAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 09/15/2004
SOLOMON, JENNIFERIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 05/01/2019
FLETCHER, TODDIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 05/01/2021
LAY, LISAIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 02/09/2018
SWANKER, RICHARDIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2022
ZIEGLER, JAMESIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 08/16/1999
CROSS, CINDYIndividualCORPORATE OFFICERsince 04/21/1994
HENRY, TERRYIndividualCORPORATE OFFICERsince 08/16/1999
THURMOND, JOANIndividualCORPORATE OFFICERsince 09/22/2000
LIFE CARE CENTERS OF AMERICA, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/31/2006
PRESTON, AUBREYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/27/2024
TAN, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2025

CMS files one row per role, so the 32 rows in the source record cover these 14 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.

1 organizational owner 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.

$13.0M
Net patient revenuemost recent cost report
-1.5%
Operating marginrevenue minus expenses
$3.0M
Related-party expense23% of expenses
Who pays — share of resident-days
Medicaid 52%Medicare 13%Other / private 35%

This home reported $3.0M paid to related parties — landlords or management companies under common ownership — equal to about 23% 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

$307per resident / day
operating cost
$9,341per month
≈ monthly operating cost
$303per day
avg. revenue, all payers

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

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 445215. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-04, 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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