Heartland

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

53.6% 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 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.0% 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 42 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 0.46 therapist hours per resident per day in 2026Q1 — more than 77% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 66 beds and averages 60.8 residents a day — about 92% occupied, or roughly 5 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.36 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.09 hrs/resident/day on weekends vs 3.47 on weekdays — 11% thinner on weekends. RN hours go from 0.76 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

• Actual harm · G2023-09-28 · 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, review of the Med-Aire 8 Alternating Pressure Mattress Replacement System with Low Air Loss User Manual, medical record review, facility document review, observation, and interview, the facility failed to provide adequate supervision to prevent accidents for 1 of 4 (Resident #1) residents reviewed for falls. On 9/3/2023 Certified Nurse Assistant (CNA) #10 was providing incontinent care to Resident #1. Resident #1 diagnosed with Hemiplegia affecting the left non-dominant side. Resident #1 was turned by CNA #10 in the opposite direction facing away from the CNA on an alternating pressure mattress. CNA #10 then turned away from Resident #1 to obtain a care item. Resident #1 fell from the bed to the floor resulting in harm with serious injures of head, shoulder, and back pain, including an open wound on right side of head 0.5 cm (centimeter) x (by) 0.5 cm, skin tear on right wrist 11 cm x 5 cm, and skin tear on left calf 5 cm x 4 cm. Resident #1 was transported to the emergency room by…

  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 before2026-04-15 · 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 policy review, medial record review, observation, and interview, the facility failed to follow physicians orders for a percutaneous enteral gastrostomy (PEG) tube (a tube inserted through the skin and into the stomach to administer medications and supplements) when staff failed to administer the ordered enteral feeding at the correct rate for 1 of 2 residents (Resident #7) reviewed for tube feedings. The findings include: 1. Review of the facility policy titled, Preparation and General Guideline, dated 1/1/2019, revealed .Medications are administered as prescribed in accordance with good nursing principles and practice.administered in accordance with written orders of the prescriber. 2. Review of the medical record revealed Resident #7 was readmitted to the facility on 7/8/2019, with diagnoses including Dysphagia (difficulty swallowing,) Dementia, and Ileus (functional obstruction of the intestines caused by paralyzed muscles). Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE],…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · 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 facility policy review, medical record review, and interview, the facility failed to ensure all alleged violations involving abuse are reported immediately, but not later than 2 hours after the allegation is made for 4 of 5 (Resident #1, #24, #47, and #209) sampled residents reviewed for abuse. The findings include: 1. Review of the facility policy titled, Patient Protection and Response Policy for Allegations/Incidents of Abuse, Neglect, Misappropriation of Property and Exploitation, with revision date 2/1/2023 revealed, .Any partner having either direct or indirect knowledge of any event that might constitute abuse, neglect .must report the event immediately .it is the policy of this facility that abuse allegation .are reported per Federal and State Law. The facility will ensure that all alleged violations involving abuse .are reported immediately, but not later than 2 hours after the allegation is made . 2. Review of the medical record revealed Resident #1 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · 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 Minimum Data Set (MDS) assessments Section GG (Functional Abilities) were incomplete for 2 of 16 (Resident #20 and #21) MDS assessments reviewed. The findings include: 1. Review of the medical record revealed Resident #20 was admitted to the facility on [DATE], with diagnoses including Chronic Obstructive Pulmonary Disease, Insomnia, Sleep Apnea, Cardiomyopathy, and Chronic Pain Syndrome. Review of the annual Minimum Data Set (MDS) dated [DATE], revealed Resident #20 had a Brief Interview for Mental Status score (BIMS) of 15, which indicated the resident was cognitively intact and Section GG was dashed and not completed. 2. Review of the medical record revealed Resident #21 was admitted to the facility on [DATE], with diagnoses including Cerebral Infarction, Hypertension, Seizure Disorder, and Dysphagia, pharyngoesophageal phase. Review of the quarterly MDS dated [DATE], revealed Resident #21 had a BIMS score of 9, which indicated the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-13 · 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 facility policy review, medical record review, observations, and interview, the facility failed to provide scheduled showers/baths for 1 of 28 (Resident #28) sampled residents reviewed for bathing. The findings include: 1. Review of the undated policy titled, Bathing Policy, revealed .As a standard, residents are placed on a 3x [time]/week shower/full bed bath schedule. However, if a resident asks for a shower/full bed bath in addition to the schedule, every attempt is made to accommodate .Shower schedules are placed in the reference book at the nurse's stations. Documentation is by exception only, meaning that refusals of shower/full bed baths be documented . 2. Review of the shower schedule provided by the facility revealed Resident #28 was scheduled to receive a shower on night shift from 6:00 PM to 6:00 AM on Monday, Wednesday, and Friday. 3. Review of the medical record revealed Resident #28 was admitted to the facility on [DATE], with diagnoses which included Traumatic Subdural Hemorrhage,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-13 · 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 facility policy review, medical record review, and interview, the facility failed to follow physician orders for 2 of 28 sampled residents (Resident #8 and Resident #207) reviewed. The findings include: 1. Review of the undated facility policy titled, PHYSICIAN ORDER RECAP PROCESS [Named Electronic] SOFTWARE revealed When the nurse receives the order, she will review the physician orders for any changes and obtain any clarifications or additional orders necessary. The nurse confirmation of this order attests that she has completed this review process. When the physician makes the required visit, he will review .make any changes he/she deems necessary and sign this order. This will serve as documentation that he has reviewed and renewed the orders . Review of the facility policy titled, LAB AND X-RAY SERVICES, dated 3/2024 revealed, The center maintains agreements/contracts for .laboratory .services. These studies will be obtained only upon the written order of the patient's physician .The center ensures…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-13 · 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 provide care and services for a resident with a percutaneous endoscopic gastrostomy (PEG) tube (tube inserted into the stomach to administer medications, supplements and liquid food) when staff failed to notify physician and resident representative of a change in status resident weight loss, and refusal of peg tube feedings for 1 of 3 (Resident #6) sampled residents reviewed for enteral feedings. The findings include: 1. Review of the facility policy titled, Patient Care Policies -Policies and Procedure Regarding Change in Patient Status, revised on 3/2024, revealed .The patient or patient representative is encouraged to be involved in all decision-making regarding changes in the plan of care .Notification of Patient Representative .The charge nurse on duty is notified immediately of any change in a patient's condition. The charge nurse will then assess the patient's condition and notify the physician or…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0730 — isolated
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, Certified Nursing Assistant (CNA) training record review, and interview, the facility failed to ensure 8 of 13 CNAs (CNA F, G, H, I, J, K, L, and M) employed for a full year received at least 12 hours of in-service training. The findings include: 1. Review of the facility's policy titled Patient Care Policies, dated 2024, revealed .The center's in-service training program will provide additional partner training based on individual partner's assessed needs and in compliance with NHC, State and federal regulations . 2. Review of the Inservice Training Hours revealed: a. CNA F had a hire date of 10/17/2023, and had only competed 5.76 in-service hours from 1/2/2024 -present. b. CNA G had a hire date of 6/6/2023, and had only completed 10.26 in-service hours from 1/2/2024 -present. c. CNA H had a hire date of 12/5/2023, and had only completed 3.50 in-service hours from 1/2/2024 -present. d. CNA I had a hire date of 6/20/2023, and had only completed 3.25 in-service hours from 1/2/2024 -present. e. CNA J had a hire date of 7/10/2024, and had only completed 11.60…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medication review, observation, and interview, revealed the facility failed to ensure medications were properly stored and secured for 2 of 16 (Resident #20 and #36) residents when medications were found unattended and unsecured in resident rooms. The findings include: 1. Review of the facility's policy titled, STORAGE OF MEDICATION, with a revision date of 2/25/2025, revealed .Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of supplier. The medication is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorize to administer medications . Review of the facility's policy titled, SELF-ADMINISTRATION OF MEDICATIONS, with a revision date of 2/25/2025, revealed .residents who desire to self-administer medications are permitted to do so if the facility's interdisciplinary team has determined that the practice would be safe for the resident and other residents of the facility…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · 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

  Based on observation and interview, the facility failed to ensure a safe, sanitary, and comfortable environment for 6 of 22 (Residents #23 and #26's room, Residents #9 and #20's room, Resident #13 and #37's room, Residents #1 and #41's room, Residents #7 and #24's room, and Resident #53's room) resident occupied rooms and bathrooms observed. The findings include: 1. Observations in the shared bathroom for Resident #23 and #26 on 3/10/2025 at 12:06 PM, and 4:09 PM, and on 3/11/2025 at 10:00 AM, revealed 2 teal wash basins stacked inside of each other in the bathroom floor, unlabeled and uncontained. 2. Observations in the shared room for Resident #9 and Resident #20 on 3/10/2025 at 11:32 AM, revealed 1 bottle of Sea Breeze facial astringent (facial cleanser) on top of the dresser uncontained, and unsecured. 3. Observations in the shared room for Resident #13 and #37 on 3/10/25 at 11:55 AM, revealed the following: a. a bottle of sterile water opened and uncontained sitting on the bedside stand next to the refrigerator. b. a 16.9 oz (ounce) bottle of California Mango shampoo on top of…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-09-28 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, observation and interview, the facility failed to develop and implement a person-centered care plan for 4 of 7 (Resident #1, #2, #4, and #7) sampled residents reviewed. The facility failed to designate the number of staff required to provide physical assistance which resulted in inconsistent care and negative outcomes. The findings include: Review of the facility policy titled, Patient Rights, revised February 2023, revealed, .Your plan of care will be developed to address physical and psychosocial areas where you and your health care team have concerns .The ultimate goal is to assist you to achieve and/or maintain the highest level of functioning possible within the limits set by your medical condition . A written plan of care is developed for you individually . Review of the facility's policy titled, Falls Assessment Process, dated October 2022, revealed .Care plan should include appropriate interventions, proactive approaches to prevent falls, and be…

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

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

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

Fines & penalties

$7,901 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $7,901 — penalty dated 2023-09-28
• Medicare payment denial — starting 2023-10-28 for 13 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 NATIONAL HEALTHCARE CORPORATION — 69 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 17 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.

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

Follow the money — this home’s finances

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

This home reported $306K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in TN