Waters Of Sweetwater A Rehabilitation & Nursing

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.

48.8% 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 49 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.5% 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 26 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 0.27 therapist hours per resident per day in 2026Q1 — more than 40% 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 90 beds and averages 68.8 residents a day — about 76% occupied, or roughly 21 beds typically open. It usually has some room. 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 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 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 3.00 hrs/resident/day on weekends vs 3.47 on weekdays — 13% thinner on weekends. RN hours go from 0.41 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2022-10-08 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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, review of national guidelines for Basic Life Support, medical record review, interview, and review of personnel records, the facility failed to honor resident wishes to receive Basic Life Support services (BLS, medical care requiring knowledge and skills in cardiopulmonary resuscitation [CPR] and use of an Automated External Defibrillator [AED], a portable lifesaving device designed to treat people experiencing sudden cardiac arrest) for 1 resident (Resident #65) of 8 residents reviewed for death. The facility's failure to provide basic life support for Resident #65 placed the resident in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). Resident #65 was pronounced dead on [DATE] after CPR was discontinued. The Administrator was notified of the Immediate Jeopardy at F-678 on [DATE] at 5:54 PM. The facility was cited an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2022-10-08 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  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, review of national guidelines for Basic Life Support, medical record review, review of personnel files, and interview, the facility failed to follow the Quality Assurance Performance Improvement (QAPI) policy to develop corrective actions for an adverse event when Resident #65, who was a full code (a resident who is to receive basic life support [BLS] if found unresponsive or in cardiac arrest), was found unresponsive. The staff initiated cardiopulmonary resuscitation (CPR), then discontinued CPR without an order from a physician prior to EMS (Emergency Medical Services) arrival. The facility's failure placed Resident #65 in Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause serious injury, harm, impairment, or death to a resident). Resident #65 was pronounced dead on [DATE] after CPR was discontinued. The Regional Director of Clinical Services and Administrator were notified 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-06 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  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 a physician's order related to monthly weight monitoring for 3 residents (Resident #32, #40, and #67) of 6 residents reviewed for weight monitoring. The findings include: Review of a policy titled Weights, revised 4/17 revealed, .All residents will be weighed upon admission .then weekly for three weeks .then be weighed monthly . Review of the medical record revealed Resident #32 admitted to the facility on [DATE] with diagnoses including Adult Failure to Thrive, Protein Calorie Malnutrition, and Diastolic Congestive Heart Failure. Review of an annual Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #32 scored a 13 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact. Review of the comprehensive care plan for Resident #32 revised 8/4/2025, revealed .nutritional status is compromised .Weigh the resident monthly . Review of a Physicians Order…

  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 · D2025-08-06 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 ensure resident health information remained private and confidential for 1 resident (Resident #4) of 3 residents observed during medication administration, which had the potential to allow unauthorized individuals access to the resident's private health information.The findings include: Review of the facility's undated policy titled, What is HIPAA, revealed .any and all health information on a resident .that identifies an individual .in any form such as .electronic records .shall be the policy of the facility to protect and safeguard the PHI [Protected Health Information] created, acquired and maintained . Review of the medical record revealed Resident #4 was admitted to the facility on [DATE] with diagnoses including Cirrhosis of Liver, History of Falling, and Muscle Weakness. During an observation and interview on 8/5/2025 at 7:45 AM, on the upper 200 hall, revealed Licensed Practical Nurse (LPN) E…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-06 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 and interview, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) screen was accurate after new mental health diagnoses were identified for 2 residents (Resident #67, and #33) of 9 residents reviewed for PASARR.The findings include:Review of the facility's policy titled, Guidelines for PASRR [Pre-admission Screening and Resident Review] {PASSARR} Process, dated 5/17/2023, revealed .federally mandated process that requires all states to pre-screen all residents .identify people, including adults, (residents), with mental illness .to ensure people, (residents), receive the required services for mental illness .people, residents, who are confirmed to have ID [Intellectual Disability], DD [Developmental Disability], or MI [Mental Illness] are evaluated to determine need for services .Review of the medical record revealed Resident #67 was admitted to the facility on [DATE] with diagnosis including Chronic Lung Disease. Further…

  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 · D2025-08-06 · 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, manufacturer guidelines review, observation, and interview, the facility failed to properly store medications and biologicals in 1 of 2 medication rooms reviewed.The findings include:Review of the undated facility policy titled, Medication Storage in the Facility, revealed, .Medications and biologicals are stored safely, securely, and properly following the manufacturer or supplier recommendations .outdated, contaminated, or deteriorated drugs .will be immediately withdrawn from stock .they will be disposed of according to drug disposal procedures .facility staff will assure that the multi-dose vial is stored following manufacturer's suggested storage conditions .Review of the undated manufacturer guidelines titled, APLISOL - tuberculin purified protein derivative [TB ppd] injection [an injectable medication used to detect the bacteria that causes Mycobacterium tuberculosis] revealed, .Storage .This product should be stored between .36* [degrees] and 46* F [degrees Fahrenheit] .Vials in use more than 30 days should be discarded due to possible…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-06 · 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 interview, the facility failed to offer hand hygiene assistance prior to meals for 3 residents (Resident #6, #16, and #77) of 2 of 4 hallways observed for meal tray distribution and staff failed to perform appropriate hand hygiene when serving residents' meal trays for 3 residents (Resident #63, #43, and #44) on 2 of 4 hallways. The findings include: Review of the facility's policy titled, Resident Dining Services, dated 12/16/2006, revealed .Staff members assigned to passing meal trays will practice proper hand hygiene techniques (handwashing or hand sanitizer) between each resident served on the hall .Review of the facility's policy titled, Handwashing/Hand Hygiene, revised 8/2014, revealed .facility considers hand hygiene the primary means to prevent the spread of infections .All personnel shall follow the handwashing/hand hygiene procedures to help prevent the spread of infections .Residents .encouraged to practice hand hygiene .Use an…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-05-15 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, record review, observation, and interview the facility failed to post accurate staffing information to reflect daily staffing levels and failed to document Registered Nurse (RN) hours. The findings include: Review of the facility policy titled, Guidelines for BIPA (Benefits Improvement and Protection Act) Staffing Posting Requirement, revised 7/24/2023, revealed .SNF's [Skilled Nursing Facilities] must post daily, at the beginning of each shift, the specific shift schedule for the 24-hour period, the number and category of nursing staff employed or contracted by the facility for each 24-hour period, as well as the total number of hours worked by licensed nursing staff . During an observation on 5/13/2024 at 10:10 AM, of the daily nurse staff posting, revealed the staffing information posted reflected staffing for 4/26/2024 and had not been updated to reflect the current staff in the facility on 5/13/2024. Review of the facility's daily nurse staff posting sheets revealed no RN hours had been documented for the following dates: 4/25/2024, 5/8/2024,…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-05-15 · 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 — the official record, unedited, may be distressing

  Based on facility policy review, observation, and interview the facility failed to ensure food items were sealed properly, which had the potential to affect 69 of 70 residents. The findings include: Review of the facility's policy titled, Food Storage Areas, dated 6/04/2021, revealed .Spice jars should be closed when not in use .opened food should be transferred to an airtight container or zip lock bag . Observation of the food preparation room on 5/13/2024 at 10:30 AM, with the Dietary Manager (DM), revealed the following items were not sealed and open to air: One 16-ounce (oz) bottle of garlic powder One 19-oz bottle of onion powder One 42-oz box quick oats ¾ full During an interview on 5/13/2024 at 10:40 AM, the DM stated dry cereal and dried seasoning are to be fully sealed after use. The DM confirmed the food items had not been stored properly.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-15 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, medical record review, review of a facility investigation, and interview the facility failed to prevent physical abuse for 1 resident (Resident #52) of 70 residents reviewed for abuse. The findings include: Review of the facility's policy titled, Abuse Prevention Program, dated 10/22/2022, revealed .it is the policy of this facility to prevent resident abuse .the facility desires to prevent abuse .by establishing a resident-sensitive and resident-secure environment . Medical record review revealed Resident #52 was admitted to the facility on [DATE] with diagnoses including Osteoarthritis, Polyneuropathy, and Anxiety. Review of a comprehensive care plan for Resident #52 revised 4/25/2024, revealed .risk for adverse reaction R/T [related to] psychotropic drug use .Chronic pain syndrome . Review of an admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #52 scored a 9 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident had…

  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 · D2024-05-15 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 identify related conditions that requires Level 2 PASRR (Preadmission Screening and Resident Review) evaluation for 1 resident (Resident #50) of 12 residents reviewed for an initial PASRR submission. The findings include: Medical record review revealed Resident #50 was admitted to the facility on [DATE] with diagnoses including Post Traumatic Stress Disorder (PTSD), Anxiety, Adjustment Disorder with Depression, and Insomnia. Review of a PASRR for Resident #50 dated 4/4/2023, revealed .Level 1 Form .any or all .mental health conditions that are diagnosed or suspected for this individual now or in the past .No mental health diagnosis is known or suspected . Review of a Psychiatric Nurse Practitioner Note for Resident #50 dated 4/29/2024, revealed, .PSYCHIATRIC HISTORY AND PROBLEMS .Anxiety .PTSD .Depressive Disorder . During an interview on 5/15/2024 at 2:55 PM, the Human Resource Manager (HRM) stated the PASRR dated…

  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 · D2024-05-15 · 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 revise a comprehensive care plan for 1 resident (Resident #44) of 19 residents reviewed for care plans. The findings include: Medical record review revealed Resident #44 was admitted to the facility on [DATE] with diagnoses including Chronic Kidney Disease, Congestive Heart Failure, and Diabetes. Review of a comprehensive care plan for Resident #44 dated 12/29/2023, revealed .had a potential for complications related to hemodialysis for diagnosis of stage 5 Chronic Kidney Disease .intervention .[Dialysis Clinic] Dialysis, Monday, Wednesday, Friday; chair time 10:30 AM . Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #44 scored a 13 on the Brief Interview for Mental Status (BIMS) assessment which indicated the resident was cognitively intact and received dialysis (process that removes waste products and excess fluid from the blood). During an interview on 5/14/2024 at 8:04 AM,…

  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

No federal fines in the current CMS record.

Part of a chain

This home belongs to INFINITY HEALTHCARE CONSULTING — 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

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.

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in TN