Paradigm at the Prairies

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.

33.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 58 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 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 0.33 therapist hours per resident per day in 2026Q1 — more than 54% 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 150 beds and averages 101.3 residents a day — about 68% occupied, or roughly 49 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 2.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.59 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.06 hrs/resident/day on weekends vs 2.57 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.47 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% 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

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.

28 citations, most serious first. The 14 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-03-15 · 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 observation, interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property and exploitation for 2 of 8 residents (Resident #1 and #2) reviewed for abuse and neglect, in that; Resident #2 made repeated hateful remarks toward Resident #1 and struck Resident #1 with her wheelchair. Following the incident of being struck by Resident #2's wheelchair, Resident #1 reported increased right shoulder pain lasting approximately one week, exhibited tearfulness and avoidance behaviors, and remained in her room due to fear of encountering Resident #2. Resident #2 continued to be present in common areas for approximately three weeks after Resident #1 expressed fear and concern. An Immediate Jeopardy (IJ) situation was identified on 3/14/2026. While the IJ was removed on 3/15/2026, the facility remained out of compliance at a scope of isolated with the potential for more than minimal harm, due to the facility's need to evaluate…

  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
• Immediate jeopardy · J2026-03-15 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 observation, interview and record review the facility failed to develop and implement written policies and procedures that to prohibited and prevented abuse, neglect, and exploitation of residents and misappropriation of resident property for 2 of 8 residents (Resident #1 and #2) reviewed for implementation of the abuse policy. The facility failed to implement its abuse policy by not investigating or reporting allegations of verbal and physical abuse to the facility's Abuse Coordinator after Resident #1 and her RP reported concerns of abuse by Resident #2 to LVN A and CNA A on the weekend of 2/21/2026. The facility failed to assess Resident #1 following the allegation of abuse in accordance with its abuse/neglect policy. Resident #1 subsequently reported shoulder/arm pain and exhibited signs of psychological distress related to the alleged abuse. An Immediate Jeopardy (IJ) situation was identified on 3/14/2026. While the IJ was removed on 3/15/2026, the facility remained out of compliance at a scope 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-12-16 · 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 interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the residents' choices for 1 of 5 residents (CR# 1) reviewed for quality of care. The facility failed to immediately contact emergency services and transfer CR #1 to the hospital when she complained of pain to the head, and was on a prescribed anticoagulant medication, after an unwitnessed fall on 11/21/2023 at 9:25 pm. CR#1 was life flighted to the hospital after vomiting three times after the fall. An IJ was identified on 11/30/2023. The IJ template was provided to the facility on [DATE] at 1:59pm. While the IJ was removed on 12/1/2023 at 3:40pm, the facility remained out of compliance at a scope of isolated and a severity level of actual harm because the facility needs to measure the effectiveness of their plan. The failure placed residents who are at risk for falls and on anti-coagulant medication at risk of delayed treatment that could lead…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-06-27 · 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 interview and record review the facility failed to ensure residents were free from abuse for one (Resident # 1) of 6 residents reviewed for abuse. The Administrator emotionally and verbally abused Resident # 1 when she yelled at the resident and pointed her finger in Resident #1's face bringing Resident #1 to tears. The failure place residents at risk of further abuse and diminished self worth.Findings included:Record review of Resident # 1's face sheet, dated 6/26/2025, revealed a [AGE] year-old male initial admission date, 3/3/2023. Resident # 1 had diagnoses including Cerebral Infarction due to Thrombosis of Unspecified Cerebral Artery ( a stroke caused by a blood clot (thrombosis) in an artery supplying the brain), Alzheimer Disease (a progressive brain disorder that gradually impairs memory, thinking skills, and eventually, the ability to carry out the simplest tasks), Hemiplegia and Hemiparesis following Cerebral Infarction Affecting Right Dominant Side (common consequences of cerebral infarction,…

  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 · D2026-06-02 · 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 interview, record review, and observation the facility failed to follow and implement care plan interventions for 1 out of 1 resident (Resident # 1) for assistance with ADLs. The facility failed to provide extensive assist with 1 support person during meals for Resident #1's therapeutic puree diet as per Care Plan interventions due to Resident # 1 visual impairment. This failure places ADL dependent residents with the need of feeding assistance at risk of choking, aspiration and safety due to not following or implementing care plan intervention in place.Record review of Resident #1's admission record revealed a [AGE] year-old male, admitted [DATE], with diagnoses of Encephalopathy (syndrome characterized by an altered mental state, causing symptoms like confusion, memory loss, personality changes, and in severe cases, coma or death), Legal Blindness, Generalized Muscle Weakness, Lack of Coordination, Unspecified Sequelae of Cerebral Infraction (long-term, lasting neurological or functional deficits 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 · D2026-06-02 · 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 record review, observation, and interview, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 2 out 5 residents reviewed for quality of care (Resident # 1 and Resident # 2)The facility failed to have staff interventions in place for supervision for Resident #1 and Resident #2 resulting in physical aggression.This failure could place residents at risk of physical harm, and a decrease in safety due to the lack of staff supervision.Findings include:Record review of Resident #1's admission record revealed a [AGE] year-old male, admitted [DATE], with diagnoses of Encephalopathy (syndrome characterized by an altered mental state, causing symptoms like confusion, memory loss, personality changes, and in severe cases, coma or death), Legal Blindness, Generalized Muscle Weakness, Lack of Coordination, Unspecified Sequelae of Cerebral Infraction (long-term, lasting neurological or functional deficits that remain after a stroke, where 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 · D2026-06-02 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and observation, the facility failed to ensure a safe, functional, sanitary environment for residents for 1 of 2 residents (Resident # 2) quality of care.The facility failed to maintain toilet in Resident # 2 bathroom was securely bolted for useThis failure can cause risks to residents health and safety by transfer assistance or independent use of toilet in resident's private bathroomFindings included:Record review of Resident # 2's admission record revealed a [AGE] year-old male, admitted [DATE] and readmitted [DATE], with diagnoses of Cerebral Infarction due to Thrombosis of Unspecified Cerebral Artery (a type of ischemic stroke. It occurs when a blood clot (thrombus) forms locally inside a brain artery that has not been specifically identified, cutting off blood and oxygen to brain tissue and causing cells to die), Hemiplegia and Hemiparesis following Cerebral Infarction affecting Right Dominant Side (classic neurological deficits caused by damage to the left hemisphere 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 · E2026-04-20 · tag F0561 — failed to honor residents' choices — pattern
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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 observation, interview, and record review, the facility failed to promote and facilitate resident self-determination through support of resident choice to including but not limited to the residents right to make choices about aspects of his or her life in the facility that are significant to the resident, healthcare and providers of healthcare services consistent with his or her interest, assessments, and plan of care and other applicable provisions of this part for 3 of 9 residents (Residents #1, #2 and #3) reviewed for resident rights. The facility failed to support Resident #3 choice to use Medical Transportation B for transportation to and from medical appointments. The facility failed to support Residents #1 and #2's choice to use Medical Transportation B for transportation to and from medical appointments when their family members requested it. This failure could place residents at risk of loss of self-determination resulting in loss of independence, frustration or sadness, and diminished quality…

  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 · D2026-04-20 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 record review and interview, the facility failed to provide written notice as soon as practicable before transfer or discharge to resident and resident's representative and the reason for the move in writing and in a language and manner they understand and send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman 1 of 2 resident (CR #10) reviewed for transfer and discharge rights.-The facility failed to provide a written notice of transfer to CR #10, CR #10's representative and the long-term care ombudsman as soon as practicable when CR #10 was transferred to another nursing facility on 3/5/26. This failure placed residents at risk of not receiving an advocate who can inform them of their options, rights, and the added protection from being inappropriately transferred or discharged .Findings included: Record review of CR #10's admission Record generated on 4/16/26 revealed he was admitted to the facility on [DATE] with diagnoses of dementia (a general term for 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-20 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population for 1 of 3 nursing stations (Station 3) reviewed for sufficient staff.The facility failed to have sufficient staff to ensure staff were always present in the locked memory care unit that housed 14 residents with dementia. This failure could place residents at risk of decreased supervision, accidents, abuse and injuries.Findings included:Record review of the facility's Daily Census dated 4/15/26 revealed there were 14 residents residing on the memory care unit and 13 residents residing on Station 3. Record review of the facility's Resident Matrix dated 4/16/26 revealed 13 of 14 residents residing on the memory care unit had a diagnosis of dementia or Alzheimer's disease.…

  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 · E2025-11-18 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  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 observations, interviews, and record review the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for five (Resident #3, Resident #4, Resident #5, Resident #13, and Resident #14) of twenty-one residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #3, Resident #4, Resident #5, Resident #13 and Resident #14's rooms was in a position that was accessible to the resident on 11/17/2025.This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.Findings included: Resident #3 Record review of Resident #3's Face Sheet, dated 11/17/2025, reflected a [AGE] year-old female admitted to the facility on [DATE]. The resident was diagnosed with muscle weakness and lack of coordination. Record review of Resident #3's Comprehensive MDS Assessment, dated 08/28/2025, reflected the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-11-18 · tag F0880 — failed to prevent and control infections — pattern
  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 observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for four (Resident #5, Resident #8, Resident #12, and Resident #13) of fifteen residents reviewed for infection control. 1. The facility failed to ensure CNA F and CNA G performed hand hygiene and changed their gloves during Resident #5's incontinent care on 11/17/2025.2. The facility failed to ensure LVN C wore a gown while administering Resident #8's medication via g-tube, who had an order for enhanced barrier protection, on 11/17/2025. 3. The facility failed to ensure CNA I performed hand hygiene during Resident #12's incontinent care on 11/17/2025.4. The facility failed to ensure CNA J changed gloves and washed her hands while providing incontinent care for Resident #13 on 11/17/2025.These failures could place…

  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 · E2025-11-18 · tag F0919 — failed to provide a working call system — pattern
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure that the call light system was adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from toilet and bathing facilities for fourteen (Resident #4, #12, #15 #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, and #26) of twenty-six residents reviewed for resident call system. 1. The facility failed to ensure the call light system in Resident #4's restroom was functioning on 11/17/2025. 2. The facility failed to ensure the call light system in Resident #15 and Resident #16's restroom was functioning on 11/17/2025. 3. The facility failed to ensure the call light system in Resident #17 and Resident #18's restroom was functioning on 11/17/2025. 4. The facility failed to ensure the call light system in Resident #19 and Resident #20's restroom was functioning on 11/17/2025. 5. The facility failed to ensure the call…

  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 · D2025-11-18 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 observations, interviews, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for two (Resident #1 and Resident #2) of fifteen residents reviewed for dignity. 1. The facility failed to ensure CNA H did not stand while assisting Resident #1 with lunch on 11/17/2025. 2. The facility failed to provide a privacy bag for Resident #2s catheter bag (collects urine from the urinary bladder) on 11/17/2025. These failures could place the residents at risk of not having their right to a dignified existence maintained.Findings included: 1. Record review of Resident #1's Face Sheet, dated 11/17/2025, reflected an [AGE] year-old male admitted to the facility on [DATE]. The resident was diagnosed with muscle wasting (loss of muscle leading to its shrinking and weakening) and atrophy (decrease in size of a body part). Record review of Resident #1's…

  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

“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

$62,430 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $25,280 — penalty dated 2026-03-15
• $23,753 — penalty dated 2025-06-27
• $13,397 — penalty dated 2023-12-16
• Medicare payment denial — starting 2026-04-14 for 8 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 PARADIGM HEALTHCARE — 17 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

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

Follow the money — this home’s finances

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

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

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 TX