Renaissance Park Multi Care Center

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.

57.2% 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 89 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.6% 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 0.65 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 120 beds and averages 40.3 residents a day — about 34% occupied, or roughly 80 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.01 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 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 3.33 hrs/resident/day on weekends vs 4.31 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 1.04 to 0.96 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above 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.

31 citations, most serious first. The 14 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Kcited before2025-02-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 a resident received care, consistent with professional stands of practice, to prevent pressure ulcers for 1 of 4 residents (Resident #95) reviewed for quality of care. 1. The facility failed to implement interventions to prevent Resident #95 from developing a stage 3 pressure injury to the sacral area. The facility did not assess Resident 95's skin to determine if she had pressure ulcers due to resdient refusal and did not identify a Stage III pressure ulcer to her sacrum which was identified when she was transferred to the hospital and was infected. Resident #95 was diagnosed with sepsis at the hospital. 2. The facility failed to accurately assess the skin of Resident #95. RN A did an incomplete skin assessment and documented Resident #95's skin was intact with no skin issues. 3. The facility failed to document Resident #95's refusal of skin assessments. An Immediate Jeopardy (IJ) situation was identified on [DATE] The IJ template was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-10-03 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 and record review the facility failed to ensure residents were free from significant medication errors for one (Resident #1) of seven residents reviewed for medication errors. The facility failed to ensure Resident #1 got his own medications instead of receiving Resident #2's medications, which included a narcotic medication, on [DATE] by MA D. This failure could place residents at risk of medical complications, and reactions to increased dosages of medications or unfamiliar medications, including potentially death. The noncompliance was identified as PNC. The IJ began on [DATE], and ended on [DATE], as the facility had corrected the non-compliance by in-servicing all Medication Aides prior to the visit. Findings included: Review of Resident #1's face sheet, dated [DATE], reflected he was a [AGE] year-old male, most recently admitted to the facility on [DATE]. He had diagnoses of repeated falls, anxiety disorder, chronic kidney disease, diabetes, and heart disease. 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.

  Pharmacy Service Deficiencies · Past Non-Compliance
• Immediate jeopardy · Kcited before2023-11-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 a resident received care, consistent with professional standards of practice, to prevent pressure ulcers that were avoidable for 1 (Resident #1) of 3 residents reviewed for pressure ulcers. 1. The facility failed to perform weekly skin assessments for Resident #1 from 09/25/2023 to 10/07/2023. 2. The facility failed to notify the physician during the admission process of the resident's pressure ulcers to obtain wound treatments, and failed to obtain orders to help prevent facillity acquired pressure ulcers to develop. Resident #1 developed stage 3 pressure ulcers to right heel, left heel, and right buttock, one deep tissue injury to right ankle, one deep tissue injury to left ankle, and two deep tissue injury to left foot while at the facility. An Immediate Jeopardy (IJ) was identified to have existed from 09/25/2023 to 10/13/2023. The IJ was determined to be at past non-compliance as the facility had implemented actions that corrected 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 · Past Non-Compliance
• Actual harm · H2024-04-18 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  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 maintain an effective pest control program for one (hallway 100) of two hallways checked for pest control, so that the facility was free of pests. The facility did not maintain an effective pest control program to ensure Residents #3, #4, and #2 were not bitten by horse flies and to ensure the facility was free of gnats and horse flies for Residents #1, #2, #3, and #4. This could place residents at risk for an unsanitary environment. Findings included: Record review of Resident #3's Face Sheet, dated 4-18-2024, revealed a [AGE] year-old male admitted to the facility on [DATE] with a primary diagnosis of hemiplegia (muscle weakness or partial paralysis on one side of the body) following cerebral infarction affecting left non-dominant side and secondary diagnosis of urinary tract infection, inflammatory reaction due to indwelling urethral catheter, and morbid obesity. Record review of Resident #3's MDS, dated [DATE], revealed a BIMS score…

  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 · Fcited before2026-04-30 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety in the facility's kitchen, reviewed for food safety The facility failed to correctly seal a bag of opened cake mix. The facility failed to separate a dented can of food.The facility failed to label and date a package of opened pasta noodles.The facility failed to defrost frozen ground beef under running water. These failures could place residents at risk for food-borne illness and cross contamination.Findings included:Observation of the dry storage room in the kitchen on 04/28/2026 at 9:15 a.m. revealedA dented can of fresh vegetables stored on the rack with other cans.A package of previously opened cake mix in a storage bag exposed to air. A package of opened powdered sugar with only one date 03/17/2026 indicating when it was placed in the storage bag was observed on the shelf. Observation of the hand dish washing area on 04/29/2026 at 10:35 a.m.Revealed a package of frozen meat siting in a pan of water in a sink with no water…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · 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 interviews, observation, and record review, the facility failed to treat residents with respect and dignity and care for them in a manner and in an environment that promoted maintenance or enhancement of their quality of life for 1 (Resident #42) of 4 residents reviewed for resident rights. The facility failed to ensure staff did not stand while feeding Resident #42 on 04/28/26. This failure could place residents at risk for decreased quality of life, decreased self-esteem and increase anxiety. Review of Resident #42's face sheet, dated 04/30/2026, revealed she was a [AGE] year-old-female admitted to the facility on [DATE] with diagnoses that included: dementia, COPD (chronic obstructive pulmonary disease, a progressive lung disease that makes it difficult to breathe), and anxiety.Review of Resident #42's quarterly MDS assessment, dated 02/18/20263, revealed she had a BIMs score of 4 which indicated severe cognitive impairment.Observation on 04/28/2026 at 12:20 p.m. of the 2nd floor dining room revealed…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-30 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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 the resident's right to formulate an advanced directive for 1 of 3 (Resident #45) residents reviewed for resident rights. The facility failed to ensure Resident #45's code status (a medical directive indicating the type of care a patient wants, specifically regarding CPR or life-sustaining measures if their heart or breathing stops and guides doctors to either provide all available resuscitation or to respect the patient's wish not to be resuscitated) was communicated and correctly indicated in their EHR. This failure could result in residents receiving unwanted treatment or not receiving desired treatment. Findings include: Record review of Resident #45's five day scheduled MDS assessment for a Medicare Part A stay, dated [DATE], reflected the resident was a [AGE] year-old female who was admitted to the facility on [DATE]. Resident #45's MDS reflected the resident had hemiplegia (form of paralysis causing total or severe loss of muscle function…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-30 · 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 observation, interview, and record review, the facility failed to keep drugs and biologicals in locked compartments for 1 (Treatment Cart A) of 5 carts reviewed for medication storage. The facility failed to lock Treatment Cart A on downstairs hall while the cart was unattended on 04/28/2026. This failure could affect residents' safety and privacy. Findings included: In an observation on 4/28/2026 at 9:00am, Treatment Cart A was placed near downstair hall nurse station. The treatment cart was unlocked and unattended. There was one nurse sitting at the nurse station and one resident sitting across from the nurse station. Inside the treatment cart was wound care biologicals and a pair of scissors. In an observation on 4/28/2026 at 9:02am, the Administrator walked by Treatment Cart A and locked the cart. In an interview on 4/28/2026 at 9:05am, the administrator stated she thought Treatment Cart Awas empty. When she was informed that the treatment cart had biologicals and wound care materials, the administrator stated her staff must have forgotten to lock the cart. She stated…

  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 · E2025-07-16 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for one Resident (Resident #1) of three residents reviewed for notification of changes.The facility nurses failed to notify Resident #1's physician of Resident #1's refusal of ten scheduled doses of Rifaximin 550 mg oral tablet ordered twice daily for cirrhosis during June 2025 and July 2025. The facility nurses did not notify Resident 1's physician of her refusal of 12 scheduled doses of Lactulose 30 milliliters ordered twice daily for cirrhosis in July 2025.These failures could place residents at risk of not receiving appropriate treatment.Findings include:A review of Resident #1's Face Sheet reflect Resident #1 was a [AGE] year-old female resident admitted to the facility on [DATE].A review of Resident #1's MDS dated [DATE] reflected Resident #1 had a BIMS…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-11 · 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 interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 (Resident #1) of 4 residents reviewed for care plans. The facility failed to assess and care plan for Resident #1' s primary diagnosis of sickle call pain crisis. This placed residents at risk for not receiving proper care and services due to inaccurate care plans. Findings included: Record review of Resident #1 ' s face sheet dated 06/11/2025 reflected a [AGE] year-old woman admitted to the facility on [DATE] with primary diagnosis of Sickle-Cell/HB-C Disease (genetic blood disorder of abnormal hemoglobin, resulting in blockage of blood vessels and reduced oxygen delivery in the blood. Outcomes include anemia-low hemoglobin, pain-blockage 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-11 · 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 observation, interview, and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #4) of 4 residents reviewed for quality of care. The facility failed to provide treatment to Resident #4 ' s burns on both her thighs according to physician orders. This failure placed residents of risk for not receiving appropriate care and treatment and a decreased quality of life. Findings included: Record review of Resident#4 ' s face sheet, dated 06/18/2025, reflected a [AGE] year-old woman admitted on [DATE] with primary diagnoses of burns involving 10-19% of body surface with 10-19% third degree burns, burn of third-degree right hand, right thigh, left thigh, and right lower leg; other diagnoses include generalized anxiety disorder, major depressive disorder, pain in unspecified hip. Record review of Resident #4 ' s care plan dated (no 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 · D2025-06-11 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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 assess the risks and benefits of bed rails and grab bars with the resident or resident representative or obtain informed consent prior to installation for two (Resident #2 and Resident #3) of four resident rooms observed and reviewed for bed rails/enabler bars. 1.The facility failed to have evidence of informed consent, a physician's order, a side rail assessment, and a care plan of the resident's risk of entrapment for bed rails or grab bars for Resident #2. 2.The facility failed to have evidence of informed consent, a side rail assessment, and a care plan of the resident's risk of entrapment for bed rails or grab bars for Resident #3. These failures could place residents who used bed rails/grab bars at risk of the resident not being assessed for bed rails or grab bars, resident/responsible party not being aware of the risks, and informed consent not being obtained from the resident or responsible party which could place the resident at…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure in accordance with accepted professional standards and practices, the facility must maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized for 2 (Resident #1 and #4) of 7 for accuracy of records. The facility failed to accurately transcribe orders for the admitting diagnoses for Resident #1 and #4. The failure can affect residents by putting them at risk for physical pain, decline in current health condition(s), and negative psychosocial impact. Resident #1 Record review of Resident #1 ' s face sheet dated 06/11/2025 reflected a [AGE] year-old woman admitted to the facility on [DATE] with primary diagnosis of Sickle-Cell/HB-C Disease (genetic blood disorder of abnormal hemoglobin, resulting in blockage of blood vessels and reduced oxygen delivery in the blood. Outcomes include anemia-low hemoglobin, pain-blockage of blood flow, and risk of infection) with…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-23 · tag F0573 — isolated
  Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  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 allow the resident's Next-of-Kin to obtain a copy of the records upon request and upon two working days advance notice to the facility for one (Resident #1) of four residents whose records were reviewed in that: -The facility failed to provide Resident #1's next of kin copies of medical records after a request was submitted to the facility on [DATE]. This failure could place residents' responsible parties at risk of violation of their rights by not receiving copies of resident medical records. The findings were: Closed Record Review of admission Record dated [DATE] reflected Resident #1 was a [AGE] year-old male, initially admitted to the facility on [DATE]. Resident #1 was listed as his own Responsible Party. Resident #1's Next-of-Kin was listed as his Emergency Contact #2. Closed Record Review of Resident #1's progress note, dated [DATE] at 5:29 PM, reflected Resident #1 had been found unresponsive and with no detectable pulse. The note reflects LVN 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

“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

$106,478 in federal fines across 4 penalties.

• $35,285 — penalty dated 2025-02-28
• $14,433 — penalty dated 2024-10-03
• $43,336 — penalty dated 2024-03-22
• $13,424 — penalty dated 2023-11-09

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 LIFE CARE CENTERS OF AMERICA — 194 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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 31 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.

4 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 $830K paid to related parties — landlords or management companies under common ownership — equal to about 14% 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. 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 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

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