Mission at Richfield Nursing and Rehabilitation

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.

55.0% 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 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2026Q1 — more than 32% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 98 beds and averages 36.7 residents a day — about 37% occupied, or roughly 61 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.44 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.20 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 3.21 hrs/resident/day on weekends vs 3.53 on weekdays — 9% thinner on weekends. RN hours go from 0.83 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 more than at the previous inspection — worsening. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

20 citations, most serious first. The 14 most serious are shown; the remaining 6 are one tap away and print in full.

• Actual harm · Gdisputed · IDR2026-06-11 · 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 did not ensure that residents had the right to be free from abuse, neglect, misappropriation of property, and exploitation. Specifically, for 1 out of 36 sampled residents, a resident required an extensive two-person assist with brief changes and a Certified Nursing Assistant changed the resident's brief alone. Additionally, during the brief change the resident rolled out of bed and sustained a laceration and femur fracture. This resulted in a finding of harm. Resident identifier: 46.Findings included:Resident 46 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included chronic obstructive pulmonary disease, morbid (severe) obesity due to excessive calories, generalized muscle weakness, muscle wasting and atrophy, difficulty in walking, other lack of coordination, and other reduced mobility.A review of the facility's exhibit 358 reported to the State Survey Agency revealed an incident dated 5/8/24, CNA [Certified…

  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 no plan of correction
• Actual harm · Gcited beforedisputed · IDR2026-06-11 · 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 and interview, it was determined that for 2 out of 36 sampled residents, the facility failed to ensure each resident's environment remained as free of accident hazards as was possible; and that each resident received adequate supervision and assistance devices to prevent accidents. Specifically, a resident required an extensive two-person assist with brief changes and a Certified Nursing Assistant changed the resident's brief alone. Additionally, during the brief change the resident rolled out of bed and sustained a laceration and femur fracture. This resulted in a finding of harm for this resident. In addition, one resident removed his wander guard for a fourth time and eloped. Resident identifiers: 13 and 46.Findings included:HARM: 1. Resident 46 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included chronic obstructive pulmonary disease, morbid (severe) obesity due to excessive calories, generalized muscle weakness, muscle wasting and atrophy,…

  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 no plan of correction
• Actual harm · Gcited before2024-02-07 · 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 interview and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents. Specifically, for 1 out of 18 sampled residents, a resident that required extensive assistance of two or more persons for bed mobility and toilet use had a brief change performed by one Certified Nursing Assistant (CNA), rolled out of the bed, and fractured their right hip. Resident identifier: 34. Findings included: Resident 34 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included, but were not limited to, Multiple Sclerosis, atrial fibrillation, type 2 diabetes mellitus, mood disorder due to known physiological condition with major depressive like episode, nondisplaced intertrochanteric fracture of right femur, reduced mobility, repeated falls, and chronic pain syndrome. Resident 34's medical record was reviewed on 2/6/24. A care…

  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 · G2020-01-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  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 observation, interview, and record review it was determined, for 2 of 22 sample residents, that the facility did not ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrated that they were unavoidable; and a resident with pressure ulcers received necessary treatment and services, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, a resident that was determined to be at risk for developing a pressure ulcer did not have interventions in place to prevent pressure ulcers from developing. The resident developed pressure ulcers that enlarged and one became infected. In addition, another resident's wound was enlarging in size and was not offered to be turned and repositioned. The resident's admission physician's orders were not followed. Resident identifiers: 21 and 45. Findings include: 1. Resident 45 was admitted to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-11 · 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 interview and record review it was determined, for 1 of 36 sampled residents, that the facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, a resident's colostomy care was not provided timely and the resident experienced pain, redness, and tearfulness. Resident identifiers: 48.Findings included:Resident 48 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included progressive multiple sclerosis, chronic obstructive pulmonary disease, kidney disease stage 4, chronic pain syndrome, edema and functional quadriplegia. On 6/9/26 a facility reported incident dated 11/11/25 was reviewed and documented that resident 48 claimed her colostomy bag failed and she was left sitting in her bodily fluids for an extended amount of time which caused her discomfort. Staff interviews documented the resident did ask staff for assistance…

  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 no plan of correction
• Potential for harm · D2024-02-07 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property were reported immediately, but not later than 2 hours after the allegation was made to the State Survey Agency (SSA) and Adult Protective Services (APS). Specifically, for 2 out of 18 sampled residents, notification to the SSA and APS were not done when a resident that required extensive assistance of two or more persons for bed mobility and toilet use had a brief change performed by one Certified Nursing Assistant (CNA), rolled out of the bed, and fractured their right hip. In addition, a resident that had a fall in the bathroom and fractured the tip of their scapula was not reported to the SSA and APS. Resident identifiers: 24 and 34. Findings included: 1. Resident 34 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included, but were not limited to,…

  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 · D2024-02-07 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  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 did not ensure that the antibiotic stewardship program included antibiotic use protocols and a system to monitor the antibiotic use. Specifically, for 2 out of 18 sampled residents, residents were treated with an antibiotic for a Urinary Tract Infection (UTI) without verifying that the antibiotic used was susceptible to the microorganism identified. Resident identifiers: 2 and 10. Findings included: 1. Resident 2 was admitted to the facility on [DATE] with diagnosis which included chronic obstructive pulmonary disease, urinary tract infection, and history of methicillin resistant staphylococcus aureus infection. Resident 2's Medical Record was reviewed on 2/6/24. On 6/5/23, a nursing note documented, Resident is c/o [complained of] of burning upon urination and her stomach hurting all day. She requested a UA [urinalysis] to be done. On 6/6/23, a physician's order documented, UA with culture and sensitivity if indicated. On 6/6/23, a nursing note documented, UA…

  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 · D2022-06-15 · 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 observation and interview it was determined, for 5 of 22 sample residents, that the facility did not ensure each resident had the right to a dignified existence. The facility did not treat each resident with dignity in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. Specifically, a resident's pants were observed to fall below his buttock, exposing his buttock to four female residents. Resident identifiers: 17, 27, 30, 34 and 37. Findings include: Resident 34 was admitted to the facility on [DATE] with diagnoses which included dementia with behavioral disturbance, hyperlipidemia, stress incontinence, and muscle weakness. On 6/13/22 at 12:35 PM, an observation was made of resident 34. Resident 34 was in the dining room of the secured unit ambulating with his zipper down on his shorts. Resident 34 was observed to wheel the meal cart from outside the dining room to inside the dining room. Resident 34 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-06-15 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  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 observation, interview and record review it was determined, for 1 of 22 sample residents, that the facility did not provide each resident with reasonable accommodation of resident needs and preferences. Specifically, a resident's foot board was removed because he was taller than the bed and the resident's feet hung over then bed. Resident identifier: 41. Findings include: Resident 41 was admitted to the facility on [DATE] with diagnoses which included morbid obesity, diabetes mellitus, mood disorder, major depressive disorder, and reduced mobility. On 6/13/22 at 3:11 PM, an interview was conducted with resident 41. Resident 41 stated his bed was comfortable but his feet hang off and it was the biggest bed the facility had. Resident 41 stated that the staff removed the foot board so his feet did not press against it. On 6/15/22 at 8:51 AM, a follow up interview was conducted with resident 41. Resident 41 stated the facility was unable to find a bed big enough for him so the foot board was removed.…

  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 · E2020-01-09 · tag F0656 — failed to write and follow a full care plan — pattern
  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 observation, interview, and record review it was determined, for 3 of 22 sample residents, that the facility did not develop and implement a comprehensive person-centered care plan for each resident, that included measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment. Specifically, resident's did not have care plans with individualized interventions for pressure ulcers and edema. Resident identifiers: 21, 43, and 45. Findings include: 1. Resident 21 was admitted to the facility on [DATE] with diagnoses which included gangrene, urinary tract infection, hypotension, major depressive disorder, psychosis, obsessive-compulsive disorder, sepsis, and dehydration. On 1/6/20 at 2:50 PM, an interview and observation was conducted of resident 21. Resident 21 stated that she had a wound on her backside that was almost healed. Resident 21 stated that she was vegetarian. Resident 21 was observed to be sitting…

  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 · E2020-01-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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 and interview it was determined that the facility did not store, prepare, distribute and serve food in accordance with profession standards for food service safety. Specifically, there were soiled areas in the kitchen and plastic cups and Styrofoam plates were used for resident dining. Findings include: 1. On 1/6/20 at 10:46 AM, an initial tour of the kitchen was conducted. The following observations were made: a. There was dried substance under the shelf above the trayline. b. There was a bungee cord attached to the handle on the lid of the plate warmer to the pole. c. The toaster was dirty with a rust color on the top of it. d. The counter with a coffee machine was soiled with a white substance. e. There was a fan pointed toward trayline and the food preparation area that was dusty and soiled. 2. On 1/7/20 at 5:47 PM, an observation was made of the dining meal. The salad was served in a clear disposable cup and the dessert was served to some of the residents on a Styrofoam plate. 3. On 1/8/20 at 1:00 PM, a follow up tour of the kitchen was conducted. 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-01-09 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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 it was determined, for 1 of 22 sample residents, that the facility did not assess if a resident was clinically appropriate to administer medications. Specifically, a resident was not assessed to administer her own inhaler. Resident identifier: 43. Findings include: Resident 43 was admitted to the facility on [DATE] with diagnoses which included tibia fracture, urinary tract infection, chronic kidney disease, and pain. On 1/6/20 at 2:58 PM, an interview was conducted with resident 43. Resident 43 stated that she wanted to have her inhaler on her overbed table and be able to administer it. Resident 43's medical record was reviewed on 1/7/20. A physician's order dated 12/10/19, revealed Resident is incapable of administering own medications. There was no assessment or nurses notes regarding how the decision was made that resident 43 was unable to administer her medications. On 1/8/20 at 11:19 AM, an interview was conducted with Licensed Practical Nurse (LPN) 1. LPN 1 stated 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2020-01-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review it was determined, for 4 of 22 sample residents, that the facility did not provide a safe, clean, comfortable, and homelike environment. Specifically, resident's wheelchairs were dirty, had cracked arm rests, tape on arm rests, and a piece of foil on the back of the motorized wheelchair. Resident identifiers: 4, 36, 43, and 44. Findings include: On 1/6/20 at 11:44 AM, an observation was made of resident 44's wheelchair. Resident 44's wheelchair was observed to have bright orange tape on the right arm rest. On 1/9/20 at 7:53 AM, an observation was made of resident 44's wheelchair. Resident 44's wheelchair had bright orange tape on the right arm rest. Resident 44's wheelchair was observed to have dust and debris on the foot rests. On 1/6/20 at 3:01 PM, an observation was made of resident 43's wheelchair. Resident 43's wheelchair was observed to be soiled. On 1/9/20 at 9:30 AM, an observation was made of resident 43's wheelchair. Resident 43's wheelchair was soiled. On 1/9/20 at 7:55 AM, an observation was made of resident 36'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
• Potential for harm · D2020-01-09 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 it was determined, for 1 of 22 sample residents, that the facility did not provide appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living. Specifically, a female resident was observed to have long chin hair. Resident identifier: 43. Findings include: Resident 43 was admitted to the facility on [DATE] with diagnoses which included left tibia fracture, urinary tract infection, muscle weakness, and reduced mobility. On 1/6/20 at 3:00 PM, an observation was made of resident 43. Resident 43 was observed to have chin hair approximately a half inch long. On 1/7/20 at 4:00 PM, an observation was made of resident 43. Resident 43 was observed to have chin hair approximately a half inch long. On 1/8/20 at 8:15 AM, an observation was made of resident 43. Resident 43 was observed to have chin hair approximately a half inch long. Resident 43's medical record was reviewed on 1/8/20. An admission Minimum Data Set…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$8,148 in federal fines across 1 penalty.

• $8,148 — penalty dated 2024-02-07

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 MISSION HEALTH SERVICES — 7 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 18 rows in the source record cover these 8 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.

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.

This home reported $3.5M paid to related parties — landlords or management companies under common ownership — equal to about 72% 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.

What families pay in UT