Paramount Health 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.

56.3% 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 55 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 65.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 20 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 0.73 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 99 beds and averages 60.4 residents a day — about 61% occupied, or roughly 39 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 3.40 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.75 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 3.02 hrs/resident/day on weekends vs 3.55 on weekdays — 15% thinner on weekends. RN hours go from 0.80 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

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

• Actual harm · Gcited before2025-12-15 · 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, it was determined for 2 of 7 sampled residents, that the facility failed to provide each resident with staff supervision to prevent accidents. Specifically, a resident who was on supervised smoking was left unattended in the smoking area, and had accidentally caught on fire, which resulted in burn injuries and the resident expiring at the hospital, along with burn injuries to another resident's hand who was attempting to put the fire out. Resident Identifiers: 1, 2. On [DATE], the surveyor reviewed the facility's investigation involving an incident with Resident 1, dated [DATE], which revealed the following:On [DATE], PRN Physical Therapist (PT) 1 took Resident 1 out to smoke. Two other residents (Resident 2 and Resident 3) were in the smoking area and there were no other staff present. PT 1 left Resident 1 in the smoking area with cigarettes and a lighter and went back into the facility. While smoking, Resident 1's shirt caught on fire and Resident 2 attempted to put 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
• Actual harm · G2024-05-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for 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, for 1 of 38 sampled residents, the facility did not ensure that each resident with limited mobility received appropriate services, equipment and assistance to maintain or improve mobility with the maximal practical independence unless a reduction in mobility was demonstrated unavoidable. Specifically, a resident with limited range of motion to his hand was not being provided range of motion services or devices to prevent further contracture. Resident identifier: 30. Findings include: Resident 30 was admitted to the facility on [DATE] with diagnoses that included hemiplegia affecting right dominant side, third nerve palsy, intellectual disabilities, restlessness and agitation, adult failure to thrive, cognitive communication deficit, and hydrocephalus. On 5/6/24 at 11:55 AM, an observation was made of resident 30 in the dining room. Resident 30 was observed to have a padded device on his right wrist. The padded device was observed to not be in residents hand but…

  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 before2024-05-14 · 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 4. Resident 257 was admitted to the facility initially on 1/17/23, and re-admitted on [DATE] with diagnoses that included type 1 diabetes, end stage renal disease, dependence on renal dialysis, chronic diastolic and systolic heart failure, morbid obesity, muscle weakness, and bilateral below the knee amputation. Resident 257 was initially unavailable for interview, and after re-admission to the facility, refused to be interviewed. Resident 257's medical records were reviewed between 4/3/24 and 5/14/24. An admission MDS assessment dated [DATE] revealed resident 257 had a BIMS of 15 indicating that he was cognitively intact. The assessment also revealed that resident 257 required substantial/maximal assistance with transferring from bed to chair/chair to bed, and was dependent while in his wheelchair for ambulation. Physician orders included dialysis on Monday, Wednesday, and Friday, including transport and pickup. A care plan care area initiated on 1/15/24 included, At risk for falls r/t blind, weakness, DM…

  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 · G2024-05-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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, for 2 of 38 sampled residents, the facility did not ensure residents maintained acceptable parameters of nutritional status. Specifically, resident's tube feedings were not administered as ordered, and a resident was not being positioned appropriately while the tube feeding was administered. Resident identifiers: 26 and 39. Findings include: 1. Resident 26 was admitted to the facility initially on 8/31/21 and re-admitted on [DATE] with diagnoses that included alcoholic polyneuropathy, chronic obstructive pulmonary disease, severe protein-calorie malnutrition, major depressive disorder, anxiety disorder, dysphagia, hypo-osmolality and hyponatremia. On 5/7/24 at 3:25 PM, an interview was conducted with resident 26 who stated she received tube feedings for 4 hours every night. Resident 26 was observed to be very thin. Resident 26 stated she normally had a tube feeding pump in her room, but it was not there and she did not know why. Resident 26's medical records…

  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 before2026-05-21 · 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 record review and interview, it was determined for 1 of 25 sampled residents, that the facility failed to ensure that each resident received treatment and care in accordance with professional standards of practice. Specifically, one resident was not referred to a urologist or oncologist when it was ordered by the physician. Resident identifier: 48.Findings included: On 5/19/26 at 9:01 AM, an interview was conducted with resident 48 who stated she was supposed to get a mammogram according to a visit she had with the facility's doctor about 2 months ago. Resident 48 stated she tried to schedule it herself, but she needed the order from the doctor.Resident 48's medical record was reviewed 5/18/26 through 5/21/26.Resident 48 was admitted to the facility on [DATE] with diagnoses which included urinary tract infection, overactive bladder, and personal history of malignant neoplasm of breast.A SOAP (Subjective, Objective, Assessment, and Plan) Note dated 3/27/26 indicated, eval [evaluation] secondary to review…

  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 before2026-05-21 · 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 observation, interview, and record review, it was determined for 1 of 25 sampled residents, that the facility failed to ensure that the resident environment remained as free of accident hazards as was possible; and that each resident received adequate supervision and assistance devices to prevent accidents. Specifically, one resident who required oxygen was observed to be smoking without staff supervision and had not been evaluated for safety while smoking. Resident identifier: 58.Findings included:On 5/18/26 at 10:44 PM, an interview was conducted with resident 58 who stated she started smoking again last week and that she would go out and smoke with friends. Resident 58 was observed to be wearing oxygen via a nasal cannula.On 5/18/26 at 2:43 PM, an observation of resident 58 was made and she was outside in the smoking area with another resident, no staff were outside. Resident 58 was sitting in her wheelchair, she was not wearing her oxygen, and she was smoking a cigarette. Resident 58 stated that she…

  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 · D2026-05-21 · 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 interview and record review it was determined, for 1 out of 25 sampled residents, that the facility did not maintain medical records on each resident that were complete; accurately documented; readily accessible; and systematically organized. Specifically, a resident's radiology report for a possible broken PICC (peripherally inserted central catheter) was not in the medical record. Resident identifier: 54.Findings included:Resident 54 was initiallly admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses which included spastic hemiplegia of left side, cerebral infarction, type II diabetes, cognitive communication deficit, tachycardia and dysphagia. Resident 54's medical record was reviewed on 5/19/26. A nursing progress note dated 5/9/26 at 4:40 PM documented, Order received to send to ED [emergency department] to be evaluated for suspected broken midline catheter. Paperwork shows on 4/30/26 that [local hospital] placed a 18 gauge X 18 centimeter midline in R [right] arm cephalic…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-03 · 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

  Based on interview and record review, it was determined that the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, a nursing assistant who provided an invalid Social Security Number and failed to provide fingerprints was working in the facility for approximately three months. Findings Include. 1. On 12/3/24, Nursing Assistant (NA) 1's employee record was reviewed. NA 1 was hired at the facility on 9/4/24. NA 1 was reviewed in the Direct Access Clearance System (DACS). NA 1's current fitness determination was In Process and it was revealed that NA 1 did not submit fingerprints. NA 1 was involuntarily terminated on 12/2/24 due to providing the facility with an invalid Social Security Number. On 12/3/24 the facility's Pre-Employment Investigations Policy was reviewed. The policy revealed that employees are required to submit fingerprints electronically to the Department of Health within 15 working days of engagement. The policy…

  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 · F2024-05-14 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not provide meals with no more than 14 hours between the substantial evening meal and the breakfast meal the following day. Specifically, breakfast meals were being served more than 30 minutes beyond the posted time, causing more than 14 hours to elapse between the evening meal and the breakfast meal. Resident identifiers: 7, 9, 30 ,31, 49, 51 and 106. Findings include: 1. On 5/6/24 at 8:41 AM, Dietary Aid (DA) 1 and DA 2 were interviewed and stated the meal times for the facility were: Breakfast at 7:20 AM; Lunch at 12:00 PM; and Dinner at 5:30 PM. DA 1 referenced the meal schedule that was posted to the side of the window area where meals were served in the dining room. 2. The facility provided a form titled Meal Times that revealed the following: a. Breakfast: 0720 AM (7:20 AM) b. Lunch: 12:00 PM c. Dinner: 1730 PM (5:30 PM) On 5/6/24 at 12:00 PM, an observation was made in the dining room. The same form that was provided to surveyors was posted in the dining room. 3. On 5/6/24 at 12:15 PM, an observation was made of 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 · E2024-05-14 · tag F0609 — failed to report abuse allegations — pattern
  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, for 3 of 38 sampled resident, that the facility did not ensure that all violations involving abuse, neglect, exploitation or mistreatment including injuries of unknown source and misappropriation of resident property are reported immediately, but not later than 2 hours after the allegation was made. Specifically, the facility did nor report to the State Survey Agency (SAA) timely when a resident sustained a severe finger injury while in her wheelchair, a resident was not secured while being transported in a facility van, and a resident was not provided the ordered wound care to her foot. Resident identifiers: 20, 21, and 256. Findings include: 1. Resident 21 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's Disease, protein calorie-malnutrition, dysphagia, vitamin D deficiency, contracture in left and right knee, major depressive disorder, and cognitive communication deficit. The facility submitted a form titled exhibit 358 to the State Survey…

  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 · E2024-05-14 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Resident 258 was admitted to the facility on [DATE] and re-admitted on [DATE] with diagnoses which included presence of right artificial knee joint, cellulitis right lower extremity, type 2 diabetes mellitus, mobid obesity, gout, edema, and hypertension. Resident 258 was discharged from the facility on 6/28/23. On 4/3/24, resident 258's medical record was reviewed. On 5/12/23 at 11:00 PM, resident 258's the nursing note documented, Resident notified LN [licensed nurse] tonight that her aide was acting strange when she went to put [resident 258] to bed. [Resident 258] states that her aide placed a looped gait belt around her (the aide's) neck and mimicked her hanging herself while standing at the foot of the bed while [resident 258] was on the commode. [Resident 258] then stated that her aide helped her into bed and pinned the top sheet down over the top of [resident 258's] head where she could not get out from under it. [Resident 258] stated that after her aide let the sheet go she proceeded to take a rolled…

  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 · E2024-05-14 · tag F0761 — failed to label and store drugs safely — pattern
  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 it was determined, for 3 of 38 sampled residents, that the facility did not ensure that all drugs and biological's were stored and labeled in accordance with accepted professional principles, under proper temperature controls and cautionary instructions, and the expiration date when applicable. Specifically, the temperature in one medication fridge was not within the required temperature range for medication storage. Resident identifiers: 4, 47 and 157. Findings included: On 5/9/24 at 8:40 AM, an observation was made of the facility medication refrigerators. A mini fridge was located in the medication room. The medication fridge temperature gauge measured 48 degrees Fahrenheit (F). On 5/9/24 at 8:42 AM, an interview was conducted with the Medication Technician (MT) 2. MT 2 stated that the medication fridge needed to be at a certain temperature because the medications needed to maintain a certain temperature in order to be effective. The following items were located in the refrigerator: a. Pipercillian/Tazobactam 3.37 grams (gm)/ 100…

  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 · E2024-05-14 · 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 professional standards for food service safety. Specifically, food items in the walk-in freezer, walk-in refrigerator, and dry food storage room were open to air, a container in the walk-in refrigerator was not dated, the wall in the dry food storage area had black residue from a water leak, the vent in the dry storage room was not functioning and was rusty with an unknown dried substance on it, there were tiles in the dish room that were cracked and chipped. Findings include: On 5/6/24 at 8:41 AM, an initial tour of the kitchen was conducted. In the walk-in freezer, a box of frozen vegetables was open to air. In the walk-in refrigerator, a box with raw bacon was open to air, and a container of sliced cheese was not dated. In the dry storage room, a box of lasagna noodles was open to air and not sealed, a box of spaghetti noodles was open and not sealed, the floor vent below the food storage racks was rusty, and had a dried substance between…

  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 · E2024-05-14 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility did not establish and implement written policies and procedures for feedback, data collections systems, and monitoring, including adverse event monitoring. Specifically, multiple areas of harm were identified on the recertification survey and were not identified and corrected through the Quality Assurance and Performance Improvement (QAPI). Resident identifiers: 8, 13, 20, 21, 31, 35, and 257. Findings include: 1. Based on observation, interview and record review it was determined, for 5 of 38 sampled residents, that the facility did not ensure that the resident 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's finger was partially amputated after it became impinged in a tilting wheelchair hinge; a resident sustained multiple falls with one resulting in a hip fracture; a resident sustained multiple falls with two falls resulting in head lacerations; two residents transported in 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.

  Administration 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

$106,480 in federal fines across 2 penalties.

• $23,273 — penalty dated 2025-12-15
• $83,207 — penalty dated 2024-05-14

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 THE ENSIGN GROUP — 342 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 16 rows in the source record cover these 11 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.

6 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 78% 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. This home reported $811K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 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