The Wybe And Marietje Kroontje Health Care Center
1000 Litton Lane, Blacksburg, VA 24060 · Non profit - Corporation · 60 certified beds · (540) 443-3400 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a high payroll-based staffing rating (4/5)
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $80,880 in federal fines (most recent 2026-04-13)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- nursing-staff turnover (78%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 21.3% | 14.9% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.3% | 5.4% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.4% | 0.4% | 0.9% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.7% | 1.6% | 2.0% | better |
| Long-stay residents with depressive symptoms | 12.6% | 18.7% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 8.2% | 3.6% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 24.7% | 15.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 28.4% | 20.6% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.0% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.0% | 4.7% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 22.5% | 21.8% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 13.8% | 14.2% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.3% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 93.9% | 73.6% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.1% | 22.3% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 15.0% | 11.5% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 3.06 | 1.52 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.55 | 1.48 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
63.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 195 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.6% 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 71 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 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 11% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 63.6%CMS range 55.8–69.1 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.5%CMS range 9.7–17.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 60.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 64.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 45.1% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.9% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 97.8% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.1% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 6.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.3%CMS range 3.7–10.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.97 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 60 beds and averages 51.6 residents a day — about 86% occupied, or roughly 8 beds typically open. It runs fairly full. 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 4.13 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.30 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 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 3.67 hrs/resident/day on weekends vs 4.32 on weekdays — 15% thinner on weekends. RN hours go from 1.41 to 1.02 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 78% 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 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.
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.
22 citations, most serious first. The 11 most serious are shown; the remaining 11 are one tap away and print in full.
- Immediate jeopardy · K2026-04-13 · tag F0700 — patternTry 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 observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to assess the resident for risk of entrapment and attempt to use appropriate alternatives prior to the installation of a side rail and failed to ensure correct installation to assess for the seven zones of entrapment when side rails were added and/or bed components were changed for 6 of 26 sampled residents (Resident #41, Resident #5, Resident #1, Resident #3, Resident #25, and Resident #57). At the time of the survey, the facility staff member responsible for the installation and maintenance of side rails did not have the knowledge to ensure appropriate safety measurements of the seven zones of entrapment risk. The facility failed to ensure side rails were assessed for entrapment risk when installed on a bed or bed components were replaced. At the time of the survey, of a census of 53 residents, 34 residents had at least one side rail attached to the bed. The facility'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.
- Potential for harm · F2026-04-13 · tag F0657 — failed to keep the care plan current — widespreadDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and clinical record review, the facility staff failed to revise and/or reassess the effectiveness of the interventions of the comprehensive person-centered activity care plan to meet the needs of facility residents. The findings included:A review of the clinical records for the current sampled facility residents did not disclose activity progress notes for resident quarterly care plan reviews. On 4/8/26 at 9:10 AM, the activity director (AD) was interviewed and asked if a quarterly activity progress note or activity assessment is completed for each resident. The AD stated they do a care plan note. The activity assistant (AA) agreed that a quarterly activity progress note is completed with review of the resident care plans. A review of the activity care plan progress notes for the current sampled facility residents disclosed the start date of the initial care plan, the last reviewed/revised date of the activity care plan, and the activity care plan focus, goal, and interventions. The note did not disclose information about revisions to the activity care plan…
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.
- Potential for harm · Ecited before2026-04-13 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 staff interview, clinical record review, and facility document review, the facility staff failed to develop a comprehensive person-centered activity care plan to address the resident's activity preferences, interests, and psychosocial needs for (5) five of (26) twenty-six current sampled residents, Resident #1, Resident #2, Resident #19, Resident #25, and Resident #7. The findings included: 1. For Resident #1 the facility staff failed to develop a comprehensive person-centered activity care plan to address the resident's activity preferences, interests, and psychosocial needs. Resident #1's diagnosis list indicated diagnoses that included, but were not limited to, sepsis, acute and subacute infective endocarditis, encounter for surgical aftercare following surgery on the circulatory system-pacemaker, type 2 diabetes mellitus, acute respiratory failure with hypoxia, and atrial fibrillation. The most recent minimum data set (MDS) with an assessment reference date (ARD) of 3/3/26 assigned the resident 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.
- Potential for harm · Ecited before2026-04-13 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review and facility document review, the facility staff failed to ensure completion of monthly medication regimen reviews for 5 of 26 sampled resident, Resident #9, #39, #41, #8, and #2. The findings included: 1.For resident #9 the facility staff failed to ensure a monthly drug regimen review was completed by a pharmacist for May 2025. A facility policy entitled Drug Regimen Review (DRR) with an implementation date of 9/25/25 specified, A consultant pharmacist shall conduct a drug regimen review for each resident monthly in the Cove (long-term care center). Item 2. Under the heading Policy read in part, Purpose of the review: The review aims to ensure the safe and effective use of medications by: Identifying potential drug-drug or drug-food interactions. Verifying those medications are prescribed and administered as ordered by the attending physician. Confirming that medications are administered at the correct time, in the appropriate dose, and in the correct dosage form. Monitoring for signs and symptoms of adverse drug reactions or…
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.
- Potential for harm · E2026-04-13 · tag F0944 — patternConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and facility document review, the facility staff failed to provide evidence of staff training that outlines and informs staff of the elements and goals of the facility's Quality Assurance and Performance Improvement (QAPI) program for four of four sampled staff members, Certified Nursing Assistant (CNA) #3, Registered Nurse (RN) #1, Dining Server #1, and the facility Maintenance Director. The findings included: A facility policy titled, Quality Assurance and Performance Improvement (QAPI), reviewed 1/29/26, specified All facility staff, contracted staff, and volunteers will be educated about the QAPI plan and their role in development and implementation of interventions.The facility staff were unable to provide evidence of staff training regarding the facility's QAPI program for CNA #3, RN #1, Dining Server #1, and the facility Maintenance Director. During an interview on 4/13/26 at 2:53 PM, the facility Compliance Director stated the facility provides QAPI training but does not have staff signature sheets as evidence of the trainings. On 4/13/26 at 4:38 PM,…
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.
- Potential for harm · D2026-04-13 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop 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 staff interview, employee record review, and facility document review, the facility staff failed to implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property as evidence by failure to obtain a criminal background check on one (1) of 25 new hire employees, Dining Server #2.The findings included: A facility policy titled, Abuse Prohibition Policy, implemented 4/25/24, specified, The facility will screen potential employees for a history of abuse, neglect or mistreating residents by taking the following actions.Criminal background history checks will be conducted on every candidate through the Virginia State Police prior to employment. Any applicant found guilty of a barrier crime or guilty by a court of law of abuse, neglect, exploitation, misappropriation of resident property or mistreatment shall be disqualified for employment.Dining Server #2's date of employment was documented as 2/02/26; however, the provided Virginia State Police background check was received on 7/06/23…
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.
- Potential for harm · D2026-04-13 · tag F0609 — failed to report abuse allegations — isolatedTimely 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
Based on staff interview, clinical record review, and facility document review, the facility staff failed to report a resident allegation of sexual abuse to the State Survey Agency for one (1) of 26 current sampled residents, Resident #48. The findings included:A facility policy titled, Abuse Prohibition Policy, implemented 4/25/24, specified, All staff shall ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but no later than 2 hours after the allegation is made. If the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures.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.
- Potential for harm · D2026-04-13 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide written notification of the reason(s) for transfer/discharge to the resident representative for (1) one of (26) twenty-six current sampled residents, Resident #19. The findings included:For Resident #19, the facility staff failed to provide written notification for the reason(s) of a transfer/discharge to the resident's representative for a transfer/discharge to a higher level of care that occurred on 2/24/26. Resident #19's diagnosis list indicated diagnoses that included but were not limited to vascular dementia-severe, cerebrovascular disease, chronic kidney disease-stage 3 (three), Alzheimer's Disease, and cerebral infarction. The most recent significant change minimum data set (MDS) with an assessment reference date (ARD) of 4/1/26, was coded in Section C (Cognitive Patterns), to reflect the resident as being rarely/never understood with short and long-term memory problems, and severe…
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.
- Potential for harm · D2026-04-13 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 staff interview, clinical record review, and facility document review the facility staff failed to develop a baseline care plan within 48 hours for (1) one of (26) twenty-six current sampled residents, Resident #59. The findings included:For Resident #59, the facility staff failed to develop a baseline care plan within (48) forty-eight hours of admission. Resident #59's diagnosis list indicated diagnoses that included, but were not limited to, neuropathy, scoliosis, depression, and history of chronic urinary tract infections. The most recent admission minimum data set (MDS) was not completed at time of survey. A review of a brief interview for mental status (BIMS) assessment dated [DATE], assigned the resident a score of 6 out of 15 for cognitive abilities, indicating the resident was severely impaired in cognition. A review of Resident #59's clinical record disclosed that the resident was admitted to the facility on [DATE]. A baseline care plan could not be located. Requested and received a baseline…
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.
- Potential for harm · Dcited before2026-04-13 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow medical provider orders for 3 of 26 current sampled residents, Resident #50, #2, and #19. The findings included: 1. For resident #50 the facility staff failed to follow medical provider orders for a Dulcolax suppository to be administered to the resident after three days of having no bowel movement. An undated facility document entitled, Bowel Regimen read in part, Purpose: 1. To achieve control of bowel evacuation on a regular basis. 2. To avoid constipation. 3. To prevent decubiti (pressure ulcers) and skin irritation. 4. To improve morale of the resident. 5. To restore the resident's dignity and self-respect. 6. To restore the optimum level of bowel function. On page 2 of the document under the heading, Regimen item #3 read, After third day, if resident has not had a bowel movement, a laxative should be given as ordered by the physician. The Resident Face Sheet indicated the facility admitted resident #50 on 07/30/2024. According to the face sheet, 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.
- Potential for harm · D2026-04-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to ensure two (2) of 26 current sampled residents (Resident #6 and Resident #5) received assistive devices to prevent accidents. The findings included:1. For Resident #6, the facility staff failed to ensure safety devices including Dycem (a non-slip material used to provide grip), a perimeter mattress (mattress with raised edges to prevent rolling out of bed), and a wheelchair anti-rollback device (a safety mechanism that automatically prevents a wheelchair from rolling backward when the user stands up) were in use to prevent falls. A Resident Face Sheet revealed the facility admitted Resident #6 on 10/14/25. According to the Resident Face Sheet, the resident had a medical history that included severe vascular dementia with anxiety, generalized muscle weakness, history of falling, and abnormalities of gait and mobility. A quarterly Minimum Data Set (MDS) with an Assessment…
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.
Show the remaining 11 citations
- Potential for harm · D2026-04-13 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, and facility document review, the facility staff failed to obtain medical provider ordered laboratory tests for one (1) of 26 current sampled residents, Resident #5.The findings included:For Resident #5, the facility staff failed to obtain a stool specimen for testing to include ova and parasite, lactoferrin fecal quantitative, giardia specific antigen, stool culture, and c-difficle PCR/RFLX as ordered by the gastroenterologist. A facility policy titled, Laboratory, Radiology and Other Diagnostic Services, implemented on 11/28/16, specified, Orders for diagnostic services will be promptly carried out as instructed by the physician's order.A Resident Face Sheet indicated the facility admitted Resident #5 on 10/07/25. According to the Resident Face Sheet, the resident had a medical history that included chronic respiratory failure with hypoxia, chronic constipation, and epilepsy. A quarterly minimum data set (MDS) with an assessment reference date (ARD) of 3/30/26 assigned the resident a Brief Interview for Mental Status (BIMS) summary…
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.
- Potential for harm · D2026-04-13 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolatedHave a plan that describes the process for conducting QAPI and QAA activities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, clinical record review, facility document review, and review of the Quality Assurance and Performance Improvement (QAPI) program, the facility staff failed to identify a system failure regarding side rail use and safety.The findings included:The facility QAPI Plan with a reviewed date of 2/25/2026 specified The QAPI program will aim for safety and high quality with all clinical interventions and service delivery while emphasizing autonomy, choice, and quality of daily life for residents and family by ensuring our data collection tools and monitoring systems are in place and are consistent for proactive analysis, system failure analysis, and corrective action.A facility policy titled, Quality Assurance and Performance Improvement (QAPI), reviewed on 1/29/26, specified, The facility will develop, implement and maintain a QAPI program that is effective, data driven, comprehensive and will focus on indicators of the outcomes of care and quality of life. The policy also indicated The plan describes the process for identifying and correcting quality…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-13 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and clinical record review, the facility staff failed to maintain an effective infection control program to prevent the spread of communicable diseases and infections for 1 of 26 residents, Resident #46.The findings included: For resident # 46, the facility staff failed to ensure the resident's foley catheter bag remained suspended off of the floor.The resident Face Sheet revealed the facility admitted the resident on 4/24/24. According to the document, resident #46 had a medical history that included diagnoses of chronic kidney disease, flaccid neuropathic bladder, neuromuscular dysfunction of the bladder and a personal history of urinary tract infections. A quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 2/16/26 revealed resident #46 had a brief interview for mental status score (BIMS) of 14 out of 15, which indicated the resident was cognitively intact. The Physician's Order Report for resident #46 was reviewed and included an order dated 2/1/26 that read, Change catheter q (every) month and PRN (as needed) for…
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.
- Potential for harm · D2026-04-13 · tag F0949 — failed to train staff on dementia and abuse — isolatedProvide behavior health training consistent with the requirements and as determined by a facility assessment.
What the surveyor found here — the official record, unedited, may be distressing
Based on staff interview and facility document review, the facility staff failed to provide behavioral health training for two (2) of five (5) sampled staff members (Maintenance Director and Dining Server #1). The findings included: On 4/13/26, the Compliance Director provided the Maintenance Director and Dining Server #1's training records. Each record failed to include evidence of previous behavioral health training. The Maintenance Director began working at the facility on 11/10/21 and the Dining Server #1 began on 1/27/25. During an interview on 4/13/26 at 3:08 PM, the Compliance Director stated non-direct care staff do not receive behavioral health training. On 4/13/26 at 4:38 PM, the concern of facility staff failing to provide behavioral health training to non-direct care staff including the Maintenance Director and Dining Server #1 was discussed with the Administrator, Director of Compliance and the Director of Nursing. No further information regarding this concern was presented to the survey team prior to the exit conference on 4/13/26.
- Potential for harm · D2024-09-17 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 staff interview, facility document review, and clinical record review, the facility staff failed to develop and implement a comprehensive care plan for one of four residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to develop and implement a comprehensive care plan for the resident's DNR (do not resuscitate) status after the resident formulated an advance directive and the physician wrote a DNR order. A review of R1's clinical record revealed a Durable Do Not Resuscitate Order form. This review revealed, in part: STOP. Do Not Resuscitate. Durable Do Not Resuscitate Order .Patient's Full Legal Name XXX[DATE] .The patient is capable of making an informed decision about providing, withholding, or withdrawing a specific medical treatment or course of medical treatment .I hereby direct any and all qualified health care personnel, commencing on the effective date noted above, to withhold cardiopulmonary resuscitation .from the patient 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.
- Potential for harm · Dcited before2024-09-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 staff interview, facility document review, and clinical record review, the facility staff failed to develop and implement a comprehensive care plan for one of four residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to develop and implement a comprehensive care plan for the resident's DNR (do not resuscitate) status after the resident formulated an advance directive and the physician wrote a DNR order. A review of R1's clinical record revealed a Durable Do Not Resuscitate Order form. This review revealed, in part: STOP. Do Not Resuscitate. Durable Do Not Resuscitate Order .Patient's Full Legal Name XXX[DATE] .The patient is capable of making an informed decision about providing, withholding, or withdrawing a specific medical treatment or course of medical treatment .I hereby direct any and all qualified health care personnel, commencing on the effective date noted above, to withhold cardiopulmonary resuscitation .from the patient 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.
- Potential for harm · Dcited before2024-09-17 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 staff interview, facility document review, and clinical record review, the facility staff failed to follow a provider's order to withhold (cardiopulmonary resuscitation) for one of four residents in the survey sample, Resident #1. The findings include: For Resident #1 (R1), the facility staff failed to follow a provider's order when they performed CPR on him after he had executed a DNR (do not resuscitate) form and the provider had written a corresponding order. A review of R1's clinical record revealed a Durable Do Not Resuscitate Order form. This review revealed, in part: STOP. Do Not Resuscitate. Durable Do Not Resuscitate Order .Patient's Full Legal Name XXX[DATE] .The patient is capable of making an informed decision about providing, withholding, or withdrawing a specific medical treatment or course of medical treatment .I hereby direct any and all qualified health care personnel, commencing on the effective date noted above, to withhold cardiopulmonary resuscitation .from the patient in the event…
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.
- Potential for harm · D2022-04-21 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview, clinical record review, facility document review, and in the course of a complaint investigation, the facility staff failed to inform the resident representative of medication changes for 1 of 4 closed record reviews, Resident #106. For Resident #106, the facility staff failed to notify the resident representative of medication changes including the discontinuation of Seroquel (an antipsychotic medication) and a new order for Risperdal (an antipsychotic medication). The findings included: Resident #106's diagnosis list indicated diagnoses, which included, but not limited to Auditory Hallucinations, Dementia with Behavioral Disturbance, Bilateral Benign Paroxysmal Vertigo, Diabetes Mellitus due to underlying condition with Diabetic Chronic Kidney Disease, Gastro-Esophageal Reflux Disease, and Hypothyroidism. The most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 7/23/20 assigned the resident a brief interview for mental status (BIMS) summary score of 12 out of 15 indicating Resident #106 was moderately cognitively…
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.
- Potential for harm · Dcited before2022-04-21 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
Based on staff interview, clinical record review, and during a medication pass and pour observation, the facility staff failed to follow physician orders for 1 of 13 residents, Resident #101. The facility nursing staff administered the medication Finasteride with Resident #101's morning medications when it was ordered to be given at bedtime. The findings included: There was no completed minimum data set (MDS) assessment completed on this resident. The resident was alert and orientated to self and place. Diagnoses included, but were not limited to chronic kidney disease and benign prostate hyperplasia (BPH). 04/20/22 8:28 a.m., the surveyor observed Licensed Practical Nurse (LPN) #2 prepare and administer Resident #101's medications to include the medication Finasteride 5 mg. The residents clinical record included an order for Finasteride 5 mg 1 tab for BPH at bedtime date of order 04/19/22. 04/20/22 10:45 a.m., the surveyor and LPN #2 reviewed the clinical record. LPN #2 stated the order was changed yesterday and was previously given in the morning. Resident #101's clinical record…
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.
- Potential for harm · Dcited before2022-04-21 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and clinical record review, the facility staff failed to follow up on a pharmacy recommendation for 1 of 13 Residents, Resident #37. The facility staff failed to obtain the laboratory test thyroid stimulating hormone (TSH) as recommended by the attending physician. The findings included: Section C (cognitive patterns) of Resident #37's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 03/28/22 included a brief interview for mental status (BIMS) summary score of 15 out of a possible 15 points. Diagnoses included, but were not limited to hypothyroidism and anxiety disorder. The clinical record included a pharmacy recommendation dated 11/19/21 requesting a thyroid panel be completed. The attending physician reviewed the pharmacy recommendation on 12/22/21 and documented TSH on 12/27. During the clinical record review, the surveyor was unable to find the results of this lab work. 04/20/22 1:50 p.m., the unit coordinator was asked for the results of the laboratory test. 04/20/21 2:20 p.m., the unit coordinator stated they were…
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.
- Potential for harm · D2022-04-21 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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
Based on staff interviews, facility document review, and clinical record review, the facility staff failed ensure an accurate clinical record for 1 of 4 closed records, Resident #146. For Resident #146, the facility staff failed to document the reason a prn (as needed) medication was administered or alternate methods of pain relief offered before administering the medication. The findings were: Resident #146's diagnosis list included, but was not limited to, non-traumatic intracranial hemorrhage, adult failure to thrive, benign prostatic hyperplasia, other injury of unspecified kidney, and atrial fibrillation. The quarterly minimum data set with an assessment reference date of 10/20/2021 coded the resident a 15 out of 15 for a brief interview for mental status summary score. The resident's care plan included a problem category of pain which read in part that the resident had recently been admitted to hospice care and the resident often had a difficult time differentiating between pain and discomfort related to a rash on his body. The approaches listed for this problem included, 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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$80,880 in federal fines across 1 penalty.
- $80,880 — penalty dated 2026-04-13
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.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| DALTON, BRAD | Individual | CONTRACTED MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 10/01/2020 |
| ALLEN, KATHERINE | Individual | CORPORATE DIRECTOR | since 11/12/2015 |
| FLANNAGAN, KORIE | Individual | CORPORATE DIRECTOR | since 10/01/2020 |
| GEARHART, HEATHER | Individual | CORPORATE DIRECTOR | since 08/30/1998 |
| JOHNSON, CHARLES | Individual | CORPORATE DIRECTOR | since 03/13/1997 |
| LO, HING HAR | Individual | CORPORATE DIRECTOR | since 11/10/2005 |
| MCDEARIS, TOMMY | Individual | CORPORATE DIRECTOR | since 10/01/2020 |
| MCMAHON, BRIDGET | Individual | CORPORATE DIRECTOR | since 11/12/2009 |
| PIERCE, THOMAS | Individual | CORPORATE DIRECTOR | since 10/01/2012 |
| POSPICHAL, JASON | Individual | CORPORATE DIRECTOR | since 10/01/2010 |
| PRICE, WILLIAM | Individual | CORPORATE DIRECTOR | since 09/30/1986 |
| SHEPHERD, RICHARD | Individual | CORPORATE DIRECTOR | since 10/01/2020 |
| SPENCER, EDWARD | Individual | CORPORATE DIRECTOR | since 10/01/2013 |
| TEASTER, PAMELA | Individual | CORPORATE DIRECTOR | since 10/01/2020 |
| VOSBURGH, TRACY | Individual | CORPORATE DIRECTOR | since 10/01/2019 |
| BOOKOUT, ALLAN | Individual | CORPORATE OFFICER | since 10/01/2021 |
| NEVITT, MOLLY | Individual | CORPORATE OFFICER | since 09/01/2019 |
| STONE, MEG | Individual | CORPORATE OFFICER | since 11/12/2015 |
CMS files one row per role, so the 19 rows in the source record cover these 18 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.
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 $930K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in VA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Virginia Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 495406. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-13, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.