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The Culpeper

12425 Village Loop, Culpeper, VA 22701 · Non profit - Corporation · 47 certified beds · (540) 825-2411 Medicare & Medicaid certified

Call the home — (540) 825-2411 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 actual-harm citation
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (20% vs 45% nationally) — better care continuity
Worth asking about
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
18484 Crossroad Pkwy · (540) 727-0400 · Call to confirm hours
Pharmacy
590 Madison Rd · (540) 727-0483 · Call to confirm hours
Grocery
Food Lion1.1 mi
505 Meadowbrook Shopping Ctr · (540) 825-9448 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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 4 of 5
Short-stay residentsrehab / post-hospital 3 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 4 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased19.0%14.9%15.4%worse
Long-stay residents who lose too much weight3.7%5.4%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.4%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection3.1%1.6%2.0%worse
Long-stay residents with depressive symptoms0.0%18.7%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury5.2%3.6%3.3%worse
Long-stay residents whose ability to walk worsened20.0%15.6%16.1%worse
Long-stay residents on antianxiety or hypnotic medication16.2%20.6%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.0%95.3%typical
Long-stay residents with pressure ulcers3.2%4.7%4.7%better
Long-stay residents with worsening bladder/bowel control24.0%21.8%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.2%14.2%17.1%better
Short-stay residents who newly got an antipsychotic medication3.8%1.3%1.4%worse
Short-stay residents given the seasonal flu vaccine87.9%73.6%79.4%better
Short-stay residents rehospitalized after admission20.8%22.3%22.6%typical
Short-stay residents with an outpatient ER visit27.4%11.5%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.061.521.67better
Long-stay outpatient ER visits per 1,000 resident days1.731.481.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

57.5% 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 178 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.5%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
63.0%U.S. median 56.6%
Met the expected recovery
0.39U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 63.0% 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 73 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 0.39 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.5%CMS range 50.6–63.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 7.6–14.010.7%Oct 2022–Sep 2024no 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 discharge63.0%56.6%Oct 2024–Sep 2025CMS 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 discharge63.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge54.8%50.0%Oct 2024–Sep 2025CMS 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 identified99.0%98.7%Oct 2024–Sep 2025CMS 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 setting87.3%100.0%Oct 2024–Sep 2025CMS 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 dischargenot 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 stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.1%CMS range 5.2–11.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.071.02Oct 2022–Sep 2024CMS 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

1.33
RN hours/ resident / day
1.33
LPN hours/ resident / day
3.04
Aide hours/ resident / day
5.69
Total nurse hours/ resident / day
1.24
RN hoursweekends
20.0%
Total nursing turnover
9.1%
RN turnover

How full it usually is: this home is certified for 47 beds and averages 40.2 residents a day — about 86% occupied, or roughly 7 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 5.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.33 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.04 is at or above 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 4.83 hrs/resident/day on weekends vs 6.04 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.37 to 1.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 20% is below 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

10
deficiencies at the latest standard inspection (2023-10-18)
5
at the previous standard inspection (2022-04-07)

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

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

Inspection deficiencies

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

ABCDEFGHIJKL

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.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · G2021-02-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide the necessary care and services, consistent with professional standards of practice, to promote healing and prevent infection of a pressure injury for one of 20 residents in the survey sample, Resident #16. Resident #16 was readmitted to the facility on [DATE], with a stage two pressure injury on the sacrum/buttocks. The facility staff failed to complete ongoing thorough wound assessments including measurements and staging of the pressure injury from 10/30/20 thorough 11/19/20, and from 11/27/20 through 12/10/20, and failed to provide treatment to the pressure injury from 11/7/20 through 11/17/20, with the exception of 11/14/20. On 11/19/20 an assessment of the area, revealed the pressure injury had deteriorated from a stage two to an unstageable pressure injury, resulting in harm. 2. The facility staff failed to administer treatment per physician order for Resident #16'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-18 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview, facility document review, and clinical record review, the facility staff failed to complete quarterly MDS (minimum data set) assessments in a timely manner for four of 26 residents in the survey sample, Residents #1, #48, #36 and #51. The findings include: 1. For Resident #1 (R1), the facility staff failed to complete the resident's quarterly MDS with an ARD (assessment reference date) of 9/7/23 within 14 days. A review of R1's clinical record revealed a quarterly MDS assessment with an ARD of 9/7/23. Further review of R1's clinical record revealed the MDS was not completed until 9/30/23 (23 days). On 10/17/23 at 2:50 p.m., an interview was conducted with RN (registered nurse) #1 (the MDS coordinator). RN #1 stated MDS assessments should be completed within 14 days from the ARD. RN #1 stated she references the CMS (Centers for Medicare and Medicaid Services) RAI (Resident Assessment Instrument) manual when completing MDS assessments. On 10/18/23 at 12:27 p.m., ASM (administrative staff member) #1,the executive director and ASM #2, the director of nursing…

    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 · Ecited before2023-10-18 · 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, staff interview, and facility documentation review, the facility failed to prepare and store food in a sanitary manner in one of two nourishment refrigerators, the rehab to home unit refrigerator, and in one of two facility kitchens, the main kitchen. The findings include: The facility staff failed to maintain a clean main kitchen, and failed to store food safely in the main kitchen and in the rehab to home unit refrigerator. On 10/16/23 at 10:15 a.m., observation was made of the main facility kitchen. The upper oven contained a large amount of baked-on grease and dark particles on the doors, sides, bottom and back. The areas around the burners on the stove contained cooked-on grease, and a large amount of crumbs and dark black debris. OSM (other staff member) #1, the director of dining services, stated: It all could use a good cleaning. She stated the oven and stove get a deep cleaning weekly, but should also be spot cleaned after each use. In the walk in freezer, a 10 by 10 plastic container of red frozen material rested on a shelf. There was no label on 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 · Dcited before2023-10-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement the comprehensive care plan for three of 26 residents in the survey sample, Residents #34, #12, and #51. The findings include: 1. For Resident #34 (R34), the facility staff failed to implement the care plan which instructed the staff to use a slow sip cup for fluid intake. On the most recent MDS (minimum data set), a significant change assessment with an ARD (assessment reference date) of 6/19/23, R34 was coded as being as being severely cognitively impaired for making daily decisions. He was coded as coughing or choking during meals or when swallowing medications. On 10/16/23 at 3:40 p.m., R34 was observed sitting up in bed. He was drinking a liquid from a regular cup with a standard plastic straw. A two-handled slow sip cup was observed on R34's overbed table adjacent to his bed. RN (registered nurse) #2 was observed walking out of the resident's room as he was finishing sipping the liquid through the straw. A review of R34's clinical record revealed…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-18 · tag F0657 — failed to keep the care plan current — isolated
    Develop 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 observation, staff interview, facility document review and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of 26 residents in the survey sample, Resident #47. The findings include: For Resident #47 (R47), the facility staff failed to review and revise the resident's comprehensive care plan for the use of floor mats. A review of R47's clinical record revealed a physician's order dated 3/16/22 for floor mats next to the bed while the resident is in the bed. R47's comprehensive care plan dated 2/3/22 failed to reveal documentation regarding floor mats. On 10/16/23 at 11:34 a.m. and 10/17/23 at 8:54 a.m., R47 was observed lying in bed. A mat was observed on the right side of the bed, but a mat was not on the left side of the bed. On 10/17/23 at 3:34 p.m., an interview was conducted with LPN (licensed practical nurse) #2. LPN #2 stated the purpose of the care plan is that It tells about how to meet their [residents'] needs the best. LPN #2 stated residents' care plans should be reviewed and revised to include the use of…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-18 · 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

    Based on staff interview, facility document review and clinical record review, the facility staff failed to provide care and services to promote a resident's highest level of well-being for one of 26 residents in the survey sample, Resident #51. The findings include: For Resident #51 (R51), the facility staff failed to administer a bisacodyl suppository per the physician's order. A review of R51's clinical record revealed a physician's order dated 4/4/23 for a bisacodyl suppository, ten milligrams- administer one suppository rectally one time a day as needed for no bowel movement in three days. A review of R51's bowel movement records revealed the resident did not have a bowel movement from 7/3/23 until 7/9/23. Further review of R51's clinical record and review of a 24-hour report sheet dated 7/7/23 revealed a suppository was not administered to R51 until 7/7/23 (five days after the resident had not had a bowel movement). R51 did not have a bowel movement until 7/9/23. On 10/18/23 at 11:18 a.m., an interview was conducted with LPN (licensed practical nurse) #3. LPN #3 stated the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-18 · 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

    Based on observation, staff interview, facility document review and clinical record review, the facility staff failed to implement a fall intervention for one of 26 residents in the survey sample, Resident #47. The findings include: For Resident #47 (R47), the facility staff failed to implement physician ordered floor mats. A review of R47's clinical record revealed a physician's order dated 3/16/22 for floor mats next to the bed while the resident is in the bed. Further review of R47's clinical record revealed the resident sustained a fall on 1/6/23, 3/4/23, 4/2/23, and 8/16/23. On 10/16/23 at 11:34 a.m. and 10/17/23 at 8:54 a.m., R47 was observed lying in bed. A mat was observed on the right side of the bed, but a mat was not on the left side of the bed. On 10/17/23 at 3:34 p.m., an interview was conducted with LPN (licensed practical nurse) #2. LPN #2 stated the nurses are aware of the need for floor mats via physician's orders and then the nurses tell the certified nursing assistants who needs floor mats. LPN #2 reviewed R47's physician's order for floor mats and stated that if…

    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 before2023-10-18 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to apply an adaptive device to prevent pain for one of 26 residents in the survey sample, Resident #12. The findings include: For Resident #12 (R12), the facility staff failed to apply both right and left palm protectors to prevent pain. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 7/13/23, R12 was coded as requiring the extensive assistance of two staff members for dressing and personal hygiene, and as having impairment in range of motion on both sides of her upper extremities. On 10/16/23 at 11:22 a.m. and 3:36 p.m., R12 was observed in her wheelchair, and did not have palm protectors on either hand. On 10/17/23 at 8:34 a.m., R12 was observed in her wheelchair, and had a palm protector on her right hand, but not on her left. A review of R12's clinical record revealed the following physician order dated 1/11/23: Bilateral palm protector splints. Apply in morning. Remove at bedtime. Resident to wear…

    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 · D2023-10-18 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to use an adaptive feeding device for one of 26 residents in the survey sample, Resident #34. The findings include: For Resident #34 (R34), the facility failed to utilize a slow sip cup for fluids on 10/16/23. On the most recent MDS (minimum data set), a significant change assessment with an ARD (assessment reference date) of 6/19/23, R34 was coded as being as being severely cognitively impaired for making daily decisions. He was coded as coughing or choking during meals or when swallowing medications. On 10/16/23 at 3:40 p.m., R34 was observed sitting up in bed, and was drinking a liquid from a regular cup with a standard plastic straw. A two-handled slow sip cup was observed on R34's overbed table adjacent to his bed. RN (registered nurse) #2 was observed walking out of the resident's room as he was finishing sipping the liquid through the straw. A review of R34's clinical record revealed the following physician's order dated 7/6/23: Regular Diet, Mechanical Soft,…

    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 · D2023-10-18 · 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

    Based on staff interview, facility document review, and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for one of 26 residents in the survey sample, Resident #51. The findings include: For Resident #51, the facility staff failed to document the administration of a bisacodyl suppository on 7/7/23. A review of R51's clinical record revealed a physician's order dated 4/4/23 for a bisacodyl suppository, ten milligrams- administer one suppository rectally one time a day as needed for no bowel movement in three days. R51's July 2023 MAR (medication administration record) documented the same order. A review of a 24-hour report sheet dated 7/7/23 revealed documentation that R51 was administered a suppository on that date. Further review of R51's clinical record, including the July 2023 MAR and nurses' notes for 7/7/23, failed to reveal documentation that R51 was administered a suppository. On 10/18/23 at 11:18 a.m., an interview was conducted with LPN (licensed practical nurse) #3. LPN #3 stated that if a nurse administers a…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-04-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview and facility document review, it was determined the facility staff failed to maintain clean kitchen equipment in one of two kitchens, the main kitchen. The findings include: Observation was made of the main kitchen on 4/5/2022 at 11:28 a.m. The oven racks appeared to be covered in a brown substance. When asked what the cleaning schedule was, OSM (other staff member) #3, the executive chef, stated they should be cleaned on a weekly basis, but may have been missed last week. When asked if they could provide documentation when the ovens were cleaned last, OSM #1, the certified dietary manager, stated it was unlikely that they could provide that. On 4/6/2022 at 10:41 a.m. OSM #1 was asked if they found the documentation of the oven having been cleaned, OSM #1 stated, she doubted [OSM #3] could find that documentation. The facility policy, Cleaning and Sanitizing of Work Surfaces. documented in part, When cleaning fixed equipment, (mixers, slicers, and other equipment that cannot be readily immersed in water), the removable parts are washed and…

    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
Show the remaining 8 citations
  • Potential for harm · Ecited before2022-04-07 · tag F0697 — failed to manage pain — pattern
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to have a complete pain management program for one of 21 residents in the survey sample, Resident # 24 (R24). The facility staff failed to clarify the physician orders, document the location of pain and document the level of pain for R24. The findings include: On the most recent MDS (minimum data set) assessment, a quarterly assessment, with an assessment reference date (ARD) of 2/24/2022, the resident scored a 14 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident is not cognitively impaired for making daily decisions. In Section J - Health Conditions - R24 was coded as having frequent pain, the limited her day-to-day activities because of pain. The resident rated the pain as a 6 on a pain scale of 0 to 10, 10 being the worse pain ever felt and zero being no pain. The physician orders dated, 3/11/2022, documented, Acetaminophen (Tylenol - used to treat mild to moderate pain) (1)325 mg (milligrams) tablet, 2 tabs (tablets)…

    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 · D2022-04-07 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview, facility document review and clinical record review, it was determined the facility staff failed to notify the ombudsman for a transfer to the emergency room for one of 21 residents in the survey sample, Resident #8 (R8). The findings include: On the most recent MDS (minimum data set) assessment, a quarterly assessment, with an ARD (assessment reference date) of 1/13/2022, the resident scored a four out of 15 on the BIMS (brief interview for mental status) score, indicating the resident is severely cognitively impaired for making daily decisions. The nurse's note dated, 3/27/2022 at 9:39 p.m. documented in part, @ (at) 2100 (9:00 p.m.) this writer heard yelling from resident's room. Upon entering, resident was observed laying on his right side on bathroom floor. Stated, 'he fell while transferring from toilet back to wheelchair.' Denies hitting his head but c/o (complained of) left leg pain. Resident remained on floor with pillows cushioning his head and right arm. Rescue Squad called for further assessment and resident was transferred to[name of hospital]…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-07 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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, it was determined the facility staff failed to clarify two physician orders for the treatment of pain for one of 21 residents in the survey smaple, Resident # 194 (R194). The findings include: On the Initial Nursing Assessment, dated, 3/30/2022, R194 was documented as being alert but not oriented. The physician order dated 3/30/2022, documented, Acetaminophen (Tylenol - used to treat mild to moderate pain) (1) 500 mg (milligrams) tablet 1 tab (tablet) by mouth every 6 hours as needed for pain. A second order dated, 3/30/2022, documented, Celebrex (used to relieve pain, tenderness, swelling and stiffness caused by osteoarthritis, rheumatoid arthritis and to relieve other types of short-term pain including pain caused by injuries, surgery and other medical or dental procedures, or medical conditions that last for a limited time.) (2) 200 mg capsule - 200 mg by mouth twice a day as needed for pain. The April 2022 MAR (medication…

    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 · Dcited before2022-04-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to store respiratory equipment in a sanitary manner for two of 21 residents in the survey sample, Residents # 193 (R193) and # 194 (R194). The findings include: 1. For R193, the facility staff failed to store his CPAP (continuous positive airway pressure prevents episodes of airway collapse that block the breathing in people with obstructive sleep apnea and other breathing problems.) (1), in a sanitary manner. On the most recent MDS (minimum data set) assessment, a Medicare assessment, with an ARD (assessment reference date) of 3/25/2022, the resident scored a 15 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident is not cognitively impaired for making daily decisions. Observation was made of R193's room on 4/5/2022 at approximately 1:15 p.m. A CPAP machine was sitting on the night stand. The tubing for the CPAP machine was hanging over the machine with no covering over it. When asked if the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-02-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that facility staff failed to develop and implement the comprehensive care plan for two of 20 residents in the survey sample, Residents # 18 and # 12. The facility staff failed to develop a care plan to address the care required for Resident #18's bowel incontinence and failed to implement Resident # 12's comprehensive care plan for the administration of physician ordered oxygen. The findings include: 1. Resident #18 was admitted to the facility on [DATE] with diagnoses including, but not limited to COPD (chronic obstructive pulmonary disease), heart failure, and arthritis (2). On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 1/21/21, Resident #18 was coded as having no cognitive impairment for making daily decisions, having scored 15 out of 15 on the BIMS (brief interview for mental status). She was coded as totally…

    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 · Dcited before2021-02-18 · tag F0657 — failed to keep the care plan current — isolated
    Develop 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 20 residents in the survey sample, Resident #21. The facility staff failed to review and revise Resident #21's comprehensive care plan for oxygen therapy/respiratory care. The findings include: Resident #21 was admitted to the facility on [DATE] and readmitted from the hospital on 2/8/21. Resident #21's diagnoses included but were not limited to history of stroke, urinary retention and muscle weakness. Resident #21's significant change in status minimum data set assessment with an ARD (assessment reference date) of 1/28/21, coded the resident's cognition as severely impaired. Section O coded Resident #21 as having received oxygen therapy while not a resident. Review of Resident #21's clinical record revealed a physician's order dated 2/8/21 for oxygen at the rate of two liters per minute. Resident #21's…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-02-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide respiratory care and services for two of 20 residents in the survey sample, Residents #21 and #12. The facility staff failed to administer oxygen to Residents #21 and #12 per the physician prescribed rate and failed to store Resident #12's nasal cannula in a sanitary manner when not in use. Resident #12's nasal cannula was observed uncovered and coiled over the rear handles on the wheelchair when not in use. The findings include: 1. The facility staff failed to administer oxygen to Residents #21 per the physician prescribed rate of two liters. Resident #21 was admitted to the facility on [DATE] and readmitted on [DATE]. Resident #21's diagnoses included but were not limited to history of stroke, urinary retention and muscle weakness. Resident #21's significant change in status minimum data set assessment with an ARD (assessment reference date) of 1/28/21, coded…

    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
  • No harm found · B2023-10-18 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview, facility document review and clinical record review, the facility staff failed to transmit MDS (minimum data set) assessments in a timely manner for six of 26 residents in the survey sample, Residents #1, #48, #36, #51, #56 and #55. The findings include: 1. For Resident #1 (R1), the facility staff failed to transmit a quarterly MDS with an ARD (assessment reference date) of 9/7/23 within 14 days of completion. A review of R1's clinical record revealed the resident's quarterly MDS assessment with an ARD of 9/7/23 was completed on 9/30/23. Further review of R1's clinical record revealed the MDS was not transmitted until 10/17/23 (17 days). On 10/17/23 at 2:50 p.m., an interview was conducted with RN (registered nurse) #1 (the MDS coordinator). RN #1 stated MDS assessments should be transmitted within 14 days from the completion date. RN #1 stated she references the CMS (Centers for Medicare and Medicaid Services) RAI (Resident Assessment Instrument) manual when transmitting MDS assessments. On 10/18/23 at 12:27 p.m., ASM (administrative staff member) #1,the…

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

    Resident Assessment and Care Planning 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
JACOBSEN, JAMESIndividualW-2 MANAGING EMPLOYEEsince 02/01/2018
BALES, JAMESIndividualCORPORATE DIRECTORsince 01/01/2019
BROOKS, SHARONIndividualCORPORATE DIRECTORsince 01/01/2021
BROWNING, HERBERTIndividualCORPORATE DIRECTORsince 08/01/2009
CARTER, VALERIEIndividualCORPORATE DIRECTORsince 02/01/2018
CAVE, RIndividualCORPORATE DIRECTORsince 12/31/2021
FRANKS, TIFFANYIndividualCORPORATE DIRECTORsince 01/01/2020
HARRIS, CHARLESIndividualCORPORATE DIRECTORsince 08/01/2009
JUNG, JOHNIndividualCORPORATE DIRECTORsince 01/01/2021
KECK, MICHAELIndividualCORPORATE DIRECTORsince 08/01/2009
MARCHELLO, SALLIEIndividualCORPORATE DIRECTORsince 01/01/2018
OAKEY, SAMUELIndividualCORPORATE DIRECTORsince 08/01/2009
OWENS, ARNEIndividualCORPORATE DIRECTORsince 01/01/2020
POATS, JIMIndividualCORPORATE DIRECTORsince 01/01/2022
POMA, JOHNIndividualCORPORATE DIRECTORsince 01/01/2021
SCOTT, MATTHEWIndividualCORPORATE DIRECTORsince 02/01/2018
THOMSON, GARYIndividualCORPORATE DIRECTORsince 01/01/2022
ALBRITTON, TRACEYIndividualCORPORATE OFFICERsince 12/01/2021
CARLTON, DANIELIndividualCORPORATE OFFICERsince 12/31/2021
COOK, JONATHANIndividualCORPORATE OFFICERsince 01/01/2015
HAWTHORNE, LISAIndividualCORPORATE OFFICERsince 06/14/2021
MARKWITH, CHRISTOPHERIndividualCORPORATE OFFICERsince 01/31/2018
MORAN, CHRISTINEIndividualCORPORATE OFFICERsince 03/31/2021
ROBINSON, JOHNIndividualCORPORATE OFFICERsince 02/01/2018
VIRGINIA BAPTIST HOMES INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 08/01/2009
CLIFTONLARSONALLEN LLPOrganizationADP OF THE SNFsince 01/01/2012
FUNCTIONAL PATHWAYS OF TENNESSEE LLCOrganizationADP OF THE SNFsince 02/01/2025
REMEDI SENIORCARE OF VIRGINIA LLCOrganizationADP OF THE SNFsince 01/26/2009

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

$17.9M
Net patient revenuemost recent cost report
-10.5%
Operating marginrevenue minus expenses
$1.2M
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 4%Medicare 6%Other / private 90%

This home reported $1.2M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$274per resident / day
operating cost
$8,336per month
≈ monthly operating cost
$248per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Virginia
$10,250/mo
Nursing home (semi-private)
$11,680/mo
Nursing home (private)
$6,945/mo
Assisted living

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 495400. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-10-18, 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.

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