The Boulevard Post Acute

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

66.7% 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 760 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.9% 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 212 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 0.26 therapist hours per resident per day in 2026Q1 — more than 36% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 81 beds and averages 74.3 residents a day — about 92% 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 4.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.02 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.79 hrs/resident/day on weekends vs 4.29 on weekdays — 12% thinner on weekends. RN hours go from 1.16 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as 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.

33 citations, most serious first. The 13 most serious are shown; the remaining 20 are one tap away and print in full.

• Actual harm · Gcited before2026-04-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide supervision for one resident, Resident #96 (R96), to prevent a fall resulting in harm, and failed to provide a safe bed environment for one resident, Resident #100 (R100) of twenty-nine residents in the sample. The findings included1. The facility staff failed to provide adequate supervision and assistance during incontinence care of Resident #96 (R96), which resulted in R96 sustaining a fall that required immediate medical attention at the hospital and resulted in sutures, which constituted harm. Resident #96 was admitted to the facility on [DATE], with diagnoses of, but not limited to, metabolic encephalopathy, cognitive communication disorder, hemiplegia (affecting the left nondominant side) and urinary tract infection. R96 was discharged to an acute care facility on 11/29/2024 and did not return. Resident #96's, most recent MDS (Minimum Data Set Assessment) with an ARD…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-03-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, clinical record review and facility documentation, and during the course of an investigation the facility staff failed to ensure Residents are free from accidents and hazards for 2 Residents (#21 & #58) in a survey sample of 32 Residents resulting in harm for Resident #21. The findings included: 1. For Resident #21 the facility staff failed to transfer the Resident using the required number of staff as indicated on the MDS and the care plan, subsequently she sustained a skin tear requiring sutures, which became infected; this is harm. On 3/9/22 a review of the clinical record revealed that Resident #21 sustained an injury to her right leg while transferring from wheel chair to bed on 2/7/22. The Resident was transferred by one staff member. The most recent MDS with an ARD of 1/24/22 revealed that Section G coded the Resident as #3 -Extensive Assistance of #3 -2 or more persons Physical Assistance. Resident #21 was coded with moderate cognitive impairment. The care plan read as…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2020-02-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure that 2 residents. (Resident #60) and (Resident #8) in the survey sample of 26 residents were free of accidents hazards. This resulted in harm for Resident #60. The Findings included: 1. For Resident #60, the facility staff failed to ensure that her call bell was placed within a safe reaching distance, resulting in her leaning to reach it, losing her balance, and pulling the call bell cord out of the wall as she fell forward. This resulted in a left arm fracture. This is harm. Resident #60 was a [AGE] year old. Resident #60's diagnoses included Aftercare following Joint Replacement surgery Right Shoulder, Primary Osteoarthritis-Right Shoulder, Bicipital tendonitis, Right Shoulder, Abnormalities of Gait and Mobility, Generalized Muscle Weakness, and Glaucoma. The admission Minimum Data Set, dated [DATE] was reviewed. Resident #60 had a Brief Interview of Mental…

  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 · E2026-04-09 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, facility document review and clinical record review, facility staff failed to follow physician orders for four of twenty-nine residents in the survey sample (Residents #11, #38, #41, and #72) and failed to provide care for a skin tear in a manner to promote healing for one of twenty-nine residents in the survey sample (Resident #11).The findings included:1. Resident #11 did not have care provided for a skin tear at the frequency ordered by the physician. Staff failed to provide a dressing change for the skin tear in a manner to promote healing. Resident #11 (R11) was admitted to the facility with diagnoses that included atrial fibrillation, depression, end stage renal disease with hemodialysis, anemia, osteoarthritis, respiratory failure, polyneuropathy, hypertension and congestive heart failure. The minimum data set (MDS) dated [DATE] assessed R11 as cognitively intact. a.) Resident #11 did not have care provided for a skin tear on 4/4/26 as ordered by…

  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 · Ecited before2026-04-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility documentation review, the facility staff failed to store and label food in accordance with professional standards for food safety in the main kitchen and on one of three units, (Cardinal) unit. The findings included:In the main kitchen the facility staff failed to discard items beyond the use by date in the dry storage and refrigerated storage areas and the items were available for use. In the main kitchen the facility staff failed to wear hair restraints while in food preparation areas, failed to perform hand hygiene to prevent contamination of food, and failed to maintain food holding temperatures. On 04/06/2026 at 3:10 p.m. an initial tour of the main kitchen was conducted with the Executive Chief. Prior to observation of dry goods and refrigerators, executive chef was asked what the expectation of opened items (dry goods and refrigerated items) regarding labeling them. The executive chef replied that all open items should have an open date and use by date when the product is opened. The kitchen tour was then conducted with 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 · D2026-04-09 · tag F0572 — isolated
  Give residents a notice of rights, rules, services and charges.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interviews, staff interviews, and review of facility documentation, the facility failed to ensure that notices of resident rights were posted in accessible areas for all residents residing on three of three units. Findings included:The facility failed to ensure that resident rights was posted in accessible locations within the facility for residents, families, and visitors.On 4/6/26 at 2:00 pm, a tour of the facility's three nursing units and lobby areas was conducted. During the tour, no postings of resident rights were observed in any of these areas.On 4/7/26 at 10:30 am, a resident council meeting was held with six residents present (Resident #11, Resident #25, Resident #43, Resident #54, Resident #74, and Resident #84). During the meeting, Resident #25, Resident #74, and Resident #84 stated they had never seen any postings of resident rights in the facility.On 4/7/2026 at 4:15 pm, an interview was conducted with the director of nursing, (DON). The DON stated the resident rights should be posted in the lobby and at the nurses stations. The DON…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0574 — isolated
  The resident has the right to receive notices in a format and a language he or she understands.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident interviews, staff interviews, and review of facility documentation, the facility failed to ensure that required notices and contact information for the state survey agency and other entities such as adult protective services and the ombudsman, were posted in accessible areas for all residents on three of three units.The findings included:The facility failed to ensure that contact information for state agencies and other entities was posted in accessible locations within the facility for residents, families, and visitors.On 4/6/26 at 2:00 pm, a tour of the facility's three nursing units and lobby areas was conducted. During the tour, required notices and contact information for state agencies and other entities were not observed posted within the facility.On 4/7/26 at 10:30 am, a resident council meeting was held with six residents present (Resident #11, Resident #25, Resident #43, Resident #54, Resident #74, and Resident #84). During the meeting, Resident #25, Resident #74, and Resident #84 stated they had never seen any required notices posted 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interviews, and review of facility documentation, the facility staff failed to ensure that privacy was provided during activities of daily living (ADL) care for one resident, Resident #18 (R18) in a survey sample of 29 residents. Findings included:During ADL care, the facility staff failed to ensure privacy for R18, resulting in the resident's buttocks being exposed and visible from the hallway. On 4/6/26 at 4:55 pm, an observation was made of R18 receiving ADL care without privacy being provided. The privacy curtain was not pulled, and R18's buttocks was exposed and visible from the hallway. On 4/6/26 at 5:04 pm, an interview was conducted with the certified nursing assistant (CNA#5), who was providing ADL care to R18. The privacy curtain was not pulled, and R18's buttocks were exposed and visible from the hallway. CNA#5 said, we should have pulled the privacy thing at the door to provide more privacy. CNA#5 then demonstrated how the curtain should be pulled around the resident during care and apologized for not providing privacy. On 4/6/26 at 5:25 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, and facility document review, the facility failed to maintain a clean room environment for one of three units (Dogwood Unit).The finding include:On 04/06/2026 at 1:35 PM an initial tour of the Dogwood Unit was conducted and the following was observed. room [ROOM NUMBER] had a heavy amount of dirt and debris accumulated on the floor. A bug was observed on the floor of room [ROOM NUMBER]. room [ROOM NUMBER] had a heavy amount of dirt and debris on the floor, including medical waste and food items. room [ROOM NUMBER] had dirt and debris on the floor. room [ROOM NUMBER] had dirt and debris on the floor of the bathroom. room [ROOM NUMBER] had a heavy amount of dirt, debris, including food items and medical waste on the floor. On 04/08/2026 at 10:20 AM, resident #28 (R#28) was interviewed regarding housekeeping services. R#28 stated housekeeping comes once a week, sometimes more depending on their staffing. Regarding the cleaning process, R#28 stated that…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · 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 documentation, clinical record review the facility staff failed to develop and implement a comprehensive care plan for two residents, Resident #96 (R96), and Resident #R41 (R41) in a survey sample of twenty-nine residents. The findings included:1. The facility failed to develop and implement a comprehensive care plan for R96 to include care problems, goals and or interventions related to adequate care or safety during turning, repositioning, or incontinent care. Resident #96 was admitted to the facility on [DATE], with diagnoses of, but not limited to, metabolic encephalopathy, cognitive communication disorder, hemiplegia (affecting the left nondominant side) and urinary tract infection. R96 was discharged to an acute care facility on 11/29/2024 and did not return. On 04/8/26, at 2:20 p.m., an interview was conducted with the Director of Nursing (DON), and the Regional Director of Operations. We discussed R96 and the documentation of the fall on…

  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 · D2026-04-09 · 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 observation, staff interview, facility document review and clinical record review, the facility staff failed to follow professional standards of care for wound assessment and care documentation for one of twenty-nine residents in the survey sample (Resident #11).The findings include:Resident #11 had no initial or ongoing assessments documented for monitoring of a skin tear. Nursing failed to document in the clinical record an observed dressing change/treatment and status of the wound at the time of the dressing change.Resident #11 (R11) was admitted to the facility with diagnoses that included atrial fibrillation, depression, end stage renal disease with hemodialysis, anemia, osteoarthritis, respiratory failure, polyneuropathy, hypertension and congestive heart failure. The minimum data set (MDS) dated [DATE] assessed R11 as cognitively intact.Review of R11's clinical record revealed a nursing note, a skin assessment form and a change of condition form dated 3/27/26 that documented the resident had…

  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 · D2026-04-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and clinical record review, the facility staff failed to implement interventions for pressure ulcer care for two of twenty-nine residents, Resident #22 and Resident #72 The Findings Include:1. Resident 22's (R22) air mattress and wound vac (a negative-pressure wound therapy device) were not set according to the physician orders. R22 diagnoses include chronic stage four pressure ulcer right buttock, macular degeneration, malignant neoplasm, and anemia. The most recent MDS (minimum data set) was an admission assessment dated [DATE] and indicated R22 was moderately cognitively intact. Review of active physician orders indicated R22 was ordered a wound vac to be set continuously at 125 mm of negative pressure and R22's air mattress was ordered to be set by body weight at 118.9. On 4/7/2026 at 4:15 p.m. R22's air mattress and wound vac settings were noted to be set at 350 pounds on the air mattress and 116 negative pressure on the wound vac. On 4/7/26 at 4:26 p.m. registered…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, staff interview, clinical record review, and facility documentation the facility failed to provide necessary treatment and care for catheter management for one resident (Resident #72, R72) out of a survey sample of 29 residents. The findings included:The staff failed to ensure foley catheter care and treatment was performed appropriately to allow the flow of urine.On 4/06/2026 at 2:38 pm, interview was conducted with R72. R72 said, I kept telling the staff that I could feel myself peeing, but my bag was empty all day. No way urine could come out of my bag, a week ago today was when this happened. I had some pain and then was tested with a urinary tract infection and started on antibiotic and my urologist changed it when I saw him. R72 stated that the staff did not address concerns related to his catheter until his wife intervened. The resident reported that staff assessed his bladder and evaluated him for pain only after his wife requested assistance. R72 further stated that when his daughter arrived, it was discovered that the catheter tubing was capped…

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

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MARQUIS HEALTH SERVICES — 87 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 29 rows in the source record cover these 21 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.

16 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.

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

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