Berea Health & Rehab Center

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.

64.8% 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 376 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.2% 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 186 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 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% 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 90 beds and averages 82.5 residents a day — about 92% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.56 hrs/resident/day on weekends vs 4.19 on weekdays — 15% thinner on weekends. RN hours go from 0.82 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

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 before2023-06-02 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview, clinical record review and facility document review, it was determined the facility staff failed to immediately notify the physician of a significant change in condition for one of 34 residents, Resident #65, which constituted harm. The findings include: For Resident #65, the facility staff failed to immediately notify the physician of a significant change in oxygen saturation. Your blood oxygen level (blood oxygen saturation) is the amount of oxygen you have circulating in your blood (1). Resident #65 was admitted to the facility on [DATE] with diagnosis that included but were not limited to: CVA (cerebral vascular accident), CHF (congestive heart failure), COPD (chronic obstructive pulmonary disease), CKD (chronic kidney disease), DM (diabetes mellitus), Cirrhosis of Liver and acute and chronic respiratory failure with hypoxia. A review of the comprehensive care plan dated [DATE] revealed, FOCUS: At risk for altered cardiac /respiratory status. anemia, CAD (coronary artery disease),…

  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
• Actual harm · Gcited before2023-06-02 · 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 resident interview, staff interview, clinical record review and facility document review, it was determined the facility staff failed to follow professional standards of quality for two of 34 residents in the survey sample, Resident #18 and Resident #65, which resulted in harm for Resident #65. The findings include: 1. The facility staff, registered nurse (RN #2), failed to ensure oxygen was administered at an acceptable rate for Resident #65, who had a diagnosis of COPD (chronic obstructive pulmonary disease); and, failed to call the physician and/or 911 immediately, when the resident had a significant change in condition. Resident #65 was admitted to the facility on [DATE] with diagnosis that included but were not limited to: COPD (chronic obstructive pulmonary disease), CVA (cerebral vascular accident), CHF (congestive heart failure), and acute and chronic respiratory failure with hypoxia. A review of the comprehensive care plan dated [DATE], included: INTERVENTIONS: 02 (oxygen) as ordered. Monitor…

  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
• Actual harm · Gcited before2023-06-02 · 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 staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide the proper assistance while providing ADL (activities of daily living) care which resulted in a fall from the bed for one of 34 residents in the survey sample, Resident #219. The resident sustained a right leg fracture which constituted harm cited at past non-compliance. The findings include: For Resident #219 (R219), the facility staff failed to implement the plan of care while providing ADL care which resulted in the resident falling from the bed and suffering a fractured right tibia and fibula (1). R219 was admitted to the facility with diagnoses that included but were not limited to osteomyelitis (2) and osteoarthritis (3). On the residents MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 11/10/2022, the resident scored 9 out of 15 on the BIMS (brief interview for mental status) indicating the resident was moderately impaired for…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · F2026-03-05 · 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 — the official record, unedited, may be distressing

  Based on observations, staff interview, and facility document review, it was determined that the facility staff failed to store food, in one of one kitchens, in a sanitary manner.The findings include:On 3/3/26 at 12:00 PM, an observation was conducted in the kitchen with the following findings: in the walk-in refrigerator, observation of a two-gallon zip lock bag unsealed with fish dated 3/2/26. The cook sealed the zip lock bag. The cook stated, the bag should be completely sealed, it was not, our standard is to have refrigerated food in sealed containers.On 3/4/26 at 5:00 PM, the Administrator and the Director of Nursing were informed of the above concerns.A review of the facility's Storage of Refrigerated Foods policy revealed, Store all food/leftovers in covered, approved, food grade containers.No further information was provided prior to exit.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-05 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview and facility document review, it was determined that the facility staff failed to follow infection control practices for two of 36 residents in the survey sample, Residents #26 and #17 and in one of one laundry room.The findings include:1. For Resident #26 (R26), the facility staff failed to disinfect a blood pressure cuff prior to use on 3/4/2026. On 3/4/2026 at 8:15 AM, an observation was made of registered nurse (RN) #1 rolling a vital sign monitor over to Resident #75 in the dining area on the unit where they resided at the facility and checking their blood pressure. RN #1 did not disinfect the blood pressure cuff after use. At 8:23 AM, RN #1 was observed using the same blood pressure cuff and monitor to check the blood pressure of Resident #26 in their room without disinfecting it prior to use or after use. On 3/4/2026 at 2:17 PM, an interview was conducted with RN #1 who stated that the blood pressure cuffs should be cleaned using the disinfectant wipes after each use. She stated that she was nervous and had forgotten to disinfect 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to promote dignity for one of 36 residents in the survey sample, Resident #75.The findings include:For Resident #75 (R75), the facility staff failed to promote dignity when they checked the residents blood pressure in the dining room during breakfast on 3/4/2026.On the most recent minimum data set (MDS), a quarterly assessment with an assessment reference date (ARD) of 11/25/2025, the resident scored four out of 15 on the brief interview for mental status (BIMS) assessment, indicating they were severely impaired for making daily decisions.On 3/04/2026 at 8:15 AM, an observation was made of R75 sitting in the dining area on the unit where they resided at a table with two other residents eating breakfast. R75 was observed to have finished their breakfast and was sitting at the table with the other residents who were still eating. Registered nurse #1 was observed rolling a vital sign monitor over to R75 at the table and proceeded to check their…

  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 before2026-03-05 · 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 observations, staff interview facility document review and clinical record review, it was determined the facility staff failed to develop/implement the care plan for three of 36 residents in the survey sample, Resident #6, Resident #4 and Resident #43.The findings include:1.The facility staff failed to develop the comprehensive care plan for fluid restriction for Resident #6 (R6). R6 was admitted to the facility on [DATE] with diagnosis that included but were not limited to CVA (cerebrovascular accident), CHF (congestive heart failure), pneumonitis and chronic respiratory failure. The most recent MDS (minimum data set) assessment, a quarterly assessment, with an ARD (assessment reference date) of 1/13/26, coded the resident as scoring a 15 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was not cognitively impaired. A review of the comprehensive care plan dated 1/8/26 revealed, PROBLEM: The resident has impaired cardiovascular status related to CHF. APPROACH:…

  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 before2026-03-05 · 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

  Based on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to follow professional standards of practice to promote residents highest level of well-being for one of eight residents in the medication observation sample, Resident #34.The findings include1. For Resident #34 (R34), the facility staff failed to follow professional standards of practice during medication administration.On 3/4/2026 at 8:29AM, an observation was made of registered nurse (RN) #1 preparing medication for R34. RN#1 was observed crushing one 40 mg (milligrams) pantoprazole (1) tablet, delayed release and administered it to R34.Review of the physician orders for R34 document in part, Pantoprazole tablet, delayed release (DR/EC) (delayed released/enteric coated); 40 mg; Amount 1 tab oral once a day. Start Date 10/27/25. On 03/05/2026 at 8:18 AM, an interview was conducted with LPN (licensed practical nurse) #3, who stated that the process for administering crushed medication is to review the eMAR (electronic medical administration…

  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 before2026-03-05 · 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 and clinical record review, the facility staff failed to implement fall precautions for one of 36 residents in the survey sample, Resident #4. For Resident #4 (R4), the facility staff failed to implement fall mats on both sides of the bed when the resident was in bed. On 3/3/26 at 2:02 p.m., and 3/4/26 at 8:38 a.m., R4 was observed lying in bed. A floor mat was observed on the left side of the bed. No floor mat was observed on the right side of the bed. The mat was observed rolled up, against the wall, in the corner of the room.R4's comprehensive care plan dated 11/19/25 documented, Resident has had an actual fall and is at risk for fall r/t (related to) muscle weakness/other reduced mobility/osteoarthritis, psychotropic med use, incontinence, impaired safety awareness/dementia. Bilateral floor mats.On 3/5/26 at 12:30 p.m., an interview was conducted with LPN (Licensed Practical Nurse) #4. LPN #4 stated that when a care plan documents bilateral floor mats, a mat should be on the floor, on each side of the bed, while the resident is in bed.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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · 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 observation, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to maintain a catheter bag in a sanitary manner for one of 36 residents in the survey sample, Residents #43.The findings include:1. For Resident #R43 (43), the facility staff failed to prevent the catheter bag from resting on the floor surface. R43 diagnoses include but were not limited to retention of urine (1), neuromuscular dysfunction of bladder (2), obstructive and reflux uropathy (3).On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 1/15/26, R43 scored 13 out of 15 on the BIMS (brief interview for mental status). Section H Bladder and Bowel code R43 as having an indwelling catheter for urinary retention, neuromuscular dysfunction of bladder and obstructive and reflux uropathy. On 3/4/26 at 8:53 AM R43's catheter bag was observed touching the floor. R43 stated it was leaking and he had informed staff about 15 minutes ago. On 3/4/26 at 10:17 AM, R43 states staff changed the catheter…

  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 · D2026-03-05 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to honor a food allergy for one of 36 residents in the survey sample, Resident #15. The findings include:For Resident #15 (R15), the facility staff failed to honor the resident's pineapple allergy on 11/27/25. A review of R15's clinical record revealed the resident was allergic to pineapple. On R15's admission minimum data set assessment, with an assessment reference date of 9/10/25, the resident scored 15 out of 15 on the BIMS (brief interview for mental status), indicating the resident was cognitively intact for making daily decisions. On 3/3/26 at 2:06 p.m., an interview was conducted with R15. R15 stated the resident was allergic to pineapple and displayed a meal ticket that documented the resident was allergic to pineapple. R15 stated that on Thanksgiving (11/27/25), the facility cooked ham with pineapple, removed the pineapple, and served the ham to the resident. On 3/4/26 at 8:26 a.m., an interview was conducted with the Dietary Manager. The Dietary…

  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 before2026-03-05 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 and clinical record review, it was determined that the facility staff failed to administer a vaccine for one of five residents in the immunization record review, Residents # 27. The findings include:For Residents # 27 (R27) the facility staff failed to administer the pneumococcal vaccine (1). On the most recent MDS (minimum data set) assessment, an admission assessment, with an ARD (assessment reference date) of [DATE], R27 was coded as having both short- and long-term memory difficulties and was coded as being severely cognitively impaired for making daily decisions. The EHR (electronic health record) for R27 documented in part, Preventative Health. Pneumococcal - [DATE] education provided. Note: Education on risks/benefits/alternative reviewed via (by) pneumococcal VIS (vaccine information sheet) with resident. Resident verbalized understanding. RP (responsible party) contacted via phone. Consent obtained from resident and RP. Further review failed to evidence that R27 received 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-05 · tag F0887 — isolated
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  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 and clinical record review, it was determined that the facility staff failed to administer a vaccine for one of five residents in the immunization record review, Residents # 27. The findings include:For Residents # 27 (R27) the facility staff failed to administer the COVID-19 vaccine (1). On the most recent MDS (minimum data set) assessment, an admission assessment, with an ARD (assessment reference date) of [DATE], R27 was coded as having both short- and long-term memory difficulties and was coded as being severely cognitively impaired for making daily decisions. The EHR (electronic health record) for R27 documented in part, Preventative Health. COVID-19 - [DATE] education provided. Education on risks/benefits/alternative reviewed via (by) Covid-19 VIS (vaccine information sheet) with resident. Resident verbalized understanding. RP (responsible party) contacted via phone. Consent obtained from resident and RP. Further review failed to evidence that R27 the COVID-19 vaccine was…

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

  Infection Control 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 SABER HEALTHCARE GROUP — 126 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 27 rows in the source record cover these 16 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.

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

Follow the money — this home’s finances

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

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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