Lancashire Post Acute

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

56.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 10% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 120 beds and averages 103.3 residents a day — about 86% occupied, or roughly 17 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 2.55 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.37 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 2.14 hrs/resident/day on weekends vs 2.72 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.70 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Jcited before2019-01-25 · 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, the facility staff failed to A) remove known hazards (long cords) from a resident's private room after a suicide attempt by strangulation and during active verbalizations of suicidal ideation for one Resident (Resident #12) in a sample of 27 residents and; B) the facility staff failed to supervise and monitor Resident #12 after he expressed recurring thoughts of death that resulted in a suicide attempt resulting in psychosocial harm. On 01/23/2019 at 4:20 PM, immediate jeopardy was called. On 01/23/2019 at 5:00 PM, immediate jeopardy was abated and was lowered to a level 3 isolated due to the failure of staff to supervise and monitor Resident #12 prior to his suicide attempt on 04/20/2018. The findings include: Resident #12, a [AGE] year old male, was admitted to the facility on [DATE]. Diagnoses include but not limited to bipolar disease, anxiety, depression, diabetes, hypertension, severe strokes,…

  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 · G2026-02-20 · 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 record review, interviews, and facility policy review, the facility failed to implement interventions to aid in the prevention and decline of pressure ulcers for one resident (Resident (R) R110) out of four residents reviewed for pressure ulcers. The facility's failure to implement pressure ulcer prevention interventions resulted in multiple pressure ulcers after admission, including one stage 4 and one stage 3 pressure ulcer, along with three unstageable pressure ulcers and has the potential for other residents to develop pressure ulcers.Findings include: Review of R110's Face Sheet located under the Face Sheet tab of the EMR, revealed he was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, urinary incontinence, incontinence of feces, multi-system degeneration of the autonomic nervous system, osteoarthritis of hip, pain in right hip, and generalized muscle weakness. R110 discharged from the facility on 02/22/25.Review of R110's admission Minimum Data Set (MDS) with…

  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 · G2019-01-25 · 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, Resident interview, staff interview, clinical record review, and facility documentation, the facility saff failed to develop and implement a comprehensive care plan after Resident verbalized suicidal ideations resulting in a suicide attempt on [DATE] for one Resident (Resident #12) in a sample size of 27 residents. This resulted in harm. The findings include: Resident #12, a [AGE] year old male, was admitted to the facility on [DATE]. Diagnoses include but not limited to bipolar disease, anxiety, depression, diabetes, hypertension, severe strokes, hemiparesis, hemiplegia, and contractures of right leg and right arm/hand. Resident's #12's most recent quarterly Minimum Data Set (MDS) had an Assessment Reference Date (ARD) of [DATE]. Resident #12 was coded with a Brief Interview of Mental Status (BIMS) score of 13 out of 15 indicative of intact cognition. Total severity score for mood was 15 out of possible 27 indicative of moderately severe depression. Psychotic behavior was coded as not…

  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 · E2026-02-20 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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, interviews, record review, and review of the facility policy, the facility failed to ensure activities of daily living were provided for four residents (Residents (R)4, R18, R56, and R59) in a total sample of 32. The facility failed to provide showers per the shower schedule and resident preference for R4, R18, R56, and R59. This failure placed residents at risk for skin breakdown and a diminished quality of life.Findings include: 1. Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R4 was admitted to the facility on [DATE] with a diagnosis of a stroke. Review of the significant change assessment Minimum Data Set (MDS) located in the MDS tab of the EMR with an assessment reference date (ARD) of 12/09/25 revealed R4 had a Brief Interview of Mental Status (BIMS) score of 15 out of 15 which indicated R4 was cognitively intact and was dependent on staff for bathing. Review of the 04/12/21 Care Plan Report located in the Care Plan tab 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-20 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record reviews, and facility policy review, the facility failed to ensure sufficient staffing to meet the needs of the 108 residents in the facility. Six residents (Resident (R) 46, R56, R4, R18, R59 and R110), five Certified Nursing Assistants (CNA5, CNA7, CNA8, CNA10 and CNA17) and the Staff Coordinator voiced concerns regarding sufficient staffing. The facility exhibited multiple failures related to a lack of sufficient staffing throughout the survey which has the potential to affect the residents quality of life. Findings include: 1.Review of the undated Facility Assessment provided by the facility indicated Staffing Guidelines: Our facility has created a base staffing pattern to ensure a sufficient number of qualified staff to meet the needs of our residents on a consistent basis. Our staffing pattern is further developed based on the assessed nursing care needs of our residents, acuity, and census. The base staffing pattern represents typical staffing based upon the average daily census of the facility. The facility adjusts staffing based…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-20 · 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 observations, interviews, and facility policy, the facility failed to perform hand hygiene between contact with residents while serving lunch trays for 28 of 108 residents in the facility and failed to remove gloves and perform hand hygiene prior to carrying bagged dirty linen in the hall. This failure had the potential to spread infection between residents.Findings include:During an observation on 02/17/26 from 12:29 PM until 1:28 PM, Certified Nurse Assistant (CNA) 4, CNA18, and the Assistant Director of Nursing (ADON)1 were serving lunch trays to residents. The staff assisted residents with sanitizing hand wipes prior to eating. The three staff members were observed touching residents while assisting them to sit down, distracting them until their tray was served to prevent the resident from touching another resident's tray, or touching the resident's arm or shoulder. During observation, the three staff members did not perform hand hygiene between contact with residents. While assisting a resident with eating, CNA2 was observed to brush her hair out of her face with her…

  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 · D2026-02-20 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide information and choices to one of one resident (Resident (R)13) family member (FM) that R13 was receiving psychiatric visits. This deficient practice has the potential to affect the resident's quality of life.Findings included.Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R13 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, atrial fibrillation and dementia.Review of the significant change Minimum Data Set (MDS) located in the MDS tab of the EMR with an assessment reference date (ARD) of 10/31/25 revealed a Brief Interview of Mental Status (BIMS) score of 99 which indicated R13 was severely impaired in cognition.Review of the psychiatric visits dated 01/27/26 and the 02/13/26 provided by the facility by the psychiatric Nurse Practitioner (NP) made no mention of consultation with FM13.Review of the Progress Notes in the EMR under the Progress Notes…

  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 · D2026-02-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and facility policy review, the facility failed to ensure residents were free from verbal abuse by staff for one resident (Resident (R) 59) in a total sample of 32. This failure placed residents at risk of being demeaned and lower self-esteem.Findings include:Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R59 was admitted to the facility on [DATE] with diagnoses that included cerebral palsy (a neurological disorder identified at birth), paraplegia (paralysis of two limbs), and malignant colon cancer.Review of the quarterly Minimum Data Set (MDS) located in the MDS tab of the EMR with an assessment reference date (ARD) of 11/14/25 revealed R59 had a Brief Interview of Mental Status (BIMS) of 15 out of 15 which indicated R59 was cognitive and was always incontinent of bowel.Review of the 05/16/25 Administrator Statement provided by the Administrator revealed, . On May 11, 2025, DON [director of nursing] received a report…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and review of facility policy, the facility failed to thoroughly investigate an allegation of verbal abuse for one resident (Resident (R) 59) in a total sample of 32. This failure placed residents at risk of further abuse and a diminished quality of life.Findings include:Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R59 was admitted to the facility on [DATE] with diagnoses that included cerebral palsy (a neurological disorder identified at birth), paraplegia (paralysis of two limbs), and malignant colon cancer.Review of the quarterly Minimum Data Set (MDS) located in the MDS tab of the EMR with an assessment reference date (ARD) of 11/14/25 revealed R59 had a Brief Interview of Mental Status (BIMS) of 15 out of 15 which indicated R59 was cognitive and was always incontinent of bowel.Review of the 05/16/25 Administrator Statement provided by the Administrator revealed, . On May 11, 2025, DON [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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0640 — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to electronically transmit the Minimum Data Set (MDS) assessment withing 14 days of completing the assessment for two residents (Residents (R)89 and R117) in a total sample of 32. This failure placed residents at risk of unmet health needs.Findings include:1. Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R89 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease, chronic kidney disease, and heart disease.Review of the quarterly MDS located in the MDS tab of the EMR with an assessment reference date (ARD) of 10/26/25 revealed that the MDS was 15 days overdue for transmission to the Center for Medicare and Medicaid Services (CMS).During an interview on 02/19/26 at 11:34 AM, the MDS Coordinator (MDSC) confirmed that the assessment was overdue for transmission to CMS.2. Review of the admission Record located in the Profile tab of the EMR 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 before2026-02-20 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews, and facility policy review, the facility failed to refer two residents (Resident (R)8 and R97) in a sample of 31 for Level II Pre admission Screening and Resident Review (PASARR) evaluation and determination after each was identified with a new diagnosis of mental illness. This failure created the potential for a lack of specialized and rehabilitation services to benefit the residents.Findings include:1.Review of R8's admission Record located under the profile tab of the electronic medical record (EMR) indicated an admission date of 12/11/19 with diagnoses of dementia (added 10/16/23), cognitive communication deficit (added 10/16/23), bipolar disease (added 03/21/25), major depressive disorder (added 10/16/23), and schizophrenia (added 10/16/23).Review of R8's Screening for Mental Illness, Mental Retardation/Intellectual Disability, or Related Conditions provided by the facility with a screening date of 12/06/19 indicated R8 did not have a current serious mental illness.Review of R8's quarterly Minimum Data Set (MDS) found under the MDS tab of the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-20 · 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 observations, interviews, and record review, the facility failed to ensure the Fall Care Plan was updated to include interventions related to a fractured wrist for one resident (Resident (R) 20) in a total sample of 32. This failure placed residents at risk for increased complications.Findings include:Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R20 was admitted to the facility diabetes and congestive heart failure.Review of the annual Minimum Data Set (MDS) located in the MDS tab of the EMR with an assessment reference date (ARD) of 12/06/25 revealed R89 had a Brief Interview of Mental Status (BIMS) score of 11 out of 15 which indicated R89 was moderately impaired in cognition, had a fall history and had one non-injury fall since the previous MDS.Review of the Nursing Note located in the Notes tab of the EMR revealed, .On 01/06/26 resident attempting to transfer from wheelchair to bed, lost her balance resident found lying on floor yelling out saying my wrist hurts. Not able to do complete ROM [range of motion]…

  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 · D2026-02-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to provide care and services for one resident (Resident (R) 20) in a total sample of 31. The facility failed to monitor a fractured right wrist for increased swelling and bruising for R20. This failure placed the residents at risk of medical complications.Findings include:Review of the admission Record located in the Profile tab of the electronic medical record (EMR) revealed R20 was readmitted to the facility on [DATE] with a diagnosis of a right closed fractured wrist.Review of the significant change Minimum Data Set (MDS) located in the MDS tab of the EMR with an assessment reference date (ARD) of 02/12/26 revealed R20 had a Brief Interview of Mental Status (BIMS) score of nine out of 15 which indicated R20 was moderately impaired in cognition, had a fall history, and one major injury fall since the previous MDS.Review of a Nursing Note located in the Notes tab of the EMR revealed, On 01/06/26 resident attempting to transfer from…

  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

$40,290 in federal fines across 1 penalty.

• $40,290 — penalty dated 2026-02-20

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

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

Follow the money — this home’s finances

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

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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