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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.

Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 25 beds and averages 20.5 residents a day — about 82% occupied, or roughly 4 beds typically open. It usually has some room. 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.

Weekend coverage: total nurse staffing is 4.36 hrs/resident/day on weekends vs 4.92 on weekdays — 12% thinner on weekends. RN hours go from 2.17 to 1.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 20% is below the national median of 45%.

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 unchanged from the previous inspection. 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.

• Potential for harm · F2025-12-30 · tag F0578 — failed to honor advance directives / code status — widespread
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review and facility document review the facility staff failed to periodically review with the resident/resident representative advance directives for all residents of the facility. The findings included:The facility staff failed to ensure that advance directives were periodically reviewed with the resident and/or the resident representative.During clinical record review, surveyors could not locate evidence that each residents advance directive had been reviewed with either the resident or the resident's representative. During an end of day meeting on 12/29/25 at 4:15 pm, the issue of advance directives was discussed with the administrator, registered nurse (RN) #1, and social worker/administrator-in-training (SW/AIT). SW/AIT stated that advance directive information was discussed with the resident/resident representative on admission, a change in the resident's status, and upon resident or family request. Surveyor requested and was provided with a facility policy entitled Advance Directives with an effective date of 09/01/24, which read in…

  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 · F2025-12-30 · tag F0656 — failed to write and follow a full care plan — widespread
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, clinical record review, and facility document review, the facility staff failed to develop comprehensive care plans (CCPs) that included the residents current code status for all residents in the survey sample. The findings included:The facility staff failed to develop CCPs that included the residents current code status. During the clinical record review, the surveyors were unable to locate information on the resident's CCPs that referenced their current code status. On 12/29/2025 at 4:15 p.m., during an end of the day meeting with the Administrator, Registered Nurse (RN) #1, and Social Worker/Administrator in Training the issue with the code status not being on the resident's current CCP's was reviewed. RN #1 stated they did not think they included the code status on the CCPs. On 12/30/25 RN #1 provided the survey team with a copy of their policy titled, Treatment Planning with an effective date of 08/01/24. This policy read in part, .The purpose of the Comprehensive Treatment Plan (CTP) is to involve the individual in developing an interdisciplinary…

  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 · F2023-08-31 · tag F0756 — failed to review each resident's drug regimen — widespread
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review and facility document review the facility staff failed to ensure that monthly medication regimen reviews were reviewed by the physician and/or the director of nursing and that pharmacist recommendations were acted upon for all residents of the facility. The findings included: While reviewing the monthly Medication Regimen Review (MRR) forms for five residents selected for review of psychotropic medication use, it was found that the MRR forms were not being reviewed by the physician and/or the director or nursing and that pharmacist recommendations were not being acted upon. Surveyor spoke with the unit manager on 08/30/23 at 11:30 regarding MRR's. Unit manager stated they get an email notification that the MRR has been completed, and they review it. Unit manager stated the pharmacist either emails or call the physician with recommendations. Surveyor spoke with the facility pharmacist on 08/30/23 at 3 pm regarding MRR's and how they communicate recommendations to the physician. Pharmacist stated they put their recommendations into 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-31 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview and clinical record review the facility staff failed to ensure one of 16 residents was free from unnecessary psychotropic medications, Resident #17. The findings included: For Resident #17, the facility failed to provide a discontinue date or re-evaluate the resident for continued use for the as needed (prn) medication Zyprexa. Zyprexa is an antipsychotic medication used to treat severe agitation associated with schizophrenia and/or bipolar mania. Resident #17's clinical record listed diagnoses which included but not limited to major neurocognitive disorder due to probable Alzheimer's disease, severe, with other behavioral disturbances, adjustment disorder with anxious mood, and Alzheimer's dementia. Resident #17's most recent minimum data set with an assessment reference date of 08/07/23 assigned the resident a brief interview for mental status score of 0 out of 15 in section C, cognitive patterns. This indicates that the resident is severely cognitive impaired. Resident #17's comprehensive care plan contained a plan for Behavioral symptoms. Interventions…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-02-26 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and clinical document review, it was determined the facility staff failed to ensure a medication error rate of less than 5%. There were six (6) medication errors in 32 opportunities resulting in a medication error rate of 18.75%. (The residents involved in these medication errors were: Resident #14, Resident #4, and Resident #1.) The findings include: Medication errors were observed while completing the Medication Administration Task on the morning of 2/24/21. There were six (6) errors in 32 opportunities resulting in a medication error rate of 18.75%. Resident #14's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 12/14/20, had the resident assessed as able to make self understood and as usually able to understand others. Resident #14's Brief Interview for Mental Status (BIMS) summary score was a 12 out of 15. Resident #14 was assessed as requiring limited assistance with transfers and supervision with eating and personal hygiene. Resident #14's diagnoses included, but were not limited to: heart failure, high…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

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.

What families pay in VA