Lake Taylor Hosp

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.

61.7% 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 986 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 47.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 445 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 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 192 beds and averages 159.5 residents a day — about 83% occupied, or roughly 32 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.

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 4.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 3.96 hrs/resident/day on weekends vs 5.29 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.50 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% 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 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.

24 citations, most serious first. The 12 most serious are shown; the remaining 12 are one tap away and print in full.

• Actual harm · Gcited before2025-09-26 · 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 Number of residents sampled: 47Number of residents cited: 2 Based on record review, interview, and policy review, the facility failed to ensure residents' safety for two (Resident (R) 11 and R195) of two residents reviewed for accident hazards in the sample of 47 residents. Specifically, R11 fell to the floor during an assisted transfer by nursing staff from the commode to the bed, which resulted in a femur fracture and R195 rolled out of bed when nursing staff were providing incontinence care and fell to the floor which resulted in a femur fracture. This had the potential to affect residents who required staff assistance during care. Findings include: 1.Review of R11's Face Sheet in the electronic medical record (EMR) under the Profile tab revealed the resident was admitted to the facility on [DATE] with diagnoses that included congestive heart failure, left knee prosthetic joint, and chronic kidney disease. Review of R11's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/28/25 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2021-10-15 · 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 interview, record review, and review of facility policy, the facility failed to ensure that one (Resident (R) 59) of eight residents reviewed for pressure ulcers out of a sample of 31 residents did not develop a pressure ulcer unless their clinical condition showed that it was unavoidable. R59, who had been wearing a splint for a fracture, developed a facility-acquired Stage IV pressure after the facility failed to follow physician orders for daily skin checks and wound care. Findings include: Review of R59's Face Sheet, located in the electronic medical record (EMR) under the Face Sheet tab, indicated R59 was a long-term resident with diagnoses including status post cerebrovascular accident, vascular dementia, history of seizure disorder, lung mass, and history of multiple cerebrovascular accidents. Review of an emergency room Report, dated 04/27/21, located in the EMR under the hospital note tab, revealed that R59 sustained fractures of the distal shaft of the tibia and fibula. Review of an Outpatient…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  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 observation, interview, record review, and policy review, the facility failed to provide appropriate meal assistance for two of two residents (Resident (R)9 and R85) reviewed for activities of daily living (ADLs) in a sample of 47 residents. This failure could cause residents to become malnourished, aspirate, or an exacerbation of health conditions.Findings include:Review of the facility's policy titled Activities of Daily Living dated 11/22, provided by the facility revealed, To provide care for residents that give them a sense of comfort and wellbeing. Residents are provided assistance with all activities of daily living by clinical staff as desired and based on the individual care needs.1. Review of R85's face sheet, provided by the facility revealed R85 was admitted on [DATE] and had diagnoses of dementia, epilepsy, and gastro-esophageal reflux disease.Review of R85's nurse notes, dated 09/10/25 provided by the facility revealed, pt [patient] admitted for anxiety, COPD [chronic obstructive pulmonary…

  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 · D2025-09-26 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 ensure ongoing communication and collaboration with the dialysis facility for one resident (Residents (R)11) reviewed for dialysis out of a total sample of 47. This had the potential to effect the continuity of care for residents who receive dialysis treatment. Findings include:Findings include: Review of R11's Face Sheet in the electronic medical record (EMR) under the Profile tab revealed the resident was admitted to the facility on [DATE] with diagnoses that included congested heart failure and chronic kidney disease. Review of R11's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 08/28/25 EMR under the MDS tab revealed a Brief Interview for Mental Status (BIMS) score of three out of 11, which indicated the resident was moderate cognitively impaired. R11 was documented as receiving hemodialysis. Review of R11's Care Plan dated 08/26/25 and located in the EMR under the Care Plan tab revealed R11 was not care planned 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 · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-26 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 47Number of residents cited: 1Based on observation, interview, record review, and policy review, the facility failed to ensure residents received alternative measures prior to the installation of side rails; documented discussion related to risk versus benefits; and signed informed consent prior to bed rail use for one of four residents (Resident (R)89 reviewed for side rails out of 47 sampled residents. The lack of alternate side rail measures and proper assessment/consent could lead to potential restraint or side rail entrapment.Findings include Review of R89's admission Record in the Profile tab of the electronic medical record (EMR) revealed he was admitted to the facility on [DATE] with diagnosis of hemiplegia. Review of R89's admission Minimum Data Set (MDS) assessment under the MDS tab of the EMR with an Assessment Reference Date (ARD) of 09/15/25 revealed a Brief Interview for Mental Status (BIMS) score of three out of 15 indicating severe cognitive impairment. Review 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 · D2025-09-26 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of the manufacturer's manual, the facility failed to maintain air loss mattresses at the proper setting for two of three residents (Resident (R)9 and R15) observed for patient care equipment. This failure could lead to increased risk of skin breakdown.Findings include:Review of the facility's mattress manual dated 2018 provided by the facility revealed instructions to Turn the Pressure Adjust Knob to set a comfortable pressure level by using the weight scale as a guide. The manual illustrated the pressure adjust knob was to be set to the weight of patient.1. Review of R9's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 09/17/25 and located in the MDS tab of the electronic medication record (EMR) revealed an admission date 07/09/18 and a Brief Interview for Mental Status (BIMS) score of 13 out of 15, which indicated R9 was cognitively intact. The MDS indicated that R9 had two unstageable pressure ulcers and diagnoses of quadriplegia and multiple sclerosis.Review of R9's order dated 05/10/25…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2021-10-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure food, dishware, and cookware used for food preparation/service was stored in a sanitary manner. Food items were not labeled, dated when opened, and/or sealed closed. Dirty industrial fans were blowing on dishware which were clean and ready for use. Cookware was stacked wet. These failures had the potential to affect all 145 residents in the facility who were served food from the facility kitchen. Findings include: On 10/11/21 at 8:40 AM, the following observations were made with and verified by the Chef Manager: 1. The dry storage room contained one bag of egg noodles that was not sealed closed. There was one bag of spaghetti that was not labeled and dated after opening. The plastic flour bin was left open, with the lid sitting partially on the bin. 2. The walk-in refrigerator had a one container of chicken parmesan with no label or dating. A roll of ground beef in a plastic container with plastic wrap covering, had an expiration date of 10/09/21. The ground beef, which was not disposed of past its expiration date 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-10-15 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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, interview, and facility document review, the facility failed to ensure there was a sufficient supply of bath linens available on two of four units ([NAME] and Dogwood). This failure had the potential to affect 101 residents living on these two units, out of the total census of 145 residents. Findings include: 1. Interview on 10/11/15 at 11:11 AM with R84 revealed that the facility does not have enough washcloths and towels. R84 stated she likes to wash her face in the morning and most days when she asks for linens, none are available. The resident states that she does not get to wash her face before breakfast, and this is upsetting to her. 2. During a Resident Council Meeting held on 10/12/21 at 1:30 PM, seven of seven residents (Residents (R) 18, R35, R64, R75, R77, R131, and R134) who regularly attend resident council meetings expressed concerns about a shortage of washcloths/towels, specifically on the Camellia and Dogwood Long Term Care Units. During interview, R64 stated, There is a…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2021-10-15 · tag F0700 — pattern
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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, record review, and review of facility policy, the facility failed to ensure the appropriate use of side rails for four cognitively impaired residents (Resident (R) 96, R125, R3, and R89) out of 31 sampled residents. The facility failed to ensure that prior to the installation of side rails (also known as bed rails), alternatives were attempted. The facility failed to assess each resident for the use of side rails, including a review of risks including entrapment; or obtained informed consent for the use of side rails from the resident and/or the resident representative. In addition, the facility failed to ensure that the bed was appropriate for the residents and that the side rails were routinely monitored for hazards and maintained in accordance with manufacturer specifications. Findings include: On 10/11/21 at 08:00 AM a recertification survey was initiated at Lake [NAME] Hospital. Observation revealed that the facility has four units and 145 residents. During the screening…

  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 · E2021-10-15 · tag F0811 — pattern
  Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and review of facility program documents, the facility failed to ensure that a paid feeding assistant provided dining assistance only for residents who had no complicated feeding problems. In addition, the facility failed to ensure appropriateness for the paid feeding assistance program was reflected in the care plan. The facility's failure affected one of four units, potentially affecting the 53 residents residing on the Dogwood Unit, out of a total of 145 residents. Findings include: Review of the paid feeding assistance program titled Feeding/Hydration Training Program, reviewed 12/17, revealed the purpose of the program was to provide adequate training for non-licensed assisting residents with feeding and drinking. Review of the seven sections of the program revealed an assessment to determine the residents eligible for the program was not identified. Review of R23's Face Sheet found in R23's electronic medical record (EMR) under the Face sheet tab revealed the resident was admitted to the facility in 1994 with diagnoses 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-10-15 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 ensure that the resident and/or the resident's representative (RP) for two (Resident (R) 118, and R288) of 31 sampled residents were provided with a summary of the baseline care plan. The facility failed to provide written summaries of the baseline care plan that included, at a minimum, the initial goals of the resident; medications and dietary instructions; and services and treatments to be administered by the facility and personnel. Findings include: 1. Review of R118's undated face sheet located in the electronic medical record (EMR) under the demographic tab indicated the resident was admitted on [DATE] from the hospital. The resident's diagnoses included congestive heart failure, urinary tract infection, chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, atrial fibrillation, anxiety disorder, hypokalemia, chronic pain, adult failure to thrive. Review of R118's Interdisciplinary 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-10-15 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of facility policy, the facility failed to ensure the care plan for one (Resident (R) 103) of 31 sampled residents was revised as needed. R103's care plan was not reviewed and updated when the resident developed a facility-acquired Stage II pressure ulcer. Findings include: Review of a facility policy titled, 8.25 Care Planning, dated 01/21, revealed, An appropriate individualized plan is developed, reviewed, and modified throughout the resident's stay to ensure optimum levels of function .Policy: The facility will develop an Interdisciplinary Care Plan for each resident that includes measurable goals and objectives to meet the resident's medical, nursing .needs. The policy further indicated, In cases of significant changes, in the resident's condition, the Care Plan must be updated. During an observation and interview on 10/11/21 at 2:26 PM, R103 was observed to be in bed in his room. At this time R103 stated, I have a sore on my butt, but they are…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$59,150 in federal fines across 1 penalty.

• $59,150 — penalty dated 2025-09-26

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

CMS files one row per role, so the 45 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

What families pay in VA