August Healthcare at Richmond

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.

37.6% 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 30 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 73.1% 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 26 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 0.95 therapist hours per resident per day in 2026Q1 — more than 96% 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 32 beds and averages 27.3 residents a day — about 85% occupied, or roughly 5 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 4.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.46 is at or above 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 3.94 hrs/resident/day on weekends vs 4.87 on weekdays — 19% thinner on weekends. RN hours go from 0.97 to 0.71 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% 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 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.

25 citations, most serious first. The 15 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · J2021-02-17 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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, clinical record review and facility documentation the facility staff failed to implement policies and procedures related to abuse and neglect for 3 Residents (#15, #13, and #5), in a survey sample of 17 Residents. Immediate Jeopardy was called on 2/10/21 at 3:26 P.M. related to Residents #15 and #13. It was abated on 2/12/21 at 5:30 P.M. After Immediate Jeopardy was removed, the deficiency was assigned a Scope and Severity of level 2, isolated. The findings included: 1. For Resident #15, the facility did not implement facility policies and procedures by allowing LPN A to continue to work with Resident #15 after being accused of abusing Resident #15 and written up for Intimidating a Resident [#15] Resident #15 an [AGE] year old woman, was admitted to the facility on [DATE] with diagnoses of but not limited to dementia without behavioral disturbance, anemia, chronic kidney disease, anxiety, major depressive disorder, falls, and atherosclerotic heart disease. Resident #15's most recent MDS…

  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
• Actual harm · G2026-02-19 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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, family interview, staff interviews, clinical record review, and facility documentation review, the facility staff failed to address and implement interventions for significant weight loss for one Resident (Resident #20) in a survey sample of 16 residents, which constituted harm.The findings included:Resident #20 was admitted on [DATE]. The Resident's diagnoses included but were not limited to: Parkinsons's Disease, dementia, anemia, Stroke, Gastro-esophageal Reflux Disease (GERD), dysphagia, and esophageal obstruction.The most recent MDS (Minimum Data Set federal assessment) was completed as a quarterly assessment with an Assessment Reference Date (ARD) of 12-29-25. The assessment described the Resident with a Brief Interview for Mental Status (BIMS) score of 13 out of a possible 15 points, indicating mild cognitive impairment. The Resident required assistance from staff with eating to include supervision and touch assistance. The document recorded no rejections of care,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-12-30 · 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 staff interviews, clinical record review and facility documentation review, the facility staff failed to implement interventions, care and services to prevent the development of a pressure ulcer for one resident in a survey sample of five residents (Resident #1), which resulted in harm for Resident #1. The findings included:For Resident #1, who was identified to be at risk for pressure ulcer development, the facility staff failed to provide interventions to prevent the development of (2) two pressure-related injuries which were at an advanced stage at the time of discovery, which constituted harm.Resident #1 was originally admitted to the facility on [DATE]. On 11/8/2025, Resident #1 was re-admitted to the facility after hospitalization for a clotted arteriovenous (AV) fistula (linking a vein to an artery for medical use) following a dialysis session (medical treatment that cleans the blood by removing waste, toxins and extra fluid when one's kidneys cannot do the job) and a urinary tract infection.…

  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 · G2021-02-17 · 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 observation, interview, clinical record review and facility documentation the faintly staff failed to ensure Residents were free from abuse for 1 Resident (# 15) in a survey sample of 17 Residents. This is harm. The findings included: 1. For Resident #15 the facility failed to prevent abuse. This is harm. Resident #15 an [AGE] year old woman, was admitted to the facility on [DATE] with diagnoses of but not limited to dementia without behavioral disturbance, anemia, chronic kidney disease, anxiety, major depressive disorder, falls, and atherosclerotic heart disease. Resident #15's most recent MDS (minimum data set) with an ARD (assessment reference date) of 12/21/20, an quarterly assessment, coded Resident #15 as having a BIMS (brief interview of mental status) score of 10 out of a possible 15. This score indicates moderate cognitive impairment. The MDS codes the resident as needing extensive assistance with physical assistance of 1 person for toileting, hygiene, dressing and bed mobility. She requires…

  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
• Actual harm · Gcited before2021-02-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to identify and treat a Stage 3 sacral pressure wound for 1 Resident (Resident #18) in a sample size of 17 residents. This is harm. The findings included: Resident #18, a [AGE] year old male, was admitted to the facility on [DATE]. Diagnoses included but were not limited to type 2 diabetes mellitus and dementia. Resident #18's Minimum Data Set with an Assessment Reference Date of 12/21/2020 was coded as a quarterly assessment. The Brief Interview for Mental Status was coded as 11 out of possible 15 indicative of moderate cognitive impairment. Functional status for bed mobility was coded as requiring extensive assistance from staff. Urinary continence was coded as frequently incontinent. Bowel continence was coded as occasionally incontinent. On 02/09/2021 at approximately 2:47 P.M., Resident #18 was observed sleeping in bed lying supine and leaning to the right with the head of the bed elevated approximately 30 degrees.…

  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 · E2026-02-19 · tag F0848 — pattern
  Provide a neutral and fair arbitration process and agree to arbitrator and venue.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interviews, family interviews, staff interviews, clinical record review, and review of facility documents, the facility staff failed to allow for a neutral binding arbitration process. The findings included: On 2-18-26 at 1:20 PM an interview was conducted with the Administrator who stated that the admissions Director had all admissions documented signed, and that they did as a company have Arbitration in the contract for admissions. A copy was requested and supplied.The facility Binding Arbitration Agreement was reviewed, and the review revealed the following.The facility had chosen the arbitrator group and chose the location (as would coincide with this chosen entity). That declaration was applied to the admission contract for signature agreement which was binding to the Resident and their Representative. This Binding Arbitration Agreement document, which was embedded in the admission contract, also included fees with the percentage payment outlined for both parties to pay in the event of arbitration. The Administrator stated all Residents admitted to 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-19 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, clinical record review and facility document review, the facility staff failed to ensure Resident #5 was free from unnecessary medications, an anti-psychotic medication, for 1 of 12 residents in the survey sample (Resident #5).Findings include:Resident #5 was admitted to the facility on [DATE] with diagnoses to include but not limited to: urinary tract infection with toxic encephalopathy, hypertension, major depressive disorder, anxiety disorder, anemia, pain in left hip, dementia with behavioral disturbance, psychotic disturbance, mood disturbance, and Parkinson's disease with dyskinesia. Resident #5's most recent MDS (Minimum Data Set) Assessment with an ARD (Assessment Reference Date) of 1/5/26 coded the resident as having a BIMS (Brief Interview of Mental Status) score of 7 out of a possible 15 indicating severe cognitive impairment (severe problems with thinking).A review of the clinical record revealed that Resident #5 was admitted to the facility from the hospital…

  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 · D2026-02-19 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  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, family interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to maintain an available call bell system for one Resident (Resident #14) in a sample of 16 residents as a means to call for assistance from the bedside where the call would go directly to a staff member or central location with no alternate means to call for assistance. The findings included;Resident #14 was most recently readmitted to the facility on [DATE]. The Resident's diagnoses included; Diabetes, chronic inflammatory demyelinating poly neuritis, disc degeneration, malnutrition, dementia, impaired cognitive function, and impaired mobility.The most recent MDS (Minimum Data Set federal assessment) was most recently completed as a quarterly assessment with an Assessment Reference Date (ARD) of 1-5-26. The assessment described the Resident with a Brief Interview for Mental Status (BIMS) score of 15 out of a possible 15 points, indicating mild…

  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 · Dcited before2025-12-30 · 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 staff interviews, clinical record review and facility documentation review, the facility staff failed to develop a comprehensive person-centered care plan for (1) one resident (Resident #1) in a survey sample of 5 residents.The findings included:For Resident #1, who was identified to be at risk for pressure ulcer development, the facility staff failed to develop a comprehensive person-centered care plan to address the development of pressure injuries.Resident #1 was originally admitted to the facility on [DATE]. On 11/8/2025, Resident #1 was re-admitted to the facility after hospitalization with diagnoses including but not limited to a history of a sacral ulcer stage II.Resident #1's most recent MDS (Minimum Data Set) assessment with an ARD (Assessment Reference Date) of 10/9/25 coded the resident in Section M: Skin Conditions, as having no open wounds and was at risk for development of pressure ulcers.Review of the Nursing admission assessment dated [DATE] revealed skin was intact.On 12/30/25 at…

  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 · E2022-04-07 · tag F0658 — failed to meet professional standards of care — pattern
  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 staff interviews, facility documentation review, and clinical record review, the facility staff failed to follow professional standards of practice for one Resident (Resident #27) in a survey sample of 15 Residents. For Resident #27, the facility staff failed to notify the physician when a medication was not available. The findings included: On 4/5/22 and 4/6/22, a closed clinical record review was conducted for Resident #27. This review revealed: On 11/26/21 at 4:50 PM, the facility nursing staff spoke with the attending physician and obtained treatment orders which included an antibiotic and nebulizer treatments. On 1/4/22-1/10/22, Resident #27 missed 7 consecutive days of his nebulizer treatment doses, due to the medication not being available. There was no indication in the clinical chart that the physician had been notified of the unavailability to assess if alternate treatments were needed. A review was performed of the facility policy titled, Change in Condition/Notification of Physician &…

  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 · E2022-04-07 · tag F0727 — failed to provide required RN coverage — pattern
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility document review, and in the course of a complaint investigation, the facility staff failed to provide Registered Nurse coverage 8 consecutive hours per day for 3 days out of 30 days in June 2021 and for 6 days out of 31 days in July 2021. The findings include: Facility staff failed to provide Registered Nurse (RN) coverage in June 2021 on 6/11, 6/21, 6/30, and in July 2021 on 7/14, 7/15, 7/16, 7/17, 7/28, and 7/31. On 4/5/22, an interview was conducted with Employee F who confirmed he was responsible for payroll records at the facility. A copy of the payroll records for all Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs), to include time clocked in and out, for the months of June 2021 and July 2021 was requested and provided by Employee F who verified the records were accurate and complete. On 4/6/22, a review of the payroll records revealed the following: For June 2021, there was no RN coverage on 6/11, there was partial RN coverage for 6.75 hours on 6/21, and no RN coverage 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-04-07 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, facility documentation review, and clinical record review, the facility staff failed to administer medications due to a lack of availability on 11 occasions, to one Resident (Resident #27) in a survey sample of 15 Residents. The findings included: On 4/5/22, Surveyor B conducted a clinical record review for Resident #27. This review revealed a physician order dated 11/27/21, that read, Xopenex Nebulization Solution 0.63 MG/3ML (Levalbuterol HCl) 1 vial inhale orally via nebulizer two times a day for Pneumonia. Review of the MAR (medication administration record) revealed that Resident #27 did not receive this medication as prescribed on 11 occasions on the following dates: 11/28/21, 1/4/22, 1/5/22, 1/6/22, 1/7/22, 1/8/22, 1/9/22, and 1/10/22. Review of the nursing notes revealed entries that noted pending delivery and not available. There was no indication that the physician had been notified of the medication not being available to administer as per the physician order. On 4/6/22 and 4/7/22, interviews were conducted with LPN B, LPN C, LPN D, and Employee…

  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 · Ecited before2022-04-07 · 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 staff interviews and facility documentation review, the facility staff failed to maintain an active facility wide Infection Prevention Control Program (IPCP) with regards to infection surveillance and tracking for one Resident (Resident #27) in a survey sample of 15 Residents, but had the potential to affect multiple Residents within the facility. The findings included: On 4/5/22, during the survey entrance conference, the facility Administrator identified Employee G as the facility Infection Preventionist. The Administrator stated that Employee G was out on vacation, but they had access to all of her information and files, as well as Employee G being available via telephone. On 4/6/22, the facility Administrator submitted the infection line listing/infection surveillance for the months of November and December 2021, and January 2022. These documents were reviewed and noted that only Residents with infections being treated with antibiotics, were listed. It was also noted, that Resident #27's infection for pneumonia, which was treated with an antibiotic in January 2022, 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
• Potential for harm · D2022-04-07 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, Resident interview, staff interview, and clinical record review, the facility staff failed to provide a homelike environment for one Resident (Resident #20) in a sample size of 15 Residents. For Resident #20, the facility staff failed to ensure Resident #20 had easy access to his bathroom sink. The findings included: On 04/05/2022 at 10:15 A.M., Resident #20 was observed seated in his wheelchair self-propelling in his room. When asked if he had any concerns about the care he receives at the facility, Resident #20 stated that his concern is that he cannot get to his sink while seated in his wheelchair. Resident #20 then stated that there was a bar in the way. This surveyor observed that the commode and sink were side by side on the left wall upon entry to the bathroom. In between the commode and the sink, there was an L-shaped bar attached to the wall, extending out the length of the commode and bolted into the floor. There was a side bar that extended into the pathway of the sink and was also bolted to the floor. On 04/06/2022 at 1:55 P.M., Resident #20 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-04-07 · 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

  Based on staff interviews, clinical record review, and facility documentation review, the facility staff failed to provide treatment and services to one Resident (Resident #27) in a survey sample of 15 Residents. For Resident #27, the facility staff failed to solicit assistance from the facility management and medical director for treatment orders for a Resident with pneumonia on two occasions, when the attending physician was not responsive, which resulted in a delay in treatment. Past non-compliance was achieved on 2/28/22. The findings included: On 4/5/22 and 4/6/22, a closed clinical record review was conducted for Resident #27. This review revealed a delay in treatment for pneumonia on two occasions. The details are as follows: * On 11/24/21, Resident #27 exhibited abnormal bilateral lung sounds. A chest x-ray was ordered. * On 11/25/21 at 10:35 AM, the results of the chest x-ray were received and showed a left base infiltrate and/or small effusion. Nursing notes showed that the facility staff attempted to reach the attending physician and nurse practitioner throughout the day.…

  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

“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

$35,055 in federal fines across 2 penalties.

• $25,760 — penalty dated 2026-02-19
• $9,295 — penalty dated 2025-12-30

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.

Part of a chain

This home belongs to SIMCHA HYMAN & NAFTALI ZANZIPER — 79 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 9 rows in the source record cover these 7 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.

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.

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 $208K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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