Crescent Manor Care Ctrs

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.

35.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 56.0% 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 25 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 0.31 therapist hours per resident per day in 2026Q1 — more than 50% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 90 beds and averages 88.0 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.82 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 2.48 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 3.43 hrs/resident/day on weekends vs 3.98 on weekdays — 14% thinner on weekends. RN hours go from 0.48 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% 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.

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

• Actual harm · G2024-10-02 · 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 observations, interviews, and record review, the facility failed to ensure that 1 of 25 residents in the applicable sample (Resident #87) received necessary treatment and services consistent with professional standards of practice to promote healing and prevent infection. As a result, Resident #87's pressure ulcer worsened to stage four, developed an infection, the resident required hospitalized and surgical debridement of the wound, and was not stable enough to be discharged . Findings include: Per record review Resident #87 was admitted to the facility in July 2024 with a goal to discharge home. An admission Minimum Data Set (MDS; a comprehensive assessment used as a care-planning tool) dated 7/30/2024 revealed that Resident #87 had a BIMS (brief interview for mental status; a cognitive assessment) of 15 on admission, indicating that s/he is cognitively intact. S/he was frequently incontinent of urine and always continent of bowel, requiring supervision or touching assistance with toileting hygiene.…

  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 before2023-10-23 · 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

  Based on interview and record review, the facility failed to protect the resident's right to be free from physical abuse by another resident for one applicable resident (Resident #1). Findings include: Record review reveals that Resident #1 has a diagnosis of dementia with psychosis and was assessed on 8/22/23 to have a BIMS of 4 (brief interview for mental status; a cognitive assessment score indicating severe cognitive impairment). Resident #1's care plan states that s/he wanders throughout hall/facility/into others room R/T [related to] dementia and independent mobility, revised on 9/5/23, and has interventions that include, Distract [Resident #1] from wandering by offering pleasant diversions, structured activities, food, conversation, television, book, revised on 2/15/23, and Identify pattern of wandering: Is wandering purposeful, aimless, or escapist? Is resident looking for something? Does it indicate the need for more exercise? Intervene as appropriate, created on 12/16/21. Resident #2 has a diagnosis of vascular dementia and was assessed on 9/19/23 to have a BIMS of 9…

  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 before2023-10-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure that all known and foreseeable hazards in the resident's environment were eliminated and failed to provide sufficient supervision to each resident for 2 applicable residents (Resident #1 and #2) resulting in Resident #1 being physically abused. Findings include: Record review reveals that Resident #1 has a diagnosis of dementia with psychosis and was assessed on 8/22/23 to have a BIMS of 4 (brief interview for mental status; a cognitive assessment score indicating severe cognitive impairment). Resident #1's care plan states that s/he wanders throughout hall/facility/into others room R/T [related to] dementia and independent mobility, revised on 9/5/23, and has interventions that include, Distract [Resident #1] from wandering by offering pleasant diversions, structured activities, food, conversation, television, book, revised on 2/15/23, and Identify pattern of wandering: Is wandering purposeful, aimless, or escapist? Is resident looking for something? Does it indicate the need for more exercise? Intervene as…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-16 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Per interview and record review, the facility failed to notify resident representative of alleged abuse of 1 of 1 residents (Resident #1). Findings include:Per review of the Facility's 5-day internal investigation dated xx, an allegation that Licensed Nursing Assistant #1 slapped Resident #1 was investigated. A progress note dated 5/25/26 at 10:16 PM written by the Nursing Supervisor stated a report was received from a Licensed Nursing Assistant (LNA) who witnessed an altercation between LNA #1 and Resident #1, and that the Director of Nursing (DON) and Power of Attorney were notified.Per record review of the Facility's Incident Report prepared by the Nurse Supervisor, the residents Family Member was notified of the incident at 7:35 PM on 5/25/26.Per record review, Resident #1's family member is their Power of Attorney.Per interview on 6/16/26 9:42 AM with Resident #1's Power of Attorney, they stated they were notified of an altercation. They described the notification to include Resident #1 had increasing behaviors that night, was aggressive towards staff, and was then redirected.…

  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 · F2026-01-07 · tag F0585 — failed to handle grievances — widespread
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to support the residents' right to file grievances anonymously. This has the potential to affect all residents at the facility. Findings Include:Per observation, the facility's bulletin board in the lobby area displayed the grievance policy and procedure in a document protector, with only the first page visible. The document included the grievance officer and contact information, but did not provide details on how to file a grievance anonymously. There is no evidence of the option to file an anonymous grievance, nor is there any indication on the grievance forms that this is an option. Review of the facility policy, titled Crescent Manor Rehabilitation Grievance Policy and Procedures, no date, found that the procedures state the resident must sign the form. The form attached to the policy also requires a resident's signature. Per interview on 1/6/26 at 1:10 PM with three residents, Resident #7, a resident at the facility for several years, stated that if a resident wants to file a grievance, they use the facility-provided…

  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 · F2026-01-07 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and policy reviews, the facility failed to store food in accordance with professional standards for food service safety. This deficiency has the potential to impact all residents in the facility. Findings include:1. During initial tour of the kitchen's dry storage area on 1/5/26 at approximately 11:00 AM with the Food Service Manger (FSM), revealed boxes of condiments containing individual servings of saltines, salad dressings, and catsups that did not have expiration dates on the boxes. Also observed in the dry storage room were (5) 5# bags of Devil's Food cake, (4) 5# bags of brownie mix, (12) 5# bags of white cake mix, (2) 5# bags of basic muffin mix, all with no expiration dates on the packages. The FSM stated that they did not know what the expiration dates of these food items were because the original boxes had been thrown away. There were 4 racks of bread in the hall of the dry storage area that had no expiration dates. Per interview with the FSM on 1/5/26 during 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-07 · 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

  Based on observation and interview, the facility failed to ensure a safe clean homelike environment for the residents who reside on the licensed memory care unit. Findings include:1. During the initial tour of the licensed memory care unit (North Unit) on 1/5/2026 at 11:30 AM, there was a sharps container fastened to the wall in the shower room. The container was full and unable to close properly. There was a bundle of disposable razors on the top of the sharps container held together with a rubber band and three of the razors had no covers on them. Per interview with a Licensed Practical Nurse (LPN) on 1/7/2026 at approximately 1:00 PM, she confirmed that the sharps container was full and should have been removed. She also confirmed that the disposable razors should not have been left on top of the sharps container. 2. During observations of the North Unit 1/5/2026 at 12:44 PM in the dinning/activity room located near the nursing station, the baseboard radiator was noted to have three areas at different points of the system that were uncovered exposing the sharp fins. Per interview…

  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 · E2026-01-07 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled 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 observations and interviews, the facility failed to ensure medications were removed from the medication storage rooms and treatment rooms when expiration dates were reached for 3 out of 3 rooms. Findings include: Per review of the facility policy titled Storage of Medication dated 1/24, it states that Outdated, contaminated, discontinued or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock .Per observation and interview on [DATE] at approximately 9:56 AM in the west wing medication room, the Unit Manager confirmed the following items were expired: three administration sets of priming IV tubing kits with an expiration date of [DATE], eight containers of ten milliliter sterile water for injection with an expiration date of [DATE], Piperacillin and Tazobactam for injection 3.375 grams for IV use with an expiration date of 3/25, Epinephrine 0.3 mg single auto injectors with an expiration date of 3/25, BD Vacutainer…

  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 before2026-01-07 · 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 observation and interview, the facility failed to ensure staff were appropriately wearing Personal Protective Equipment (PPE) for 2 of 2 units. This is a repeat deficiency for this facility, with violations cited during the previous recertification surveys, dated 10/2/24.Findings include:1. Per observation on 1/5/26 at approximately 2:15 PM, LNA #1 was noted sitting behind the west nurse's station without a mask. LNA #1 left the nurses station, proceeded down the hall with LNA #2, engaging in conversation. LNA #1 was noted to have a disposable mask swinging from their wrist and mid hallway placed the mask on and worn under their chin. Per interview on 1/5/26 at approximately 2:25 PM with LPN #1, they confirmed LNA #1 was not wearing their mask correctly and that masks were required at that time due to an active Covid outbreak. 2. Per observation on 1/6/26 at approximately 4:35 PM of the west unit nurse's station, RN #1 was noted to be wearing their mask under their chin. Per interview on 1/6/26 at 4:47 PM, the Administrator confirmed that all staff are required to wear…

  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 · E2026-01-07 · tag F0919 — failed to provide a working call system — pattern
  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 and interview and record review, the facility failed to ensure a call system allowing residents to call for staff assistance is accessible to residents while in their bed or other sleeping accommodations within 5 out of 6 rooms for residents Care Planned for call bell use. The facility also failed to ensure that an alternate means of communicating with staff was provided after removing the call light from the resident's room for Resident #35. Findings include: 1). Per observation on 1/5/25 at 11:46 AM and again on 1/6/26 at 4:08 PM, the corded call bells for both resident beds in rooms #1, #4, and #5, were hanging on the walls out of reach of the residents in their beds, and the call bell out of reach for 1 resident in room [ROOM NUMBER]. An interview was conducted with the residents' Unit Manager [UM] on 1/7/26 at 8:25 AM. The Unit Manager stated that most residents in the Special Care Unit are not able to use the call bell system. Per record review, the Care Plans for at least one resident…

  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 · D2026-01-07 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to promptly notify the provider of laboratory results that fell outside of clinical reference ranges for 1 of 1 residents (Resident #27). Findings include: Per review of the facility's policy titled Notification of Changes Policy dated 11/25, it states The purpose of the policy is to ensure the facility promptly informs the resident, consults the resident's physician; and notifies, consistent with his or her authority, the residents representative when there is a change requiring notification. The policy additionally identifies that when a resident has a significant change in physical condition that the provider should be notified.Per review of the facility's policy titled Laboratory Services and Reporting dated 2020, it states to Promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of laboratory results that fall outside the clinical reference range.Per record review, a progress note dated 1/5/26 at 7:15 PM, identified that Resident #27 had a critical sodium level 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-17 · 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

  Based on observation, interview, and record review, the facility failed to implement care plan interventions to reflect an identified concern for 1 of 3 sampled residents (Resident #1) related to the use of wheelchair leg rests. Findings include:Per record review, Resident #1 has diagnoses that include multiple sclerosis, (MS; a disease that heavily affects postural control, predisposing patients to accidental falls and fall-related injuries), dementia, anxiety disorder, and major depressive disorder. Resident #1 has a BIMS score (Brief Indicator for Mental Status, a test to check if thought processes are intact) of 12 out of 15, indicating moderate cognitive impairment.Per record review, Resident #1 has limited physical mobility related to her/his MS and weakness. Resident #1's care plan states LOCOMOTION: [She/he] requires (Extensive assistance) by (1) staff for locomotion using standard chair and bilateral footrests PRN [as needed], created on 10/27/25. A 12/8/25 risk management report reveals that Resident #1 had a fall while being pushed in a wheelchair because his/her foot got…

  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 before2025-12-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents remained as free from accidents as possible related to falls for 1 of 3 sampled residents (Resident #1) by failing to ensure assistive devices were provided and failing to implement interventions that would reduce the likelihood of future falls. As a result, Resident #1 suffered a fall that resulted in redness, swelling, and abrasions to the front of the left knee and back of the right hand. Findings include:Per record review, Resident #1 has diagnoses that include multiple sclerosis, (MS; a disease that heavily affects postural control, predisposing patients to accidental falls and fall-related injuries), dementia, anxiety disorder, and major depressive disorder. Resident #1 has a BIMS score (Brief Indicator for Mental Status, a test to check if thought processes are intact) of 12 out of 15, indicating moderate cognitive impairment.Per record review, Resident #1's care plan reveals that she/he needs assistance or is dependent on staff to perform activities of daily living (ADLs) and uses a wheelchair.…

  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

$38,610 in federal fines across 1 penalty.

• $38,610 — penalty dated 2024-10-02

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 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 $148K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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 VT