Bel Aire Center

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.

55.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 161 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.4% 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 82 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 0.24 therapist hours per resident per day in 2026Q1 — more than 31% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% 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 58 beds and averages 44.7 residents a day — about 77% occupied, or roughly 13 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 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 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 3.36 hrs/resident/day on weekends vs 3.77 on weekdays — 11% thinner on weekends. RN hours go from 0.72 to 0.66 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

31 citations, most serious first. The 14 most serious are shown; the remaining 17 are one tap away and print in full.

• Actual harm · Hcited before2026-04-01 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide education and ensure nursing competencies regarding the application and monitoring of an Unna boot (compression dressing impregnated with healing agents) for 3 of 3 nursing staff. As a result, Resident #1 developed a large necrotic ulcer on his/her foot requiring admission to the hospital which later resulted in a below the knee amputation.Findings include:Per record review, Resident #1 had a BIMS (Brief Interview of Mental Status) of 14, indicating no cognitive impairment. Resident #1's medical diagnoses include peripheral vascular disease (PVD) (a disorder of blood vessels that affects blood flow to the limbs), type 2 diabetes mellitus with diabetic neuropathy, and a history of peripheral artery disease (PAD; a disorder of blood vessels that affects blood flow to the limbs) with revascularization (surgical procedure performed to restore blood flow to the leg). Per record review of care plan Resident #1 is at risk for skin breakdown related to…

  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
• Actual harm · Gcited before2026-04-01 · 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 interview and record review, the facility failed to ensure care plans were updated with a new intervention for 1 of 3 residents sampled (Resident #1). As a result, the resident sustained a necrotic ulcer on his/her right foot related to improper application of an Unna boot (compression dressing impregnated with healing agents) requiring admission to the hospital which later resulted in a below the knee amputation. Findings include: Per record review, Resident #1 had a BIMS (Brief Interview of Mental Status) of 14, indicating no cognitive impairment. Resident #1's medical diagnoses include peripheral vascular disease (PVD) (a disorder of blood vessels that affects blood flow to the limbs), type 2 diabetes mellitus with diabetic neuropathy, and a history of peripheral artery disease (PAD; a disorder of blood vessels that affects blood flow to the limbs) with revascularization (surgical procedure performed to restore blood flow to the leg). Per record review of care plan Resident #1 is at risk for skin…

  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
• Actual harm · Gcited before2025-10-17 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents remained as free from accidents as possible related to falls for 3 of 3 sampled residents (Residents #1, #2, and #3) by failing to ensure assistive devices functioned properly, provide adequate supervision, and create and implement effective, timely interventions that would reduce the likelihood of future falls. As a result, Resident #1 suffered a fall that resulted in pain, a fractured nose, a left humerus (upper arm bone) fracture, and rib fractures. This is a repeat deficiency for this facility, with the violations cited during the previous recertification survey dated 7/17/25. Findings include:1. Per record review, Resident #1's care plan reveals that s/he needs assistance or is dependent on staff to perform activities of daily living (ADLs) and uses a wheelchair. His/her care plan includes the focus [Resident #1] is at risk for falls related to hx [history] of falls, poor safety awareness, unsteady gait, created on 2/10/22,…

  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 · G2025-09-02 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 one resident (Resident #1) of three sampled residents was free from significant medication errors which resulted in a resident developing DVT [Deep Vein Thrombosis] and being transferred to the emergency department. Findings include: Per record review of Resident #1's EMR [Electronic Medical Record] Resident #1 has diagnoses of a right femur fracture, muscle weakness, anxiety, and atrial fibrillation [a condition where the heart beats irregularly]. Resident #1 has a BIMS [Brief Interview of Mental Status] score of 7 as of 8/4/25, indicating Resident #1 has cognitive impairment. The resident is dependent on staff for ADLs [Activities of Daily Living] and hygiene.Per record review, Resident #1 was admitted to the hospital on [DATE] for a hip fracture and was discharged on 8/1/25.Per record review of Resident #1's discharge summary from the hospital on 8/1/25 contains a medication reconciliation section with the order Enoxaparin 40 mg [milligram/…

  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 · Dcited before2026-04-01 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to implement infection control policies regarding Enhanced Barrier Precautions (EBP; staff use of gown and gloves during high contact care) for 1 of 1 sampled residents. Findings include: Per the facility's Enhanced Barrier Precautions policy, reviewed on 4/1/2026 at 2:00 PM, patients with wounds or indwelling medical devices, regardless of multidrug-resistant organism colonization status, should be on EBP.Per observation on 4/1/2026 at 1:45 PM, the Wound Care Specialist failed to put a gown on before changing Resident #2's wound vac (a device that uses negative pressure to promote wound healing) and performing wound care. When interviewed immediately after wound care, she stated she felt she did not need to wear a gown. Per interview on 4/1/2026 at 2:10 PM, the Director of Nursing (DON) confirmed that Resident #2 should be on EBP due to wound status/presence of a wound vac, and that the nurse providing wound care should have worn a gown to prevent cross-contamination between the wound and clothing.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-17 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 that a resident was free from physical restraints for 1 of 1 applicable resident (Resident #2) related to a seat belt that the resident was unable to remove on their own. Findings include:Per record review, Resident #2 was admitted to the facility on [DATE] with diagnoses that include dementia, schizophrenia, and seizure disorder.Resident #2's admission Minimum Data Set (MDS; a comprehensive assessment) dated 7/18/25 indicates that s/he is dependent on staff for self-care and functional cognition and needs staff assistance for mobility. His/her cognitive skills for daily decision making are marked as severely impaired.Resident #2's care plan's focuses include Resident is at risk for falls: cognitive loss, lack of safety awareness, Impaired mobility, initiated on 7/16/25, and Resident uses Seat Belt for safety and security, initiated on 7/16/25. Interventions include the use of a Velcro seat blet, initiated on 7/16/25.A Restraint…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents received adequate interventions to prevent accidents for 2 residents [Residents #25 & #35] of 4 sampled residents. Findings include:1) Per review of Resident #25 medical record, Resident #25 has medical diagnoses of COPD [Chronic Obstructive Pulmonary Disease], history of a TIA [Transient Ischemic Attack, a transitory blockage of blood to the brain], muscle weakness, and anxiety. Resident #25’s BIMS [Brief Interview of Mental Status, a tool to assess cognitive function in residents] score was 3, indicating the resident is cognitively impaired. Resident #25’s MDS [Minimum Data Set, an assessment tool for clinical evaluation of residents] states that Resident #25 is dependent on staff for ADLs [Activities of Daily Living] and hygiene and is occasionally incontinent of bowels. Per record review of a physician progress note written on 7/7/25 at 12:00 AM states, “Per nursing documentation [s/he] had a fall around 22:30 on 7/2/25 and another…

  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 · Ecited before2025-07-17 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based upon observation, interview, and record review, the facility failed to provide sufficient nursing staff to maintain the highest practical physical, mental, and psychosocial wellbeing of the facility's residents. Findings include:Per observation on 7/16/25 at 11:53 AM, Resident #4 was observed in his bed when s/he was delivered his/her breakfast. S/he rang his/her call light at 11:53 AM. Resident #4's call light was answered at 12:15 PM. It took 23 minutes for the call light to be answered. S/he discussed with the nursing staff who entered the room that s/he needed to use the restroom.Per observation on 7/17/25 at 9:27 AM, a call light went off for Resident #6. The call light was answered at 9:58 AM. The call light was not answered for 31 minutes. Per observation at 9:58 AM Resident #1 stated to the licensed nursing staff member that s/he needed hygiene care.An interview was conducted with Resident #40 on 7/15/25 at 11:36 AM. S/he stated, Sometimes I have to wait so long it soaks through my briefs into my clothes. I can't get up to go; if I could, I would. It usually happens…

  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 · E2025-07-17 · 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

  Based upon observation and interview, the facility failed to ensure expired medications were stored or disposed of properly, and medications were secured. Findings include:Findings include:1) On 07/15/2025 at 3:12 PM, two medications were observed to be expired in 1 of 3 medication carts. The medications were Docusate Sodium (a medication to alleviate constipation) 100 mg [milligram] tab which expired on 1/2025. The other medication was Guaifenesin (a medication used to alleviate coughing) 16 fl oz [ounce] with an expiration date of 5/2025. The nurse assigned to the med cart confirmed that both medications were expired.2) Per review of the facility's policy titled Medication Storage Storage of Medication reviewed on 1/25, it states that Medication rooms, cabinets and medication supplies should remain locked when not in use or attended to by persons with authorized assess. Per review of the facility's policy titled Medication Administration General Guidelines reviewed on 1/25, it states During administration of medications, the medication cart is kept closed and locked when out 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-17 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to obtain required consents and maintain accurate records regarding influenza and pneumococcal vaccines for 3 out of 5 residents [Residents #2, 15, 50]. Findings include:1) Per record review of Resident #2's immunization records, Resident #2's representative declined having the administration of the influenza vaccine with the representative and the provider signing and dating the Influenza Vaccine Informed Consent document on 9/12/2024. On 10/10/2024, Resident #2 received the Influenza vaccination and there was no updated consent form in the Residents Electronic Health Records.2) Per record review of Resident #15's immunization records, the Resident did not sign the pneumococcal vaccine form, nor was it indicated whether the Resident wished to receive the vaccination. The provider, however, did sign and date the form and it is dated 4/22/2025.3) Per record review of Resident #50's immunization records, the Resident did not sign the pneumococcal vaccine form. A nurse signed where Resident #50 should have signed, and in 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-17 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure one resident [Resident #4] of 3 sampled residents was treated with respect and dignity regarding personal medical equipment. Findings include:Per record review of the facility's OPS206 Resident Rights Under Federal Law policy [last revised 2/1/23] states, Purpose: to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of their self-esteem and self-worth.The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility.Per record review, Resident #4 has major diagnoses of BPH [Benign Prostatic Hyperplasia, a condition that causes an enlargement of the prostate), Type II Diabetes Mellitus, and spinal stenosis (a condition that causes a narrowing of spaces in the spinal canal). Resident #4's MDS [Minimum Data Set] states that Resident #4 is dependent on staff for ADLs [Activities of Daily Living] and hygiene. Resident's BIMS [Brief…

  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 · Dcited before2025-07-17 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to treat and manage 1 of 2 sampled resident's pain [Resident #40] per physician orders and plan of care. Findings include:Per record review, Resident #40 was admitted to the facility with diagnoses that include Arthritis: multiple sites. Per interview with the resident on 7/15/2025 at 11:33 AM, Resident #40 stated I have pain in my neck [a pinched nerve]. I have pain patches for my neck. I had them for 2 days, then none yesterday and none yet today. They told me they don't have an order for one.Per review of Physician Orders for Resident #40, an order dated 7/11/25 reads Lidocaine External Patch (4 % Lidocaine). Apply to Left side of posterior neck topically in the morning for neck muscle/skeletal issues for 10 Days -Start Date 7/11/2025 8:00 AM.Review of Resident #40's Medication Administration Record [MAR] for July 2025 reveals on 7/14/25 a marking for NN [Nursing Note] for the pain patch administration. Review of Nursing Notes dated 7/14/25 at 11:46 AM regarding the pain patch reveal the notation unavailable. Further…

  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 · D2025-07-17 · tag F0887 — isolated
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview the facility failed to have a consent form for 1 [Resident 42] out of 5 residents for Covid-19 vaccination. Findings include:Per record review of Resident #42's immunization records, the Resident did not have a covid vaccine consent form.Per interview, on 7/17/2025 at 12:44 PM it was confirmed by the Director of Nursing (DON) that it wasn't completed and needed to be done.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-12 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 upon interview and record review, the facility failed to report allegations of abuse to the appropriate agencies and responsible parties in the required timeframes for 1 resident [Resident #1] of 4 sampled residents. Findings include: Per review of the facility's Abuse Prohibition Policy [revised 10/24/22]: - Anyone who witnesses an incident of suspected abuse, neglect, involuntary seclusion, injuries of unknown origin, or misappropriation of patient property is to tell the abuser to stop immediately and report the incident to his/her supervisor immediately, regardless of shift worked. - The notified supervisor will report the suspected abuse immediately to the Administrator or designee and other officials in accordance with state law - All reports of suspected abuse must also be reported to the patient's family and attending physician. -Anyone who witnesses an incident of suspected abuse, neglect, involuntary seclusion, injury of unknown origin, or misappropriation of patient property must also report to…

  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

“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

$286,973 in federal fines across 2 penalties.

• $207,900 — penalty dated 2026-04-01
• $79,073 — penalty dated 2025-07-17

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 GENESIS HEALTHCARE — 184 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 21 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

11 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

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