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Mountain View Center Genesis Healthcare

9 Haywood Avenue, Rutland, VT 05701 · For profit - Corporation · 158 certified beds · (802) 775-0007 Medicare & Medicaid certified

Call the home — (802) 775-0007 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jun 2025Behavioral-health or dementia-care citations — no harm found (F0744, F0758)4 actual-harm citations$40,350 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 4 actual-harm citations
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $40,350 in federal fines (most recent 2026-04-08)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
75 Allen St · (802) 775-2545 · Call to confirm hours
Grocery
Aldi0.4 mi
263 S Main St · (855) 955-2534 · Call to confirm hours
Park
Killington Mountain · Typically dawn to dusk
Place of worship
US Route 7 · (802) 353-1217

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.5%19.3%15.4%better
Long-stay residents who lose too much weight4.1%6.6%5.4%better
Long-stay residents with a catheter left in their bladder0.4%0.7%0.9%better
Long-stay residents with a urinary tract infection1.4%2.4%2.0%better
Long-stay residents with depressive symptoms26.5%13.0%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained1.4%0.1%0.1%worse
Long-stay residents with falls causing major injury3.2%5.9%3.3%typical
Long-stay residents whose ability to walk worsened8.2%17.4%16.1%better
Long-stay residents on antianxiety or hypnotic medication16.6%16.4%18.9%better
Long-stay residents given the seasonal flu vaccine99.2%97.5%95.3%typical
Long-stay residents with pressure ulcers2.5%5.3%4.7%better
Long-stay residents with worsening bladder/bowel control13.8%26.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table20.6%19.9%17.1%worse
Short-stay residents who newly got an antipsychotic medication1.6%1.1%1.4%worse
Short-stay residents given the seasonal flu vaccine87.9%78.5%79.4%better
Short-stay residents rehospitalized after admission24.5%22.0%22.6%typical
Short-stay residents with an outpatient ER visit15.9%17.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.501.521.67better
Long-stay outpatient ER visits per 1,000 resident days2.202.881.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

62.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 305 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.3%U.S. median 51.5%
Got home and stayed home
8.5%U.S. median 10.7%
Went back to hospital
79.5%U.S. median 56.6%
Met the expected recovery
0.25U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.05hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 79.5% 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 210 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 0.25 therapist hours per resident per day in 2026Q1 — more than 33% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF62.3%CMS range 56.4–67.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.5%CMS range 6.6–10.510.7%Oct 2022–Sep 2024better than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge79.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge76.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge74.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.2%CMS range 4.0–9.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.961.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.63
RN hours/ resident / day
1.05
LPN hours/ resident / day
2.05
Aide hours/ resident / day
3.73
Total nurse hours/ resident / day
0.45
RN hoursweekends
53.6%
Total nursing turnover
44.8%
RN turnover

How full it usually is: this home is certified for 158 beds and averages 131.4 residents a day — about 83% occupied, or roughly 27 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 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 3.87 on weekdays — 13% thinner on weekends. RN hours go from 0.70 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

4
deficiencies at the latest standard inspection (2026-06-03)
13
at the previous standard inspection (2024-04-11)

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.

ABCDEFGHIJKL

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 · Gcited before2026-04-08 · 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 the interview and record review, the facility failed to implement safe mechanical lift procedures to prevent an avoidable accident for 1 of 5 sampled residents (Resident #1). The facility did not ensure that staff operating the mechanical lift were competent in the task per the facility policy. During transfer, Resident #1 sustained multiple skin tears and fractures to their body, including a fracture of the right femur (thigh bone) and a fracture to the left humerus (upper arm bone). This is a repeat violation previously cited in a partial survey dated 9/9/25. Findings include:Per record review, Resident #1 was admitted to the facility on [DATE] and has diagnosis that include rheumatoid arthritis (autoimmune disease that targets the joint lining resulting in pain, stiffness, and swelling), degenerative joint disease (commonly known as osteoarthritis which is the protective cartilage that cushions the ends of the bones wears down over time), and osteoporosis (bone disease where decreased bone mass and…

    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 · G2026-04-08 · tag F0726 — failed to have competent, trained nursing staff — isolated
    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 the interview and record review, the facility failed to ensure that 1 of 3 sampled Licensed Nursing Assistants possessed the specific competencies necessary to meet residents' needs, as identified through resident assessments and the plan of care. The facility did not ensure that staff operating the mechanical lift were competent in the task per the facility policy, which led to a resident sustaining multiple fractures and skin tears (Resident #1). This has the potential to affect all residents of the facility. Findings include:Based on the interview and record review, the facility failed to ensure that 1 of 3 sampled Licensed Nursing Assistants possessed the specific competencies necessary to meet residents' needs, as identified through resident assessments and the plan of care. The facility did not ensure that staff operating the mechanical lift were competent in the task per the facility policy, which led to a resident sustaining multiple fractures and skin tears (Resident #1). This has the potential…

    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 before2025-09-09 · 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 implement interventions to ensure residents were free of accidents for 1 of 3 residents (Resident #1). As a result, a resident suffered a fall which required hospitalization related to a fractured hip and pain management. Findings include: Per record review, Resident #1 has diagnoses that include irradiation of the pelvis, epilepsy, presence of an artificial eye, and normal pressure hydrocephalus (a neurologic condition characterized by an abnormal accumulation of cerebrospinal fluid in the brain). Per review of the Minimum Data Set (MDS-a standardized tool used to evaluate residents' needs and improve care planning) dated 5/30/25, in the section titled Functional Limitation in Range of Motion, Resident #1 has an impairment on one side of the upper body and an impairment on both sides of the lower body. Per review of Resident #1's care plan, a focus reveals that Resident requires assistance for ADL care in bathing, grooming, personal hygiene, dressing, bed mobility, transfer, locomotion, toileting related to chronic…

    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 before2023-04-05 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice related to proper wheelchair positioning and follow through on physical therapy recommendations for 1 resident (Resident #87) and failed to identify and provide needed care and services regarding bowel management to prevent rehospitalization for 1 Resident (Resident #58) in a sample of 31 Residents. Findings include: 1. Per record review of the facility January Bowel Record reveals that resident #58 had no documented bowel movements from 1/1 - 1/7/2023 and 1/23 - 1/27/2023. The Resident experienced untreated constipation resulting in a 15 day rehospitalization. Physician orders written on 10/4/2022 state: Milk of Magnesia Suspension 400mg/5ml (Magnesium Hydroxide) Give 30 ml (milliliters) by mouth as needed for constipation, give at bedtime if no BM (Bowel Movement) in 3 days. Bisacodyl Rectal Suppository 10mg. Insert 1 application…

    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 · E2026-06-03 · 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 on observation, interview, and policy review, the facility failed to ensure that expired medications were removed from 1 of 2 medication storage rooms observed and 1 of 4 medication carts observed. The facility also failed to ensure medication carts remained locked when unattended during an observation. This is a repeat deficiency for this facility, with the violation cited during the previous recertification survey, dated 6/4/26. Findings include: 1. Per observation on 6/2/2026 at approximately 9:24 AM, the medication cart on Beach unit was reviewed and Mirtazapine 15 milligrams (mg) for Resident #130 was expired on 5/23/26. The nurse confirmed that the medication was expired. Per observation on 6/2/2026 at approximately 11:22 AM, the Beach unit medication room was reviewed and 2 over the counter bottles of Bisacodyl 5mg expired on 4/2026. Per interview on 6/2/2026 at approximately 11:35 AM, the nurses on the unit confirmed that the 2 bottles of Bisacodyl 5mg were expired. Per the facility's Medication Storage policy revision date 1/26 page 3 of 3 14. Outdated, contaminated,…

    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 · D2026-06-03 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to provide privacy during care for 1 of 32 sampled residents (Resident #93). Findings includePer observation on 6/1/26 at 12:16 PM on the Dogwood unit, a Licensed Practical Nurse (LPN) was preparing and gathering supplies from the wound care cart parked outside of Resident #93's room. Resident #93 was sitting on the side of the bed eating lunch. The LPN rolled up Resident #93's right shirt sleeve and began to assess the area where a bandage would be applied. Resident #93 was trying to continue eating their salad while LPN was documenting and labeling the dressing. When the LPN was ready to apply the dressing, he asked the resident to put their salad down. This interaction was observed from the hallway as there was no privacy curtain pulled and the door was open. Five people were observed walking by the room. Per interview at approximately 12:25 PM on 6/1/26, the LPN confirmed the door and privacy curtain were open and that they should have been closed to provide Resident #93 with privacy during wound care.Per interview with Unit…

    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 before2026-06-03 · 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 interview and record review, the facility failed to ensure two of 32 sampled residents (Resident #63 and Resident #11) were care planned for concerns related to hearing and communication and positioning. Findings include: 1. Per observation on 6/1/26 at 11:36 AM, Resident #11 was observed sitting in their wheelchair, leaning over the arm rest on the right. Resident # 11 was seated in a high back wheelchair with a head rest, leg rests and a cushioned foot board between the leg rest. They also had two cushioned wedge devices at their hips on the right-hand side. Per interview with a Licensed Practical Nurse (LPN) on 6/1/26 at 12:07 PM, they explained that Resident #11 leans to the right frequently and requires position changes as needed. LPN #1 stated that Resident #11 recently received a new high back wheelchair to assist with their positioning. Per record review, Resident #11 was not care planned for positioning or the use of additional positioning devices while in the wheelchair. Per interview with Unit Manager Registered Nurse on 6/2/26 at approximately 10:00AM, they…

    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 · D2026-06-03 · 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 revise and implement a person-centered care plan for 1 of 32 sampled residents (Resident #48). The care plan was not revised and implemented to address Resident 48's escalating pattern of aggressive verbal and physical behavior. Findings include: Per record review, Resident #48 has diagnoses that include anxiety disorder, major depressive disorder, and dementia. Per an MDS (Minimum Data Set, a resident assessment tool) dated 12/3/25, Resident #48 had a BIMS (Brief Interview for Mental Status) score of 15, indicating fully intact cognition (the ability to perceive, learn, remember, reason, and problem-solve). An MDS dated [DATE] repeated the BIMS score of 15. Per record review, a social service note dated 2/12/26 states that Resident #48 was made aware by the Social Worker that resident makes comments to others and they feel [sh/e] is putting them down, or telling them what they can or cannot do, a concern brought forward by more than one person. In…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-04 · 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 interviews and record review, the facility failed to protect one resident (Resident #281) of 10 sampled residents from abuse. Findings include: Per review of the facility's OPS 300 Abuse Prohibition policy [last revised 10/24/22] states, Centers prohibit abuse, mistreatment, neglect, misappropriation of resident/patient (hereinafter patient) property, and exploitation of all residents .Verbal abuse is any use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to patients of their families . Per review of Resident #281's medical record s/he has diagnoses of acute respiratory failure with hypoxia, CHF [Congestive Heart Failure], and CKD [chronic kidney disease]. S/he had a BIMS [Brief Interview of Mental Status] of 13 out of 15 on 2/14/25 indicating shis/her cognitive function is intact. The MDS [Minimum Data Set] states that Resident #281 is independent with ADLs [Activities of Daily Living] and is continent of bowel and bladder. Per record review of the facility's internal investigation of the alleged abuse dated 2/18/25,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-11 · 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 provide a homelike environment for 1 of 4 units (Unit D) resulting in all residents on the unit being subjected to continuous loud alarms throughout the day. Findings include: Per observation on Unit D during the recertification survey on 4/9/2024 through 4/11/2024, call bell alarms were repeatedly going off for extended periods of time. Unit D has approximately 50 residents. There is a large multipurpose room in the center of the unit which serves as a living area and dining area. There is a television located on the wall. Observations were made during lunch and dinner on 4/9/2024, breakfast, lunch, and dinner on 4/10/204, and lunch and dinner on 4/11/2024. There was an average of 8 to 10 residents eating in the common area during the above meals. Call bell alarms went off for at least 10 minutes and up to 40 minutes straight for all of the meals observed. Once stopped, the call bell alarms usually started back up again a few minutes later. The alarm bell sounds was at a loud volume the entire time; as loud as the surveyors…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-11 · tag F0656 — failed to write and follow a full care plan — pattern
    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 observations, interviews and record review the facility failed to develop a person-centered comprehensive care plan for 3 of 36 residents sampled (Resident #72, #3, and #83). Findings include: 1. Per observation and interview on 4/10/24 at 10:05 AM, Resident #72 stated that s/he has lost a lot of weight being at the facility. While s/he is speaking, it appears as though s/he has no top teeth and most of the bottom teeth that remain are extremely decayed and most of his/her bottom teeth are so loose that they are moving around in his/her mouth. Per record review, Resident #72 weighed 175.2 pounds on 7/2/22. The next weight entered into his/her medical record is 139.0 pounds, taken on 2/28/2024. Resident #72's 1/26/24 Minimum Data Set (MDS; a comprehensive assessment used as a care-planning tool) reveals s/he is at risk of malnutrition. While a 1/26/24 Nutritional Assessment completed by the Dietician reveals that there were no nutritional concerns identified, the assessment was completed based on the 7/2/2022 weight. There are no nutritional assessments completed following…

    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 · E2024-04-11 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to ensure that residents who are unable to carry out activities of daily living receive the necessary services to maintain good hygiene as evidenced by excessively long fingernails, long thick toe nails, not providing showers, shaving, and range of motion exercises, for 4 of 36 sampled residents (Resident #102, #40, #83, and #3). Findings include: 1. Per observation on 4/9/24 at 2:17 PM Resident #102 was noted to have long fingernails with chipped nail polish and brown substance under their nails. Resident #102 was sitting in their wheelchair in their room with their hand up to her/his eye rubbing it. Resident #102 also was noted to have approximately 1/4 inch stubble on their chin. Per record review Resident #102's care plan reflects that staff should provide extensive assist for dressing and personal hygiene. On 4/11/2024 at 4:00 PM during an interview with the Unit Manager (UM) Resident #102's fingernails were again observed long with chipped nail polish and brown substance under the nails. The UM confirmed…

    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 before2024-04-11 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure that the activities program meets the needs of each resident for 5 of 9 Sampled Residents (Residents #91, #19, #15, #95, and #72). Findings include: 1. Per interview on 4/9/24 at approximately 6:00 PM, Resident #91's daughter stated that since admission on [DATE], Resident #91 has spent their days sitting in their room with no activities or stimulation other than the television. At home, Resident #91 would color, listen to music, do puzzles or cards, as well as get stimulation from their visiting aides. At the facility, they don't give Resident #91 anything to do. No one in the facility has asked her about what activities Resident #91 likes. Per record review, Resident #91 has diagnoses of Parkinson's Disease and Dementia. Their admission MDS (Minimum Data Set Assessment) from 3/24/24 lists their BIMS (brief interview of mental status) score as 4, indicating serious impairment of cognitive abilities. Their MDS activities assessment…

    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 · E2024-04-11 · 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 on observation and resident and staff interview, the facility failed to ensure there are a sufficient number of skilled licensed nurses, nurse aides, and other nursing personnel to provide care and respond to each resident's basic needs and individual needs impacting 2 of 4 units (Units Dogwood and Cherry Tree). Findings include: 1. Per interview on 4/09/24 at 11:52 AM, Resident #95 expressed frustration that there are not enough staff in the facility and sometimes the staff are miserable because of how few staff are on. S/He explained that she had to wait for 45 minutes for staff to help him/her get off of the toilet recently. S/He explained that s/he would like to get up and walk everyday but there are not enough staff to help him/her do that and s/he ends up just sitting 13 hours straight in his/her wheelchair. Per observation and interview on 4/9/2024 at 1:36 PM, Resident #83 explained that s/he needs her toenails cut but no one is doing them. His/her toenails are very long, appearing to be at least a half inch past the end of his/her toes. Resident #83 explained that s/he…

    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
Show the remaining 17 citations
  • Potential for harm · E2024-04-11 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that residents who use psychotropic drugs are accurately monitored for behaviors and/or side effects for 3 of 6 sampled residents (Residents #15, #10, and #98). Findings include: 1. Per record review, Resident #15 has diagnoses that include anxiety disorder and major depressive disorder. Resident #15's care plan states, Resident is at risk for complications related to the use of psychotropic drugs- Sertraline- major depressive disorder. Hydroxyzine- anxiety, revised on 10/23/2023. Resident #15 has physician orders for the following psychotropic medications: Hydroxyzine HCl Tablet 25 MG (Hydroxyzine HCl) Give 1 tablet by mouth every 12 hours as needed for anxiety for 30 Days -Start Date- 03/21/2024 and Sertraline HCl Oral Tablet 50 MG (Sertraline HCl) Give 1 tablet by mouth one time a day for depression -Start Date- 02/21/2024. Per review of Resident #15's Medication Administration Record (MAR) Resident #15 was administered Hydroxyzine 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-11 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    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 the facility failed to serve food that is palatable and at an appetizing temperature to 3 of 36 sampled residents (Resident # 99, #11 and #12) Findings include: 1. Per record review Resident #99 was admitted to facility on 02/04/2024 with the following diagnosis: Alzheimer ' s dementia, stroke with aphasia (inability to express speech), and heart failure. Resident # 99 has the following care plan dated 02/14/2024 that states resident is at risk for malnutrition related to mechanical soft diet, need for assistance with meals. A nursing note written by the Unit Manager (UM) dated 4/10/2024 reflects that Resident # 99 has evidence of weight loss note states Resident triggers for weight loss. Meal intake varies at 50-100% for meals with snacks offered. During observation on 4/09/2024 at 4:30 PM until 6:00 pm in the Cherry Tree Country Kitchen area, Resident # 99 was sitting in his/her wheelchair at the table with two other residents. At 4:50 PM the start of meal service began.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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-11 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to ensure that refrigerated food temperatures were maintained at a safe level (Below 41 degrees) in the unit refrigerator in the Cherry Tree Country Kitchen. Findings include: Per observation on 4/9/2024 at 5:26 PM the refrigerator in the Cherry Tree Country Kitchen that is use to store resident drinks and snacks such as juices, milk, sandwiches, and deserts was noted to be open approximately 2 inches. This surveyor looked inside the refrigerator to determine if something was protruding into the doorway preventing it from closing. When pushed shut, the door would bounce back open between 1-2 inches. There were no items preventing the door from closing. Review of the temperature monitoring log on the refrigerator listed temps of 41 degrees between 4/1/24 - 4/9/24. However, the temperature at 5:26 PM was noted to be 56 degrees. Per interview with a Licensed Nursing Assistant (LNA) on 4/9/2024 at 5:27 PM s/he stated that the refrigerator had been broken for sometime now and was not sure if anyone knew about it. When asked if 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 · D2024-04-11 · tag F0557 — isolated
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview the facility failed to ensure that 2 of 36 sampled residents were treated with dignity and respect, in relation to staff to resident interaction (Resident #66) and not providing assistance with meals and nutrition while other residents seated at the same table were served and eating their meal (Resident #99). Findings include: 1. Per record review, Resident # 66 has resided in the facility since 11/12/21 and has a diagnosis of Dementia. Per observation on 4/10/24 at approximately 5:10 PM, Resident # 66 was overheard saying, I can't do it. They were seen sitting alone at a table in the dining room. A Licensed Nursing Assistant ( LNA) was standing nearby. The LNA was heard loudly saying, Just try! The resident repeated that s/he could not do it. The LNA grabbed the knife and fork and forcefully cut up the resident's food. Resident #66 then pointed to their drink and asked what it was. The LNA turned their back without acknowledging the drink and replied, I don't know, and walked away from the resident. The resident was seen pushing away their food…

    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 · D2024-04-11 · 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

    Based on interview and record, the facility failed to ensure that an alleged incident of a resident-to-resident altercation, which resulted in potential verbal abuse, was reported to the State Survey Agency for 1 of 36 of the applicable sample (Resident#66) Findings Include: Per record review, a nursing progress note reveals an entry dated March 31, 2024, This writer observed patient demonstrating verbal and aggressive behavior towards roommate due to frustration of time spent in the bathroom and patients inability to use facilities sooner causing incontinence. Patient attempted to throw self out of bed while screaming [I'm gonna beat [him/her!]! and other obscenities were yelled. This writer assisted RN with boosting patient back into bed to prevent fall/injury. Roommate exited bathroom and began instigating patient in bed, this writer then intervened between both patients while this patient was attempting to throw him/herself towards the roommate. LNA came into room to provide further assistance, roommate was redirected to his/her side of the room with curtain drawn to prevent…

    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 · D2024-04-11 · tag F0658 — failed to meet professional standards of care — isolated
    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 resident interview and record review, the facility failed to ensure that services provided meet professional standards as evidenced by failing to follow physicians' orders for 1 of 36 sampled residents (Resident #15). Findings include: Per record review, Resident #15 has diagnoses that include anxiety disorder and major depressive disorder. Resident #15's care plan states Resident/patient exhibits or is at risk for distressed/fluctuating mood symptoms related to: History of Sadness/depression and Anxiety, created on 9/1/2020. Resident #15 has physician orders for the following antianxiety medications: Hydroxyzine HCl Oral Tablet 25 MG (Hydroxyzine HCl) Give 25 mg by mouth as needed [PRN] for anxiety for 14 Days Administer 1 capsule PO TID PRN for anxiety\ X 14 days\ -Start Date- 03/04/2024 and Hydroxyzine HCl Tablet 25 MG (Hydroxyzine HCl) Give 1 tablet by mouth every 12 hours as needed for anxiety for 30 Days -Start Date- 03/21/2024 In addition to the above medications there is a physician order for…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-11 · 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 observation, record review, interview, and policy review, the facility failed to provide safe and effective skin and wound care for 2 of 36 sampled residents (Resident #125 and #94) by failing to regularly and accurately perform and document weekly skin checks and non-pressure ulcer wound evaluations consistent with professional standards of practice and facility policy. Findings include: Facility policy titled NSG236 Skin Integrity and Wound Management, last revised on 2/1/2023, states that a licensed nurse will perform weekly skin inspections and complete wound evaluations weekly and with unanticipated decline. 1. Per interview and observation on 4/09/24 at 3:14 PM, Resident #94 is in bed and their wheelchair has a white towel on its seat that has a 2 inch spot of bright red blood. When asked about the blood, Resident #94 said they had a wound on their bottom that hurts a lot, so much that it is hard for him/her to stay in his/her wheelchair sometimes. S/He stated that because the wound causes him/her so much pain, s/he is not able to attend activities like s/he would…

    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 · D2024-04-11 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to follow Pharmacy Recommendations related to monitoring of heartrate prior to administration of digoxin (a medication to slow the heartrate) for 1 Resident out of 6 sampled (Resident # 47). Findings include: Per record review Resident #47 admitted to the facility on [DATE] with diagnosis of cerebral vascular accident (CVA) with left sided weakness and atrial fibrillation fast (irregular heartbeat). Resident # 47 has the following medication order prescribed on 10/26/23 Digoxin 125 mcg one time a day by mouth for atrial fibrillation (atrial fibulation is an abnormal heart rhythm). Digoxin helps the heart beat more efficiently in adults and pediatric patients and decreases the heart rate at rest during abnormal rhythms in adults (FDA, 2011). Per Pharmacy Review and Recommendations on 3/5/2024 states Medication requires monitoring due to risk of cardiac arrythmias (irregular heartbeat). Prior to administration check an apical pulse, if less than 60 beats per…

    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 · E2024-01-31 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility failed to implement a system for controlling infections that follows accepted national standards as evidenced by not following accepted guidance for testing of staff to prevent the spread of COVID-19. Findings include: Per VDH ([NAME] Department of Health) records, a staff positive COVID-19 case was identified on 11/16/23 by the facility. Since that time, the facility has had an active outbreak of COVID-19 in the facility that had not yet resolved by the date of the investigation (meaning that the facility has not gone at least 14 days without a new positive staff or resident COVID-19 case since 11/16/23). The positive COVID-19 cases spanned all resident care units and involved multiple employee departments. Per the facility's communication records with VDH, an email titled COVID-19 Outbreak Response Recommendations sent by a VDH staff member to facility leadership on 12/28/23 reads, When a facility is experiencing a large outbreak that has transmission…

    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 · E2023-04-05 · tag F0655 — pattern
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to develop a baseline care plan within 48 hours of admission that included the minimum healthcare information necessary to properly care for the resident for 6 of 37 sampled residents (Residents #7, #10, #16, #71, #77, and #273). Findings include: 1. Record review reveals that Resident #7 was admitted to the facility on [DATE] and has diagnoses that include: dementia, urge incontinence (sudden need to urinate that is difficult to delay), adult failure to thrive, dysphagia (difficulty swallowing), type 2 diabetes, and unsteadiness on feet. Resident #7's care plan for ADLs (activities of daily living) and risk for falls was created on 5/27/2022, 42 days after admission. 2. Record review reveals that Resident #10 was admitted to the facility on [DATE] and has diagnoses that include heart failure, arthritis, stage 3 kidney disease, type 2 diabetes, abnormalities of gait and mobility, and the need for assistance with personal care. Resident #10's care plans…

    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 · Ecited before2023-04-05 · tag F0656 — failed to write and follow a full care plan — pattern
    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 interview and record review, the facility failed to develop a comprehensive care plan that is individualized and meets the needs identified on the resident's comprehensive assessment related to activities of daily living (ADL) for 6 Residents (Residents #7, #10, #16, #71, #77, #179 and #273), Dialysis needs for 1 Resident (Resident #179), and Bowel management for 1 Resident (Resident #58) in the sample of 31. Findings include: 1. Record review reveals that Resident #7 was admitted to the facility on [DATE] and has diagnoses that include: dementia, urge incontinence (sudden need to urinate that is difficult to delay), adult failure to thrive, dysphagia (difficulty swallowing), type 2 diabetes, and unsteadiness on feet. Resident #7's Minimum Data Set (MDS; a comprehensive assessment used as a care-planning tool) dated 1/30/2023 reveals that s/he requires a one person assist for dressing, toileting, and personal hygiene, and set up assistance for eating. Resident #7's care plan includes the following…

    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 · Ecited before2023-04-05 · 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 3 of 31 sampled residents (Residents #34, #7, and #10) remained free of accident hazards as possible regarding implementing interventions to reduces hazards and risks and assessing interventions for effectiveness. The facility also failed to provide a safe, and functional environment for residents in five rooms, and ensure that a heating register located in a common area was maintained at a safe temperature to prevent burns. Findings include: Findings include: 1. Record review reveals that Resident #34 was admitted to the facility on [DATE] and has diagnoses that include Parkinson's, dementia, history of falling, dysphagia (difficulty swallowing), and the need for assistance with personal care. Resident #34's Minimum Data Set (MDS; a comprehensive assessment) dated 2/10/2023 reveals that s/he requires a two person assist for transfers, dressing, toileting, and personal hygiene, and bed mobility. Resident #34's care plan includes the following…

    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 · E2023-04-05 · tag F0744 — failed to care for residents with dementia — pattern
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to provide the necessary care and services to support the Resident's highest practicable level of physical, mental, and psychosocial well-being by not identifying risks, underlying causes of behaviors, or Resident specific interventions for two of seven residents in the sample (Residents #96, and #20). Findings include: 1. Per record review Resident #96 was admitted to the facility on [DATE] with diagnoses that include: Alzheimer's disease, unspecified Dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, repeated falls, cerebral infarct, and major depressive disorder. Review of the Resident's February Medication Administration Record revealed that on 2/16/23 an order for Zyprexa 5mg by mouth every 12 hours as needed for anxiety/agitation was written. The MAR further revealed that Zyprexa was administered on 2/17, 2/18, 2/22, 2/23, 2/25, and 2/26. Progress notes reveal that the resident experienced…

    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 · E2023-04-05 · tag F0759 — failed to keep medication error rate low — pattern
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interveiw, and record review the facility failed to ensure that its medication error rates were not 5 percent or greater. Findings include: On 04/04/2023 at approximately 10:00 AM, a medication administration pass was observed on the Dogwood Unit. The medications being administered were ordered for a 7:00 AM administration time; they were administered outside of the practice standard for medication administration parameters of administration being within one hour before or one hour after the time they were ordered to be administered. The RN administering the medications stated the medication pass is heavy and by the time s/he gets to the end of the pass it becomes challenging to get all of the medications administered within the required timeframe. Record review of the Physician's orders shows the medication administration time for the following medications to be 7:00 AM. Review of the Medication Administration Audit Report shows the medications were administered to Resident #50 at the following times: 10:11AM Finasteride 5MG (milligrams), one tablet 10:13AM…

    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 · E2023-04-05 · 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 staff interview and record review, the facility failed to ensure that each resident receives optimal protection against the pneumococcal infection by not vaccinating eligible residents with the pneumococcal vaccine(s) for 4 of 5 sampled residents (Residents #61, #72, #75, and #99). Findings include: Review of Residents #61, #72, #75, and #99's vaccination history revealed that they were not up to date with the recommended pneumococcal vaccinations. In December 2022, the above residents and/or their representatives signed a form consenting to the administration of the pneumococcal vaccine. There was no evidence in their medical records that the vaccine was administered to these residents. Facility policy IC601 Pneumococcal Vaccination, last revised on 11/15/22, states the following: 2. Based on the patient's pneumococcal vaccination history, offer (unless the vaccination is medically contraindicated or the patient has already been vaccinated) the appropriate vaccination following the recommended schedule. 3. Patient/Resident representative signs the Pneumococcal Consent…

    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 · Dcited before2023-04-05 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 interviews, observations, and record review the facility failed to provide, based on the preferences of each resident, an ongoing program to support residents in their choice of activities, for (2) residents, (resident #46, and #96) of 31 sampled residents. Findings include: Per interview on 04/03/23 at 11:52 AM Resident #46 stated s/he has had, no activities offered in or out of my bedroom since I got here. This resident also stated, I haven't been out of my room since I got here. Upon record review Resident #46 was admitted to the facility on [DATE]. The resident's Problem List shows current diagnoses to include a recent below the knee amputation of the left lower extremity, a current urinary tract infection, history of a stroke, and Type II Diabetes. The resident's progress notes read, Resident has positive affect, cooperative with staff. (S/he) is alert and oriented x3. Patient able to make needs known. The medical record reveals a BIMS score of 15 (the BIMS score is a Brief Interview for Mental…

    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
  • No harm found · B2023-09-18 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    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 each resident is refunded charges already paid for days the resident did not reside in the facility within 30 days of discharge for Resident #1. Findings include: Per record review, Resident #1 was discharged from the facility on 3/15/23. An outstanding account activity report provided for Resident #1 shows that a refund for $6,970.00 was submitted by the facility's business office manager on 4/11/23. However the current balance of the account on 9/18/23 was still -$6,790.00. A note was entered into the account on 7/27/23 that states Per [facility corporate business office employee], no refund to be done until [insurance provider] has paid. Per interview on 9/18/23 at approximately 10:00 AM, the Administrator confirmed that one of Resident #1's secondary insurance providers had not paid the facility for covered services rendered to Resident #1 after their Medicare part A benefits had been exhausted. The insurance provider claims that Resident #1's services were not skilled services and therefore not eligible…

    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 no plan 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$40,350 in federal fines across 3 penalties.

  • $13,065 — penalty dated 2026-04-08
  • $17,665 — penalty dated 2026-04-08
  • $9,620 — penalty dated 2025-09-09

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 →

RatingThis homeChain avg
Overall 3 of 52.4+0.6 vs chain
Health inspection 3 of 52.3+0.7 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 4 of 53.5+0.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; lowest-rated first.

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

Owner / managerTypeRoleShareSince
GENESIS VT HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 03/01/2009
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 03/01/2009
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 04/01/2011
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
BERG, MICHAELIndividualCORPORATE OFFICERsince 03/02/2015
ISABELLE, TERESAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/31/2025
SOBEL, EITANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/31/2025

CMS files one row per role, so the 16 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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.

$17.0M
Net patient revenuemost recent cost report
-15.5%
Operating marginrevenue minus expenses
$2.9M
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 75%Medicare 13%Other / private 12%

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.9M paid to related parties — landlords or management companies under common ownership — equal to about 15% 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. 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 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

$403per resident / day
operating cost
$12,241per month
≈ monthly operating cost
$349per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Vermont Medicaid page.

Typical monthly cost in Vermont
$14,113/mo
Nursing home (semi-private)
$15,528/mo
Nursing home (private)
$8,597/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 475012. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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