The Pines at Rutland Center for Nursing & Rehabili
99 Allen Street, Rutland, VT 05701 · For profit - Partnership · 125 certified beds · (802) 775-2331 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,512 in federal fines (most recent 2024-09-18)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 3 of 5 |
| Long-stay residentspeople who live here | 3 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 improved from 3 to 4 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 12.8% | 19.3% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.2% | 6.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.4% | 2.4% | 2.0% | better |
| Long-stay residents with depressive symptoms | 11.9% | 13.0% | 6.5% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 5.6% | 5.9% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 15.7% | 17.4% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 21.7% | 16.4% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 99.0% | 97.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.0% | 5.3% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 29.9% | 26.8% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.9% | 19.9% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.8% | 1.1% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 92.0% | 78.5% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 18.6% | 22.0% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 22.0% | 17.9% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.52 | 1.52 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 2.22 | 2.88 | 1.80 | worse |
‡ 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.
57.0% 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 324 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.6% 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 94 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 34% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 57.0%CMS range 51.4–62.4 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 8.6–13.4 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 60.6% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 55.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 56.4% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 96.9% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 90.8% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | not 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.1% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.4%CMS range 3.6–7.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.14 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 125 beds and averages 115.2 residents a day — about 92% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.00 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 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 3.26 hrs/resident/day on weekends vs 4.06 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.15 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · Gcited before2024-09-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 upon interview and record review, the facility failed to provide adequate supervision to prevent accidents resulting in harm to one resident [Res.#59] of 6 sampled residents. Findings include: Per review of Res.#59's medical record, the resident was admitted to the facility with diagnoses that included generalized muscle weakness, cerebral infarction [stroke], seizures, and dementia. Review of Res.#59's Care Plan reveals the resident was identified as at risk for falls related to a history of falls, dementia, hemiplegia [one-sided paralysis], anxiety, depression, and medications associated with increased fall risk. Regarding toilet use, the Care Plan records Res.#59 requires extensive assistance and sit to stand by 2 staff for toileting. An interview was conducted with the Director of Nursing [DON] on 9/18/24 at 10:02 AM. The DON stated that Licensed Nursing Assistants [LNAs] receive training during orientation regarding following a resident's [NAME]. [the '[NAME]' is a documentation system that enables…
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.
- Potential for harm · D2025-12-17 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to inform a resident representative in advance of the risks and benefits of the proposed care, the treatment alternatives, or other options for 1 of 5 sampled residents (Resident #86). Findings include:During an interview with the Resident's responsible party, on 9/30/202 at 9:24 AM, s/he said they had concerns with the number of falls that the Resident had been experiencing. S/he wonders what they are doing to prevent her/him from falling. S/he stated that s/he is concerned because they started her/him on a new medication to help her/him sleep at night. When asked what medication s/he was referring to s/he stated that s/he did not know but s/he worried that there was a reason for the falls that the Resident had been experiencing and the medicine would just make her/him sleep. Per record review a physician's order dated 8/28/2025 states Trazodone 25mg every 24 hours as needed for insomnia for 14 days at bedtime as needed for insomnia. Review of Resident #86's August and September Medication Administration Records (MARs)…
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.
- Potential for harm · D2025-12-17 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to notify a resident's representative of changes of condition for 1 of 28 residents in the sample (Resident #86). Findings include: Per observations made on 9/30/2025 at 12:50 PM, Resident #86 was seen self-propelling in their wheelchair attempting to leave the dining room. S/he was bare foot, and it was noted by the surveyors that s/he had a bruise on his/her right foot and toes. When asked what had happened to the Resident's foot, the Unit Manager (UM) stated that it happened when s/he was playing with her/his footboard and it fell off the bed and landed on her/his foot.During a phone interview with the Resident #86's Representative, on 9/30/25 at 9:24 AM, s/he said they had concerns with the number of falls that the Resident had been experiencing. S/he wondered what they are doing to prevent her/him from falling. S/he stated that s/he is concerned because they started her/him on a new medication to help her/him sleep at night. When asked what medication s/he was referring to s/he stated that s/he did not know…
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.
- Potential for harm · Dcited before2025-12-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 create a comprehensive care plan related to incontinence care for 1 of 28 residents in a standard survey sample (Resident #64). Findings include:Per record review, Resident #64 was admitted with diagnoses that include paraplegia [paralysis of lower extremities], cognitive communication deficit, and anoxic brain injury, (a brain injury caused by a complete lack of oxygen to the brain). Resident has a BIMS score of 15 (Brief Interview for Mental Status, cognitive assessment indicating resident is cognitively intact). Per interview with Resident #64 on 9/30/2025 at 10:24 AM, s/he stated they are always incontinent of bowels and do not have sensation or knowledge of incontinence. The Resident stated they are not checked for incontinence after AM care, which occurs between 8:00 AM-10:00 AM, until 6:00 PM when they are assisted with PM care and helped back to bed. Per record review, Resident #64's Minimum Data Assessment (MDS) dated [DATE] indicates 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.
- Potential for harm · D2025-12-17 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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, and interview, the facility failed to ensure quality of care for 1 of 28 residents in a standard survey sample (Resident #15).Findings include:Per record review, Resident #15 has a medical diagnosis of type 1 diabetes mellitus with diabetic retinopathy [an eye disease that affects the retina and can lead to vision loss and blindness]. Resident #15's physician order for blood sugar monitoring reads: Nurse to check finger stick PRN [as needed], every 8 hours as needed for Prophylaxis, Finger sticks for Blood Sugar before meals and at bedtime for diabetic management.Per record review, Resident #15's care plan states, Resident has impaired visual function, has diagnosis of retinopathy. Has difficulty with large print but is able to do own blood sugar readings when placing monitor close to eyes, Nursing will read glucometer after resident checks their own blood glucose with an approved glucometer. Per record review of resident's face sheet, Special Instructions: meds WHOLE with THIN liquids; resident may NOT use their own glucometer; they can poke…
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.
- Potential for harm · Dcited before2025-12-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 observation, interview, and record review, the facility failed to provide adequate supervision to prevent potential injury for 1 of 28 residents in the sample (Resident #86). Findings include: Review of Resident # 86's care plan revealed a care plan focus initiated on 5/1/2025 of risk for falls with and without injuries r/t, Parkinsons with dementia, Polyosteoarthritis, epilepsy, anemia and mild cognitive impairment, dependence on staff for ADL's [activities of daily living]. use of medications associated with increased risk for falls, impulsivity, and often sits on the floor and incontinence. An intervention initiated on 8/22/2025 states keep [Resident] out of other residents rooms.Per observation on 9/30/2025 at 12:50 PM, Resident #86 was seen self-propelling in their wheelchair attempting to leave the dining room. S/he was bare foot, and it was noted by the surveyors that s/he had a bruise on her right foot and toes.During a phone interview with the Resident #86's responsible party, on 9/30/202 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.
- Potential for harm · D2025-12-17 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to conduct a trauma informed care assessment to establish possible triggers for re-traumatization for 1 of 2 residents in the sample (Resident #49). Findings include: During unit observations on 9/30/2025 at 10:02 AM Resident #49 was heard from the hall screaming and yelling out obscenities. S/He was found sitting in her/his wheelchair in her/his own bathroom alone. When asked if s/he was okay, s/he swore and said, no I am not ok. When asked if s/he needed help s/he said yes, now get the [expletive] out! The Resident continued screaming until a staff member was approached by a surveyor and was told that the Resident was alone in her/his bathroom screaming out. The staff member stated that this was not unusual behavior for the Resident. Per record review, Resident #49 has a diagnosis of post-traumatic stress disorder (PTSD). Review of the Resident's care plan revealed a care plan focus of mood problem r/t [related to] anxiety, PTSD, and [history] of passive [suicidal ideation] last revised on 7/18/2025. The care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-11-25 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 staff interview, the facility failed to ensure kitchen staff properly air-dried or hand dried pans prior to storage and failed to maintain a clean sanitary food service area. Findings include: During an observation on 11/25/24 at 2:05 PM, there was a baking sheet that was stacked on other baking sheets that was noted to be wet. The baking sheet was placed on the counter by this surveyor and the steam table pans were inspected. There was a wet small steam table pan that had been stacked on others. At this time the Director of Dietary was shown the small steam table pan and when this surveyor was attempting to show her/him the baking sheet it had been removed from the counter and placed back on top of the stacked sheets. The Director of Dietary confirmed that the baking sheet and the steam table pan that had been cleaned and stacked for use were still wet. The pans were found to have been stacked wet and not allowed to air dry prior to stacking. The Director of Dietary went into the dish room and returned stating, I just educated [dietary staff member] not to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-09-18 · tag F0554 — patternAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interview, and record review, the facility failed to assess a resident for the ability to self-administer medications and initiate a care plan related to self-administration of medications for 2 of 8 sampled residents (Residents #82 and #92). Findings include: 1. Per interview on 9/16/24 at approximately 11:30 AM, Resident #92 was observed to have two medications in her/his room, the first called Mannitol Supplement (the label indicates it is a supplement that is useful to prevent urinary tract infections) and and the second was an Albuterol Inhaler (used to treat difficulty breathing) on the windowsill. When s/he was asked what the medications were, s/he explained that family members bring in the Mannitol supplement as s/he has a history of urinary tract infections. S/he uses the Albuterol inhaler to prevent wheezing. S/he tells the nursing staff when s/he uses the inhaler and has not discussed the Mannitol so far. Resident #92 confirmed that s/he does not have a lock box to store his/her medications. Per interview on 9/18/2024 at approximately 8:06 AM with…
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.
- Potential for harm · D2024-09-18 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Per interview and record review, the facility failed to provide activities of daily living care (ADL) based on resident preference for 1 of 32 sampled residents (Resident #11). Findings include: Per record review, Resident #11's care plan reads, [Resident #11] has an ADL self-care performance deficit [related to] Quadriplegia [paralysis of all four limbs], with the following interventions, DRESSING: [extensive] assistance by 1 staff to dress, revised on 8/21/22, and TRANSFER: Mechanical sist to stand Lift with extensive assist of 2 staff for transfers, revised on 5/26/24. On 7/16/24, Resident #11 was assessed to have a BIMS of 15 (brief interview for mental status; a cognitive assessment score indicating cognitive intactness). Per interview on 9/17/24 at 9:50 AM, Resident #11 stated that s/he prefers to get up by 8:00 AM or before breakfast. S/He explained that this preference is not always honored, as aides do not start his/her morning care until 9:00 AM about 1-3 times a week, and on a few occasions 10 AM or…
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.
- Potential for harm · Dcited before2024-09-18 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review, the facility failed to provide pharmaceutical services to meet each resident's needs for 1 of 32 sampled residents (Resident #11). Findings include: Per record review, Resident #11 has diagnoses that include quadriplegia (paralysis of all four limbs) and muscle spasms. On 7/16/24, Resident #11 was assessed to have a BIMS of 15 (brief interview for mental status; a cognitive assessment score indicating cognitive intactness). On 9/18/24 at 10:47 AM, Resident #11 explained that for months, s/he misses 1-2 doses a month of his/her Finasteride and Dantrolene because the medications are not available from the pharmacy. S/He expressed that s/he is very frustrating because it has become a pattern, staff have not addressed the issue, and it continues to happen. Per record review, Resident #11 has a physician order for Dantrolene Sodium Oral Capsule 25 MG 1 capsule by mouth for muscle spasms, twice a day starting 11/30/23 and changing to three times a day starting on 8/22/24. Per review of Resident #11's Medication Administration Records (MAR) from 6/1/24…
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.
Show the remaining 9 citations
- Potential for harm · D2024-09-18 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 record review, the facility failed to ensure medications were properly stored for 1 of 8 of the applicable sample (Resident # 92). Findings include: Per interview on 9/16/24 at approximately 11:30 AM, Resident #92 was observed to have two medications in her/his room, the first called Mannitol Supplement (the label indicates it is a supplement that is useful to prevent urinary tract infections) and the second was an Albuterol Inhaler (used to treat difficulty breathing) on the windowsill . When s/he was asked what the medications were, s/he explained that family members bring in the Mannitol supplement as s/he has a history of urinary tract infections. S/he uses Albuterol to prevent wheezing. S/he tells the nursing staff when s/he uses the inhaler and has not discussed the Mannitol so far. Resident #92 confirmed that s/he does not have a locked box to store their medications. S/he leaves them on the windowsill of his/her bedside table. Per interview with the Administrator on 9/17/2024 at approximately 10:05 AM, s/he confirmed that Resident #92…
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.
- Potential for harm · D2024-09-18 · tag F0779 — isolatedKeep signed and dated reports of x-rays and other diagnostic services in the residents record.
What the surveyor found here — an excerpt from the official record, may be distressing
Per interview and record review, the facility failed to file in the resident's clinical record signed and dated x-ray reports for 1 of 32 residents (Resident #24). The failure to ensure radiology results were filed in the resident's clinical record placed him/her at risk for unmet care needs. Findings included: Record review reveals that Resident #24 had a physician order for a chest x-ray dated 8/29/24, and a left hand x-ray dated 6/25/24. A review of Resident #24's medical record does not include a signed and dated copy of the x-ray reports or results of either x-ray. The record does not include any physician or nursing documentation that the above x-ray reports were received and reviewed by the physician. Per interview on 9/18/24 at 12:17 PM, the Unit Manager (UM) explained that s/he is not aware of how x-ray reports are entered into a resident's record. S/He explained that the providers, who work for the community health center, not for the facility, do not utilize the facility's electronic health record system to document. The UM explained that the community health center…
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.
- Potential for harm · E2023-08-09 · tag F0658 — failed to meet professional standards of care — patternEnsure 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 observations, interviews, and record reviews the facility failed to ensure services provided met professional standards of quality regarding resident medications administered as ordered for 3 of 35 sampled residents (Resident #266, #6, & #59) and regarding tube feeding and weight monitoring for 1 resident [Resident #59]. Findings include: Review of The National Library of Medicine Nursing Rights of Medication Administration (ncbi.[NAME].nih.gov) notes the nurse is frequently the final person to ensure medication is correctly prescribed and dispensed before administration. The standard professional medication administration practice is to follow the five rights of administration The five rights are the right patient (resident), the right medication, the right route, the right dose, and the right time. 1. Resident #266 was administered the wrong dose of medication one hundred times between April 22, 2023, and August 9, 2023. Resident #266 has among other diagnoses arthritis of the left knee. Record review…
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.
- Potential for harm · E2023-08-09 · tag F0756 — failed to review each resident's drug regimen — patternEnsure 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
Based on interview and record review, the facility pharmacist failed to identify and report medication scheduling errors for 1 of 5 sampled residents (Resident #6) resulting in the potential for decreased therapeutic effects of other medications. Findings include: Per record review of Resident #6's care plan, Resident #6 requires care and treatment related to having a colostomy (a surgical opening in the colon where waste gets diverted from), gastroesophageal reflux disease, irritable bowel syndrome, heart disease, depression, potential nutritional deficiency, chronic pain, osteoarthritis, and urinary incontinence. Review of Resident #6's physician orders reveal the following order cholestyramine Light Packet 4 GM Give 1 packet by mouth three times a day for loose stools Mix in 8oz liquid, with meals please, don't give with medications, with a start date of 7/8/22 and scheduled to be administered at 8:00 AM, 12:00 PM, and 5:00 PM. The package insert for this medication states: SINCE CHOLESTYRAMINE MAY BIND OTHER DRUGS GIVEN CONCURRENTLY, IT IS RECOMMENDED THAT PATIENTS TAKE OTHER…
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.
- Potential for harm · Dcited before2023-08-09 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 implement care plan interventions regarding tube feeding and medications for 1 resident [Res. #59] of 35 sampled residents. Findings include: Per review of Res. #59's medical record, the resident is diagnosed as being in a Persistent Vegetative State and is fed solely through a tube [G-tube] into h/her stomach. The resident's medical history and diagnoses include Dysphagia [difficulty in swallowing food or liquid], Quadriplegia [pattern of paralysis that can affect a person from the neck down], Anoxic Brain Damage [damage to the brain due to a lack of oxygen supply], and Severe Sepsis with Septic Shock [Septic shock is the last and most severe stage of sepsis. Sepsis occurs when your immune system has an extreme reaction to an infection]. Review of Res. #59's Care Plan reveals the resident identified as being in a persistent vegetative state requiring nutrition/ hydration support. Care Plan interventions include Tube feeding and flushes as ordered. Weights and labs to be reviewed as needed. Review of Physician Orders 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.
- Potential for harm · D2023-08-09 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 a comprehensive care plan to include interventions that addresses the resident's goal to maintain his or her highest practicable well-being regarding walking for 1 of 35 residents (Resident #80). Findings include: Per interview on 8/7/23 at 10:38 AM, Resident #80 revealed that it has been a few weeks since S/he has been walked by staff, which S/he needs help with because S/he had a stroke. S/He stated that S/he really wants to get back to it because S/he wants to be more independent. Review of Resident #80's care plan reveals, [Resident #80] has limited physical mobility stroke, initiated on 10/8/19 and last revised on 8/25/22, and interventions include Ambulation: [Resident #80] has a FMP [functional maintenance program] on hold, last revised on 8/25/22, and [Resident #6] is able to ambulate with therapy FMP on hold], last revised on 8/25/22. Per interview and record review on 8/8/23 at 2:20 PM, the Therapy Director stated that Resident #80 is…
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.
- Potential for harm · D2023-08-09 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based upon observations, interview, and record review, the facility failed to ensure tube feedings were administered as ordered and weight status was monitored as ordered for 1 resident [Res. #59] of 35 sampled residents. Findings include: Per review of Res. #59's medical record, the resident is diagnosed as being in a Persistent Vegetative State and is fed solely through a tube [G-tube] into h/her stomach. The resident's medical history and diagnoses include Dysphagia [difficulty in swallowing food or liquid], Quadriplegia [pattern of paralysis that can affect a person from the neck down], and Anoxic Brain Damage [damage to the brain due to a lack of oxygen supply]. Review of Res.#59's Care Plan reveals the resident identified as being in a persistent vegetative state requiring nutrition/ hydration support. Review of Physician Orders for Res.#59 reveal an order dated 5/22/23 for one time a day Two Cal HN formula [tube feeding] to run at 55cc [cubic centimeters] per hour for 16 hours. Total volume of formula 880cc/24 hours. Start feeding at 6am Stop feeding at 10pm. Per observation…
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.
- Potential for harm · Dcited before2023-08-09 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interview and record review the facility failed to ensure that the attending physician reviewed and addressed recommendations made by the licensed consulting pharmacist for 2 of 5 residents in the applicable sample(Residents #266 & #59), and failed to ensure that a medication was available for administration per physicians orders for 2 of 5 residents in the applicable sample (Residents #26 & #59). Findings include: 1.) Per record review Consultant Pharmacist's Medication Regimen Review recommendations for Resident #266 dated 4/27/23, 5/5/23, and 6/6/23 were not acted upon until 8/5/23. Provider orders for Resident #266 (who has among other diagnosis arthritis of the left knee) contained the following order Lidoderm Patch 5% (Lidocaine) Apply to left knee topically in the morning for knee pain indicate Facility Time code and Check off Document Removal box. Indicate removal time below start date 4/22/23. A review of the Medication Administration Record shows the medication was initiated on 4/22/23 and applied daily (with the exception of several days when the resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-09 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 resident medical records reflected accurate medication administration for 1 of 34 residents in the sample (Resident #31). Findings include: Review of a medical record for resident #31 reveals a physician medication order listed on the Medication Administration Record (MAR) for the months of July and August as indicated: Administer suppository if no BM [bowel movement] in 3 days, every shift for bowel management. The name, dose, and administration method of the suppository is not listed. It is noted that this resident had received a suppository frequently on all shifts as indicated by a check mark above nurse's initials. The bottom page of the MAR shows a Chart Code indicating that a check mark means administered. Review of Licensed Nurse Assistant (LNA) documentation under the tasks tab shows bowel movements (BM) on 7/12, 18, 23, 26, 27, and 31st. The August documentation shows a BM on 8/6. The record indicates that suppositories were given to the resident after these dates on all 3 shifts. Interview on 08/09/23…
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.
“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.
- 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.
Fines & penalties
$8,512 in federal fines across 1 penalty.
- $8,512 — penalty dated 2024-09-18
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 NATIONAL HEALTH CARE ASSOCIATES — 42 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.2 | +0.8 vs chain |
| Health inspection | 4 of 5 | 2.8 | +1.2 vs chain |
| Staffing | 3 of 5 | 3.0 | ≈ chain avg |
| Quality measures | 3 of 5 | 4.1 | -1.1 vs chain |
The other 41 homes this chain runs (chain average 3.2★, per CMS)
Showing 40 of 41; 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BNB HEALTH CARE FUNDS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 01/01/2013 |
| COHEN, DAVID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 11/01/2007 |
| FUCHS, MORRIS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | since 11/01/2007 |
| GOLDENBERG, CHAIM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 11/01/2007 |
| LIPMAN, MICHAEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 11/01/2007 |
| MANELA, MAGDA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 11/01/2007 |
| OSTREICHER, MARVIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | 22% | since 11/01/2007 |
| ROBERTS, TZIVY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 01/01/2014 |
| SULLIVAN, DIANE | Individual | W-2 MANAGING EMPLOYEE | — | since 01/30/2022 |
| BOKOW, BARRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 11/01/2007 |
CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $3.1M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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
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
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.
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 475018. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-17, 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.