Regency At The Park

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 192 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 53.3% 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 107 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 0.36 therapist hours per resident per day in 2026Q1 — more than 61% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 106 beds and averages 76.9 residents a day — about 73% occupied, or roughly 29 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 4.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.29 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.43 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 3.58 hrs/resident/day on weekends vs 4.41 on weekdays — 19% thinner on weekends. RN hours go from 1.50 to 0.76 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%.

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

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

35 citations, most serious first. The 14 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-01-18 · 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 observation, interview, and record review, the facility failed to Identify and prevent potentially dangerous accidents and hazards when portable oxygen (02) tanks were unsecured for 2 of 2 residents (Resident 58 and 17) reviewed for O2 use, and implement interventions that addressed the cause of the falls for 1 of 2 residents (Resident 29) reviewed for falls. This placed Resident 29 at risk for future falls, injury and unmet care needs. The failure to secure portable O2 tanks which could explode if dropped placed Resident 58, Resident 17, and residents and anyone else in the facility at risk for serious injury, harm or death. On 01/10/2024 at 1:35 PM, the facility was notified of an Immediate Jeopardy at CFR 483.25 (d)(1)(2) F689, Free of Accident/Hazards/Supervision/Devices, related to the facility's failure to safely secure three portable oxygen tanks while they were being utilized/transported by residents. The facility removed the immediacy on 01/10/2024 with an onsite verification from investigators…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-04 · 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 observation, interview, and record review, the facility failed to implement care plan interventions and provide adequate supervision to prevent avoidable accidents during mechanical lift transfers for 2 of 2 residents (Residents 30 and 7) reviewed for falls. Resident 30 experienced harm when they fell from a mechanical lift while being transferred without the two-caregiver assistance as care planned onto their surgical incision site from their recent right below the knee amputation (BKA) requiring a transfer to the emergency room, surgical repair, and a five-day hospital stay. Resident 7 experienced an avoidable fall when left alone in their wheelchair after staff applied a mechanical lift sling under the resident and attached the sling to the mechanical lift. This failure placed the residents at risk for injury, pain, and recurrent falls. Findings included . <Resident 30> Review of the medical record showed Resident 30 was admitted to the facility on [DATE] with diagnoses including end stage renal…

  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 · G2024-01-18 · tag F0563 — failed to protect the right to visitors — isolated
  Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
  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 visitation rights were protected when they did not allow or advocate for the resident's choice in their decision making when the Resident's Representative (RR) denied them access for eight days, to their significant other (SO) and their SO's family member, for 1 of 3 residents (Resident 32), reviewed for choices. Resident 32 experienced psychological harm when they became angry, had a decreased appetite, and refused care when they were denied visitation with their SO. Findings included . <Resident 32> Review of Resident 32's medical record showed the resident admitted to the facility on [DATE] with diagnoses to include recovery from COVID-19 (an infectious disease-causing respiratory illness with symptoms including cough, fever, new or worsening malaise, headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death) with required…

  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
• Actual harm · G2024-01-18 · tag F0800 — isolated
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary 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 interview and record review, the facility failed to provide dietary services that met individualized dietary needs for 1 of 1 resident (Resident 64), reviewed for specialized diets. Resident 64 was on a physician ordered, gluten-free diet (no wheat, barley, or rye) related to a diagnosis of celiac disease (a disease that causes inflammation of the intestines if gluten is ingested). Resident 64 was served gluten in the form of a Salisbury steak on 12/24/2023. This failure caused harm to Resident 64 who experienced dizziness, nausea, and shortness of breath after consuming the gluten. Resident 64's change in condition resulted in physician notification and enhanced monitoring of their condition to ensure their safety. Findings included . Review of Disease Management and Monitoring dated 2024 through Beyond Celiac. org (a professional organization that provides education and guidance for people who suffer from celiac disease), showed the following: .currently the only treatment for celiac disease is a…

  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 · Dcited before2026-01-09 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to promote resident dignity during mealtime in the dining room for 3 of 8 residents (Resident 70. 28 and 74) reviewed for dignity. Resident 70 had their medical information discussed while eating their meal and Resident's 28 and 74 were referred to by pet names. This failure placed residents at risk for embarrassment and a poor quality of life. Findings included . Record review of an undated facility policy titled The Dining Experience; Staff Responsibilities showed, the dining experience will enhance each individual's quality of life through person centered dining. Staff will treat each individual with dignity and respect. Staff will respect the confidentiality of any individuals. Resident 70 Review of the resident's medical record showed the resident was admitted with diagnoses which included history of a stroke (blood supply is cut-off from the brain) with right hemiplegia (paralysis of one side of the body usually following a stroke) 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-09 · tag F0554 — isolated
  Allow 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 observation, interview and record review, the facility failed to ensure residents were evaluated, assessed, and physician orders were obtained for safe self-administration of medication for 1 of 3 residents (Resident 10), reviewed for self-medication administration. This failure placed residents at risk for inaccurate and unsafe medication administration, adverse side effects, and medical complications. Findings included . Review of the policy titled, Storage and Expiration Dating of Medications and Biologicals, revised date 06/30/2025, showed the facility should not provide bedside medications without a physician order and approval by the Interdisciplinary Care Team and facility administration. Review of policy titled, General Dose Preparation and Medication Administration, revised date 11/15/2024, showed the facility staff would not leave mediations unattended and observe the resident's consumption of the medication. Review of the medical record showed Resident 10 was admitted to the facility with diagnoses including diabetes (a condition that causes high blood sugar 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-09 · tag F0573 — isolated
  Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide copies personal medical records, as required, to 1 of 2 resident (Resident 27), reviewed for resident rights. This failed practice placed residents at risk of not having access to their complete medical history, potential emotional stress affecting their ability to make informed decisions about their care, and a violation of their resident's rights. Findings included . Review of the facility's November 2025 policy titled Resident Rights showed upon request, the resident has the right to receive records, in a language he or she can understand, pertaining to his or her care within 24 hours of request. Further review did not show residents were required to give a written request for their medical records. Resident 27 Review of the medical record showed Resident 27 admitted to the facility on [DATE] with diagnoses to include diabetes (a disease in which the body does not control sugar in the blood), muscular dystrophy (genetic disorders causing…

  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 · D2026-01-09 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to develop comprehensive person-centered care plans to address vision impairments for 2 of 3 Residents (Resident 42 and 76 ) reviewed for care plan development. This failure placed the residents at risk for unmet care and/or safety needs related to inaccurate or inadequate direction to staff. Findings included.Resident 42 Review of the medical record showed the resident admitted to the facility with diagnoses including chronic congestive heart failure ( heart is not pumping blood as strongly as it should), dementia (a significant decline in thinking, memory, and reasoning skills that's bad enough to interfere with daily life) and visual disturbance. The 11/27/2025 comprehensive assessment showed Resident 42s cognition was moderately impaired and required assistance of one staff member for activities of daily living (ADLs). Further review showed Resident 42's vision was severely impaired. A concurrent observation and interview on 01/06/2026 at 11:05 AM, showed Resident 42 lying in bed with their water cup located…

  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 · D2026-01-09 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 provide necessary adaptive equipment for residents with highly impaired vision to maintain the highest practicable level of independence for 1 of 4 residents (Resident 42) reviewed for Activities of Daily Living (ADL's). This failure placed residents at risk for decreased nutritional intake, weight loss and a diminished quality of life. Findings included.Review of the medical record showed the resident admitted to the facility with diagnoses including chronic congestive heart failure (heart is not pumping blood as strongly as it should), dementia (a significant decline in thinking, memory, and reasoning skills that's bad enough to interfere with daily life) and visual disturbance. The 11/27/2025 comprehensive assessment showed Resident 42s cognition was moderately impaired and required assistance of one staff member for ADLs and set-up assistance for eating. Further review showed Resident 42's vision was severely impaired, and they were not receiving any specialized care with eating. During an interview 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-09 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  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 consistently document post dialysis (a treatment to filter wastes and water from the blood) assessments for 1 of 2 resident (Resident 6 and 22) reviewed for dialysis. This failure placed the resident at risk for unmet care needs and a potential for medical complications. Findings included .Review of the facility's policy titled, Dialysis Policy revised March 2024, showed a licensed nurse to complete the pre- and post-dialysis assessments with each dialysis visit. Review of the medical record showed Resident 6 had been admitted to the facility on [DATE], with diagnosis to include kidney failure, heart disease, depression and dementia. The comprehensive assessment dated [DATE] showed Resident 6's cognition was intact, and dependent on two staff members for care and transfers. Review of Resident 6's physician orders showed the resident required dialysis every Tuesday, Thursday and Saturday. Further review showed staff were to follow dialysis flow sheet…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-09 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to develop and maintain a current hospice (a type of care that focuses on comfort and quality of life for people who were terminally ill or near the end of their life) care plan in collaboration with contracted hospice services, that identified what provider was responsible for performing specific services/functions for 1 of 2 sampled residents (Resident 24 ) reviewed for hospice services. This failure placed residents at risk for not receiving necessary care and services. Findings included . Review of the Hospice Contract, dated 01/05/2026, showed the facility and hospice provider must maintain a coordinated Care Plan that is responsive to the unique needs of the patient and their representative while remaining consistent with hospice philosophy. This unified care plan must identify specific hospice services, including interventions for pain management and symptom relief, and provide a detailed statement of the scope and frequency of these services along with measurable anticipated outcomes. Furthermore, the plan must…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-09 · tag F0880 — failed to prevent and control infections — isolated
  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 observation, interview, and record review, the facility failed to ensure staff followed Enhanced Barrier Precautions (EBP, [a type of isolation used to prevent spread of infections]) for three of five residents (Resident 6, 31, and 76) reviewed for infection control. Ensure hand hygiene was performed and ensure proper use of Personal Protective Equipment (PPE) during daily resident cares and wound care treatment. These failures placed residents at an increased risk for exposure to cross contamination (harmful spread of diseases) and transmission of infectious diseases. Findings included .Resident 76 Review of the medical record showed the resident admitted to the facility with diagnoses including stroke (when blood flow to part of the brain is suddenly cut off, either by a blockage or a burst blood vessel, causing brain cells to die from lack of oxygen, leading to sudden impairment or loss of function like weakness, numbness, or trouble speaking). The 11/18/2025 comprehensive assessment showed 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-04 · tag F0561 — failed to honor residents' choices — pattern
  Honor 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 Based on observation, interview and record review the facility failed to allow 6 of 6 residents (Residents 20, 12, 8, 56, 35, and 40) reviewed for resident rights, the right to self-determination to hold resident council meetings at the times of their choice and to discuss topics that were important to them such as dining and food choice issues. The failure to accommodate and address their right to make choices about important issues in their lives, placed the residents at risk for a diminished quality of life. Findings included . During a resident council meeting on 02/25/2025 from 10:00 AM to 11:15 AM, six residents (Residents 20, 12, 8, 56, 35, and 40) voiced the following concerns about how they felt they were not given either the time or the choice to share issues that were important to them in the monthly resident council meetings. All resident interviews were completed during the resident council meeting. <Resident 20> Review of the medical record showed the resident was admitted to the facility on [DATE]…

  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 · E2025-03-04 · 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, interview and record review, the facility failed to provide a comfortable and homelike environment when residents were served and ate off the plate still on the delivery tray in 2 of 2 dining rooms (900-unit and subacute dining rooms), reviewed for dining services. This failure placed the residents at risk for a non-homelike environment. Findings included . Observation on 02/24/2025 at 12:15 PM, in the subacute dining room, showed Resident 2, Resident 7, Resident 18, Resident 22, and Resident 36 were eating their lunch meals with the plates still on the delivery trays. Staff N, Nursing Assistant (NA), assisted Resident 36 with their lunch meal, from the plate which was still on the delivery tray. Observation on 02/24/2025 at 12:27 PM, in the 900-unit dining room, showed Staff J, Nursing Assistant (NA) had served Resident 58 their lunch meal and left the resident's meal on their tray. Staff J then served Resident 63's lunch meal and left the resident's meal on their tray. Staff J then removed a tray from the meal cart, placed a clothing protector on Resident 62,…

  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

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$148,838 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $97,139 — penalty dated 2025-03-04
• $51,699 — penalty dated 2024-01-03
• Medicare payment denial — starting 2024-03-04 for 4 days

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 REGENCY PACIFIC MANAGEMENT — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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.

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