Othello Post Acute

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.

48.9% 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 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 34.1% 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 41 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 0.35 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 39 beds and averages 35.2 residents a day — about 90% occupied, or roughly 4 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 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.24 hrs/resident/day on weekends vs 3.61 on weekdays — 10% thinner on weekends. RN hours go from 0.88 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

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

Inspection deficiencies

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

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

34 citations, most serious first. The 14 most serious are shown; the remaining 20 are one tap away and print in full.

• Actual harm · Gcited before2025-09-12 · 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 ensure residents received adequate supervision and use of assistance devices when consuming hot beverages, and to consistently assess hot beverage temperatures for safety prior to serving to prevent accidents for 1 of 3 sample residents (Resident 1). Resident 1, who was severely cognitively impaired, experienced harm when they were provided a cup containing a hot beverage that had not been checked for temperature without a lid and unsupervised which the resident spilled in their lap and resulting in a third-degree burn.According to the American Burn Association, thinner skin of older adults burns faster and deeper, and a serious burn can occur within five seconds of exposure to a liquid at a temperature of 140 degrees Fahrenheit (F).Per the assessment dated [DATE], Resident 1 was severely cognitively impaired, required assistance with activities of daily living including set up of food and drink before eating and/or drinking, and had…

  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 · G2024-05-21 · tag F0687 — failed to care for feet properly — isolated
  Provide appropriate foot care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a physician ordered foot care referral for a podiatrist was followed up on, and a change in foot wound condition was reported to the medical provider for 1 of 3 sampled residents (Resident 1), reviewed for wound care. Resident 1 experienced harm when they required additional surgery and amputations to their foot. These failures constituted Past Non-Compliance (the facility was not in compliance at the time the situations occurred; however, there was sufficient evidence that the facility corrected the non-compliance after they were identified) at harm level. The facility immediately implemented and completed a plan of correction which was verified by surveyors. The plan of correction included a review of the previous 72 hours of progress notes to identify any residents with a change of condition and reporting any identified changes to the medical provider, a skin sweep of the entire facility resident population to ensure wounds were accurately…

  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 · Past Non-Compliance
• Actual harm · Gcited before2023-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to thoroughly investigate the cause(s) of falls and assess the need for additional effective interventions for 2 of 3 sampled residents (Resident 1 and 3), reviewed for accident hazards. This failed practice resulted in actual harm to Resident 3 who was not provided supervision following a decline in health status and experienced a hip/pelvic and coccyx (tailbone) fracture that required hospitalization and surgery, and placed Resident 1 at risk for additional falls, injury secondary to falls, and diminished quality of life. Findings included . <Resident 3> Review of the 09/27/2023 quarterly assessment showed Resident 3 had a diagnosis of Parkinson's disease (a chronic degenerative disease of the nervous system that affects both the motor system and non-motor systems) and was moderately cognitively impaired. Additionally, the resident required substantial staff assistance for transfers and toileting, partial assistance for bed mobility, and supervision in their wheelchair. Review of Resident 3's care plan 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-12-19 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  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 timely obtain and implement a physician order for X-ray services for 1 of 3 sampled residents (Resident 3), reviewed for diagnostic testing. This failure resulted in actual harm for Resident 3, who sustained a blood clot secondary to a fracture, which required medical intervention. Findings included . Review of the facility's Mandated Reporting Log from 10/19/2023 to 12/19/2023 showed Resident 3 experienced five falls during the month of November. Review of the November 2023 progress notes showed the following: - On 11/24/2023 Resident 3 had an unwitnessed fall in their room. The resident complained of pain to their right hip following the fall but had no other signs of injury. The medical provider was notified and advised staff to monitor for hip injury. - On 11/25/2023 Resident 3 had another unwitnessed fall. - Resident 3 complained of tenderness and/or pain to the right hip and leg daily from 11/27/2023 through 11/30/2023. - On 11/29/2023 a provider ordered an X-ray for Resident 3. - On 11/30/2023 a mobile…

  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 · Ecited before2026-01-10 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure care plans were updated timely for 3 of 3 sampled residents (Residents 6, 7 and 47), reviewed for individualized plans of care. This failure created the potential for resident needs to go unaddressed, and potential related adverse events. Findings included. <Resident 6> A quarterly assessment dated [DATE] documented Resident 6 had diagnoses that included low back pain and infection of the bone of the right foot and ankle. Resident 6 was able to make their needs known, occasionally experienced pain they rated as moderate intensity, and received regularly scheduled and as needed opioid (narcotic) pain medications daily. During an interview on 01/07/2026 at 9:52 AM, Resident 6 was observed to be visibly uncomfortable; their brow was furrowed, and they made a face when moving in their bed. Resident 6 stated they had a long history of lower back pain. The resident stated they had a pain pump (a device implanted under the skin that…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-10 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety. Specifically, food was not covered, labeled, dated or discarded when expired for 2 of 3 refrigerators. The facility failed to perform hand hygiene when indicated during the meal service and did not maintain food at acceptable temperatures for service. These failures placed residents at risk for foodborne illnesses.Findings included . <Expired/undated/uncovered food>During an initial tour of the kitchen on 01/06/2026 at 10:33 AM, the main refrigerator in the kitchen contained nine bowls of cooked apples with cinnamon that were uncovered and had no date. An observation on 01/06/2026 at 10:48 AM of the refrigerator in the employee lounge that held the resident's food revealed a bowl of food for Resident 18 that was to be used by 12/20/2025, and another bowl without a date. There were also seven ice cream bars in the freezer for Resident 18 that had no date. Resident 35 had a bag of tamales that were dated 12/28/2025, and a pizza pocket…

  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 · D2026-01-10 · tag F0552 — isolated
  Ensure 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 obtain consent for psychotropic medications (medications that affect the mind, mood, and emotions) prior to administration of the first dose, as required, for 1 of 5 sampled residents (Resident 47), reviewed for unnecessary medications. This failure placed the resident and representative at risk of not being fully informed of the risks and benefits of medications and making a fully informed choice about their medical care. Findings included .A 12/18/2025 admission assessment documented Resident 47 had diagnoses including depression and anxiety. Resident 47 was cognitively intact and took medication for depression. The 12/12/2025 nutritional care plan documented Resident 47 had depression. There were no instructions to nursing staff regarding the antidepressant medication. On 12/12/2025, a provider order was given to administer mirtazapine (a medication used to treat depression) daily.A review of Resident 47's medical record showed no informed consent was completed for their mirtazapine. Per the December 2025 medication…

  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 · D2026-01-10 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a Pre-admission Screening and Resident Review (PASRR, an assessment done to identify if potential nursing facility residents required services to support any behavioral health needs once admitted to the nursing facility) was completed after a 30-day hospital exempted stay expired for 2 of 5 sampled residents (Residents 6 and 34), reviewed. This failure placed the residents at risk for inappropriate placement, and/or not receiving timely and necessary services to meet their behavioral health needs. Findings included . The Medcaid.gov Preadmission Screening and Resident Review retrieved at https://www.medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/preadmission-screening-and-resident-review documented the PASRR process required that all applicants to Medicaid-certified nursing facilities be given a preliminary assessment called a Level I screen prior to facility admission to determine whether they might have severe…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  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 oxygen and nebulizer delivery equipment was maintained as ordered and oxygen was administered per provider orders for 1 of 2 sampled residents (Resident 34), reviewed for respiratory care. These failures placed the residents at risk for respiratory complications and infection. Findings included .Per the 10/29/2025 admission assessment, Resident 34 had diagnoses which included chronic obstructive pulmonary disease (COPD, a progressive lung disease that blocked airflow and made it hard to breathe), and respiratory failure. In an observation on 01/06/2025 at 11:52 AM, Resident 34 was lying in bed asleep. The resident wore oxygen that was set at 4 liters (L) and the tubing was dated 12/17/2025.The 10/23/2025 physician order documented Resident 34 had been prescribed oxygen at 3L continuously for shortness of breath and the tubing was to be changed weekly.The December 2025 medication administrator record (MAR) and January 2026 MAR showed nursing staff initialed weekly that the oxygen tubing had been changed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-29 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  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 laboratory services were obtained as ordered and followed-up timely, for 1 of 3 sampled residents (Resident 2), reviewed for laboratory (lab) services. This failure placed the resident at risk for delayed treatment, and a decline in condition. Findings included . Review of the October 2024 progress notes for Resident 2 showed on 10/07/2024 the resident complained of urinary symptoms including a burning sensation during urination and urinary frequency. The notes showed the medical provider was notified and an order for a urinalysis (UA; laboratory test of urine to detect a wide range of disorders including urinary tract infections) was obtained. Review of Resident 2's UA lab report dated 10/08/2024 showed multiple abnormal results were identified. The lab report was not signed by a provider and/or nursing staff to show it had been reviewed. Review of the October 2024 provider notes showed the resident was seen by a Nurse Practitioner on 10/09/2024. The note did not include information regarding the UA results…

  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 · F2024-10-11 · tag F0761 — failed to label and store drugs safely — widespread
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure expired medications were disposed of timely, in accordance with currently accepted professional standards, in 1 of 1 medication storage rooms. The facility further failed to maintain temperatures to ensure medications were properly stored. This failure placed residents at risk for receiving compromised or ineffective medication. Findings included . During an observation of the medication room on 10/10/2024 at 7:18 AM, with Staff I, Registered Nurse, revealed a vial of hepatitis vaccine that had expired on 08/24/2024. The refrigerator in the medication room was 50 degrees and contained Covid-19 and Prevnar (a vaccine that protects against pneumonia) vaccines and a vial of Tubersol (medication injected under the skin to determine exposure to Tuberculosis). The temperature log posted on the wall stated the temperature should be between 36-46 degrees. Review of the refrigerator temperature logs documented the temperature had not been monitored since July 2024 and was monitored nine times that month. In an…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-11 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to repeatedly review care plan intervention effectiveness and timely revise ineffective interventions for 3 of 14 sampled residents (Residents 3, 6, and 12), reviewed for care planning. This failed practice placed residents at risk of unmet care needs and diminished quality of life. Findings included . Review of the facility policy titled, Care Planning revised May 2023, showed the care plan should contain description of services to be provided to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Individualized care plan interventions would be added with a date to indicate when the intervention was started. The policy further showed the care plan was to be reviewed upon admission, quarterly and with significant changes in condition. <Resident 3> Review of the quarterly assessment, dated 09/28/2024, showed Resident 3 admitted to the facility on [DATE] with diagnoses including chronic liver…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-11 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to repeatedly implement the bowel management protocol when indicated for 2 of 5 sampled residents (Resident 7 and 16), reviewed for bowel management. This failure placed residents at risk of medical complications, unmet care needs, and diminished quality of life. Findings included . Review of the facility policy titled, Management of Constipation revised November 2023, defined constipation as three or more days without a bowel movement (BM) characterized by a decrease in frequency and/or passage of hard, dry stools. The policy showed BMs would be documented and monitored in the electronic medical record. When a resident was identified with no/small BM documented for 64 hours the nurse would assess the resident and determine if the bowel protocol would be initiated. The policy further showed the standard bowel protocol to relieve constipation with a provider order may include administration of 1) Milk of Magnesia (MOM, liquid laxative) after eight shifts of no BM, 2) Bisacodyl (stimulant laxative) suppository, if no results…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to consistently implement appropriate interventions to reduce fall hazards and monitor for intervention effectiveness for 1 of 3 sampled residents (Resident 4), reviewed for falls. This failure resulted in Resident 4 sustaining repeated falls and placed residents at risk for avoidable accidents, significant injury, and diminished quality of life. Findings included . Review of the facility policy titled, Fall and Injury Prevention and Management Care Plan revised 01/2023, showed the facility would revise a resident's care plan and/or center practices to attempt to determine causall factors that may have led to a fall, to prevent future occurrences and reduce the likelihood of another fall. The facility was to assess risk factors and hazards to identify potential interventions to implement. Review of the facility policy titled, Fall Injury Management- Post Fall or Injury revised 01/30/2023, documented proper action following a fall included: assessing 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$19,182 in federal fines across 2 penalties.

• $10,358 — penalty dated 2025-09-12
• $8,824 — penalty dated 2024-05-21

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 KALESTA HEALTHCARE GROUP — 19 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 6 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 $136K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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 WA