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Cedar River Healthcare Center

17420 106th Pl SE, Renton, WA 98055 · For profit - Corporation · 60 certified beds · (425) 362-6200 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Aug 20241 immediate-jeopardy citation$74,815 in federal fines
Insights

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

In its favor
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $74,815 in federal fines (most recent 2024-08-13)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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

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

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
10712 SE Carr Rd · (800) 746-7287 · Call to confirm hours
Pharmacy
10712 SE Carr Rd · (425) 277-1040 · Call to confirm hours
Grocery
17622 108th Ave SE · (425) 572-6804 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
17418 108th Way SE · (206) 697-6919

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

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

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased14.3%14.2%15.4%typical
Long-stay residents who lose too much weight18.5%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder3.4%1.0%0.9%worse
Long-stay residents with a urinary tract infection3.3%1.6%2.0%worse
Long-stay residents with depressive symptoms0.0%17.7%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%2.6%3.3%check this — see note marked star below the table
Long-stay residents on antianxiety or hypnotic medication20.7%12.4%18.9%typical
Long-stay residents with pressure ulcers4.0%4.3%4.7%better
Long-stay residents with worsening bladder/bowel control24.9%22.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table17.2%15.1%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.1%1.3%1.4%better
Short-stay residents given the seasonal flu vaccine89.3%82.0%79.4%better
Short-stay residents rehospitalized after admission21.8%19.9%22.6%typical
Short-stay residents with an outpatient ER visit8.7%13.4%12.0%better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

70.2% 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 403 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

70.2%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
51.9%U.S. median 56.6%
Met the expected recovery
0.74U.S. median 0.31
Therapy hours / resident / day
0.38hours / resident / day
Physical therapy
0.28hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 51.9% 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 212 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 0.74 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 46% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF70.2%CMS range 65.5–74.351.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 7.8–12.210.7%Oct 2022–Sep 2024no 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 discharge51.9%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge42.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge47.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified94.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.6%CMS range 4.2–9.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.001.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

1.13
RN hours/ resident / day
1.18
LPN hours/ resident / day
2.86
Aide hours/ resident / day
5.18
Total nurse hours/ resident / day
0.62
RN hoursweekends
39.3%
Total nursing turnover
38.5%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 55.3 residents a day — about 92% occupied, or roughly 5 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 5.18 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.86 is at or above 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 4.30 hrs/resident/day on weekends vs 5.53 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.34 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% 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

12
deficiencies at the latest standard inspection (2025-04-21)
8
at the previous standard inspection (2024-03-22)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.

  • Immediate jeopardy · L2024-08-13 · tag F0678 — failed to provide CPR when needed — widespread
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    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 performed Cardiopulmonary Resuscitation (CPR- an emergency procedure consisting of chest compressions combined with giving breaths of air when the resident's heart stops and they stop breathing) to 1 of 3 residents (Resident 1) reviewed for unexpected death in the facility. The failure to ensure staff followed the facility's policy for CPR including staffs ability to accurately assess signs of irreversible death, immediately verify the Physician's Order (PO) for CPR status, immediately access the resident's POLST form (Physician Order for Life-Sustaining Treatment - a document the resident completes to declare their wishes for CPR or No CPR), initiate CPR, communicate effectively to the 911 operator, communicate effectively to the Emergency Medical Services (EMS) personnel, provide accurate residents records to EMS personnel placed 39 additional residents (Residents 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,…

    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 before2024-08-13 · 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 interview and record review the facility failed to treat residents with dignity and respect and provide a dignified existence that promoted quality of life for 1 of 1 resident (Resident 2) reviewed for resident rights. The failure to have a process for staff to provide a comfortable environment for residents after the death of a roommate, placed residents at risk of feeling scared, unsafe, distressed, and have a diminished quality of life. Resident 2 was harmed, using the reasonable person concept, when their roommate (Resident 1) died and they were left in the same room with the deceased resident from 10:00 PM on [DATE] until 5:30 PM on [DATE], 19.5 hours. Resident 2 was placed in a situation to cause harm to their mental well-being, safety, and dignity when they were not separated from their dead roommate's body. Findings included . The [DATE] admission nursing assessment and [DATE] admission progress note showed Resident 2 admitted to the facility on [DATE], was cognitively intact, had some…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-06-25 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review the facility failed to ensure physician's orders were followed, failed to ensure medications were available from the pharmacy and failed to notify the provider of not giving medications as ordered for 1 of 5 residents (Resident 1) whose medication regimens were reviewed. The failure to ensure orders were followed and medications were made available, placed residents for unnecessary pain, and other negative health outcomes. Findings included . <Facility Policy>Review of the facility's 01/2025 Medication Ordering and Receiving from the Pharmacy policy showed timely delivery of new orders is required so that medication administration is not delayed.According to the 06/25/2025 admission Minimum Data Set (MDS - an assessment tool) Resident 1 had medically complex diagnoses including orthopedic conditions, pain in right hip, and anxiety. The MDS showed Resident 1 needed after care for orthopedic surgery, pain management and surgical wound care. In an interview and observation on 06/25/2026 at 2:15 PM, Resident 1 stated they just…

    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 · E2026-04-20 · tag F0825 — pattern
    Provide or get specialized rehabilitative services as required for a resident.
    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 specialized rehabilitative services were provided as determined by the physician's order and the residents' plan of care for 2 of 3 residents (Residents 1 & 2) reviewed for Occupational Therapy (OT) services. This failure placed residents at risk of not attaining, maintaining, or restoring their highest practicable level of physical, mental, functional, and psychosocial well-being. Findings included . <Facility Assessment>Review of the updated February 2026 Facility Assessment showed the facility would conduct, document, and review their facility-wide assessment to consider their resident population and the resources needed to care for these residents. The assessment showed OT services were provided seven days per week, and the hours provided per day varied depending on the facility census. The assessment showed the facility resources needed to provide competent support and care for their resident population during day-to-day…

    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 · F2025-04-21 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to maintain a Quality Assessment and Assurance (QAA) committee that included the required participants. This failure put residents at risk for unmet care needs due to ongoing non-compliance with federal regulations and detracted from the interdisciplinary effectiveness of the team. Findings included . <Facility Policy> According to a December 2024 facility Quality Assurance and Performance Improvement [QAPI] Committee policy, the committee would meet monthly and listed the staff to serve on the committee which included the: Administrator; Director of Nursing Services; Medical Director, and infection control representative. Review of the 07/11/2024 QAPI committee meeting sign-in sheet showed the Medical Director did not attend. Review of the 08/29/2024 QAPI committee meeting sign-in sheet showed the Medical Director, Director of Nursing, and Infection Preventionist did not attend. Review of the 09/26/2024 QAPI committee meeting sign-in sheet showed the Medical Director and Infection Preventionist did not attend. Review of 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-21 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure residents' medical information was maintained in a manner to ensure privacy and confidentiality when staff failed to properly secure medical records for 3 of 16 sampled residents (Resident 59, 7, & 50) reviewed for privacy and confidentiality and 7 supplemental residents (Residents 30, 66, 264, 9, 38, 56, & 55). The failure to ensure residents' medical appointment and weight information were stored in a secure manner placed residents at risk for a loss of privacy and a diminished quality of life. <Findings> <Facility Policy> Record review of the facility's December 2016 Resident Rights policy showed facility staff were prohibited from disclosing Protected Health Information (PHI - any information that could be used to identify someone and their health care status). The policy directed staff to make reasonable efforts to protect residents' PHI. <Resident 30> Observations on 04/14/2025 at 10:59 AM and 04/14/2025 at 1:10 PM showed a folder placed upright on the counter at the 3rd floor nurses station. 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-21 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to provide care and services in a manner that maintained and promoted dignity for 1 of 16 sample residents reviewed (Resident 214). This failure placed residents at risk for a diminished sense self-worth and overall well-being. Findings included . <Facility Policy> According to the facility's revised February 2021 Dignity Policy each resident would be cared for in a manner that promoted or enhanced their sense of well-being. The policy showed when staff helped with care, residents should be supported and provided with a dignified dining experience. <Resident 214> According to the 04/10/2025 admission Minimum Data Set (MDS - an assessment tool) Resident 214 needed substantial/maximal assistance with eating due to fractures to right and left shoulders. In an interview and observation on 04/15/2025 at 8:20 AM, Resident 214 stated they had to be fed because they could not move their arms due to their shoulder fractures. Staff G (Certified Nursing Assistant) assisted Resident 214 with four large bites of oatmeal 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 · D2025-04-21 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 interview and record review, the facility failed to ensure a system by which residents received required written notices at the time of transfer/discharge, or as soon as practicable for 3 (Residents 63, 23, & 29) of 4 residents reviewed for hospitalizations. Failure to ensure written notification was provided to the resident and/or the resident's representative, in a language and manner they understood, placed residents at risk for not having an opportunity to make informed decisions about transfers/discharges. Additionally, the facility failed to ensure a system by which the Office of the State Long-Term Care Ombudsman (LTCO, an advocacy group for individuals residing in nursing homes) received required resident discharge/transfer information for 3 (Residents 63, 23, & 29) of 4 residents reviewed for hospitalization. Failure to ensure the required notification was completed, denied the LTCO the opportunity to educate residents and advocate for them regarding the discharge process. Findings included .…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-21 · 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 Pre-admission Screening and Resident Review (PASRR - a mental health screening required prior to admission to a nursing home) assessments were completed as required for 2 of 5 residents (Resident 45 & 50) reviewed for PASRR screening. The failure to ensure PASRR screenings were complete and accurate left residents at risk for inappropriate placement and/or not receiving timely and necessary services to meet their mental health care needs. Findings included . <Facility Policy> According to the undated facility PASRR policy, the facility would screen for mental disorders prior to admission by completing a Level I PASRR form. The policy showed the facility would ensure the Level I PASRR was complete and accurate prior to admission. Individuals who had or were suspected to have a mental disorder would not be admitted to the facility unless: a Level II invalidation was completed by the state-designated authority, a Level Il evaluation was completed,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-21 · 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 to ensure comprehensive Care Plans (CPs) were developed to address all identified resident care needs for 4 (Residents 58, 214, 14, & 45) of 16 residents whose CPs were reviewed. This failure placed residents at risk for unmet care needs and frustration. Findings included . <Facility Policy> According to the facility's December 2016 Care Plans, Comprehensive Person-Centered policy, facility staff would develop and implement a comprehensive CP in conjunction with the resident and/or their representative. The policy showed CPs should include measurable goals and describe the care and services the resident should be provided. <Resident 58> According to the 03/27/2025 admission Minimum Data Set (MDS - an assessment tool) Resident 58 medical conditions including spinal cord dysfunction, spinal stenosis (a narrowing of spinal cord space that compressed nerves of spine) and muscle weakness. The MDS showed Resident 58 had frequent pain. Review of history and physical admission paperwork dated December 2024 showed Resident 58…

    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 before2025-04-21 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to ensure physician's orders were followed for 1 of 5 (Resident 45) residents whose medication regimens were reviewed. The failure to ensure orders were followed placed residents for unneeded treatment, and other negative health outcomes Findings included . <Facility Policy> Review of the facility's July 2016 Administration Orders policy showed facility staff should administer medications in accordance with the physician's orders. Review of the facility's undated Weight Assessment and Intervention policy showed facility staff should monitor residents for undesirable or unintended weight loss or gain. <Resident 45> According to the 04/08/2025 admission Minimum Data Set (MDS - an assessment tool) Resident 45 had medically complex diagnoses including heart disease and heart failure. The MDS showed Resident 45 had high blood pressure. Record review showed Resident 45's physician's orders included the following: - a 04/03/2025 order to weigh Resident 45 daily and notify the physician for a weight gain of more than two Pounds (lbs)…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to provide assistance with Activities of Daily Living (ADLs - daily hygiene and other self-care tasks) for 2 (Residents 13 & 7) of 6 sample residents reviewed for ADLs. The failure to provide ADL assistance residents were assessed to require placed residents at risk for poor hygiene, diminished feelings of self-worth, and other negative health outcomes. Findings included . <Facility Policy> Review of the facility's revised March 2018 Activities of Daily Living, Supporting policy, showed residents who were unable to carry out ADLs independently would receive the services necessary to maintain good nutrition, grooming, personal hygiene, and oral hygiene. <Resident 13> Review of the 03/07/2025 admission Minimum Data Set (MDS - an assessment tool) showed Resident 13 needed moderate assistance with showering/bathing and had a compression fracture in their spine. Review of 03/01/2025 ADL/Mobility Care Plan (CP) showed Resident 13's bathing/showering was to be done per the shower schedule. Review of second floor shower…

    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
Show the remaining 19 citations
  • Potential for harm · D2025-04-21 · 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 ensure fall interventions were removed timely when assessed to be unbeneficial for 1 of 3 residents (Resident 50) reviewed for accident hazards and failed to ensure resident mattresses fit the bedframe for 1 of 5 residents (Resident 31) reviewed for positioning. These failures placed residents at risk for falls, injury, and discomfort. Findings included . <Falls> <Facility Policy> According to the facility's undated Falls policy, facility staff would assess each resident's risk for falls. Facility staff would evaluate and document falls that occurred in the facility, and identify and implement pertinent interventions. <Resident 50> According to a 04/07/2025 admission Minimum Data Set (MDS - an assessment tool) Resident 50 had multiple medically complex diagnoses including cancer, heart failure, kidney disease, muscle weakness, and Parkinson's disease (a progressive neurological disorder that affects movement). This MDS showed Resident 50 had a fall since admission, in the last month prior to admission, and 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-21 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 1 of 4 residents (Resident 27), reviewed for nutrition, received timely evaluation of weights, and implementation of effective interventions, to maintain adequate nutrition. This failure placed the residents at risk for ongoing weight loss and poor nutrition and potential harm. Findings included . <Facility Policy> According to the facility's revised March 2022 Weight Assessment and Intervention policy, residents' weights were to be monitored for undesirable or unintended weight loss. The policy showed any weight changes of five Percent (%) or more since the last weight assessment required nursing staff to immediately notify the dietitian in writing. <Resident 27> According to the 03/24/2025 admission Minimum Data Set (MDS- an assessment tool) Resident 27 had diagnoses including congestive heart failure, dementia, gastric ulcer, and weakness to one side of the body. Resident 27 needed supervision or touching assistance with eating and it was important for them to have snacks. Review of the 03/20/2025 Malnutrition…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure 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 on observation, record review, and interview the facility failed to ensure residents were provided the artificial nutrition they were assessed to require for 1 of 1 residents (Resident 114) reviewed for tube feeding. The failure to ensure the full volume of artificial nutrition ordered was provided daily placed Resident 114 at risk for weight loss and other negative health outcomes. Findings included . <Facility Policy> According to the facility's November 2018 . Tube Feeding via Continuous Pump policy, when a resident required their nutrition be provided through a feeding tube, facility staff would document the amount and type of feeding provided. The policy showed the facility would document the average fluid intake. <Resident 114> According to the 04/11/2025 Nursing admission Evaluation, Resident 114 admitted to the facility for treatment of conditions including for care after a stroke, for acute respiratory failure, and a swallowing difficulty. This evaluation showed Resident 114 received their dietary intake through a feeding tube. Record review showed a 04/11/2025 order…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-21 · tag F0745 — failed to provide medically-related social services — isolated
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    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 medically-related social services were provided for 1 of 4 residents (Residents 29) reviewed for nutrition. The failure to involve facility social workers for residents demonstrating behaviors of rejection of care placed residents at risk for unmet health needs and other negative health outcomes. Findings included . <Resident 29> According to the 03/02/2025 admission Minimum Data Set (MDS - an assessment tool) Resident 29 had intact memory. The MDS showed Resident 29 had diagnoses including respiratory failure and reduced mobility. The MDS showed Resident 29 was totally dependent on staff to transfer in and out of bed. The MDS showed Resident 29 admitted to the facility with a Stage 2 Pressure Ulcer (PU) and a Deep Tissue Injury (DTI). The MDS showed Resident 29 did not demonstrate behaviors of rejection of care. The MDS showed Resident 29 received a diuretic (urination causing) medication. Record review showed Resident 29 had 02/24/2025 physician's order to weigh the resident daily. Record review showed that on 18…

    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 · F2024-08-13 · tag F0726 — failed to have competent, trained nursing staff — widespread
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility failed to ensure nursing staff and nursing aide staff had the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physician, mental and psychosocial well-being of each resident according to the facility assessment, resident-specific assessments and resident plans of care for 11 of 11 staff (Staff K, L, E, M, H - Certified Nursing Assistants and Staff C, N, G, D, O, P - Licensed Nurses) reviewed for competency. The failure to develop and implement a process to evaluate staff's competency and skills to perform job expectations placed residents at risk for accidents, injuries, infections, diminished quality of life, and diminished quality of care. Findings included . The 07/2024 Facility Assessment (FA) showed the facility provides the staff with training and educational opportunities to ensure they can provide the necessary level and type of care to support the facility resident population. The FA showed the competency of staff's skills…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-13 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure violations of alleged neglect, involving serious bodily injury, were reported immediately to the state survey agency in accordance with State law for 1 of 3 residents (Resident 1) who did not receive CPR when there was a Physician Order (PO) directing staff to perform Cardiopulmonary Resuscitation (CPR- an emergency procedure consisting of chest compressions combined with giving breaths of air when the resident's heart stops and they stop breathing). The facility's failure to identify and report alleged neglect after a catastrophic change in condition, that involved the death of Resident 1, placed 39 of 48 other residents who had POs to receive CPR, at serious risk of harm including death. Findings included . The facility policy Unusual Occurrence Reporting, dated 09/2018 showed the facility reported unusual occurrences and other reportable events which affect the health, safety or welfare of residents as required by federal or state…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-13 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    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 timely initiate, document, and complete a thorough investigation involving an incident of serious bodily injury for 1 of 3 residents (Resident 1) reviewed for investigations of abuse and neglect. There was no investigation completed to rule out abuse or neglect or to determine the need for system interventions. The failure to investigate the system failure related to the lack of implementing the facility CPR policy placed 39 of 48 other residents at serious risk of harm, including death. Findings included . The facility policy Abuse Investigation and Reporting dated 11/2017 showed all reports of resident abuse and neglect were promptly reported to state agencies and thoroughly investigated by facility management. The investigator would review documents, resident medical record, interview person reporting the event, interview witnesses, interview the physician, interview staff who hand contact with the resident, interview the resident's roommate, 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 1 of 3 residents (Resident 3) received care, consistent with professional standards of practice, to prevent Pressure Ulcers/Pressure Injuries (PU/PI, localized damage to the skin and underlying tissue from prolonged pressure, friction, or shear, causing pain). The failure to identify individual risk factors related to diagnoses, implement resident-specific interventions and ensure prevention of PU/PIs placed residents at risk for harm related to serious injury, development of pressure ulcers, medical complications, and diminished quality of life. Resident 3 was admitted to the facility with no PU/PIs, was assessed at high risk for developing PU/PIs and acquired a Deep Tissue Injury (DTI, a type of PU/PI described as a deep red, maroon, purple discoloration of skin due to damage of underlying soft tissue acquired by the friction or shearing of skin) to their left heel while at the facility. Findings included . The 07/11/2024 Facility Assessment…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-22 · tag F0645 — pattern
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 a Pre-admission Screening and Resident Review (PASRR - a process to determine if a potential nursing home resident had mental health/intellectual disability needs which required further assessment/treatment) assessment was accurate to reflect the residents' mental health conditions for 3 of 5 (Resident 16, 111, & 35) residents reviewed for PASRR. This failure placed residents at risk for inappropriate nursing home placement and/or not receiving timely and necessary services to meet their mental health needs. Findings included . <Facility Policy> According to a 06/2018 facility PASRR policy it was the responsibility of the facility to ensure the Level 1 PASRRs were complete and accurate prior to the admission. <Resident 16> According to a 03/03/2024 admission Minimum Data Set (MDS - an assessment tool), Resident 16 had multiple medically complex diagnoses including depression and required the use of antidepressant medication during the assessment period. Review of the March 2024 Medication Administration Records…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-22 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to have sufficient nurse staff to provide and supervise care of residents as evidenced by information provided in a Resident/Surveyor interview, for 4 residents (Residents 35, 37, 46, & 4) interviewed for call light response time. This failure to ensure staff answered residents call lights in a timely manner placed residents at risk for unmet care needs and accidents. Findings included . <Facility Policy> The undated call lights facility policy showed the call light would be answered immediately or within 15 minutes. <Call Light Response> <Call Light Report> On 03/19/2024 record review of the facility's call light report print out for 03/18/2024 10:00 PM to 03/19/2024 6:00 AM for rooms 216-224 showed Resident 25's call light was on for 41 minutes while they were waiting to use the bathroom before staff responded. Resident 35's call light was on for a beverage for 28 minutes before staff answered it. Resident 58's call light was on for 40 minutes and 44 seconds waiting to use the bathroom before staff answered…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-22 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard 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 resident's records were complete, accurate, and readily accessible for 6 (Residents 7, 11, 31, 5, 25, & 35) of 17 residents whose records were reviewed. The failure to ensure resident records were complete and up to date to reflect the current resident conditions and care provided placed residents at risk for inaccurate assessments, poor coordination of care and unmet needs. Findings included . <Resident 7> Review of a 02/28/2024 Interdisciplinary Team (IDT) progress note showed the note was not entered into Resident 7's records until 03/03/2024, four days after the actual occurance. A 03/06/2024 IDT progress note showed the note was not entered into Resident 7's records until 03/16/2024, 10 days after the actual occurance. Review of a 03/13/2024 progress note showed staff identified Resident 7 had a gash in their skin that was observed by staff in the morning. There were no further progress notes regarding the skin injury until 03/20/2024, seven days later, at which time, three alert charting late entry progress…

    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 · D2024-03-22 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 residents had the appropriate Advance Directive (AD) in place for 3 of 5 residents (Residents 33, 35, & 50) reviewed for ADs. The facility failed to obtain a copy from residents (Resident 33, 35, & 50) with an existing AD and make the documentation readily available in the medical records and accessible to facility staff. These failures placed residents at risk of losing their right to have their stated preferences/decisions honored regarding medical treatment and end-of-life care. Findings included . <Facility Policy> The undated Advanced Directives facility policy showed information about whether or not the resident had executed an AD and the information would be displayed prominently in the medical record. <Resident 33> According to the 03/08/2024 admission Minimum Data Set (MDS- -an assessment tool), Resident 33 had no memory impairment. Review of Resident 33's medical records on 03/20/2024 showed they had contact information for a family member listed as healthcare Durable Power of Attorney (DPOA) on their…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-22 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    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 a Significant Change in Status Assessment (SCSA), including Care Area Assessments, were completed within 14 days for 1 of 1 resident (Resident 31) reviewed for a recent hospitalization, decline in nutritional intake, and a change in skin integrity. Failure to identify Resident 31's change in status and to complete a SCSA placed the resident at risk for unidentified and/or unmet care needs. Findings included . According to the October 2023 Resident Assessment Instrument Manual (a manual that directed staff on how to accurately assess the status of residents) a SCSA was a comprehensive assessment that must be completed when the interdisciplinary team determined that a resident met the significant change guidelines for either major improvement or decline. Review of the guidelines showed, a SCSA was appropriate if there was a significant change in a resident's condition from their baseline that occurred and the resident's condition was not expected to return to baseline within two weeks. <Resident 31> According to 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-22 · tag F0640 — isolated
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review, the facility failed to complete and/or transmit the required Minimum Data Set (MDS - an assessment tool) data to the Center for Medicare and Medicaid Services (CMS) within the required time frames for 4 of 7 sampled residents with discharges (Residents 34, 65, 63 & 64) reviewed for resident assessments. Findings included . <Facilty Policy> The facility's August 2018 MDS Completion and Submission Timeframes policy showed the facility would complete and submit resident assessments in accordance with federal and state timeframes. Review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, revised in October 2023, showed discharge (non-comprehensive) MDS assessments must be completed no later than 14 days after the Assessment Reference Date (ARD) and must be submitted/transmitted within 14 days of the MDS completion date to the database as required. <Resident 34> According to an 11/21/2023 Discharge MDS, Resident 34 discharged from the facility on 11/21/2023 with their return not anticipated. Review of Resident 34's…

    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 · D2024-03-22 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 3 (Residents 31, 11, & 35) of 17 residents Minimum Data Set (MDS - an assessment tool) were completed accurately to reflect the resident's condition. This failure placed residents at risk for unidentified and/or unmet needs. Findings included . <Resident 31> According to a 02/13/2024 admission MDS, Resident 31 weighed 171 Pounds (lbs), had no weight loss of five Percent (%) or more in the last month, no psychosis, behavioral symptoms, or rejection of care during the assessment period. In an interview on 03/18/2024 at 9:58 AM, Resident 31 stated they had some recent weight loss. Review of Resident 31's weight documentation showed on 02/08/2024, the resident weighed 187 lbs on admission. On 02/13/2024, staff documented the resident weighed 171 lbs, which was a loss of 8.56 % in less than 30 days. In an interview on 03/22/2024 at 8:17 AM, Staff E (MDS Coordinator) stated Resident 31's weight loss should be, but was not identified on the 02/13/2024 admission MDS and needed to be corrected. Observations 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-22 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility failed to ensure Physician's Orders (POs): were obtained prior to administration of medications for 1 (Resident 110) of 3 sample residents; were clarified for 1 (Resident 111) of 14 sample residents; were not administered outside of parameters for 2 (Resident 31 & 7) of 14 sample residents reviewed. These failures placed residents at risk for medication errors, delayed treatment, and adverse outcomes. Findings included . <Facility Policy> Review of a revised 01/01/2023 facility Medication Administration- General Guidelines policy showed medications would be administered as prescribed in accordance with good nursing principles and practices. <Administration of Oxygen Without Orders> <Resident 110> The 03/17/2024 admission Minimum Data Set (MDS - an assessment tool) showed Resident 110 had multiple medically complex diagnoses including heart failure and a respiratory infection. Observations on 03/21/2024 at 8:54 AM showed Resident 110 sitting up in bed receiving oxygen set to 2 Liters Per Minute (LPM). Review of 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-02-24 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure services provided met professional standards of practice for 4 of 12 (Residents 17, 20, 23, & 39) residents reviewed. Nursing staff failed to follow or clarify physician's orders when indicated and failed to complete an oral assessment and identify safety risks of loose teeth/dentures. These failures placed residents at risk for treatment errors, delayed treatment, omission of treatments, and adverse outcomes. Findings included . Physician Orders (POs) not Followed Resident 17 The 09/14/2022 practitioner progress note showed Resident 17 was readmitted to the facility from the hospital after an acute episode of chest pain and respiratory distress. Resident 17 was diagnosed in the hospital with acute changes in heart failure and acute changes in kidney failure, and extensive fluid retention. Resident 17's weight log showed they weighed 258 pounds on 08/27/2022 before going to the hospital and were 230 pounds on 09/14/2022 upon return…

    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 before2023-02-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 2 of 3 residents (Residents 5 & 23) reviewed for Pressure Ulcers (PUs) received the necessary treatment and services consistent with professional standards of practice. The failure to initiate appropriate and timely interventions left residents at risk for unidentified wound decline, discomfort, and diminished quality of life. Findings included . Resident 5 Review of a 01/06/2023 admission Minimum Data Set (MDS - an assessment tool) showed Resident 5 had diagnoses including spinal cord damage, heart failure, diabetes, and a blood circulation disorder. Resident 5 required extensive assistance by staff with bed mobility and transfers. This assessment identified Resident 5 was at risk for developing PUs. Review of the 01/05/2023 Potential Risk Pressure Injury . Care Plan (CP) showed Resident 5 was at risk for PU development related to decreased mobility and other comorbidities. The interventions directed staff to turn and reposition Resident 5 every two to three hours and administer treatments as ordered.…

    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 · D2023-02-24 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 restorative services were consistently provided for 1 of 2 sampled residents (Resident 20) reviewed for range of motion (ROM) treatment and services. This failure placed residents at risk of further decline in ROM, loss of function, and/or permanent immobility. Findings included . Resident 20 On 02/21/2023 at 1:12 PM, Resident 20 was observed lying in bed with their left arm supported with a pillow. Resident 20 was not able to freely open their left hand and all five fingers were contracted. On 02/22/2023 at 9:07 AM, Resident 20 was observed wearing a left-hand splint. According to the 02/06/2023 Admission/5-day Minimum Data Set (MDS - an assessment tool), Resident 20 was readmitted to the facility on [DATE] with multiple medically complex diagnoses including a stroke with residual left-sided weakness and left upper arm contractures. The 02/22/2023 Individual Care Service Plan showed Resident 20 had a passive ROM restorative nursing…

    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.

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

Fines & penalties

$74,815 in federal fines across 1 penalty.

  • $74,815 — penalty dated 2024-08-13

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 PACS GROUP — 274 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.9+0.1 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 5 of 52.5+2.5 vs chain
Quality measures 4 of 54.4-0.4 vs chain
The other 273 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Anchor Post AcuteAiken, SC 1 of 5Arbor Post AcuteChico, CA 1 of 5Artesia Palms Care CenterArtesia, CA 1 of 5Arvin Post AcuteArvin, CA 1 of 5Ashland Post AcuteAshland, OR 1 of 5Bakersfield Post AcuteBakersfield, CA 1 of 5Beachwood Post-Acute & RehabSanta Monica, CA 1 of 5Brookshire Post AcuteDenver, CO 1 of 5Brushy Creek Post AcuteGreer, SC 1 of 5Buckeye Care And RehabilitationLancaster, OH 1 of 5Carnegie Park Post AcutePittsburgh, PA 1 of 5Cascade Terrace Post AcutePortland, OR 1 of 5Centennial Post AcuteAnchorage, AK 1 of 5Chandler Creek Post AcuteGreer, SC 1 of 5Chehalem Post AcuteNewberg, OR 1 of 5Country Hills Post AcuteEl Cajon, CA 1 of 5Delhi Post-AcuteCincinnati, OH 1 of 5Dublin Post AcuteDublin, OH 1 of 5Edisto Post AcuteOrangeburg, SC 1 of 5Evan Terrace Post AcuteMcMinnville, OR 1 of 5Forest Acres Post AcuteColumbia, SC 1 of 5Grandview Post AcuteCookeville, TN 1 of 5Great Plains Post AcuteWichita, KS 1 of 5Hemet Hills Post AcuteHemet, CA 1 of 5Highland Hills Post AcutePittsburgh, PA 1 of 5Highline Post AcuteDenver, CO 1 of 5Johns Island Post AcuteJohns Island, SC 1 of 5Karcher Post AcuteNampa, ID 1 of 5Kennedy Care CenterLos Angeles, CA 1 of 5Kern River Transitional CareBakersfield, CA 1 of 5Lakeview Post AcuteFlorissant, MO 1 of 5Marion Valley Post AcuteMarion, OH 1 of 5Mirage Post AcuteLancaster, CA 1 of 5Monroeville Post AcuteMonroeville, PA 1 of 5Napa Post AcuteNapa, CA 1 of 5North Royalton Post AcuteParma, OH 1 of 5Northstar Post AcuteCarson City, NV 1 of 5Overland Park Post AcuteOverland Park, KS 1 of 5Pikes Peak Post AcuteColorado Springs, CO 1 of 5Ridgeway Post AcutePetaluma, CA

Showing 40 of 273; 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 / managerTypeRoleSince
BRANCH BANKING & TRUST COMPANYOrganization5% OR GREATER SECURITY INTERESTsince 01/10/2025
TRUIST BANKOrganization5% OR GREATER SECURITY INTERESTsince 01/10/2025
BRUCELL, ZOEEIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2025
JAMES, BETHIndividualMANAGING CONTROL - GOVERNING BODYsince 01/10/2025
MALONE, TYRONEIndividualMANAGING CONTROL - GOVERNING BODYsince 01/10/2025
MERCADO, NERIZAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/10/2025
ROSAL, PATRICKIndividualMANAGING CONTROL - GOVERNING BODYsince 01/10/2025
SICHEL, TERRAIndividualMANAGING CONTROL - GOVERNING BODYsince 01/10/2025
APT, FREDERICKIndividualCORPORATE OFFICERsince 01/10/2025
JERGENSEN, JOSHUAIndividualCORPORATE OFFICERsince 01/10/2025
MITCHELL, JOHNIndividualCORPORATE OFFICERsince 01/10/2025
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INCOrganizationADP OF THE SNFsince 01/22/2025

CMS files one row per role, so the 16 rows in the source record cover these 12 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.

$9.7M
Net patient revenuemost recent cost report
-18.7%
Operating marginrevenue minus expenses
$1.8M
Related-party expense16% of expenses
Who pays — share of resident-days
Medicaid 31%Medicare 39%Other / private 30%

This home reported $1.8M 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

$647per resident / day
operating cost
$19,659per month
≈ monthly operating cost
$545per day
avg. revenue, all payers

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

What families pay in WA

Paying with Medicaid

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

Typical monthly cost in Washington
$13,155/mo
Nursing home (semi-private)
$15,969/mo
Nursing home (private)
$7,600/mo
Assisted living

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 505532. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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