Lakeland Health Care Ctr

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

Quality measures — how residents actually fare

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.

43.7% 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 122 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 67 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 0.17 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 90 beds and averages 80.9 residents a day — about 90% occupied, or roughly 9 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 3.96 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.55 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 3.07 hrs/resident/day on weekends vs 4.32 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.91 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-09-02 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure residents were free from physical and verbal abuse for 1 (R1) of 3 residents reviewed for abuse.R1, who is diagnosed with dementia, started displaying aggressive behaviors and being resistive to cares within the first 2 weeks of being admitted to the facility. The facility did not develop or implement a behavior care plan with resident specific interventions to help guide staff in how to care for R1. On 8/11/25, R1 was being cared for by Certified Nursing Assistant (CNA)-C and Registered Nurse (RN)-D. R1 was agitated, aggressive and resistive to cares. CNA-C was working to calm R1. RN-D entered R1's room and was yelling at R1 to let them take care of R1. While R1 was sitting at the edge of R1's bed, RN-D grabbed R1's legs and threw them in R1's bed, making R1 lay down in bed. RN-D then grabbed R1's blanket and used the blanket to hold R1's shoulders down. While holding R1's shoulders down on the bed, RN-D was shaking R1's shoulders and was yelling…

  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 · Past Non-Compliance
• Immediate jeopardy · Kcited before2023-11-21 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to prevent 5 (R3, R4, R6, R1, and R5) of 6 residents reviewed for abuse to be free from sexual abuse from R2. The facility failed to prevent 3 (R4, R1, and R8) of 6 residents reviewed to be free from sexual or physical abuse from R7. R2 had an identified history of inappropriate sexual behaviors with peers and staff. The facility did not have effective interventions in place to prevent sexual abuse of peers. When sexual abuse of peers did occur, the interventions were not revised, new interventions were not put in place, and monitoring was not increased; R2 continued to sexually abuse his peers. R2 attempted to enter R3's room multiple times uninvited (6/27/23, 8/8/23.) On 8/8/23, R2 entered R3's room while she was undressed. The facility did not assess R3 for any psychosocial harm or mental anguish after the sexual abuse. R4 was approached by R2 on 9/26/23, 10/19/23, 10/20/23 or 10/21/23, and was told sexual comments or propositions and was touched…

  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
• Immediate jeopardy · Jcited before2023-11-21 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility did not provide appropriate treatment and services for 2 (R2 and R7) of 2 resident reviewed with a diagnosis of dementia with behavioral symptoms to allow them to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. R2 was admitted to the facility with a diagnosis of dementia with behaviors. Shortly after admission, R2 started exhibiting behavior symptoms included wandering into female peers' rooms and making sexual comments, propositioning and gesturing to staff and peers. The R2 was seen by psych services to assist with behavior concerns and pharmacological interventions which were not effective. R2's care plan was not person centered and did not address R2's sexual and wandering behaviors exhibited towards others resulting in sexual abuse of 5 female peers. After the abuse, R2's care plan interventions were not reviewed and/or revised when documented interventions were not effective. R7 was admitted to the facility…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-09-02 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure residents with dementia received the appropriate treatment and services to attain their highest practical physical, mental and psychological well-being for 1 (R1) of 1 resident reviewed with dementia.*R1 has a diagnosis of dementia. R1 started displaying aggressive behaviors and being resistive to cares within the first 2 weeks of being admitted to the facility. The facility did not develop or implement a behavior care plan with resident specific interventions to help guide staff in how to care for R1. The facility did not document that R1's Medical Doctor (MD) was made aware of R1's increase in aggressive and resistive care behaviors. On 8/9/25 at 4:18 AM, an early Saturday morning, R1 continued with behaviors and Registered Nurse (RN)-D documented that R1's MD was contacted by fax to inform R1's MD of R1's behavior and to receive further orders. R1's MD did not acknowledge the fax communication on 8/9 or 8/10/25 and facility staff did not follow…

  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 · Dcited before2026-01-26 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not maintain an infection prevention and control program designed to reduce the transmission of disease and infection for 1 of 1 (R1) resident reviewed for catheter care.R1's catheter collection bag was observed during to be attached to a garbage receptacle and the bottom of the collection bag was observed resting directly on the floor.Findings include:The facility's policy titled, Infection Prevention and Control Program, dated last reviewed, 8/25, documents: BACKGROUND: The intent of this program is to ensure that the Infection Prevention and Control Program prevents, recognizes, and controls, to the extent possible, the onset and spread of infection within the skilled nursing facility. This program serves to: Provide a system for preventing, identifying, reporting and controlling infections for all residents, staff, visitors and contract staff. Provide surveillance and investigation to prevent, to the extent possible, the onset and 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-07 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility did not ensure that 1 (R1) of 1 allegations of potential abuse/neglect were reported immediately, but not later than 2 hours after the allegation is made.*On 6/23/2025, R1 received medication that was not prescribed to R1, which resulted in R1 going to the emergency room. Facility staff did not report the incident in a timely manner and did not report the potential neglect/abuse to the administrator and/or law enforcement. Findings include:The facility's policy dated 9/2024 and titled Freedom from Abuse, Neglect & Exploitation documents: Procedure: Internal Reporting: a. Employees, and contracted employees will receive orientation and education on the facility abuse policy and reporting requirements. Staff must always report any abuse or suspicion of abuse immediately to the Administrator and Director of Nursing.R1 was admitted to the facility on [DATE] with diagnoses that include Heart Failure, Renal Insufficiency, Dementia and Paroxysmal Atrial…

  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 · D2025-07-07 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 did not ensure 2 (R3 & R1) of 3 residents were free of significant medication errors.* On 6/30/25, R3 received R2's medication which consisted of Hydralazine 50 mg (milligrams) and Ropinirole 0.5 mg.* On 6/23/25, R1 received another resident's medication.Findings include:The facility's policy titled, Medication Administration Guidelines and last revised 7/2025 under Purpose documents Compliance with current professional standards of practice, Lakeland Health Care Center maintains a medication administration process to safely prepare, administer and store resident medication. Under Procedure for Safety documents 1. Resident will be identified prior to medication administration by asking the resident their name. Whether the resident can state their name or not, the residents' phone in PCC (pointclickcare) will be used to verify the correct resident. Under Medication Pass guidelines documents .5. Follow the 6 rights of medication administration: Right Resident,…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews, the facility did not ensure each resident is treated with dignity and respect that promoted maintenance or enhancement of quality of life. This occurred for 2 (R30 and R55) of 10 Residents reviewed for dignity. *On 8/29/24, Surveyor observed R30 and R55 being fed breakfast at the same time by Recreation Therapy Leader (RTL)-E who was standing during the entire meal. Further, RTL-E was referring to R30 by a nickname Bob-O that is not documented in the care plan as an approved nickname. Findings Include: The facility's policy and procedure Assisting Residents With Meals last revised 3/2024 documents: Purpose .The facility will ensure that Residents that need assistance with meals will receive assistance for the consumption of a meal. Meals are to be an enjoyable experience for Residents. A Resident's dignity and preference should be incorporated into each meal. Procedure Assisting Residents in the dining room will be done by staff who are trained in feeding Residents. 4. Feed…

  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 before2024-08-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility did ensure 1( R61) out of 18 residents were free from neglect. R61 needed extensive assistance from staff to use the toilet and to transfer on and off the toilet. When R61 would become fatigued, often in the evening, staff would use an EZ stand to transfer R61 on and off the toilet. On 12/24/24, 2nd shift staff member left R61 attached to the sling for the EZ stand, seated on the toilet at approximately 9:30 p.m The 2nd shift CNA left the facility at the end of her shift without providing cares to R61 and transferring R61 back to bed. A night shift nurse found R61,at approximately 12:45 a.m., still seated on the toilet and was visibly upset. R61 is unable to make her needs known and has a diagnosis of dementia. This is evidenced by: Policy Review: Freedom from Abuse, Neglect and Exploitation origination date : 04/2013. Last revision: 02/2024 Definitions: Neglect is defined as the indifference or disregard for resident care, comfort, or safety, result 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-29 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility did not ensure that 2 allegations of abuse involving 5 Residents (R32, R12, R62, R27, and R39) were reported immediately to the Nursing Home Administrator (NHA)-A and the State Survey Agency. *On 2/3/24, and 2/4/24, Registered Nurse (RN)-Q documented R32 was verbally abusing R12, R62, and R27 and did not report this to NHA-A. *On 6/10/24, R39 reported an allegation of mistreatment by a CNA on 6/9/24. The allegation was not reported to NHA-A until 6/17/24. The facility's policy entitled, Freedom From Abuse, Neglect and Exploitation, last revised 2/2024 documents: BACKGROUND . Residents will not be subjected to abuse by anyone, including but not limited to, facility staff, other Residents, consultants or volunteers, staff of other agencies serving the Resident, family members or legal guardians, friends or other individuals. G. Reporting and Response Components Abuse Policy Requirements: It is the policy of the facility that abuse allegations are reported…

  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 before2024-08-29 · 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 record review and interview, the facility did not implement fall prevention interventions to prevent falls and did not consult with a physician post fall 2 (R72, R32) of 9 residents reviewed for accidents. *R72 sustained an injury of unknown origin to their scalp that was not properly assessed or reported to physician until 3 days later. * R32 sustained an unwitnessed fall from the toilet due to being unsupervised in the bathroom. R32's comprehensive care plan indicates that they are not to be left alone on the toilet. Findings include: Surveyor reviewed the facility's policy and procedure entitled, Fall Prevention Program, last revised 4/2024 which documents: . Background The facility must ensure that the Resident environment remains free of accident hazards as is possible and each Resident receives adequate supervision and assistive devices to prevent falls and/or accidents. Goal The goal is to create a systems approach by which the facility identifies Residents at risk for falls, evaluates 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-29 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility did not provide adequate nutritional support to 1 (R72) of 4 residents reviewed for Nutrition. *R72 had physician's orders in place to monitor weights twice weekly. The facility did not consistently monitor R72's weight in accordance with physician orders. R72 sustained a 7.6 pound weight loss from 5/22/24-6/1/24 with no physician notification documented until 6/5/24. Findings include: 1.) R72 was admitted to the facility on [DATE] with diagnoses of cognitive communication deficit, congestive heart failure and intracerebral hemorrhage. R72's Quarterly MDS (Minimum Data Set) date of 7/31/24 indicates a BIMS (Brief Interview for Mental Status) Score of 05. This score indicates R72's mental capacity severely impacts their daily decision making and communication. On 8/27/24, Surveyor reviewed R72's medical record including physicians orders, weights from admission on [DATE] to 8/27/24 and comprehensive care plan. Surveyor noted R72's documented weight…

  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 · Dcited before2024-08-29 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not ensure the cleaning and disinfecting of R30's glucometer after each use. Facility Glucometers are being disinfected with a 70% isopropyl alcohol wipe daily rather than with a disinfectant bleach wipe in order to kill bloo- bourne pathogens. *On 8/29/24 Surveyor observed LPN (Licensed Practical Nurse)-M administer blood glucose testing for R30. RN-G did not clean and disinfect R30's Glucometer with a disinfectant wipe which kills blood borne pathogens. This deficient practice had the potential to affect 1 of 1 residents reviewed for blood glucose monitoring. Findings include: On 8/29/24, at 8:50 AM, Surveyor observed the medication administration task on the facility's 200 unit. Surveyor observed R30 in their bedroom. R30 had completed approximately 50 % of their breakfast at this time. Surveyor observed LPN-M approach R30 and proceed to check R30's blood glucose level. Surveyor noted LPN-M donning gloves, taking glucometer from plastic bag then conducting blood sampling of R30's blood for glucose testing. LPN-M completed R30'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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2023-11-21 · 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 implement policies and procedures for ensuring all alleged violations involving resident-to-resident abuse, were reported immediately, (but not later than 2 hours if the allegation involves abuse or result in serious bodily injury or not later than 24 hours if the events do not involve abuse and do not result in serious bodily injury) to the Administrator and to the State Agency for 6 of 6 allegations of abuse involving 5 residents, R7, R8, R4, R2, and R1. In addition, the facility did not report the results of all investigations, within 5 working days of the incident to the state agency. * On 7/28/23, 8/21/23, 9/10/23, 9/21/23, R7 was documented to have been involved in a resident-to-resident physical altercation that was not reported to the state agency. On 9/23/23, R7 was documented to have been involved in a resident-to-resident sexual abuse allegation with R4 that was not reported to the State Agency. * On 10/20/23, R2 was documented to have been…

  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

“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

$84,168 in federal fines across 1 penalty.

• $84,168 — penalty dated 2023-11-21

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.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 3 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.

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 WI