No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Eastcastle Pl Bradford Ter Conv Ctr

2505 E Bradford Ave, Milwaukee, WI 53211 · Non profit - Corporation · 40 certified beds · (414) 963-6151 Medicare & Medicaid certified

Call the home — (414) 963-6151 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0609) — most recent Feb 20261 actual-harm citation$90,278 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • 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 (F0605, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $90,278 in federal fines (most recent 2024-02-20)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score

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.

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

Worth a closer look. This home's staffing and quality-measure ratings run 2 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
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2323 N Lake Dr · (414) 298-6735 · Call to confirm hours
Pharmacy
2607 N Downer Ave · (414) 906-0942 · Call to confirm hours
Grocery
2643 N Downer Ave · (414) 962-1600 · Call to confirm hours
Park
Wahl Ave0.2 mi
Typically dawn to dusk
Place of worship
2618 N Hackett Ave · (414) 962-0500

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
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 increased5.5%16.1%15.4%better
Long-stay residents who lose too much weight1.6%5.1%5.4%better
Long-stay residents with a catheter left in their bladder3.2%2.1%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection2.6%2.7%2.0%worse
Long-stay residents with depressive symptoms3.0%5.7%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury0.0%3.3%3.3%check this — see note marked star below the table
Long-stay residents on antianxiety or hypnotic medication28.6%16.9%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%95.0%95.3%typical
Long-stay residents with pressure ulcers12.6%5.0%4.7%worse
Long-stay residents with worsening bladder/bowel control35.9%24.6%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table9.4%15.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.4%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine100.0%82.2%79.4%better
Short-stay residents rehospitalized after admission19.8%23.1%22.6%better
Short-stay residents with an outpatient ER visit22.1%15.5%12.0%worse

* 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.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

58.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 136 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

58.0%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
55.2%U.S. median 56.6%
Met the expected recovery
0.67U.S. median 0.31
Therapy hours / resident / day
0.27hours / resident / day
Physical therapy
0.27hours / resident / day
Occupational therapy
0.12hours / resident / day
Speech therapy

Met the expected recovery: 55.2% 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 87 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 0.67 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 SNF58.0%CMS range 52.4–64.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 7.1–14.410.7%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 discharge55.2%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 discharge50.6%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 discharge39.1%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 identified100.0%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 discharge100.0%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 stay1.0%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 worsened0.0%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 hospitalization6.1%CMS range 3.5–11.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.731.02Oct 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

1.12
RN hours/ resident / day
0.87
LPN hours/ resident / day
3.15
Aide hours/ resident / day
5.13
Total nurse hours/ resident / day
0.43
RN hoursweekends
53.2%
Total nursing turnover
25.0%
RN turnover

How full it usually is: this home is certified for 40 beds and averages 42.0 residents a day — about 105% occupied, or roughly -2 beds typically open. It runs essentially full — expect a waiting list. 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 5.13 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.12 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.15 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 4.48 hrs/resident/day on weekends vs 5.40 on weekdays — 17% thinner on weekends. RN hours go from 1.39 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% 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

13
deficiencies at the latest standard inspection (2026-02-18)
2
at the previous standard inspection (2024-11-27)

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.

16 citations, most serious first. The 11 most serious are shown; the remaining 5 are one tap away and print in full.

  • Actual harm · G2026-02-18 · 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 observation, interview, and record review the facility did not ensure residents with pressure injuries received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent pressure injuries from developing for 1 (R38) of 4 residents reviewed with pressure injuries.R38 was admitted to the facility on [DATE] and was at risk for the development of pressure injuries. R38's admission assessment does not indicate R38 has pressure injuries. Hospital discharge paperwork dated 12/5/25 does not indicate R38 had pressure injuries or had treatment orders for pressure injuries. On 12/7/25 a registered nurse documents a list of skin concerns including scabbed areas on R38's bilateral heels. These areas are not comprehensively assessed. No treatment orders are obtained from a physician and the risks and care concerns of these areas are not addressed in R38's baseline plan of care. On 12/8/25 the facility Wound Licensed Practical Nurse…

    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 · E2026-02-18 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review, the facility did not ensure food was served in accordance with professional standards for food service safety.* The 5th floor kitchen server for lunch was observed. The Cook-E used gloves for multiple tasks, including handling ready-to-eat foods. The food thermometer had a tethered string that was not maintained to prevent food contamination. This had the potential to affect all 20 residents on the 5th floor.Findings include:The facility policy and procedure Hospitality Department-Attendance, Conduct, and Safety Policy dated 9/12/2025 documents: The purpose of this policy is to give a hospitality employees clear direction regarding attendance, time-off requests, food handling, glove usage guidelines, kitchen safety, and grooming standards. Adherence to these guidelines protects employees, residents, and the reputation of [facility name].Procedures and Guidelines:5. Glove Usage documents under Changing Gloves:Gloves must be changed when switching tasks or workstations, after touching non-food surfaces (equipment handles, doors, trash…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility did not ensure 1 (R2) of 1 resident received the necessary assessment to self-administer medications. On 2/16/26 at 9:44 a.m. Surveyor interviewed R2. Surveyor observed an Advair inhaler on the table beside the bed. Surveyor asked R2 if she uses the inhaler independently. R2 stated she does and has been using that inhaler for many years. Surveyor asked R2 if the nurses leave the inhaler in R2 possession and R2 stated yes. Surveyor reviewed R2 assessments, and a self-administration of medications assessment was not completed.Findings include:The facility's self-administration of medications policy dated December 2016 documents1. As part of their overall evaluation, the staff and practitioner will assess each resident's mental and physical abilities to determine whether self-administering medications is clinically appropriate for the resident.2. In addition to general evaluation of decision-making capacity, the staff and practitioner will perform 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 ensure a resident with psychotropic medications was comprehensively assessed for their use. This was observed with 1 (R38) of 5 resident medication reviews.* R38 was admitted [DATE] with Duloxetine (antidepressant), Bupropion (antidepressant) and Trazadone (antidepressant). The diagnosis for Duloxetine is for depression, Bupropion for dysthymia and Trazadone for insomnia. The medical record does not have documentation of a comprehensive assessment for the use of these medications. Findings include:The facility's policy and procedure Psychotropic Medication Use dated July 2022. Policy Interpretation and Implementation:1. A psychotropic medication is any medication that affects brain activity associated with mental processes and behavior.2. Drugs in the following categories are considered psychotropic medications and are subject to prescribing, monitoring, and review requirements specific to psychotropic medications: b. Anti-depressants .3. Residents,…

    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 · D2026-02-18 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    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 document additional assessments for the Care Area Assessment (CAA) triggered by the Minimum Data Set (MDS) assessment information. This would include a summary of the information to complete a comprehensive assessment. This was observed with 3 (R38, R23, and R62) of 12 resident reviews. * R38 had an admission MDS assessment completed on 12/12/25. The MDS triggered CAAs for Falls, Pressure Injury, Psychotropic Drug Use, Psychosocial Well-Being and Behavioral Symptoms. The CAAs did not have an additional assessment summary analyzing the MDS data and need for an individualized care plan. * R23 had a Significant Change in Status (SCS) MDS assessment completed on 11/19/25. The MDS triggered a CAA for Falls. The CAA did not have an additional assessment summary analyzing the MDS data and need for an individualized care plan. * R62 had an admission MDS assessment completed on 11/16/25. The MDS triggered a CAA for Falls. The CAA did not have an additional…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility did not ensure 1 (R52) of 12 residents reviewed received a completed Minimum Data Set (MDS). R52 was discharged to the hospital on 9/10/25 due to a change in condition. A discharge MDS was not completed.Findings include:R52 was admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy, pneumonia and hypertension. On 9/10/25 R52 was discharged to the hospital due to a change in condition. The MDS information reveals a discharge MDS was not completed on 9/10/25. The medical record reveals the MDS is late.On 2/17/26 at 12:52 p.m., Surveyor interviewed MDS Coordinator-Q. Surveyor explained R52 was discharged to the hospital on 9/10/25 and a discharged MDS was not completed. MDS Coordinator-Q stated she was hired in October to be the MDS Coordinator but hasn't done much with MDSs because she's been training. Surveyor asked MDS Coordinator-Q if she knew why the discharge MDS wasn't completed. MDS Coordinator-Q stated she would investigate it.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 · D2026-02-18 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 ensure 1 (R2) of 12 residents reviewed received an accurate comprehensive Minimum Data Set (MDS) assessment. R2 was admitted on [DATE] and the admission MDS dated [DATE] assess R2 with the need for tracheostomy care. Surveyor notes R2 does not have a tracheostomy.Findings include:R2 was admitted to the facility on [DATE] with diagnoses of right lower leg fracture, asthma, hypertension and atrial fibrillation. The admission MDS dated [DATE] documents R2 has moderate cognitive impairment and is independent with eating. Section O0110 Special Treatments Procedures and Programs documents while a resident R2 was receiving tracheostomy care. On 2/16/26 at 9:44 a.m. Surveyor interviewed R2. Surveyor observed R2 did not have a tracheostomy.On 2/17/26 at 12:52 p.m. Surveyor interviewed MDS Coordinator-Q. Surveyor explained the concern the admission MDS dated [DATE] documents R2 is receiving tracheostomy care. MDS Coordinator-Q stated the facility does…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 a baseline care plan was developed and implemented within 48 hours of a resident's admission for 1 (R38) of 12 sampled residents reviewed for baseline care plans.*R38's baseline care plan was not thoroughly completed as every section of R38's baseline care plan was not completed. Findings Include:The facility did not provide a baseline care plan policy and procedure for review.R38 was admitted to the facility on [DATE] with diagnoses of Fracture of One Rib, Right Side, Vascular Dementia (brain damage caused by multiple strokes), Atherosclerotic Heart Disease of the Native Coronary Artery (plaque buildup narrows the arteries that supply blood to the heart), Essential Hypertension (chronic condition of persistently high blood pressure), Insomnia (sleep disorder characterized by difficulty falling asleep), Anxiety Disorder (mental health disorder characterized by feelings of worry, fear that interfere with daily activities), and Depression (mood…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not complete neurological (neuro) checks in accordance with policy and procedure for 1 (R38) of 4 residents reviewed for unwitnessed falls.*R38 did not receive neurological checks in accordance with facility's policy and procedure for 1 of 3 unwitnessed falls.Findings Include:The facility's Falls policy and procedure revised 12/25 documents:2. In addition, the nurse shall assess and document/report the following:e. Neurological statusThe facility's process for completing neurological assessment is the following:-Time of incident-30 min post incident check-60 min post incident check-Following shifts for 72 hoursR38 was admitted to the facility on [DATE] with diagnoses of Fracture of One Rib, Right Side, Vascular Dementia(brain damage caused by multiple strokes), Atherosclerotic Heart Disease of the Native Coronary Artery(plaque buildup narrows the arteries that supply blood to the heart), Essential Hypertension(chronic condition of persistently high blood…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility did not ensure a resident (R23) with hearing and vision impairment received proper treatment and assistive devices to maintain vision and hearing abilities.*Surveyor observed R23 to not be wearing R23's bilateral hearing aids and glasses during the survey process.Findings Include:The facility's Hearing Impaired Resident, Care of policy and procedure revised 2/18 documents:Policy Statement:Staff will assist hearing impaired residents to main effective communication with clinicians, caregivers, other residents and visitors.Policy Interpretation and Implementation:3. Staff will assist residents with care and maintenance of hearing devices.4. Staff will help residents who have lost or damaged hearing devices in obtaining services to replace the devices.j. Evaluate resident's adaptive needs and progress at regular intervals.R23 was admitted to the facility on [DATE] with diagnoses of Paroxysmal Atrial Fibrillation (irregular heartbeats occur…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not ensure 3 (R23, R38 and R62) of 4 sampled residents received adequate supervision and assistance devices to prevent and be free of accidents. * On 2/2/26 R23 was evaluated by physical therapy, after the facility risk management team determined R23 was doing better, to assess changing R23's transfer status from the use of a mechanical lift to being transferred with a sit to stand or through a stand-pivot transfer. Following the evaluation R23 was upgraded to transfer with the assist of two staff using a sit to stand. R23's power of attorney for healthcare was not consulted with or notified of this change in care for R23. On 2/14/26 two Certified Nursing Assistants (CNAs) proceeded with transferring R23 using a sit to stand despite R23 showing resistance to sitting upright to position the sling and releasing staffs hand to hold onto the bar. The CNAs (U and V) proceeded with raising R23 up using the lift and discovered a cord was in the way of…

    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 5 citations
  • Potential for harm · D2026-02-18 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review the facility did not ensure 1 (R6) of 3 residents observed during medication pass received medications without errors or that the medication error rate was not 5 percent or greater. The medication error rate was 33.33%.*On 2/17/26 at 9:00 a.m., Surveyor observed R6 receive his medications through his G (gastrointestinal) tube. Surveyor observed RN (Registered Nurse)- F dispense R6's morning medications into individual medication cups and then crush them individually. RN-F instilled all the medications at the same time without water flushes in between each medication. Findings include:The facility's Administering Medications through an Enteral Tube policy dated March 2015 documents: 3. Do not mix medications together prior to administering through an enteral tube. Administer each medication separately. 23. Dilute the crushed or split medications with 15-30 milliliter (ml) sterile or purified water (or prescribed amount).26. If administering more than one medication, flush with 15 ml (or prescribed amount) warm sterile or purified…

    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 · D2025-07-15 · 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 1 (R1) of 1 facility reported incidents reviewed for an allegation of misappropriation, was reported to the local law enforcement agency.*On 6/26/25, facility staff was made aware of R1's missing narcotic pain medication. The facility did not report the incident to local law enforcement.Findings include: The facility policy with a revision date of November 2022, titled Controlled Substances documents, in part: . Nursing staff count controlled medication inventory at the end of each shift, using these records to reconcile the inventory count. The nurse coming on duty and the nurse going off duty make the count together and document and report any discrepancies to the director of nursing services. The director of nursing services documents irreconcilable discrepancies in a report to the administrator. If a major discrepancy or a pattern of discrepancies occurs, or if there is apparent criminal activity, the director of nursing notifies 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-27 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each 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 and interview the facility did not ensure the call light was within reach for 1 (R290) of 12 residents reviewed. *R290 was observed in R290's room without a call light within reach. Findings include: R290 was admitted to the facility on [DATE]. R290's BIMS score is 13 as documented in a progress note, on 11/13/2024 at 01:55 PM. R290's care plan documents in part, R290 has Activities of Daily Living (ADL) self-care performance deficit, related to activity intolerance, and anemia. R290 is completely dependent on staff assistance for bathing, dressing, toileting; and requires an assist of 2 staff, using a Hoyer lift for transfers. R290's care plan indicates R290 is at risk for falls, with an intervention documenting, Be sure the resident's call light is within reach and encourage the resident to use it for assistance as needed. The resident needs prompt response to all requests for assistance. Surveyor notes R290's care plan does not indicate R290 prefers to call for assistance using 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 · D2024-11-27 · 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 ensure staff followed infection control procedures for 3 (R13, R22 and R290) of 12 residents sampled. * Wound care preformed for R13- staff did not follow standard of practice for hand hygiene in between glove changes and did not sanitize scissors for wound treatment. *R290 noted to be on Enhanced Barrier Precautions (EBP), staff member observed not following standards of practice while providing high contact, incontinence care. *Incontinence cares observed for R22, staff member observed not changing soiled gloves and did not perform hand hygiene prior to applying lotion to R22. Findings include: The Facility's policy, titled Handwashing/Hand Hygiene, with a last revision date of October 2023, documents in part, Administrative Practices to Promote Hand Hygiene . 2. All personnel are expected to adhere to hand hygiene policies and practices to help prevent the spread of infections to other personnel, residents, and visitors. Indications for…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2026-02-18 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and interviews, the facility did not ensure the required nurse staff posting information was posted. The facility did not document the total amount of hours for Certified Nursing Assistants (CNAs). This had the potential to affect all 39 residents in the facility.Findings include:The policy Titled Staffing Hours Posting Procedure, created 1/2020 documented:ResponsibilityThe nursing Scheduler creates/posts weekday BIPA sheets.Designee acts if scheduler is absent.Required informationNursing staff hours based on position for all 3 shifts.Compliance MonitoringNurse Manager/DON (director of nursing) and/or verifies presence and accuracy.Surveyor reviewed January 2026 and February 2026 nurse staff schedules along with the nurse staff posting information. The nurse staff posting did not document the total number of hours for CNAs.On 2/17/2026, at 2:05 PM, Surveyor spoke with Staffing Specialist (SS)-C who has been in the role for over a year. SS-C admitted they are responsible for filling out the staff posting information. SS-C was not aware that 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
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

$90,278 in federal fines across 14 penalties.

  • $4,938 — penalty dated 2024-02-20
  • $4,938 — penalty dated 2024-02-12
  • $14,814 — penalty dated 2024-01-22
  • $4,938 — penalty dated 2024-01-08
  • $4,587 — penalty dated 2024-01-02
  • $13,762 — penalty dated 2023-12-11
  • $4,587 — penalty dated 2023-11-20
  • $4,587 — penalty dated 2023-11-13
  • $4,587 — penalty dated 2023-11-06
  • $4,587 — penalty dated 2023-10-30
  • $4,545 — penalty dated 2023-10-23
  • $4,587 — penalty dated 2023-10-17
  • $4,235 — penalty dated 2023-10-10
  • $10,586 — penalty dated 2023-09-18

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIFE CARE SERVICES — 43 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 5 of 54.1+0.9 vs chain
Health inspection 3 of 53.7-0.7 vs chain
Staffing 5 of 54.4+0.6 vs chain
Quality measures 5 of 54.0+1.0 vs chain
The other 42 homes this chain runs (chain average 4.1★, per CMS)
1 of 5Burcham Hills Retirement CenterEast Lansing, MI 1 of 5Cottage Grove PlaceCedar Rapids, IA 2 of 5Casa De Las CampanasSan Diego, CA 2 of 5Linn Manor Care CenterMarion, IA 2 of 5Oakton Place Health And Rehabilitation At The ArliNaples, FL 2 of 5Pavilion At Brandon WildeEvans, GA 2 of 5Signature PointeDallas, TX 2 of 5The Stewart Health CenterCharlotte, NC 3 of 5Carillon INCLubbock, TX 3 of 5Friendship Village Of TempeTempe, AZ 3 of 5Westminster Village - West LafayetteWest Lafayette, IN 4 of 5Croasdaile VillageDurham, NC 4 of 5Dallas Retirement Village Health CenterDallas, OR 4 of 5Health Care Ctr At The Forum At Rancho San AntonioCupertino, CA 4 of 5Oaks Health Ctr At The Marshes Of Skidaway IslandSavannah, GA 4 of 5Parkwood VillageBedford, TX 4 of 5The Cedars of Chapel HillChapel Hill, NC 4 of 5Wesley Pines Retirement CommunityLumberton, NC 4 of 5Whitestone a Masonic and Eastern Star CommunityGreensboro, NC 5 of 5Acacia Health CenterPhoenix, AZ 5 of 5Avalon Health Care Center At StoneridgeMystic, CT 5 of 5Briarwood At Timber RidgeIssaquah, WA 5 of 5Chestnut Grn Hlth Ctr BlakehurTowson, MD 5 of 5Cypress Glen Retirement CommunityGreenville, NC 5 of 5Essex Meadows Health CenterEssex, CT 5 of 5Friendship VillageKalamazoo, MI 5 of 5Green Hills Health Care CenterAmes, IA 5 of 5Greenwood Village SouthGreenwood, IN 5 of 5Hearthwood SNF Senior LivingBartlett, IL 5 of 5MarquetteIndianapolis, IN 5 of 5Premier Place At The GlenviewNaples, FL 5 of 5Radford GreenLincolnshire, IL 5 of 5Residences At Vantage PointColumbia, MD 5 of 5Rolling Green VillageGreenville, SC 5 of 5Somerfield At The HeritageBrentwood, TN 5 of 5Springs At Monarch Landing, TheNaperville, IL 5 of 5Terraces At The ClareChicago, IL 5 of 5The Arbour At Westminster ManorAustin, TX 5 of 5The Birches At Trillium WoodsPlymouth, MN 5 of 5The Preston Health CenterHilton Head Island, SC

Showing 40 of 42; 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
BREMER BANK NATIONAL ASSOCIATIONOrganization5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTsince 05/05/2022
OLD NATIONAL BANKOrganization5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTERESTsince 05/01/2022
HARRIS, BROOKEIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/16/2025
RAMANUJAM, SANDEEPIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2022
BECKER, LAURIEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/28/2024
BEER, ALEXANDERIndividualCORPORATE DIRECTORsince 01/28/2025
BISSONNETTE, JULIEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2025
LANGE, GEORGEIndividualCORPORATE DIRECTORsince 03/24/2015
MAREK, GEORGEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/22/2021
NORMINGTON, HAVILAHIndividualCORPORATE DIRECTORsince 06/26/2018
O'DONNELL, NANCYIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 10/25/2016
REILLY, DENNISIndividualCORPORATE DIRECTORsince 10/22/2024
RODGERS, KARENIndividualCORPORATE DIRECTORsince 10/22/2024
TICE, BARBARAIndividualCORPORATE DIRECTORsince 04/01/2013
TILLMAR, KATHERINEIndividualCORPORATE DIRECTORsince 10/25/2022
WILLIAMSON, JOANNEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 06/28/2023
JEGLUM, BONNIEIndividualCORPORATE OFFICERsince 01/01/2023
LIFE CARE SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/17/2025
SITZBERGER, BRADLEYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/13/2006

CMS files one row per role, so the 31 rows in the source record cover these 19 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.

$8.2M
Net patient revenuemost recent cost report
-113.9%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 5%Medicare 7%Other / private 89%

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

$732per resident / day
operating cost
$22,242per month
≈ monthly operating cost
$342per 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 WI

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 Wisconsin Medicaid page.

Typical monthly cost in Wisconsin
$10,646/mo
Nursing home (semi-private)
$12,319/mo
Nursing home (private)
$6,540/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 525085. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-18, 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.

What to do next