Jewish Home and Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

60.5% 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 118 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.0% 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 50 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 0.34 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 102 beds and averages 79.8 residents a day — about 78% occupied, or roughly 22 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.77 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 4.40 hrs/resident/day on weekends vs 5.26 on weekdays — 16% thinner on weekends. RN hours go from 1.01 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

Deficiencies are 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.

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.

33 citations, most serious first. The 17 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · L2026-04-06 · tag F0578 — failed to honor advance directives / code status — widespread
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on interview and record review, the facility did not ensure residents' advanced directives were implemented. This was observed with 2 (R102 and R24) of 2 residents reviewed for advanced directives. The failure to implement advanced directives has the potential to affect all 82 residents in the facility. * R102 elected a DNR (Do Not Resuscitate) status, and the paperwork was not processed as required. The facility did not honor R102's request and R102 received CPR on [DATE]. * R24 completed paperwork to request a Do Not Resituate (DNR) status and the facility did not honor this request and performed Cardiopulmonary Resuscitation (CPR). The facility's failure to honor residents' advance directives requesting no CPR created a finding of Immediate Jeopardy that began on [DATE]. Nursing Home Administrator (NHA)-A and Director of Nursing (DON)-B were notified of the Immediate Jeopardy on [DATE] at 10:40 AM. The immediate jeopardy was not removed at the time of exit on [DATE]. Findings include:The facility's…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2026-04-06 · 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 observation. interview, and record review the facility did not provide care consistent with standards of practice by failing to ensure changes in medical conditions were immediately addressed. This was observed with 2 (R24 and R17) of 18 resident record reviews. *R24 received fish for lunch and has a documented allergy to fish. After consuming some of fish R24 experienced a low heart rate and became unconscious. Staff failed to administer anaphylaxis interventions immediately. Staff texted R24's Medical Doctor (MD)-X with the observed change in condition and did not call for consultation. R24 passed away due to allergic reaction to the fish. The facility's failure to identify an allergic reaction to fish and to administer anaphylaxis interventions immediately created a finding of Immediate Jeopardy that began on 3/15/26. Nursing Home Administer (NHA)-A and Director of Nurses (DON)-B were notified of the Immediate Jeopardy on 3/26/26 at 10:40 AM. The Immediate Jeopardy was not removed at the time of exit…

  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
• Immediate jeopardy · J2026-04-06 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  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's food allergy, once identified, was thoroughly assessed to determine how best to manage the resident's allergy and to ensure the resident did not receive food to which the resident was allergic. This was observed with 1(R24) of 1 resident experiencing a food allergy response.*R24 had a documented allergy to fish. R24 was served fish for lunch on 3/15/26 and experienced an anaphylactic response that was not identified and treated as anaphylaxis and R24 passed away at the facility.This created a finding of Immediate Jeopardy that began on 3/15/26. Nursing Home Administer (NHA)-A and Director of Nurses (DON) -B were notified of the Immediate Jeopardy on 3/26/26 at 10:40 AM. The Immediate Jeopardy was not removed at the time of exit on 4/6/26.Findings include:R24 was admitted to the facility on [DATE] with diagnoses of lung cancer and breast cancer. On 1/23/26 R24's Brief Interview of Mental Status (BIMS) assessment documented a score 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2026-04-06 · 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 that residents at risk for pressure injuries received necessary treatment and services consistent with professional standards of practice to promote healing and prevent new pressure injuries from developing or worsening for 1 (R98) of 5 residents reviewed for pressure injuries.*R98 was assessed on admission to be at risk for the development of pressure injuries. R98 developed an avoidable, unstageable pressure injury to the coccyx. R98's admission wound assessment completed on 3/5/26 documented a Stage 1 wound to R98's coccyx. R98's baseline care plan documented a barrier cream intervention with no further instructions for use and no other interventions in place to prevent pressure injury decline. Wound MD-BB was not made aware of the stage 1 wound to R98's coccyx on admission. On 3/17/26, R98's coccyx was assessed, and facility staff noted a worsening pressure injury. Facility staff did not complete a thorough wound assessment with…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-08-22 · 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 1 of 3 sampled residents (R2) was free from significant medication errors. * R2 received a medication, Morphine, on 05/26/2024, which is not on R2's Medication Administration Record (MAR) and is not prescribed to R2. After administration, this medication required close monitoring of R2's physiological status. *R2 had orders for Clonazepam, oral tablet, 0.5mg to be given two times per day (AM and PM) for Anxiety. On 05/21/2024, R2 received 1 mg of Clonazepam during the PM medication pass instead of 0.5mg as prescribed. Findings include: The facility policy titled, Medication Administration with a last revision date of 05/10/2023, documents, in part: Policy: medications will be administered to residents as prescribed by persons lawfully authorized to do so in a manner consistent with the infection prevention and standards of practice. Personnel authorized to administer medications do so only after they familiarized themselves with the medication.…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-26 · 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 each resident receives adequate supervision and assistance devices to prevent accidents and evaluate and analyze the risks and eliminate them for 1 of 4 (R61) residents reviewed for accidents. * R61 sustained 2 falls in which the facility identified toileting or need for toileting as the root cause. A thorough investigation of the falls was not completed as to when R61 was last seen or toileted and there was no evidence the facility completed a B&B (bowel and bladder) assessment to determine R61's toileting needs, or possible pattern of toileting needs. R61 sustained a 3rd fall resulting in rib fractures and a head injury requiring staples. Findings include: The facility policy titled Continence Management dated 2/24/20 documents (in part) . .B. Bladder management 1. Complete an initial interdisciplinary bladder assessment upon admission and with each comprehensive MDS (Minimum Data Set) assessment thereafter. a) interview 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
• Actual harm · Gcited before2023-10-26 · 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, interview, and record review, the facility failed to ensure 1 (R55) of 4 residents reviewed for nutrition and hydration had their nutritional care needs recognized, evaluated, and addressed to provide adequate parameters of nutritional status. * R55 was admitted to the facility on [DATE] weighing 122.5 lbs. R55 was put on weekly weights on 8/6/23 and weighed 118.0 lbs. on 8/14/23. The week of 8/20/23, R55's weight was not taken. Next weight taken was on 8/28/23 and was 111.0 lbs. noting a 11.5 lbs. or 9.4% loss in 3 months. Assistant Dietician (AD)-R assessed resident on 8/30/23 and used the previous weight of 118.0 lbs. and did not note the significant weight loss. The week of 9/5/23, R55's weight was not taken. Next weight taken was on 9/11/23 and was 105.0 lbs. noting a 16.5 lbs. or 13.5% loss in 3.5 months. R55 had been refusing food and fluids and no interventions were put in place or reassessments were completed by AD-R or Registered Dietician (RD)-Q. When R55 was reweighed on 9/11/23…

  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 · Fcited before2026-04-06 · tag F0880 — failed to prevent and control infections — widespread
  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 interview and record review the facility did not implement an effective Infection Control program to prevent the spread of infection. This includes infection surveillance, tracking and outbreak investigation. This has the potential to affect all 82 residents in the facility.*The Infection Preventionist (IP) did have documentation of infection surveillance logs with tracking for the last 3 months.* The IP did not have documentation of a covid outbreak to determine etiology and implementation of preventative measures.CROSS REFERENCE F883 and F887Findings include:1.) On 3/25/2026, at 11:03 AM, Surveyor requested infection control documents from Assistant Director of Nurses (ADON) -C, the facility designated Infection Preventionist, IP-DD is currently out of the facility. IP-DD started in this role in January 2026. On 3/26/2026, at 11:31 AM, ADON-C provided Surveyor with the surveillance and tracking of infections from the last 3 months. Surveyor noted the January 2026 surveillance log is not filled out for the surveillance of infections. There is a line list for a covid…

  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 before2026-04-06 · 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 prepared and served in accordance with professional standards for food service safety potentially affecting the residents on the third floor and 7 residents who are on a pureed diet. Cook-L served residents on the third floor and was observed to touch with gloved hands food as it was being plated after touching other unclean surfaces. The food served from the steam table was not temped prior to serving to ensure the food was held at an appropriate temperature. Cook-L pureed the lunch meal without following the guidelines for the correct consistency of having a smooth texture; the pureed taco meat was the consistency of thin, watery gravy and the pureed mixed vegetables were thick and clumpy. Findings include: The facility policy and procedure titled Puree (PU4) from the MealSuite Diet Manual p. 48, undated, documents: Definition/Indication: The standards for the International Dysphagia Diet Standardization Initiative (IDDSI) Level 4 Puree (PU4) are used for this texture. The puree texture is…

  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 · E2026-04-06 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 ensure residents were offered the pneumococcal and influenza vaccines, along with the risks and benefits of the vaccines, upon admission. This was observed with 5 (R17, R5, R35, R7 and R6) of 5 residents immunization review.*R17 was admitted to the facility on [DATE] and is [AGE] year. R17 received PPSV (pneumococcal polysaccharide vaccine) 23 in 2017. R17 had no documentation upon admission for PCV (pneumococcal conjugate vaccine) 15, PCV 20 or PCV21. * R5 was admitted to the facility on [DATE] and is [AGE] year. R5 received PPSV 23 in 2019. R5 had no documentation upon admission for PCV 15, PCV 20 or PCV21. * R35 was admitted on [DATE] and is [AGE] year. There is no documentation, of any pneumococcal and influenza vaccines, in their medical record.* R7 was admitted on [DATE] and is [AGE] year. There is no documentation of their pneumococcal vaccine upon admission. They were offered PPSV 23 a year after admission, and it was administered a month later,…

  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 · D2026-04-06 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility did not ensure the environment was homelike and did not impose a safety risk for 1 (R94) of 24 residents reviewed for the environmental concerns. R94's room had a large opening in the wall from a panel being removed exposing the internal aspect of the wall. Findings include: On 3/23/2026 at 11:10 AM, Surveyor observed R94's room during the screening process of the survey. Surveyor observed a panel that covered the interior workings in the wall to be leaning against the wall and not covering the opening. A filter could be seen as well as other electric components. The panel measured approximately three feet by one-and-a-half feet. On 3/25/2026 at 7:37 AM, Surveyor observed the panel in R94's room to continue to lean against the wall and not cover the opening. In an interview on 3/25/2026 at 8:23 AM, Surveyor asked Director of Plant Operations (DPO)-F how maintenance is notified of equipment needing repairs or any rooms that need to have a repair completed. DPO-F stated the front desk would notify maintenance by radio if…

  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 · D2026-04-06 · 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 observation, interview, and record review, the facility did not ensure PRN (as needed) orders for psychotropic medications had a documented rationale for extending the use beyond 14 days and indicate the duration of the PRN order for 1 (R17) of 5 residents reviewed for unnecessary medications. R17 had an order for clonazepam, an antianxiety medication, 0.25 mg every 12 hours as needed for anxiety initiated on 12/16/2025 with no stop date. The clonazepam was discontinued on 3/1/2026 and reordered on 3/2/2026 with no stop date. Findings include: The facility policy and procedure titled Use of Psychotropic Medication dated 7/12/2023 documents: . 9. PRN orders for all psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that is documented in the clinical record, and for a limited duration (i.e. 14 days). a. If the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days, he or she…

  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 · D2026-04-06 · 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 2 (R107 and R82) of 6 residents reviewed for allegations of abuse was had the allegation reported to the State Agency and local law enforcement within the required timeframe. *On 1/24/26, at 7:55 PM, R107 alleged Certified Nursing Assistant (CNA)-CC pushed R107 down and R107 hit their head on the wall. The facility reported the abuse allegation for R107 to the State Agency on 1/25/26, at 10:56 AM. The facility did not submit the initial allegation of abuse to the State Agency within 2 hours as required. *On 1/29/26, the facility became aware that R82 was found with a right femur fracture after she was admitted to the hospital for complaints of right leg pain. R82 was unable to state how the injury occurred. The facility began an investigation into R82's injury of unknown origin on 1/29/26 by interviewing staff and R82's peers if they had any knowledge of how R82 fractured her right femur. Findings include: The facility's policy titled Freedom 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-06 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility did not ensure 1 (R107) of 1 residents reviewed for discharge had the discharge summary documented in the resident's medical record. R107 was discharged from the facility on 1/25/26, and the facility did not have a discharge summary for R107's facility stay. Findings include: The facility's policy titled Transfer and Discharge Policy, dated 7/2017, last revised on 7/22/24 documents the following:Anticipated Transfers or Discharges - resident-initiated discharges:A member of the interdisciplinary team completes relevant sections of the discharge summary. The nurse caring for the resident at the time of discharge is responsible for ensuring a discharge summary is complete and includes, but not limited to, the following:A recap of the resident's stay that includes diagnoses, course of illness/treatment or therapy, and pertinent lab, radiology in consultation results.A final summary of the resident's status. On 3/25/26, Surveyor reviewed R107's Electronic Medical Record (EMR) which documents R107 discharged from the facility on 1/25/26.…

  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 · D2026-04-06 · 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 interview and record review, the facility did not ensure the Minimum Data Set (MDS) assessment was accurate for 3 (R17, R7, and R13) of 18 sampled residents. *R17's Quarterly MDS assessment dated [DATE] did not document the need for dialysis or antiplatelet; anticoagulant was documented when R17 did not receive an anticoagulant. *R7's Annual MDS assessment dated [DATE] did not document R7 was a current tobacco user; R7 regularly smoked. *R13's Quarterly MDS assessment dated [DATE] documented R13 used a restraint in a chair less than daily, a motion sensor alarm less than daily, and a wander/elopement alarm less than daily; R13 did not use any restraints. Findings include: 1.) R17 was admitted to the facility on [DATE] with diagnoses of end stage renal disease requiring dialysis, congestive heart failure, diabetes, and atrial fibrillation. R17 attended dialysis three times a week for end stage renal disease. R17 was taking the medication Plavix, an antiplatelet. R17's Quarterly Minimum Data Set (MDS)…

  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 · D2026-04-06 · 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 3 (R10, R98, and R35) of 4 residents. *R10's baseline care plan for post-traumatic stress disorder was not completed within the required 48-hour timeframe. *R98's baseline care plan for risk for pressure injury/skin integrity was not thoroughly completed within the required 48-hour time frame. *R35's baseline care plan for anticoagulant, antidepressant, diuretic, and antipsychotic was not completed within the required 48 hours timeframe. Findings include: On 3/25/26, Assistant Director of Nursing (ADON)-C informed Surveyor the facility does not have a policy regarding baseline care plans. 1.) R10 was admitted to the facility on [DATE] with diagnosis that included post-traumatic stress disorder (PTSD). R10's admission Minimum Data Set (MDS) assessment dated [DATE], documents R10 has a moderate cognitive impairment. R10 has PTSD. R10's Hospital Discharge…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-06 · 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 staff interviews, the facility did not ensure the residents' environment was free of accident hazards and residents received adequate supervision and assistance devices to prevent accidents for 2 (R7 and R106) of 4 residents reviewed for accidents. R7 was observed to be smoking outside the facility and was not comprehensively assessed whether she was safe to be smoking unsupervised and if she could hold onto her own smoking materials. The facility did not develop a care plan addressing R7's wishes to smoke, including interventions for her to do so safely. R106 was assisted to the floor during a transfer with one Certified Nursing Assistant (CNA) from the shower chair to the wheelchair. R106's Activities of Daily Living Care Plan and R106's High Risk for Falls Care Plan had the intervention of R106 having assistance of two people when transferring from the wheelchair to the shower chair. The CNA did not follow R106's Care Plan resulting in a witnessed fall. Evidenced by: Policy Review:…

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

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

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

Fines & penalties

$8,959 in federal fines across 1 penalty.

• $8,959 — penalty dated 2024-08-22

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 12 rows in the source record cover these 5 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 2024. 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, FY2024). 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