Whispering Pines Nursing and Rehab, LLC

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.

62.6% 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 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.6% 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 35 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 0.62 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 50 beds and averages 32.7 residents a day — about 65% occupied, or roughly 17 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.11 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.72 hrs/resident/day on weekends vs 4.26 on weekdays — 13% thinner on weekends. RN hours go from 1.00 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

17 citations, most serious first. The 12 most serious are shown; the remaining 5 are one tap away and print in full.

• Immediate jeopardy · J2023-11-20 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 staff interview and record review, the facility did not ensure food was prepared in a form designed to meet individual needs for 1 Resident (R) (R1) of 7 residents on mechanically altered diets. R1 had a mechanically altered diet. R1's diet was not followed on 11/7/23, which resulted in a choking episode that required intervention by nursing staff and emergency medical services (EMS) to clear R1's airway. R1 passed away on 11/7/23 as a result of the choking episode. Failure to ensure foods were served to residents in the appropriate texture created a finding of Immediate Jeopardy (IJ), which began on 11/7/23. Nursing Home Administrator (NHA)-A was notified of the immediate jeopardy on 11/9/23 at 3:45 PM. The immediate jeopardy was removed on 11/9/23; however, the deficient practice continues at a severity/scope level of D as the facility continues to implement its removal plan. Findings include: According to data from the National Safety Council, choking is the 4th most common cause of death.…

  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 · Gcited before2026-04-14 · 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 staff interview and record review, the facility did not ensure the safety of 1 resident (R) (R17) of 2 sampled residents.R17 was at high risk for wandering and had a Wanderguard (WG) bracelet. R17 exited the facility on 4/1/26 between 4:00 AM and 4:30 AM through an unalarmed door. R17 was found approximately 1.1 miles away at 6:40 AM at R17's apartment. R17 sustained a broken finger during the elopement. (This is being cited at past non-compliance.)Findings include: The facility's Elopement Risk and Prevention policy, dated 8/1/2015, indicates: The facility shall ensure all residents receive adequate supervision and assistive devices to prevent accidents, including elopement, wandering, and unsafe exits.Between 4/13/26 and 4/14/26, Surveyor reviewed R17's medical record. R17 was admitted to the facility on [DATE] and had diagnoses including rhabdomyolysis, acidosis, presence of automatic cardiac defibrillator, and alcoholic liver disease. R17's Minimum Data Set (MDS) assessment, dated 4/1/26, had 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-06-09 · 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, staff interview, and record review, the facility did not provide care and treatment to promote healing and/or prevent new pressure injuries from developing for 1 resident (R) (R3) of 3 sampled residents. R3 was at risk for the development of pressure injuries and had a care plan intervention for a left heel boot to be worn at all times. On 6/8/26, R3 was observed without a left heel boot for over four hours. Findings include: The facility's Pressure Injury Prevention and Wound Care Management policy and procedure, dated 8/26/18, indicates: The facility will ensure residents receive care and services to prevent additional pressure ulcers from forming .residents at risk for the development of pressure injuries will have their individualized care plan interventions and approaches documented in the residents' care plans .pressure reduction surfaces should be provided for prevention of pressure injuries . R3 was admitted to the facility on [DATE] and had diagnoses including metabolic…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-09 · 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, staff and resident interview, and record review, the facility did not provide adequate supervision to prevent accidents for 1 resident (R) (R2) of 3 sampled residents. R2's care plan indicated they required supervision while eating. On 6/8/26, R2 was observed eating in their room without supervision. Findings include: R2 was admitted to the facility on [DATE] and had diagnoses including Parkinson's disease, rhabdomyolysis (muscle breakdown causing their contents to enter the blood stream), type 2 diabetes, and epilepsy. R2's Minimum Data Set (MDS) assessment, dated 3/25/26, stated R2 had a Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating intact cognition. The MDS assessment indicated R2 had impairment of the upper extremities and required supervision or touching assistance with eating. R2's care plan indicated R2 had the potential for altered nutritional status related to Parkinson's disease, diabetes, left-sided weakness, and the need for an altered consistency…

  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 · D2026-06-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not ensure appropriate respiratory care was provided for 2 residents (R) (R5 and R6) of 2 sampled residents. R5 received oxygen therapy with humidification. A bottle of distilled water used for oxygen therapy was left uncovered. In addition, the bottle was dated 6/2 which was 3 days beyond the expiration date per the facility's policy. R6 received oxygen therapy with humidification. A bottle of distilled water used for oxygen therapy was not dated when opened in accordance with the facility's policy. Findings include: The facility's Policy and Procedure Respiratory Infection Control Practices, revised 6/15/23, indicates: Purpose: To provide infection control guidelines to help prevent infections associated with respiratory therapy equipment, including ventilators, and to prevent transmission of infections to residents and staff. Oxygen Administration .b. Use distilled water for humidification as needed. c. [NAME] bottle of distilled water…

  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 · D2026-06-09 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 staff interview and record review, the facility did not provide pharmacy services to ensure the accurate administration of medication for 1 resident (R) (R2) of 4 sampled residents.R2 had an order for a carbidopa-levodopa (orally disintegrating) 25-250 milligrams (mg) tablet every 8 hours (used to treat motor symptoms of Parkinson's disease, including stiffness, tremors, and slowness). The order was entered for 8:00 AM, 12:00 PM, and 4:00 PM. Findings include: The facility's Policy and Procedure Physician Orders, revised 11/13/24, indicates: Purpose: To provide guidance to ensure physician orders are transcribed and implemented in accordance with professional standards .3. Physician orders must be documented clearly in the medical record including the required components of a complete order .e. dose and frequency of administration .6. Clear and complete orders will be transcribed to the appropriate administration record (Medication Administration Record (MAR)/Treatment Administration Record (TAR)) . R2…

  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 · D2026-06-09 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  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, staff and resident interview, and record review, the facility did not provide adaptive eating equipment for 1 resident (R) (R2) of 3 sampled residents. R2 was not provided with a lipped plate (a plate with raised edges to assist in guiding food onto utensils and prevent spills), a rocker knife (a curved blade designed to cut through food using a back-and-forth rocking motion) or built-up utensils (adaptive eating aids with enlarged handles) as indicated in their plan of care. Findings include: R2 was admitted to the facility on [DATE] and had diagnoses including Parkinson's disease, rhabdomyolysis (muscle breakdown causing their contents to enter blood stream), type 2 diabetes, epilepsy, mood disorder, and insomnia. R2's Minimum Data Set (MDS) assessment, dated 3/25/26, stated R2 had a Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating intact cognition. The MDS assessment indicated R2 had impairment of the upper extremities and required supervision or touching…

  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 · Dcited before2026-04-14 · 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 staff interview and record review, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act when allegations of abuse were not reported to local police department and/or State Agency (SA) for 3 residents (R) (R13, R20, and R51) of 4 sampled residents.R13 touched R20 inappropriately on 3/29/26. The allegation of abuse was not reported to the SA or local police department.R13 kissed R51 in the dining room on 1/12/26. The potential allegation of abuse was not reported to the SA.Findings include:The facility's Vulnerable Adult Abuse and Neglect Prevention policy, dated 11/2017, indicates: .9. Resident-to-Resident Abuse: The resident has the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, exploitation and involuntary seclusion. Residents must not be subjected to abuse by anyone, including, but not limited to facility staff, other residents .6. Reporting 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 · E2025-01-15 · tag F0623 — pattern
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure the Ombudsman was notified of transfers and discharges for 5 residents (R) (R29, R26, R2, R16, and R13) of 5 sampled residents. R29 was discharged home on [DATE]. The facility did not notify the Ombudsman of R29's discharge. R26 was discharged home on [DATE]. The facility did not notify the Ombudsman of R26's discharge. R2 was transferred to the hospital on 7/11/24. The facility did not notify the Ombudsman of R2's transfer. R16 was transferred to the hospital on 5/28/24. The facility did not notify the Ombudsman of R16's transfer. R13 was transferred to the hospital on [DATE] and 12/28/24. The facility did not notify the Ombudsman of R13's transfers. Findings include: The facility did not provide a policy related to notifying the Ombudsman of transfers and discharges. 1. From 1/13/25 to 1/15/25, Surveyor reviewed R29's medical record. R29 was admitted to the facility on [DATE] following an exacerbation of congestive heart failure (CHF). R29…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-15 · 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 staff and resident interview and record review, the facility failed to implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act for 1 resident (R) (R22) of 15 sampled residents. R22 reported to staff that a staff member stole R22's soda. The facility did not report the allegation of misappropriation to the State Agency (SA) or local law enforcement. Findings include: The facility's Policy and Procedure Vulnerable Adult Abuse and Neglect Prevention, dated 10/29/24, indicates: Any nursing home employee or volunteer who becomes aware of abuse, mistreatment, neglect, or misappropriation shall intervene to safeguard the resident and then immediately report to the Administrator or designee. The Administrator or designee will report .to the State Agency per state and federal requirements .13. Misappropriation of Property: (a) The intentional taking, misplacement, carrying away, using, transferring, concealing, or retaining…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-15 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident interview and record review, the facility did not ensure an allegation of misappropriation was thoroughly investigated for 1 resident (R) (R22) of 15 sampled residents. R22 reported that staff stole R22's soda. The facility did not thoroughly investigate the allegation of misappropriation. Findings include: The facility's Policy and Procedure Vulnerable Adult Abuse and Neglect Prevention, dated 10/29/24, indicates: Any nursing home employee or volunteer who becomes aware of abuse, mistreatment, neglect, or misappropriation shall intervene to safeguard the resident and then immediately report to the Administrator or designee. The Administrator or designee will report .to the State Agency per state and federal requirements .4. Investigation: a. Upon receiving a complaint of alleged maltreatment, the Administrator must be notified immediately and they, the Director of Nursing, or assigned designee, will coordinate an investigation which will include completion of witness statements .…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-15 · 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, staff and resident interview, and record review, the facility did not ensure proper surgical wound treatment was provided for 1 Resident (R) (R131) of 1 resident. R131 had a right below-the-knee amputation (BKA). R131's wound dressing was not changed per the physician's order. In addition, a weekly in-house wound assessment was not completed for R131's surgical wound. Findings include: The facility's Dressing Change, Sterile policy, dated 2/24/23, indicates: Medical record documentation and follow up as applicable. 1. The date and time the dressing was changed. The facility's Pressure Injury Prevention and Wound Care Management policy, revised 3/4/24, indicates: It is the policy of this facility that each resident receives the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with the comprehensive assessment and plan of care .7. Skin impairments, including .surgical wounds .should be assessed and documented…

  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

$12,649 in federal fines across 1 penalty.

• $12,649 — penalty dated 2023-10-12

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 EDEN SENIOR CARE — 21 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $406K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in WI