Evergreen Health Services

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.

61.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.1% 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 26 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 37.5 residents a day — about 75% occupied, or roughly 12 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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 is below 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 3.24 hrs/resident/day on weekends vs 3.72 on weekdays — 13% thinner on weekends. RN hours go from 0.84 to 0.41 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%.

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

Inspection trend

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

Inspection deficiencies

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

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

20 citations, most serious first. The 12 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-09-16 · 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 interview, and record review, the facility did not ensure adequate supervision was provided for 1 resident (R) (R1) of 5 residents reviewed for elopement.R1 was at risk for wandering and elopement. On 8/15/25, R1 exited the facility unsupervised and was found lying on the side of the road 0.3 miles from the facility. The facility failed to ensure all exit doors alarmed and did not have a system in place to ensure doors were secure and an audible alarm functioned.The facility's failure to provide adequate supervision for a resident assessed to be at risk for elopement and who exited the facility and was discovered laying on the side of a road and to ensure a properly functioning alarm system led to a finding of immediate jeopardy that began on 8/8/25. Nursing Home Administrator (NHA)-A was notified of the immediate jeopardy on 9/10/25 at 4:30 PM. The immediate jeopardy was removed on 9/10/25, however, the deficient practice continues at a scope/severity level D (potential for more than…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-03-19 · 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 ensure the provision of adequate supervision and assistance devices to prevent accidents for 3 residents (R) (R1, R4, and R3) of 3 sampled residents. On 10/24/24, R1 had a fall with injury while smoking outside without supervision. R1 sustained a head laceration and was transferred to the emergency room (ER). A smoking assessment indicated R1 could smoke independently unsupervised, however, R1 needed assistance with locomotion and could not independently get to or return from the smoking area. In addition, R1 did not have a smoking care plan at the time of the fall. R4 fell from a lift chair on 12/27/24. The facility did not reassess R4 for lift chair safety following the fall. R3 fell on [DATE]. A fall intervention was not implemented or added to R3's care plan in a timely manner. Findings include: The facility's Smoking Policy, revised 7/14/22, indicates: .To identify factors that may put residents at risk for smoking…

  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 · E2025-09-16 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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 8 residents (R) (R3, R10, R8, R9, R11, R14, R15, and R13) of 16 sampled residents received timely assistance for activities of daily living (ADLs)R3 and R10 experienced long call light response times and had to wait to be assisted to bed.R8 experienced long call light response times which caused increased incontinence and embarrassment.R9 experienced long call light response times which caused stress and difficulty completing ADLs so R9 could go to bed.R11, R14 and R15 experienced long call light response times which resulted in increased stress and incontinence.R13 experienced long call light response times which resulted in increased incontinence. In addition, R13 had to wait to be assisted to bed.Findings include: The facility's Call lights: Accessibility and Timely Response policy, revised 7/6/22, indicates: .2. All residents will be educated on how to call for help by using the resident call system .10. All…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-16 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection. This practice had the potential to affect more than 4 of the 36 residents residing in the facility.The facility was following COVID-19 precautions due to staff exposure. During lunch and supper on 9/8/25, hand hygiene was not offered to residents prior to or after dining.Finding includes: The facility's Hand Hygiene policy, dated 11/2/22, indicates: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors .Hand Hygiene Table indicates hand hygiene is to be performed before and after eating .References: Centers for Disease Control and Prevention (CDC).About Handwashing information from CDC.gov, dated 2/16/24, indicates: Many diseases and conditions are spread by not washing hands with soap and clean, running water. Hand washing with soap is one of the best ways to stay healthy. If soap and…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-20 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not provide the necessary enteral feeding services for 2 residents (R) (R2 and R1) of 2 sampled residents.R2 had an order to infuse 920 milliliters (mls) of enteral feeding between 8:00 PM and 4:00 AM. On 8/20/25 at 7:26 AM, R2's pump was running and had infused 990 mls. In addition, the head of R2's bed was not elevated to the proper height during multiple observations.R1 had an order to flush R1's feeding tube with 2000 ml of water per day after tube feeding at a rate of 390 until gone and an order for tube feeding with carbohydrate stability 1.2 (calories) 1422 ml at a rate of 90 for 15 continuous hours during the hours of 8:00 PM and 11:00 AM. On 8/14/25, Licensed Practical Nurse (LPN)-C did not flush R1's tube feeding line at the correct time and Registered Nurse (RN)-D did not start the tube feeding at the correct time. Findings include: The facility's Enteral Nutritional Therapy policy, dated 6/2017, indicates: Resident should be…

  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 · E2025-05-29 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and record review, the facility did not ensure meals were served at regular times and per resident preferences for 7 residents (R) (R27, R19, R14, R18, R237, R13, and R23) of 7 sampled residents. On 5/28/25 and 5/29/25, the facility served room trays 30 or more minutes after the posted meal service time for breakfast. On 5/27/25 and 5/28/25, the facility served room trays 30 or more minutes after the posted meal service time for lunch. In addition, R237 did not receive a lunch tray on 5/28/25 until one hour after the posted meal service time. Findings include: On 5/27/25 at 9:39 AM, Surveyor interviewed R27 who indicated room trays are always late. R27 indicated R27 has had to wait 30 minutes to an hour after the posted meal time to receive a tray. R27 indicated sometimes breakfast does not arrive until almost 10:00 AM and lunch until 1:00 PM. R27 indicated kitchen staff could help more and stated meals are delivered closer to the mealtime when there is a hospitality aide scheduled. R27 was frustrated that R27 had wait later than the posted…

  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 · D2025-05-29 · 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 and resident interview, and record review, the facility did not provide appropriate respiratory care and services for 3 residents (R) (R237, R187 and R139) of 3 sampled residents. R237, R187, and R139 did not have physician's orders to use, clean, or maintain a continuous positive airway pressure (CPAP) machine. Findings include: The facility's CPAP Therapy policy, revised 6/24/22, indicates: Continuous positive airway pressure is used to treat obstructive sleep apnea .Indications: 1) Obstructive sleep apnea 2) Hypoxemia .1) Verify physician orders .Cleaning and Maintenance: .7) Clean and inspect all components regularly. The mask, tubing, and headgear should last approximately 6-12 months, but the actual life of the equipment can vary greatly. 8) Clean the CPAP unit as necessary .13) Filter Maintenance: 14) Will depend on the model of the unit you have. 15) There will be two filters on some models. The first filter is usually disposable, and the second filter is reusable. Disposable…

  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 before2025-05-29 · 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 observation, staff and resident interview, and record review, the facility did not ensure 1 resident (R) (R9) of 17 sampled residents was provided safe and accurate administration of drugs and biologicals. On 5/27/25, Surveyor observed a tube of 1% hydrocortisone cream on R9's bedside table. R9 did not have a physician's order for the cream or an order have medication at the bedside. Findings include: The facility's Medication Administration Self-Administration by Resident policy, dated 1/2023, indicates: .Residents who desire to self-administer medication are permitted to do so with a prescriber's order and if the nursing care center's interdisciplinary team has determined the practice would be safe .1. If the resident desires to self-administer medication, an assessment is conducted by the interdisciplinary team of the resident's cognitive, physical, and visual ability to carry out the responsibility during the care planning process .3. The results of the interdisciplinary team assessment are recorded…

  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 · Dcited before2025-05-29 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for 3 residents (R) (R33, R32, and R15) of 3 residents observed during the provision of cares. R33 was on enhanced barrier precautions (EBP). During an observation of care for R33, Certified Nursing Assistant (CNA)-D did not complete appropriate hand hygiene and did not don clean gloves while providing care. Licensed Practical Nurse (LPN)-E did not don a gown while providing care. In addition, R33's uncovered catheter drainage bag was observed on the floor. During wound care for R32, LPN-J did not complete hand hygiene between glove changes. During an observation of care for R15, CNA-C removed soiled gloves after providing perineal care and did not wash or sanitize hands before donning clean gloves. Findings include: The Facility's Hand Hygiene Policy, revised 11/2/22, indicates:…

  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 · D2025-05-29 · 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 staff interview and record review, the facility did not ensure appropriate care and treatment were provided for 1 resident (R) (R29) of 1 resident reviewed for cardiac monitoring. The facility did not assess R29's ability to follow cardiac monitoring instructions or provide monitoring assessments for R29's cardiac monitor. Findings include: On 5/27/25, Surveyor reviewed R29's medical record. R29 was admitted to the facility on [DATE] and had diagnoses including hemiplegia (weakness on one side of the body) and hemiparesis (paralysis on one side of the body) following cerebral infarction (also known as stroke) affecting the left non-dominant side, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), emphysema, and atrial fibrillation. R29's Minimum Data Set (MDS) assessment, dated 4/9/25, had a Brief Interview for Mental Status (BIMS) score of 10 out of 15 which indicated R29 had moderate cognitive impairment. R29 was responsible for R29's healthcare decisions. R29 was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-07 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. On 8/7/24 at 9:35 AM, Surveyor observed LPN-D prepare medication for R4. LPN-D placed vitamin D 1000 units, an iron tablet, atorvastatin 10 mg (milligrams), Jardiance 10 mg, spironolactone 25 mg, furosemide 40 mg, furosemide 20 mg, Eliquis 5 mg, Entresto 24 mg, and carvedilol 3.125 mg in a medication cup. LPN-D then left the cup of medication unattended on top of the medication cart while LPN-D filled a pitcher of water. On 8/7/24 at 9:54 AM, Surveyor interviewed LPN-D who stated LPN-D did not usually leave medication unattended but felt it was okay since Surveyor was there. On 8/7/24 at 4:16 PM, Surveyor interviewed DON-B who verified medication should not be left on top of the medication cart unattended. DON-B stated DON-B expects staff to lock the medication in the cart or carry the medication with them. Based on observation, staff interview, and record review, the facility did not ensure medications were appropriately stored for 2 Residents (R) (R1 and R4) of 8 sampled residents. R1 was prescribed an eye…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-22 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 revise a plan of care to reflect current care needs for 1 resident (R6) of 12 sampled residents. R6 had chronic gout and gout flare ups which were not included in R6's plan of care. Findings include: Between 5/20/24 and 5/22/24, Surveyor reviewed R6's medical record. R6 was admitted to the facility on [DATE] with a diagnosis of gout. R6's Minimum Data Set (MDS) assessment, dated 4/17/24, documented a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated R6 had intact cognition. On 5/20/24 at 9:51 AM, Surveyor interviewed R6 who stated R6's finger hurt and was swollen. R6 stated R6 was waiting for R6's doctor to come to the facility. Surveyor noted R6's right pointer finger was red from the tip to the first knuckle. R6 stated R6 put alcohol wipes on R6's finger, but R6 was out of alcohol wipes. On 5/22/24 at 9:27 AM, Surveyor interviewed R6 who stated R6's finger felt better. R6 stated R6 did not have anymore pain and a…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“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

$14,020 in federal fines across 1 penalty.

• $14,020 — penalty dated 2025-08-20

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 NORTH SHORE HEALTHCARE — 59 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 40 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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.

This home reported $261K 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