Middle River Health And Rehabilitation 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.

Met the expected recovery: 30.8% 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% 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 86 beds and averages 45.1 residents a day — about 52% occupied, or roughly 41 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 4.36 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.14 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 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 3.84 hrs/resident/day on weekends vs 4.57 on weekdays — 16% thinner on weekends. RN hours go from 1.30 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above 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.

24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · Gcited before2026-02-03 · 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 1 of 4 residents reviewed (R1) received adequate supervision and assistance devices to prevent accidents.Certified Nursing Assistant (CNA) C did not use stand aid correctly causing a fall resulting in R1 sustaining a fracture.Findings include:R1 was admitted to the facility on [DATE].On 09/30/25, R1 had a Brief Interview for Mentals Status (BIMS) score of 6/15, which indicates severe cognitive impairment.Care plan includes in part: a focus of self-care deficit related to polyneuropathy, frequent falls, failure to thrive, weakness, and decreased mobility with interventions of high fall risk last revised on 11/22/25. Transfers: stand aid assist of 1. Toileting: 2 assist before morning cares, at bedtime, and every 2-3 hours while awake and upon request.On 01/18/26 at 1:45 PM, CNA C entered R1's room for incontinence care. CNA C assisted R1 to a standing position in the stand aid with no other staff assistance. While R1 was standing in…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-16 · 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 record review, observation, and interview, the facility did not ensure the resident's environment remains as free of accident hazards as possible, and each resident receives adequate supervision and assistive devices to prevent accidents for 1 of 1 resident (R) reviewed. (R1)R1's motion sensor alarm was not turned on when R1 was in bed, as indicated in R1's care plan to prevent falls. Findings include: R1 was admitted to the facility on [DATE] with diagnoses including Alzheimer's disease with early onset, dementia with agitation. R1's Brief Interview Mental Status (BIMS) score is 00/15 indicating severe cognitive impairment. R1's care plan indicates R1 is high risk for falls related to confusion and is unaware of safety needs. On 3/12/26, R1 had a witnessed fall. On 04/23/26, R1's care plan was updated to have a motion sensor on the floor while R1 is in bed on exit/door side to alert staff when R1 moves their legs over the side of the bed, per POA request. On 06/16/26 at approximately 10:00 AM, Surveyor…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-03 · 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 observation, interview, and record review, the facility did not provide evidence that all alleged violations are thoroughly investigated for an injury of unknown cause.-Facility did not conduct interviews for other staff and residents.-Facility did not complete education in relation to the incident-Facility did not ensure a Registered Nurse (RN) completed an assessment after a Licensed Practical Nurse (LPN) completed the initial assessment.-Facility did not investigate further after becoming aware of fracture.Findings include:R1 was admitted to the facility on [DATE].On 09/30/25, R1 had a Brief Interview for Mentals Status (BIMS) score of 6/15 which indicates severe cognitive impairment.R1's care plan in part includes a focus of self-care deficit related to polyneuropathy, frequent falls, failure to thrive, weakness, and decreased mobility with interventions of high fall risk last revised on 11/22/25. Prior to the incident R1's care plan stated R1 required assist of 1 with the stand aid for transfers…

  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 before2026-02-03 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 4 residents reviewed (R1) received person-centered care according to the comprehensive care plan.-A facility staff member did not follow R1's care plan for toileting resulting in a fall.Findings include:R1 was admitted to the facility on [DATE].On 09/30/25, R1 had a Brief Interview for Mentals Status (BIMS) score of 6/15 which indicates severe cognitive impairment.Care plan includes in part; Transfers: stand aid assist of 1. Toileting: 2 assist before morning cares, at bedtime, and every 2-3 hours while awake and upon request.On 01/18/26 at 1:45 PM, Certified Nursing Assistant (CNA) C entered R1's room for incontinence care. CNA C assisted R1 to a standing position in the stand aid with no other staff. While R1 was standing in the stand aid, CNA C attempted to pull down R1's pants to change incontinent brief. R1 stated R1 could no longer stand and R1's feet slipped off the stand aid platform. CNA C stated CNA C attempted to assist R1 put R1'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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-08-14 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  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 accurate reporting of the mandatory submission of staffing information based on payroll data to the Centers for Medicate and Medicaid [NAME] (CMS). The facility failed to enter accurate data in their Payroll Based Journal (PBJ) system. This has the potential to affect all 45 residents residing in the facility.Findings:Centers for Medicare & Medicaid Services (CMS) Electronic Staffing Data Submission Payroll-Based Journal, Long-term Care Facility Policy Manual, dated June 2022, states in part: Chapter 1: Overview, 1.1 introduction .(U) mandatory submission of staffing information based on payroll data in a uniform format. Long-term care facilities must electronically submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specifications established by CMS.1.2 Submission Timelines and Accuracy.…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-14 · tag F0657 — failed to keep the care plan current — pattern
  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 record review and interview, the facility did not ensure each resident (R), or their representative had the right to participate in the care planning process for 7 of 13 residents (R3, R5, R25, R42, R1, R4, R11) reviewed for care conferences. This is evidenced by: Facility policy titled Resident Care Conference, revised 5/25, states in part: Policy: To have a multi-disciplinary approach to evaluate and make assessments of a resident's needs and goals and to implement the assessment into a resident's total plan of care.Procedure. All residents shall have a care conference every quarter or more if necessary. a reminder will be sent to the resident and/or their responsible party when the care conference is scheduled. Each department gives a brief report of how the resident is doing. The resident and/or their responsible party is welcome to ask questions or for clarification on anything discussed during the care conference. The staff attending the care conference will evaluate the effectiveness of the care…

  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 · E2025-08-14 · tag F0761 — failed to label and store drugs safely — pattern
  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

  Based on observation, staff interview and record review, the facility did not ensure drugs and biologicals were stored under proper temperature controls. This practice had the potential to affect 5 of 5 residents.Staff were not monitoring the refrigerator temperatures for both first and third floor medication rooms.Findings:Form titled Temperature Log for Refrigerator- Fahrenheit stated in part: Monitor temperatures closely1. Write your initials below in Staff initials: and note the time in exact time.2. If using a temperature monitoring device that records min/max temps document current and min/max once each workday, preferably in the morning. If using a temperature monitoring device that does not record min/max temps, document current temps twice, at beginning and end of each workday. On 08/11/2025 at 2:13 PM, Surveyor noted the refrigerator temperatures were missing on the first-floor refrigerator temperature log. Dates in July missing temperatures were: 17, 18, 19, 20, 21, 23, 24, 25, 26, 27, 28, 29, 30, 31. The August log has no entries. R15 had a FlexTouch 100-unit insulin pen…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-14 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility did not ensure residents/representatives were notified of the rate to reserve the resident's bed in the bed hold notice. This has the potential to affect 1 of 2 residents (R), R51.R51 received a bed hold notice with no daily rate documented.Findings:R51 was admitted to the facility on [DATE] with a Brief Interview of Mental Status (BIMS) score of 14 which indicated that R51 was cognitively intact (but this did decline while in the facility). R51 had diagnoses of dementia, Alzheimer's, hallucinations, irritability and anger.R51 had a care plan for behaviors indicating physical/verbal aggression dated 7/5/25.R51 had a minimum data set (MDS) dated [DATE] titled Discharge Return Anticipated.On 07/11/25 at 10:41 PM, progress note revealed R51 became aggressive with staff both physically and verbally and police were notified. At 8:20 PM, R51 left the facility with officers and went to the emergency room.On 08/12/25 at 2:14 PM, Surveyor asked Nursing Home Administrator…

  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 before2025-08-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 development and implementation of a comprehensive person-centered care plan to address the resident's history of recurring urinary tract infections (UTI), for 1 of 13 residents (R) R27 whose care plans were reviewed, This is evidenced by:The facility's policy titled: Care Plans - Comprehensive, states in part: An individualized comprehensive care plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. Section 3 states, each resident's comprehensive care plan is designed to: (a) Incorporate identified problem areas.(e) Reflect treatment goals, timetables, and objectives in measurable outcomes, and (i) Reflect currently recognized standards of practice for problem areas and conditions. R27 was admitted to the facility on [DATE] and has diagnoses that include acute renal failure, morbid obesity, diabetes, and urinary tract infections.R27's Minimum…

  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 before2025-08-14 · 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

  Based on record review, observation and interview, the facility did not ensure the resident environment remains free of accident hazards as possible and each resident receives adequate supervision and assistance devices to prevent accidents for 2 of 5 residents (R42 and R11) reviewed. R42's record review noted an unwitnessed fall when staff did not implement interventions of a fall mat per plan of care resulting in an emergency room (ER) visit. R42 was observed being transferred with a mechanical lift with an assist of 1 staff member. R42 requires assistance of 2 per plan of care. R11 had a fall where staff did not follow the facility protocols to do a complete assessment post fall. This is evidenced by: The facility policy titled Falls and Fall Risk, managing, states: Based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling. Under section titled Prioritizing approaches to managing falls and fall risk, states…

  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 · D2025-08-14 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections (UTI) for 1 of 3 residents (R27) reviewed. The facility failed to follow up on recommendation for urology consult due to history of frequent UTIs. This is evidenced by:R27 was admitted to the facility on [DATE] and has diagnoses of acute renal failure, morbid obesity, type II diabetes and urinary tract infections.R27's Minimum Data Set (MDS) assessment, dated 06/26/25, indicated that R27 is frequently incontinent and has no urinary toileting program. R27 has a BIMS score of 15/15, meaning cognitively intact.R27's care plan, dated 06/05/25, states that R27 has functional bladder incontinence related to activity intolerance. The identified Intervention/Tasks states in part. R27 prefers a bedpan while in bed. monitor/document/report PRN any possible causes of incontinence: bladder infection. loss of bladder tone, decreased…

  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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 3 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.

About 78% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in WI