Cortland Acres Health and Rehabilitation

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.

46.1% 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 62 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 40.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 40 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 94 beds and averages 90.1 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 2.81 hrs/resident/day on weekends vs 3.33 on weekdays — 16% thinner on weekends. RN hours go from 0.58 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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.

31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.

• Immediate jeopardy · K2025-03-12 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  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

  Based on observation, record review, resident interview, and staff interview, the facility failed to provide each resident food prpared in the form to meet their individual needs for Resident's #12, #191, #32, #19, #62, #49, #71, #34, #87, and #46. This created an immediate jeopardy situation due to the risk of choking and aspiration. Resident Identifiers: #12, #191, #32, #19, #62, #49, #71, #34, #87, and #46. Facility census: 91. Findings included: a) Resident #12 On 03/03/25 at 3:18 PM, Resident #12 stated she had difficulty eating the food, especially meats, at the facility sometimes. She stated she had difficulty swallowing and sometimes the food makes her cough. On 03/04/25 at 12:32 PM, Resident #12 was observed eating lunch in her room. Her tray ticket stated her food consistency was to be chopped. She had breaded chicken cut into pieces of various sizes. Review of Resident #12's diet order showed the resident had an order for Heart Healthy CCD [carbohydrate controlled diet] diet, Minced & Moist (MM5) Meats Only texture, Regular/Thin consistency. The facility's policy on…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-03-12 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 closed record review, policy review, review of facility investigation and staff interview, the facility failed to ensure Resident #89 received Cardiopulmonary resuscitation (CPR) as resident requested and physician ordered when found pulseless, not breathing and skin pale and warm to the touch. The State Agency (SA) found this failure rose to the level of an Immediate Jeopardy This failed practice was true for Resident #89 but had the potential to affect 32 residents who requested CPR and had a physician order for CPR. Resident identifier: #89. Facility Census: 91. Findings included: a) Resident #89 Resident #89 was admitted on [DATE] with diagnoses of Diabetes, dementia, seizure disorder, coronary artery disease and high blood pressure. The Brief Interview for Mental Status (BIMS) was 99 which means the resident could not answer any questions and had severe cognitive impairment. A physician order was written on [DATE] at 10:44 AM CODE STATUS: Full Code. Record review revealed that on [DATE] at 5:56 AM…

  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 before2026-03-25 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and staff interview, the facility failed to provide resident meals at proper serving temperature. This was found to be true on 1 of 1 lunch meals tested. Facility census 90. a) Lunch Meal on A HallOn 03/24/26 at approximately 12:10 PM, the surveyor had a random lunch tray on A hall temperature tested by the Traveling Dietary Manager. The temperature assessment was also witnessed by the facility's Administrator. The food which was tested were mashed potatoes and gravy with steak. Both food temperatures were tested by the Traveling Dietary Manager as 110 degrees Fahrenheit. On 03/24/26 at approximately 12:15 PM, interview with the Traveling Dietary Manager confirmed and verified that the food did not meet the required serving temperature.On 03/24/26 at approximately 12:16 PM, interview with the facility Administrator confirmed that the food did not meet the required serving temperature. This deficiency was also acknowledged by the facility's Administrative team upon exit on 03/25/26 at approximately 4:00 PM.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-25 · tag F0806 — failed to honor food preferences — pattern
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on document review and staff interviews, the facility failed to provide residents with consistent preferences on the facility's readily available menu. This was found to be true on 2 of 2 menus and has the potential to affect more than an limited number of residents currently residing at the facility. Facility census 90.a) On 03/24/26 at approximately 1:05 p.m., the facility's Traveling Dietary Manager was interviewed. The Traveling Dietary Manager was asked to provide a list of readily available items. The list had the following item listed: it has a choice of egg. When asked what the choice of egg offered to the resident was? The Traveling Dietary Manager replied They can either get an omelet, scramble eggs, hard boiled egg or a hard fried egg Verified with the Traveling Dietary Manager on 03/24/26 at approximately 1:08 p.m., that the posted readily available menu that residents have access to does not have those items listed as choices.b) On 03/24/26 at approximately 1:10 p.m., the facility's Traveling Dietary Manager provided a copy of the always available menu that the…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-24 · 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 — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and record review, resident interview the facility failed to ensure that the meals were served timely. Facility census and findings included.A) Resident #43On 10/22/25 at 12:15 PM an observation of Resident #43 in the dining room B, found lunch trays arrived at 1:10 PM. A review of the policy titled Open Style Dining with no date of initiation/review/revised stated that lunch trays are served at 11:30 AM. A confidential interview with a staff member confirmed that the trays should have been delivered by 12:20 PM. Interview from Resident #74, breakfast served 9AM, Lunch 1:45 PM, Dinner 7:20 PM. Interview completed 10/22/25 at 4:35 PM. Interview from Resident #11, food is cold all meals. Observation of meal service 10/23/25, lunch trays A hall were served 12:05 PM, C hall 12:21 PM, D hall 12:35 PM, [NAME] 12:45 PM. Food temperatures were taken of last tray on [NAME], Cod 145 degrees, Potatoes 140 degrees, and Cream Spinach 160 degrees.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-25 · 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

  Based on observation and staff interview, staff failed to change contaminated gloves after performing perineal care and before touching clean resident gown and linens. This was true for one (1) of one (1) residents observed during perineal care. Resident identifier: # 70. Facility census: 90. Based on observation and staff interview, staff failed to change contaminated gloves after performing perineal care and before touching clean resident gown and linens. This was true for one (1) of one (1) residents observed during perineal care. Resident identifier: # 70. Facility census: 90.Findings included:a) Resident #70On 06/24/25 at 11:05 AM an observation of perineal care for Resident #70 found that Nurse Aide (NA) #14 completed perineal care with no issues observed with the procedure. Upon completion of the perineal care, NA #14 failed to change the contaminated gloves and assisted the resident to put on a clean gown. The surveyor intervened and stopped the continued use of the contaminated gloves. NA #14 confirmed she should have changed her gloves after completed perineal care. NA #14…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-12 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and record review, the facility failed to ensure a dignified exsistance took place during dining. The staaff did not ask the residents in the dining room if they wanted to wear clothing protectors. The staff served Resident #23 and #68 meals in large vegetable serving bowls. Residents were not served meals together when they were sitting together at the same table. This failure was a random opportunity for discovery and had the potential to affect more than a limited number of resdients. Resident identifiers: #23 and #68. Facility Census: 91. Findings included: a) On 03/03/25 at 11:55 AM during the Dining Observation, the residents were not asked if they would like to wear a clothing protector. The clothing protectors were placed on the residents in the main dining room by nursing staff. b) On 03/03/25 at 12:10 PM, Resident #23 was served his lunch meal in a large vegetable serving bowl. No adaptive equipment for a bowl/plate was documented on the resident's tray card or found in the resident's orders. c) On 03/03/25 at 12:15 PM, Resident #68 was served his…

  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 · E2025-03-12 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and staff interview, the facility failed to provide a clean and home like environment for all residents in the facility. Facility census 91. Findings included: a) On 03/04/25 at approximately 9:30 a.m., observed a stained ceiling located in the main hallway near the main entrance. b) On 03/04/25 at approximately 9:41 a.m., observed a stained ceiling located in the C Hall soiled utility room. c) On 03/04/25 at approximately 9:54 a.m., observed a stained ceiling located in the main hallway near the main entrance. e) Interview with the facility's staff at the time of discovery verified these findings. These findings were acknowledged by the Interiem Administrator upon the exit interview on 03/12/25 at approximately 2:45 p.m.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0656 — failed to write and follow a full care plan — pattern
  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 e) Resident #60 Activities Based upon record review and staff interview, the facility failed to complete a Care Plan personalized for Resident #60's preferred activities. The Care plan stated, ACTIVITIES: the resident prefers to participate in activities such as The sentence in the Care Plan was incomplete. The care plan is not personalized with any resident preferences, or examples. On 03/11/25 at 1:47 PM, an interview with the Director of Nursing (DON) was held, and the Care Plan for Resident #60 was reviewed. When asked about personal preferences for activities for Resident #60, DON responded, Yes, we seem to have a problem with these. (These, referring to Care Plans.) f) Resident #64 A review of Resident #64's comprehensive care plan found the care plan to be void of person-centered activities. On 03/11/25 at 8:40 AM the Interim Assistant Director of Nursing (IADON) confirmed there were no activities care planned for Resident #64. She stated, I'll let her know. G) Resident #85 A review of Resident #85'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 · E2025-03-12 · 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

  Based on resident interview, record review, and staff interview, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. This was true for six (6) of 10 residents reviewed for the care area of activities of daily living. Resident identifiers: #12, #45, #16, #58, #40, and #47. Facility census: 91. Findings included: a) Resident #12 During an interview, on 03/03/25 at 3:18 PM, Resident #12 stated, I don't get showers like I am supposed to. They are too short-staffed. Review of the shower schedule showed the resident was scheduled to receive showers on Tuesdays and Fridays. Review of Resident #12's bathing/showering task reports for 30 days, from 02/11/25 to 03/11/25 showed the resident had received tub baths on 02/25/25, 02/28/25, 03/03/25, 03/04/25, 03/05/25, 03/07/25, and 03/11/25. No bathing activities were documented from 02/11/25-02/24/25. The above findings were confirmed by the Director of Nursing on 03/12/25 at 12:07 PM. b) Resident #45…

  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 · E2025-03-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 observation and staff interview, the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. Sharp objects were in unlocked rooms accessible to residents. This was a random opportunity for discovery that had the potential to affect more than a limited number of residents. Facility census: 91. Findings included: a) Biohazard room On 03/03/25 at 11:08 AM, a door in A hallway labeled biohazard, authorized personnel only was found to be unlocked. Behind the door was a series of three (3) rooms. The first room contained locked cabinets. The second room contained a linen cart. The third room contained a small shower. In the shower was a sharps container, a puncture-resistant container for safely disposing of sharp objects. The sharps container was overflowing with razor blades. This finding was confirmed by Unit Secretary #148. She stated the door was not kept locked because hazardous items were locked in cabinets. She confirmed the sharps container overflowing with razor blades posed a potential risk to…

  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 before2025-03-12 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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, record review, staff interview and resident interview, the facility failed to ensure the food served was attractive, palatable and at a safe and appetizing temperature for Residents #21, #23, #33, #66, #85, #17 and #40. This failed practice had the potential to affect more than a limited number of residents. Resident Identifiers: #21, #23, #33, #66, #17, and #40. Facility Census: 91. Findings included: a) Policy Review According to the facility's Policy and Procedure Manual for The Dining Experience: Staff Responsibilities, the dining experience will enhance each individual's quality of life through person-entered dining: providing nourishing, palatable and attractive meals that meet the individuals daily nutritional needs and food and beverage preferences. Food will be served at the proper temperature, texture and/or consistency to meet each individual's needs and desires. b) Resident Council Meeting Minutes Resident Council Meeting Minutes were reviewed for the previous six months.…

  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

“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

$32,057 in federal fines across 1 penalty.

• $32,057 — penalty dated 2025-03-12

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 HILL VALLEY HEALTHCARE — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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 51 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

13 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.

About 74% 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 WV