Majestic Care of Lakin

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.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 28% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 34% 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 136 beds and averages 56.9 residents a day — about 42% occupied, or roughly 79 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 4.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.17 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.10 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 3.64 hrs/resident/day on weekends vs 5.54 on weekdays — 34% thinner on weekends — a notable drop. RN hours go from 1.42 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

38 citations, most serious first. The 13 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-03-12 · 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 observation, record review, and staff interview the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. Nurse Aide (NA) #107 was observed transferring Resident #1 by himself on two (2) occasions. Resident #1 was identified as a resident who required the assistance of two (2) staff when transferring. NA #107 had the resident Kardex available to him which identified the correct way to transfer Resident #1, but he failed to look at the Kardex and transfer the resident in a correct manner. The State Agency (SA) identified this failure placed Resident #1 in an immediate jeopardy (IJ) situation. The facility was notified of the IJ on 03/04/25 at 11:23 PM. The final plan of correction (POC) was accepted by the SA on 03/05/25 at 4:21 PM. After the implementation of the POC was confirmed with observations of transfers, education record review, and staff interviews the IJ was abated on 03/06/25 at 10:15 AM. After the IJ was abated a deficient practice remained and the scope and severity was reduced from a J to an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-03-12 · tag F0807 — failed to offer suitable drinks — isolated
  Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and staff interviews the facility failed to ensure Residents #1, #2, and#14, had the proper consistency thickened liquids. This was a random opportunity of discovery and had the potential to cause harm such as choking, aspiration or death. Resident identifier: #1, #2, and #14. Facility Census: 61. The State Agency (SA) determined this to be an Immediate Jeopardy situation. Findings include: a) Resident #1 -Record Review A review of Resident #1's medical record revealed the resident had a history of dysphasia and aspiration pneumonia, further record review of the care plan found a focus statement related to the history of dysphasia and aspiration pneumonia. Interventions for this focus statement included, per speech therapy; puree/pudding thinned consistency and pudding thick liquids diet. The care plan also contained the following focus statement, (First name of Resident #1) requires an altered texture diet due to Chewing and swallowing abilities related to being edentulous and having esophageal strictures. He is at a high risk for aspiration…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-03-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to ensure residents of the facility were free from abuse and neglect. For Residents #2 and #56, the facility failed to ensure they were free from sexual abuse, committed by Resident #214. For Residents #33, #50, #38, #43, #216, #51, #215, #46, #6, #35, and #17, the facility failed to ensure these residents were free of neglect related to medication administration. For Resident #33, the facility failed to ensure this resident was free from abuse due to misappropriation of medications. For Resident #1, the facility failed to transfer the resident in the correct manner, resulting in neglect. For Resident #20, the facility failed to ensure this resident was free from neglect by failing to ensure the seatbelt was fastened while being transferred in the van. This was true for 16 of 16 residents reviewed for abuse and neglect during the survey process. Resident identifiers: #2, #56, #33, #50, #38, #43, #216, #51, #215, #46, #6, #35, #17, #33, #1, #20. Facility census: 61. The State Agency (SA) determined psychosocial harm 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a resident council meeting, observation, and staff interview, the facility failed to ensure each resident had access to and was able to file an anonymous grievance and/or concern with the facility. This was discovered during the resident council meeting and has the potential to affect more than a limited number of residents currently residing in the facility. Facility Census: 61. Findings Include: a) A resident council meeting was held on 03/04/25 at 2:30 PM. During this meeting the residents agreed they did not know how or where the forms were located to file a grievance. They were asked if they were able to file a grievance at the facility anonymously and they did not know. Review of the facility grievance log found they had not had a grievance or complaint filed since 07/18/24. Review of the facility's policy titled Grievance which did not contain an effective date found the resident has a right to file a grievance anonymously. During an interview with Social Worker (SW) #11 on 03/10/25 at 2:47 PM, she was asked were the grievance forms were located. She stated they are…

  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 F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, policy review, observation and staff interview the facility failed to implement their abuse and neglect policy by failing to report all allegations of abuse and/or neglect to the appropriate state agencies. For resident #2 and #56 the facility failed to identify a resident with a history of sexually predatory behavior and put into place interventions to prevent the sexual abuse of other residents. This was true for five (5) of 16 residents reviewed for the care area of abuse during the long termcare survey process. Resident Identifiers: #1, #20,#12, #2, and #56. Facility Census: 61. Findings Include: a) Policy review A review of the facility's policy titled Abuse, Neglect, Exploitation, and Misappropriation reporting and investigating with a policy accepting date of 03/2023 found the following pertaining to the reporting of alleged allegations: .Reporting Allegations to the Administrator and Authorities If resident abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source is suspected, the suspicion must be reported…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to ensure all allegations of abuse and or neglect were reported to all state agencies as required. This was true for three (3) of 16 residents reviewed for the care area of abuse during the long term care survey process. Resident Identifiers: #1, #12, and #20. Facility Census: 61. Findings Include: a) Resident #1 On 03/04/25 at 9:20 PM Nurse Aide (NA) #107 was observed transferring Resident #1 from his recliner in the hallway to his wheelchair. NA #107 completed the transfer by himself and had the assistance of no other staff members. No devices were used for this transfer. The resident was wearing no skid sock during this transfer. On 03/04/25 at 9:29 PM, NA #107 was again observed transferring Resident #1 from his wheelchair to his recliner in the hallway. NA #107 again completed this transfer by himself with no assistance from any other staff member. At the time of this transfer Resident #1 was barefooted. No Devices were used for this transfer.…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · 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

  Based on record review and staff interviews, the facility failed to develop and implement a comprehensive person-centered care plan for resident #54 by not providing a goal in the care plan. Resident #20 for accident hazards, and Resident #49 for comfort care process. This was found true for three (3) of 34 residents care plans reviewed during the long term care survey process. Resident Identifier: #54, #20, and #49. Facility Census: 61. Findings include: a) Resident #54 On 03/03/25 at 03:16 PM a record review of Resident # 54's care plan revealed the following; Strength/Problem D-100 - Resident receives a Level 7 Regular, Level 0 thin liquids diet and has no apparent dietary problems Rev. #4 (No Goal) Interventions DIET AS ORDERED. Level 7 Regular, Level 0 thin liquids diet, coffee and chocolate milk with meals, food in bowls 10, 2, has Sunday snack staff assist with meals/fed by staff health shakes with lunch and dinner. Rev. #4 Honor specific food preferences: No Rice No Hot Cereal No Eggs Rev. #4 Monitor weight as ordered: monthly Rev. #4 Record % intakes. Rev. #4 Provide three…

  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 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

  Based on record reviews and staff interviews the facility failed to revise care plans related to activities. This was found true for four (4) of 34 care plans reviewed during the long-term care survey process. Resident identifiers: #21, #46, #32, and #15. Facility census:61. Findings include: a)Resident #21 Record review on 03/10/25 revealed the following activity care plan: Problem/Strength: ~(Resident #21's first name) does not participate in most activities, per choice is self directed to his room Goal: ~(Resident #21's first name here) will participate in activities of choice 2 x (two times) per week through next review and remain self-directed. Interventions Included: ~(Resident #21's first name here) may be involved in facility friend to friend program ~(Resident #21's first name here) enjoys watching TV in his room ~(Resident #21's first name here)enjoys conversation with staff ~(Resident #21's first name here) spending time outdoors when weather permits ~(Resident #21's first name here) may attend special needs as scheduled Further record review of resident daily…

  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 F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident interview, and staff interview the facility failed to provide an ongoing program of activities to meet the interests of and support the physical, mental and psychosocial well-being of each resident. This failed practice was found true for four (4) of six (6)residents reviewed for activities during the Long-Term Care Survey Process. Resident identifiers #15, #21, #46, and #32. Facility census 61. Findings include: a) Resident #15 An initial observation on 03/03/25 at 12:46 PM, revealed Resident #15 sitting in a recliner outside of her room turned sideways asleep. Further observation at 2:00 PM, found Resident #15 in the recliner in the same position. An observation on 03/04/25 at 10:30 AM, found the resident in her recliner, patting her chair arm. Further observation at 3:15 PM, revealed Resident #15 sitting in her recliner. The unit television (TV) was playing, but the TV was (4) four doors down across the hall from Resident #15's recliner position. Further…

  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 F0684 — failed to provide proper treatment and quality of care — pattern
  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

  Based on record review and staff interview, the facility failed to follow physician's orders relating to medication administration for Resident #33, #50, #51, #62, #46, #216, #38 #6, #35, #17 and #43 as well as 15-minute observations and weekly skin assessments, and comfort care as well as documentation of an allegation of neglect for Resident #11. This is true for 13 of 34 residents reviewed during the survey process. Resident identifiers: #33, #50, #51, #62, #46, #216, #38, #6, #35, #17, #43, #49, and #11. Facility census: 61. Findings Include: a) Resident #33 On 03/03/25 at 2:32 PM, a review of a facility-reported incident (FRI) dated 07/17/24 found Licensed Practical Nurse (LPN) #134 did not follow physician's orders regarding medication administration and neurological (neuro) checks on the A wing. Also, 15-minute observation checks on 06/23/24 and 06/24/24 which was ordered by the physician on 04/26/24 and weekly skin assessments which were ordered by the physician on 07/19/23. The following medications were ordered for 07/13/24 at 9:00 PM. The following medications were…

  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 F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to deploy sufficient staff to meet the needs of the residents residing at the facility. This has the potential to affect all residents residing in the facility. Resident identifiers: 2, 56, 214, 31. Facility census: 61. Findings include: A) Residents #2, 56, 214 During review of Facility Reported Incidents (FRIs) involving Residents #2, 56, and 214, it was noted the facility had Resident #214 on line of sight (LOS) observation, 15 minute checks, and one (1) on one (1) observation during his stay at the facility due to aggressive sexual behavior towards other residents. These incidents took place between 12/19/24 and 12/22/24. Following the incident on 12/19/24, in which Resident #214 sexually assaulted Resident #2, Resident #214 was placed on LOS observation. However, on 12/22/24, another incident took place, in which Resident #214 assaulted Resident #214. The facility's investigation stated the following to be the cause of the incident: (Resident #214's name) was on line of sight when not in bed. He moved 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview and resident interview the facility failed to notify residents of changes on the menu. This failed practice was a random opportunity for discovery and had the potential to affect more than a limited number of residents. Resident identifier #57. Facility census 61. Findings Include: a) Resident #57 During the initial interview on 03/04/25 at 9:23 AM, Resident #57 stated, The food sucks, It's the same old stuff. Like today is soup and sandwich but they don't tell us what the soup or the sandwich is. I am not sure if I like it or not, so I ordered grilled cheese and tomato soup. They change the menu all the time and don't tell us what the change is. How do we know if we like it if we don't know what it is? During an interview on 03/10/25 at 11:45 AM, The Dietary Manager (DM) stated, Where we have a lot with the flu, we decided to do chicken noodle soup today and a sandwich. I made our dietician aware. The State Agency (SA) asked, Were the residents aware of the change? The DM stated, No, but we just thought they would like it since we have a flu…

  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 · Ecited before2025-03-12 · 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, record review, and staff interview, the facility failed to maintain infection control standards during incontinence care for Resident #1, who was on enhanced barrier precautions, by not wearing the appropriate PPE, by throwing soiled clothing, linens and a brief on the floor of the shower room, and continuing to wear soiled gloves throughout the unit after the incontinence care was provided for Resident #1; and, storing clean linen in the shower room, and did not maintain contact/droplet precautions during an influenza outbreak. Resident identifier: #1. Facility Census: 61. Findings Include: a) Resident #1 On 03/04/25 at 9:20 PM, Resident #1 was observed sitting in a recliner with visible signs of urinary signs of urinary incontinence on Resident #1's pants. The resident was transferred from recliner to the wheelchair. The resident is on enhanced-barrier precautions due to a history of Methicillin-Resistant Staphlococcus Aureus (MRSA). Nurse Aide (NA) #107 did not don personal protective equipment (PPE) while transferring or providing incontinence care 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.

  Infection Control 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

$45,694 in federal fines across 1 penalty.

• $45,694 — 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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in WV